ndCare nd9th ndEdition ndby ndIGNATAVICIUS
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR
nd nd nd nd nd nd
INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION
nd nd nd nd nd
IGNATAVICIUS ALL CHAPTERS.
nd nd nd
,Test ndBank ndMedical ndSurgical ndNursing,Concepts ndfor ndInterprofessional ndCollaborative
ndCare nd9th ndEdition ndby ndIGNATAVICIUS
Chapter nd01: ndOverview ndof ndProfessional ndNursing ndConcepts ndfor ndMedical- ndSurgical ndNursing
MULTIPLE ndCHOICE
1. A ndnurse ndwishes ndto ndprovide ndclient-centered ndcare ndin ndall ndinteractions. ndWhich ndaction
nd byndthe ndnurse ndbest nddemonstrates ndthis ndconcept?
a. Assesses ndfor ndcultural ndinfluences ndaffecting ndhealth ndcare
b. Ensures ndthat ndall ndthe ndclients ndbasic ndneeds ndare ndmet
c. Tells ndthe ndclient ndand ndfamily ndabout ndall ndupcoming ndtests
d. Thoroughly ndorients ndthe ndclient ndand ndfamily ndto ndthe ndroom
ANS: ndA
Competency ndin ndclient-focused ndcare ndis nddemonstrated ndwhen ndthe ndnursefocuses ndon
nd communication, ndculture, ndrespect ndcompassion, ndclient ndeducation, ndand ndempowerment. ndBy
nd assessing ndthe ndeffect ndof ndthe ndclients ndculture ndon ndhealth ndcare, ndthis ndnurse ndis ndpracticing ndclient-
focused ndcare. ndProviding ndfor ndbasic ndneeds nddoes ndnot nddemonstrate ndthis ndcompetence. ndSimply
telling ndthe ndclient ndabout ndall ndupcoming ndtests ndis ndnot ndproviding ndempowering ndeducation.
nd
Orienting ndthe ndclient ndandfamily ndto ndtheroom ndis
animportantsafetymeasure,
nd
nd butnotdirectlyrelatedtodemonstratingclient-centered ndcare.
DIF: ndUnderstanding/Comprehension ndREF: nd3
KEY: ndPatient-centered ndcare| ndculture ndMSC: ndIntegrated ndProcess: ndCaring ndNOT: ndClient ndNeeds
nd Category: ndPsychosocial ndIntegrity
2. A ndnurse ndis ndcaring ndfor nda ndpostoperative ndclient ndon ndthe ndsurgical ndunit. ndThe ndclients ndblood
nd pressure ndwas nd142/76 ndmm ndHg nd30 ndminutes ndago, ndand ndnow ndis nd88/50 ndmm ndHg. ndWhat ndaction
nd by ndthe ndnurse ndisbest?
a. Call ndthe ndRapid ndResponse ndTeam.
b. Document ndand ndcontinue ndto ndmonitor.
c. Notify ndthe ndprimary ndcare ndprovider.
d. Repeat ndblood ndpressure ndmeasurement ndin nd15 ndminutes.
,Test ndBank ndMedical ndSurgical ndNursing,Concepts ndfor ndInterprofessional ndCollaborative
ndCare nd9th ndEdition ndby ndIGNATAVICIUS
ANS: ndA
The ndpurpose ndof ndthe ndRapid ndResponse ndTeam nd(RRT) ndis ndto ndintervene ndwhen ndclients ndare
deteriorating ndbefore ndthey ndsuffereitherrespiratoryorcardiacarrest.
nd
Sincetheclienthasmanifestedasignificantchange, ndthenurseshould ndcall ndthe ndRRT. ndChanges ndin
nd blood ndpressure, ndmental ndstatus, ndheart ndrate, ndand ndpain ndare ndparticularly ndsignificant.
nd Documentation ndis ndvital, ndbut ndthe ndnursemust nddo ndmore ndthan nddocument. ndThe ndprimary ndcare
provider ndshould ndbe ndnotified, ndbut ndthis ndis ndnot ndthe ndpriority ndover ndcalling ndthe ndRRT. ndThe
nd
nd clients ndblood ndpressure ndshould
be ndreassessed ndfrequently, ndbut ndthe ndpriority ndis ndgetting ndthe ndrapid ndcare ndto ndtheclient.
