tionlbylIGNATAVICIUS
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTERP
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ROFFESSIONAL COLLABORATIVE CARE 9TH EDITIONIGNATA
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VICIUS ALL CHAPTERS.
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,TestlBanklMedicallSurgicallNursing,ConceptslforlInterprofessionallCollaborativelCarel9thlEdi
tionlbylIGNATAVICIUS
Chapterl01:lOverviewloflProfessionallNursinglConceptslforlMedical-lSurgicallNursing
MULTIPLElCHOICE
1. Alnurselwishesltolprovidelclient-
centeredlcarelinlalllinteractions.l Whichlactionlbylthelnurselbestl demonstrateslthislconcept?
a. Assesseslforlculturallinfluenceslaffectinglhealthlcare
b. Ensureslthatlalllthelclientslbasiclneedslarelmet
c. Tellslthelclientlandlfamilylaboutlalllupcomingltests
d. Thoroughlylorientslthelclientlandlfamilyltolthelroom
ANS:lA
Competencylinlclient-
focusedlcarelisldemonstratedlwhenlthelnursefocuseslonlcommunication,lculture,lrespectlcompassion
,lclientleducation,landlempowerment.lBylassessingltheleffectloflthelclientslculturelonlhealthlcare,lthisl
nurselislpracticinglclient-
focusedlcare.lProvidinglforlbasiclneedsldoeslnotldemonstratelthislcompetence.lSimplyltellinglthelclie
ntlaboutlalllupcomingltestslislnotlprovidinglempoweringleducation.
Orientinglthelclientlandfamilyltoltheroomlislanimportantsafetymeasure,lbu
tnotdirectlyrelatedtodemonstratingclient-centeredlcare.
DIF:lUnderstanding/ComprehensionlREF:l3
KEY:lPatient-
centeredlcare|lculturelMSC:lIntegratedlProcess:lCaringlNOT:lClientlNeedslCategory:lPsychosociallI
ntegrity
2. Alnurselislcaringlforlalpostoperativelclientlonlthelsurgicallunit.lThelclientslbloodlpressurelwasl
142/76lmmlHgl30lminuteslago,landlnowlisl88/50lmmlHg.lWhatlactionlbylthelnurselisbest?
a. CalllthelRapidlResponselTeam.
b. Documentlandlcontinueltolmonitor.
c. Notifylthelprimarylcarelprovider.
d. Repeatlbloodlpressurelmeasurementlinl15lminutes.
,TestlBanklMedicallSurgicallNursing,ConceptslforlInterprofessionallCollaborativelCarel9thlEdi
tionlbylIGNATAVICIUS
ANS:lA
ThelpurposeloflthelRapidlResponselTeaml(RRT)lisltolintervenelwhenlclientslareldeterioratinglbeforelt
heylsuffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange,lthenurseshouldlcalllthelRRT.lChangeslinlbloodlpre
ssure,lmentallstatus,lheartlrate,landlpainlarelparticularlylsignificant.lDocumentationlislvital,lbutltheln
ursemustldolmorelthanldocument.lThelprimarylcarelproviderlshouldlbelnotified,lbutlthislislnotlthelprio
rityloverlcallinglthelRRT.lThelclientslbloodlpressurelshould
belreassessedlfrequently,lbutlthelprioritylislgettinglthelrapidlcareltoltheclient.
DIF:lApplying/ApplicationlREF:l3
KEY:lRapidlResponselTeaml(RRT)|lmedicallemergencieslMSC:lIntegratedlProcess:lComm
unicationlandlDocumentation
NOT:lClientlNeedslCategory:lPhysiologicallIntegrity:lPhysiologicallAdaptation
3. Alnurselislorientinglalnewlclientlandlfamilyltolthelinpatientlunit.lWhatlinformationldoesltheln
urselprovideltol helplthelclientl promotelhislorlherlownlsafety?
a. Encouragelthelclientlandlfamilyltolbelactivelpartners.
b. Havelthelclientlmonitorlhandlhygienelinlcaregivers.
c. Offerlthelfamilylthelopportunityltolstaylwithlthelclient.
d. Telllthelclientltolalwayslwearlhislorlherlarmband.
ANS:lA
Eachlactionlcouldlbelimportantlforlthelclientlorlfamilyltolperform.lHowever,lencouraginglthelclientltolb
elactivelinlhislorlherlhealthlcarelaslalpartnerlislthelmostlcritical.lThelotherlactionslarelveryllimitedlinlscop
elandldolnotlprovidelthelbroadlprotectionlthatlbeinglactivelandlinvolveddoes.
DIF:lUnderstanding/ComprehensionlREF:l3lKEY:lPatientlsafety
, TestlBanklMedicallSurgicallNursing,ConceptslforlInterprofessionallCollaborativelCarel9thlEdi
tionlbylIGNATAVICIUS
MSC:lIntegratedlProcess:lTeaching/Learning
NOT:lClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment:lSafetylandlInfectionlCo
ntrol
4. Alnewlnurselislworkinglwithlalpreceptorlonlanlinpatientmedical-
surgicallunit.lThelpreceptorladviseslthelstudentlthatlwhichlislthelprioritylwhenlworkinglaslalprofe
ssionalnurse?
a. Attendingltolholisticlclientlneeds
b. Ensuringlclientlsafety
c. Notlmakinglmedicationlerrors
d. Providinglclient-focusedlcare
ANS:lB
Alllactionslarelappropriatelforlthelprofessionallnurse.lHowever,lensuringlclientlsafetylislthelpriority.lU
pltol98,000ldeathslresultleachlyearlfromlerrorslinlhospitallcare,laccordingltolthel2000lInstituteloflMedici
nelreport.lManylmorelclientslhavelsufferedlinjurieslandllesslseriousloutcomes.lEverylnursel haslthelrespo
nsibilityltolguardlthelclientslsafety.
DIF:lUnderstanding/ComprehensionlREF:l2lKEY:lPatientlsafetylMS
C:lIntegratedlProcess:lNursinglProcess:lIntervention
NOT:lClientlNeedslCategory:lSafelandlEffectivelCarelEnvironment:lSafetylandlInfectionlCon
trol
5. Alclientlislgoingltolbeladmittedlforlalscheduledlsurgicallprocedure.lWhichlactionldoesltheln
urselexplainlislthelmostlimportantlthinglthelclientlcanldoltolprotectlagainsterrors?
a. Bringlallistloflalllmedicationslandlwhatltheylarelfor.
b. Keepltheldoctorslphonelnumberlbyltheltelephone.
c. Makelsurelalllproviderslwashlhandslbeforelenteringlthelroom.
d. Writeldownlthelnamelofleachlcaregiverlwholcomeslinlthelroom.
ANS:lA