Test Bank
Medical-Surgical Nursing: Concepts for
Interprofessional Collaborative Care 9th
edition
by Donna D. Ignatavicius
wis
epr 9TH EDITION
of
wiseprof
, Medical Surgical Nursing Concepts for Interprofessional Collaborative Care 9th Edition by
IGNATAVICIUS
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing MULTIPLE
CHOICE
A nurse wishes to provide client-centered care in all interactions. Which action by thenurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
wis
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communication,
culture, respect compassion, client education, and empowerment. By assessing the effect of the
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clients culture on health care, this nurse is practicing client-focused care. Providing for basic
needs does not demonstrate this competence. Simply telling the client about all upcoming tests
is not providing empowering education.
Orienting the client and family to the room is an important safety measure,but not directly related to
demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
of
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category:
Psychosocial Integrity
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressurewas
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
wiseprof
,ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbefore
wis
epr
of
wiseprof
, they suffereitherrespiratoryorcardiacarrest.Sincetheclienthasmanifestedasignificantchange, the
nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant. Documentation is vital, but the nurse must do more than document. The
primary care provider should be notified, but this is not the priority over calling the RRT. The clients
blood pressure should be reassessed frequently, but the priority is getting the rapid care to the
client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
wis
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
A nurse is orienting a new client and family to the inpatient unit. What information doesthe nurse
provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
epr
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a partner is the most critical. The other actions are
of
very limited in scope and do not provide the broad protection that being active and involved does.
DIF: Understanding/Comprehension
REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
advises the student that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
wiseprof
Medical-Surgical Nursing: Concepts for
Interprofessional Collaborative Care 9th
edition
by Donna D. Ignatavicius
wis
epr 9TH EDITION
of
wiseprof
, Medical Surgical Nursing Concepts for Interprofessional Collaborative Care 9th Edition by
IGNATAVICIUS
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing MULTIPLE
CHOICE
A nurse wishes to provide client-centered care in all interactions. Which action by thenurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
wis
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communication,
culture, respect compassion, client education, and empowerment. By assessing the effect of the
epr
clients culture on health care, this nurse is practicing client-focused care. Providing for basic
needs does not demonstrate this competence. Simply telling the client about all upcoming tests
is not providing empowering education.
Orienting the client and family to the room is an important safety measure,but not directly related to
demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
of
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category:
Psychosocial Integrity
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressurewas
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
wiseprof
,ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbefore
wis
epr
of
wiseprof
, they suffereitherrespiratoryorcardiacarrest.Sincetheclienthasmanifestedasignificantchange, the
nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant. Documentation is vital, but the nurse must do more than document. The
primary care provider should be notified, but this is not the priority over calling the RRT. The clients
blood pressure should be reassessed frequently, but the priority is getting the rapid care to the
client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
wis
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
A nurse is orienting a new client and family to the inpatient unit. What information doesthe nurse
provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
epr
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a partner is the most critical. The other actions are
of
very limited in scope and do not provide the broad protection that being active and involved does.
DIF: Understanding/Comprehension
REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
advises the student that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
wiseprof
