TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 6n01: 6nOverview 6nof 6nProfessional 6nNursing 6nConcepts 6nfor 6nMedical-Surgical
Nursing 6nIgnatavicius: 6nMedical-Surgical 6nNursing, 6n10th 6nEdition
6n
MULTIPLE 6nCHOICE
1. A 6nnew 6nnurse 6nis 6nworking 6nwith 6na 6npreceptor 6non 6na 6nmedical-surgical 6nunit. 6nThe
6n preceptor 6nadvises 6nthe 6nnew 6nnurse 6nthat 6nwhich 6nis 6nthe 6npriority 6nwhen 6nworking 6nas 6na
6n professional 6nnurse?
a. Attending 6nto 6nholistic 6nclient 6nneeds
b. Ensuring 6nclient 6nsafety
c. Not 6nmaking 6nmedication 6nerrors
d. Providing 6nclient-focused 6ncare
CORRECT 6nANSWER: 6 n B
All 6nactions 6nare 6nappropriate 6nfor 6nthe 6nprofessional 6nnurse. 6nHowever, 6nensuring 6nclient
6n safety 6nis 6nthe 6npriority. 6nHealth 6ncare 6nerrors 6nhave 6nbeen 6nwidely 6nreported 6nfor 6n25
6n years, 6nmany 6nof 6nwhich 6nresult 6nin 6nclient 6ninjury, 6ndeath, 6nand 6nincreased 6nhealth 6ncare
6n costs. 6nThere 6nare 6nseveral 6nnational 6nand 6ninternational 6norganizations 6nthat 6nhave 6neither
6n recommended 6nor 6nmandated 6nsafety 6ninitiatives.
Every 6nnurse 6nhas 6nthe 6nresponsibility 6nto 6nguard 6nthe 6nclient’s 6nsafety. 6nThe 6nother 6nactions
6n are 6nimportant 6nfor 6nquality 6nnursing, 6nbut 6nthey 6nare 6nnot 6nas 6nvital 6nas 6nproviding 6nsafety.
6n Not 6nmaking 6nmedication 6nerrors 6ndoes 6nprovide 6nsafety, 6nbut 6nis 6ntoo 6nnarrow 6nin 6nscope
6n to 6nbe 6nthe 6nbest 6nanswer.
DIF: Understanding TOP: 6 n Integrated 6nProcess: 6nNursing 6nProcess:
Intervention 6nKEY: 6nClient 6nsafety
6n
MSC: 6 n Client 6nNeeds 6nCategory: 6nSafe 6nand 6nEffective 6nCare 6nEnvironment: 6nSafety 6nand 6nInfection
Control
6n
2. A 6nnurse 6nis 6norienting 6na 6nnew 6nclient 6nand 6nfamily 6nto 6nthe 6nmedical-surgical 6nunit. 6nWhat
6n information 6ndoes 6nthe 6nnurse 6nprovide 6nto 6nbest 6nhelp 6nthe 6nclient 6npromote 6nhis 6nor
6n her 6nown 6nsafety?
a. Encourage 6nthe 6nclient 6nand 6nfamily 6nto 6nbe 6nactive 6npartners.
b. Have 6nthe 6nclient 6nmonitor 6nhand 6nhygiene 6nin 6ncaregivers.
c. Offer 6nthe 6nfamily 6nthe 6nopportunity 6nto 6nstay 6nwith 6nthe 6nclient.
d. Tell 6nthe 6nclient 6nto 6nalways 6nwear 6nhis 6nor 6nher 6narmband.
,CORRECT 6nANSWER: 6 n A
Each 6naction 6ncould 6nbe 6nimportant 6nfor 6nthe 6nclient 6nor 6nfamily 6nto 6nperform. 6nHowever,
6n encouraging 6nthe 6nclient 6nto 6nbe 6nactive 6nin 6nhis 6nor 6nher 6nhealth 6ncare 6nas 6na 6nsafety
6n partner 6nis 6nthe 6nmost 6ncritical. 6nThe 6nother 6nactions 6nare 6nvery 6nlimited 6nin 6nscope 6nand 6ndo
6n not 6nprovide 6nthe 6nbroad 6nprotection 6nthat 6nbeing 6nactive 6nand 6ninvolved 6ndoes.
