TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
w w w w w w w w
w Surgical Nursing
w
MULTIPLEw CHOICE
1. Awnursewwisheswtowprovidewclient-
centeredwcarewinwallwinteractions.wWhichwactionwbywthewnursewbestwdemonstrateswthiswconcept?
a. Assessesw forw culturalw influencesw affectingw healthw care
b. Ensureswthatwallw thewclientsw basicw needswarew met
c. Tellswthew clientw andwfamilyw aboutw allw upcomingw tests
d. Thoroughlyw orientsw thew clientw andwfamilyw tow thew room
CORRECTwANSWER:w A
Competencywinwclient-
focusedwcarewiswdemonstratedwwhenwthewnursewfocuseswonwcommunication,wculture,wrespectwcompassion,wclientwe
ducation,wandwempowerment.wBywassessingwtheweffectwofwthewclientswculturewonwhealthwcare,wthiswnursewiswprac
ticingwclient-
focusedwcare.wProvidingwforwbasicwneedswdoeswnotwdemonstratewthiswcompetence.wSimplywtellingwthewclientwab
outwallwupcomingwtestswiswnotwprovidingwempoweringweducation.wOrientingwthewclientwandwfamilywtowthewroomwi
swanwimportantwsafetywmeasure,wbutwnotwdirectlywrelatedwtowdemonstratingwclient-centeredwcare.
DIF:w Understanding/Comprehensionw REF:w 3
KEY:wPatient-
centeredwcare|wculturewMSC:wIntegratedwProcess:wCaringwNOT:wClient
w NeedswCategory:wPsychosocialwIntegrity
2. Awnursewiswcaringwforwawpostoperativewclientwonwthewsurgicalwunit.wThewclientswbloodwpressurewwasw142/76wm
mwHgw30wminuteswago,wandwnowwisw88/50wmmwHg.wWhatwactionwbywthewnursewiswbest?
a. Callw thew Rapidw ResponsewTeam.
b. Documentw andwcontinuew tow monitor.
c. Notifyw thew primaryw carew provider.
d. Repeatw bloodw pressurew measurementw inw 15w minutes.
CORRECTwANSWER:w A
ThewpurposewofwthewRapidwResponsewTeamw(RRT)wiswtowintervenewwhenwclientswarewdeterioratingwbeforewthe
ywsufferweitherwrespiratoryworwcardiacwarrest.wSincewthewclientwhaswmanifestedwawsignificantwchange,wthewnursewsho
uldwcallwthewRRT.wChangeswinwbloodwpressure,wmentalwstatus,wheartwrate,wandwpainwarewparticularlywsignifican
t.
Documentationwiswvital,wbutwthewnursewmustwdowmorewthanwdocument.wThewprimarywcarewproviderwshould
wbewnotified,wbutwthiswiswnotwthewprioritywoverwcallingwthewRRT.wThewclientswbloodwpressurewshouldwbewreasse
ssedwfrequently,wbutwthewprioritywiswgettingwthewrapidwcarewtowthewclient.
DIF:w Applying/Applicationw REF:w 3
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
w w w w w w w w
w Surgical Nursing
w
MULTIPLEw CHOICE
1. Awnursewwisheswtowprovidewclient-
centeredwcarewinwallwinteractions.wWhichwactionwbywthewnursewbestwdemonstrateswthiswconcept?
a. Assessesw forw culturalw influencesw affectingw healthw care
b. Ensureswthatwallw thewclientsw basicw needswarew met
c. Tellswthew clientw andwfamilyw aboutw allw upcomingw tests
d. Thoroughlyw orientsw thew clientw andwfamilyw tow thew room
CORRECTwANSWER:w A
Competencywinwclient-
focusedwcarewiswdemonstratedwwhenwthewnursewfocuseswonwcommunication,wculture,wrespectwcompassion,wclientwe
ducation,wandwempowerment.wBywassessingwtheweffectwofwthewclientswculturewonwhealthwcare,wthiswnursewiswprac
ticingwclient-
focusedwcare.wProvidingwforwbasicwneedswdoeswnotwdemonstratewthiswcompetence.wSimplywtellingwthewclientwab
outwallwupcomingwtestswiswnotwprovidingwempoweringweducation.wOrientingwthewclientwandwfamilywtowthewroomwi
swanwimportantwsafetywmeasure,wbutwnotwdirectlywrelatedwtowdemonstratingwclient-centeredwcare.
DIF:w Understanding/Comprehensionw REF:w 3
KEY:wPatient-
centeredwcare|wculturewMSC:wIntegratedwProcess:wCaringwNOT:wClient
w NeedswCategory:wPsychosocialwIntegrity
2. Awnursewiswcaringwforwawpostoperativewclientwonwthewsurgicalwunit.wThewclientswbloodwpressurewwasw142/76wm
mwHgw30wminuteswago,wandwnowwisw88/50wmmwHg.wWhatwactionwbywthewnursewiswbest?
a. Callw thew Rapidw ResponsewTeam.
b. Documentw andwcontinuew tow monitor.
c. Notifyw thew primaryw carew provider.
d. Repeatw bloodw pressurew measurementw inw 15w minutes.
CORRECTwANSWER:w A
ThewpurposewofwthewRapidwResponsewTeamw(RRT)wiswtowintervenewwhenwclientswarewdeterioratingwbeforewthe
ywsufferweitherwrespiratoryworwcardiacwarrest.wSincewthewclientwhaswmanifestedwawsignificantwchange,wthewnursewsho
uldwcallwthewRRT.wChangeswinwbloodwpressure,wmentalwstatus,wheartwrate,wandwpainwarewparticularlywsignifican
t.
Documentationwiswvital,wbutwthewnursewmustwdowmorewthanwdocument.wThewprimarywcarewproviderwshould
wbewnotified,wbutwthiswiswnotwthewprioritywoverwcallingwthewRRT.wThewclientswbloodwpressurewshouldwbewreasse
ssedwfrequently,wbutwthewprioritywiswgettingwthewrapidwcarewtowthewclient.
DIF:w Applying/Applicationw REF:w 3