DIF: ndApplying/Application ndREF: nd3
KEY: ndRapid ndResponse ndTeam nd(RRT)| ndmedical ndemergencies ndMSC: ndIntegrated ndProcess:
nd Communication ndand ndDocumentation
NOT: ndClient ndNeeds ndCategory: ndPhysiological ndIntegrity: ndPhysiological ndAdaptation
3. A ndnurse ndis ndorienting nda ndnew ndclient ndand ndfamily ndto ndthe ndinpatient ndunit. ndWhat
nd information nddoes ndthe ndnurse ndprovide ndto ndhelp ndthe ndclient ndpromote ndhis ndor ndher ndown ndsafety?
a. Encourage ndthe ndclient ndand ndfamily ndto ndbe ndactive ndpartners.
b. Have ndthe ndclient ndmonitor ndhand ndhygiene ndin ndcaregivers.
c. Offer ndthe ndfamily ndthe ndopportunity ndto ndstay ndwith ndthe ndclient.
d. Tell ndthe ndclient ndto ndalways ndwear ndhis ndor ndher ndarmband.
ANS: ndA
Each ndaction ndcould ndbe ndimportant ndfor ndthe ndclient ndor ndfamily ndto ndperform. ndHowever,
nd encouraging ndthe ndclient ndto ndbe ndactive ndin ndhis ndor ndher ndhealth ndcare ndas nda ndpartner ndis ndthe ndmost
nd critical. ndThe ndother ndactions ndare ndvery ndlimited ndin ndscope ndand nddo ndnot ndprovide ndthe ndbroad
protection ndthat ndbeing ndactive ndand ndinvolveddoes.
nd
DIF: ndUnderstanding/Comprehension ndREF: nd3 ndKEY: ndPatient ndsafety
, Test ndBank ndMedical ndSurgical ndNursing,Concepts ndfor ndInterprofessional ndCollaborative
ndCare nd9th ndEdition ndby ndIGNATAVICIUS
MSC: ndIntegrated ndProcess: ndTeaching/Learning
NOT: ndClient ndNeeds ndCategory: ndSafe ndand ndEffective ndCare ndEnvironment: ndSafety ndand
ndInfection ndControl
4. A ndnew ndnurse ndis ndworking ndwith nda ndpreceptor ndon ndan ndinpatientmedical-surgical
nd unit. ndThe ndpreceptor ndadvises ndthe ndstudent ndthat ndwhich ndis ndthe ndpriority ndwhen ndworking ndas nda
professionalnurse?
nd
a. Attending ndto ndholistic ndclient ndneeds
b. Ensuring ndclient ndsafety
c. Not ndmaking ndmedication nderrors
d. Providing ndclient-focused ndcare
ANS: ndB
All ndactions ndare ndappropriate ndfor ndthe ndprofessional ndnurse. ndHowever, ndensuring ndclient ndsafety ndis
nd the ndpriority. ndUp ndto nd98,000 nddeaths ndresult ndeach ndyear ndfrom nderrors ndin ndhospital ndcare,
nd according ndto ndthe nd2000 ndInstitute ndof ndMedicine ndreport. ndMany ndmore ndclients ndhave ndsuffered
nd injuries ndand ndless ndserious ndoutcomes. ndEvery ndnurse ndhas ndthe ndresponsibility ndto ndguard ndthe
nd clients ndsafety.
DIF: ndUnderstanding/Comprehension ndREF: nd2 ndKEY: ndPatient
ndsafety ndMSC: ndIntegrated ndProcess: ndNursing ndProcess:
nd Intervention
NOT: ndClient ndNeeds ndCategory: ndSafe ndand ndEffective ndCare ndEnvironment: ndSafety ndand
ndInfection ndControl
5. A ndclient ndis ndgoing ndto ndbe ndadmitted ndfor nda ndscheduled ndsurgical ndprocedure. ndWhich
action nddoes ndthe ndnurse ndexplain ndis ndthe ndmost ndimportant ndthing ndthe ndclient ndcan nddo ndto
nd
nd protect ndagainsterrors?
a. Bring nda ndlist ndof ndall ndmedications ndand ndwhat ndthey ndare ndfor.
b. Keep ndthe nddoctors ndphone ndnumber ndby ndthe ndtelephone.
c. Make ndsure ndall ndproviders ndwash ndhands ndbefore ndentering ndthe ndroom.
d. Write nddown ndthe ndname ndof ndeach ndcaregiver ndwho ndcomes ndin ndthe ndroom.
ANS: ndA