DIF: Understanding TOP: 6nIntegrated 6nProcess:
Teaching/Learning 6nKEY: 6nClient 6nsafety
6n
MSC: 6 n Client 6nNeeds 6nCategory: 6nSafe 6nand 6nEffective 6nCare 6nEnvironment: 6nSafety 6nand 6nInfection
Control
6n
3. A 6nnurse 6nis 6ncaring 6nfor 6na 6npostoperative 6nclient 6non 6nthe 6nsurgical 6nunit. 6nThe 6nclient’s
6n blood 6npressure 6nwas 6n142/76 6nmm 6nHg 6n30 6nminutes 6nago, 6nand 6nnow 6nis 6n88/50 6nmm
6n Hg. 6nWhat 6naction 6nwould 6nthe 6nnurse 6ntake 6nfirst?
a. Call 6nthe 6nRapid 6nResponse 6nTeam.
b. Document 6nand 6ncontinue 6nto 6nmonitor.
c. Notify 6nthe 6nprimary 6nhealth 6ncare 6nprovider.
d. Repeat 6nthe 6nblood 6npressure 6nin 6n15 6nminutes.
, CORRECT 6nANSWER: 6 n A
The 6npurpose 6nof 6nthe 6nRapid 6nResponse 6nTeam 6n(RRT) 6nis 6nto 6nintervene 6nwhen 6nclients 6nare
6n deteriorating 6nbefore 6nthey 6nsuffer 6neither 6nrespiratory 6nor 6ncardiac 6narrest. 6nSince 6nthe
6n client 6nhas 6nmanifested 6na 6nsignificant 6nchange, 6nthe 6nnurse 6nwould 6ncall 6nthe 6nRRT.
6n Changes 6nin 6nblood 6npressure, 6nmental 6nstatus, 6nheart 6nrate, 6ntemperature, 6noxygen
6n saturation, 6nand 6nlast 6n2 6nhours’ 6nurine 6noutput 6nare 6nparticularly 6nsignificant 6nand 6nare
6n part 6nof 6nthe 6nModified 6nEarly 6nWarning 6nSystem 6nguide. 6nDocumentation 6nis 6nvital, 6nbut
6n the 6nnurse 6nmust 6ndo 6nmore 6nthan 6ndocument. 6nThe 6nprimary 6nhealth 6ncare 6nprovider
6n would 6nbe 6nnotified, 6nbut 6nthis 6nis 6nnot 6nmore 6nimportant 6nthan 6ncalling 6nthe 6nRRT. 6nThe
6n client’s 6nblood 6npressure 6nwould 6nbe 6nreassessed 6nfrequently, 6nbut 6nthe 6npriority 6nis
6n getting 6nthe 6nrapid 6ncare 6nto 6nthe 6nclient.
DIF: Applying TOP: 6 n Integrated 6nProcess: 6nCommunication 6nand
Documentation 6nKEY: 6nRapid 6nResponse 6nTeam 6n(RRT), 6nClinical 6njudgment
6n
MSC: 6 n Client 6nNeeds 6nCategory: 6nPhysiological 6nIntegrity: 6nPhysiological 6nAdaptation
4. A 6nnurse 6nwishes 6nto 6nprovide 6nclient-centered 6ncare 6nin 6nall 6ninteractions. 6nWhich 6naction 6nby
the 6nnurse
6n
best 6ndemonstrates 6nthis 6nconcept?
a. Assesses 6nfor 6ncultural 6ninfluences 6naffecting 6nhealth 6ncare.
b. Ensures 6nthat 6nall 6nthe 6nclient’s 6nbasic 6nneeds 6nare 6nmet.
c. Tells 6nthe 6nclient 6nand 6nfamily 6nabout 6nall 6nupcoming 6ntests.
d. Thoroughly 6norients 6nthe 6nclient 6nand 6nfamily 6nto 6nthe 6nroom.
CORRECT 6nANSWER: 6 n A
Showing 6nrespect 6nfor 6nthe 6nclient 6nand 6nfamily’s 6npreferences 6nand 6nneeds 6nis 6nessential 6nto
6n ensure 6na 6nholistic 6nor 6n“whole-person” 6napproach 6nto 6ncare. 6nBy 6nassessing 6nthe 6neffect 6nof
6n the 6nclient’s 6nculture 6non 6nhealth 6ncare, 6nthis 6nnurse 6nis 6npracticing 6nclient-focused 6ncare.
6n Providing 6nfor 6nbasic 6nneeds 6ndoes 6nnot 6ndemonstrate 6nthis 6ncompetence. 6nSimply 6ntelling
6n the 6nclient 6nabout 6nall 6nupcoming 6ntests 6nis 6nnot 6nproviding 6nempowering 6neducation.
