Page 1 of 140
Nursing Concepts for Interprofessional
Collaborative Care 10th Edition by
Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+
1. A new nurse is working with a preceptor on a
medical-surgical unit. The preceptor advises the new nurse
that which is the priority when working as a professional
nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
Answer: b. Ensuring client safety
Rationale: All actions are appropriate for the professional nurse;
,Page 2 of 140
however, ensuring client safety is the priority. Healthcare errors
have been widely reported for 25 years, many of which result in
client injury, death, and increased costs. Every nurse has the
responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as
providing safety.
2. A nurse is orienting a new client and family to the
medical-surgical unit. What information does the nurse
provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
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.
Answer: a. Encourage the client and family to be active
partners.
Rationale: Each action could be important, but encouraging the
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client to be active in his or her healthcare as a safety partner is
the most critical. The other actions are limited in scope and do not
provide the broad protection that being active and involved
does.
3. A nurse is caring for a postoperative client on the surgical
unit. The client’s blood pressure was 142/76 mm Hg 30
minutes ago and is now 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary healthcare provider.
d. Repeat the blood pressure in 15 minutes.
Answer: a. Call the Rapid Response Team.
Rationale: The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they suffer
respiratory or cardiac arrest. A significant change in blood
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pressure is a critical indicator, and the nurse should activate the
RRT immediately. Documentation and notifying the provider are
important but secondary to obtaining rapid intervention.
4. A nurse wishes to provide client-centered care in all
interactions. Which action by the nurse best demonstrates this
concept?
a. Assesses for cultural influences affecting healthcare.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
Answer: a. Assesses for cultural influences affecting healthcare.
Rationale: Client-centered care requires respecting the client’s
preferences and values. Assessing cultural influences is a direct
way to individualize care to the client’s needs.
Nursing Concepts for Interprofessional
Collaborative Care 10th Edition by
Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+
1. A new nurse is working with a preceptor on a
medical-surgical unit. The preceptor advises the new nurse
that which is the priority when working as a professional
nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
Answer: b. Ensuring client safety
Rationale: All actions are appropriate for the professional nurse;
,Page 2 of 140
however, ensuring client safety is the priority. Healthcare errors
have been widely reported for 25 years, many of which result in
client injury, death, and increased costs. Every nurse has the
responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as
providing safety.
2. A nurse is orienting a new client and family to the
medical-surgical unit. What information does the nurse
provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
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.
Answer: a. Encourage the client and family to be active
partners.
Rationale: Each action could be important, but encouraging the
,Page 3 of 140
client to be active in his or her healthcare as a safety partner is
the most critical. The other actions are limited in scope and do not
provide the broad protection that being active and involved
does.
3. A nurse is caring for a postoperative client on the surgical
unit. The client’s blood pressure was 142/76 mm Hg 30
minutes ago and is now 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary healthcare provider.
d. Repeat the blood pressure in 15 minutes.
Answer: a. Call the Rapid Response Team.
Rationale: The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they suffer
respiratory or cardiac arrest. A significant change in blood
, Page 4 of 140
pressure is a critical indicator, and the nurse should activate the
RRT immediately. Documentation and notifying the provider are
important but secondary to obtaining rapid intervention.
4. A nurse wishes to provide client-centered care in all
interactions. Which action by the nurse best demonstrates this
concept?
a. Assesses for cultural influences affecting healthcare.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
Answer: a. Assesses for cultural influences affecting healthcare.
Rationale: Client-centered care requires respecting the client’s
preferences and values. Assessing cultural influences is a direct
way to individualize care to the client’s needs.