6n Orienting 6nthe 6nclient 6nand 6nfamily 6nto 6nthe 6nroom 6nis 6nan 6nimportant 6nsafety 6nmeasure, 6nbut
6n not 6ndirectly 6nrelated 6nto 6ndemonstrating 6nclient-centered 6ncare.
DIF: Understanding TOP: 6nIntegrated 6nProcess: 6nCulture 6nand
6n Spirituality 6nKEY: 6n Client-centered 6ncare, 6nCulture MSC: 6 n Client 6nNeeds 6nCategory:
Psychosocial 6nIntegrity
6n
5. A 6nclient 6nis 6ngoing 6nto 6nbe 6nadmitted 6nfor 6na 6nscheduled 6nsurgical 6nprocedure. 6nWhich
6n action 6ndoes 6nthe 6nnurse 6nexplain 6nis 6nthe 6nmost 6nimportant 6nthing 6nthe 6nclient 6ncan 6ndo
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 6n01: 6nOverview 6nof 6nProfessional 6nNursing 6nConcepts 6nfor 6nMedical-Surgical
Nursing 6nIgnatavicius: 6nMedical-Surgical 6nNursing, 6n10th 6nEdition
6n
MULTIPLE 6nCHOICE
1. A 6nnew 6nnurse 6nis 6nworking 6nwith 6na 6npreceptor 6non 6na 6nmedical-surgical 6nunit. 6nThe
6n preceptor 6nadvises 6nthe 6nnew 6nnurse 6nthat 6nwhich 6nis 6nthe 6npriority 6nwhen 6nworking 6nas 6na
6n professional 6nnurse?
a. Attending 6nto 6nholistic 6nclient 6nneeds
b. Ensuring 6nclient 6nsafety
c. Not 6nmaking 6nmedication 6nerrors
d. Providing 6nclient-focused 6ncare
CORRECT 6nANSWER: 6 n B
All 6nactions 6nare 6nappropriate 6nfor 6nthe 6nprofessional 6nnurse. 6nHowever, 6nensuring 6nclient
6n safety 6nis 6nthe 6npriority. 6nHealth 6ncare 6nerrors 6nhave 6nbeen 6nwidely 6nreported 6nfor 6n25
6n years, 6nmany 6nof 6nwhich 6nresult 6nin 6nclient 6ninjury, 6ndeath, 6nand 6nincreased 6nhealth 6ncare
6n costs. 6nThere 6nare 6nseveral 6nnational 6nand 6ninternational 6norganizations 6nthat 6nhave 6neither
6n recommended 6nor 6nmandated 6nsafety 6ninitiatives.
Every 6nnurse 6nhas 6nthe 6nresponsibility 6nto 6nguard 6nthe 6nclient’s 6nsafety. 6nThe 6nother 6nactions
6n are 6nimportant 6nfor 6nquality 6nnursing, 6nbut 6nthey 6nare 6nnot 6nas 6nvital 6nas 6nproviding 6nsafety.
6n Not 6nmaking 6nmedication 6nerrors 6ndoes 6nprovide 6nsafety, 6nbut 6nis 6ntoo 6nnarrow 6nin 6nscope
6n to 6nbe 6nthe 6nbest 6nanswer.
DIF: Understanding TOP: 6 n Integrated 6nProcess: 6nNursing 6nProcess:
Intervention 6nKEY: 6nClient 6nsafety
6n
MSC: 6 n Client 6nNeeds 6nCategory: 6nSafe 6nand 6nEffective 6nCare 6nEnvironment: 6nSafety 6nand 6nInfection
Control
6n
2. A 6nnurse 6nis 6norienting 6na 6nnew 6nclient 6nand 6nfamily 6nto 6nthe 6nmedical-surgical 6nunit. 6nWhat
6n information 6ndoes 6nthe 6nnurse 6nprovide 6nto 6nbest 6nhelp 6nthe 6nclient 6npromote 6nhis 6nor
6n her 6nown 6nsafety?
a. Encourage 6nthe 6nclient 6nand 6nfamily 6nto 6nbe 6nactive 6npartners.
b. Have 6nthe 6nclient 6nmonitor 6nhand 6nhygiene 6nin 6ncaregivers.
c. Offer 6nthe 6nfamily 6nthe 6nopportunity 6nto 6nstay 6nwith 6nthe 6nclient.
d. Tell 6nthe 6nclient 6nto 6nalways 6nwear 6nhis 6nor 6nher 6narmband.
,CORRECT 6nANSWER: 6 n A
Each 6naction 6ncould 6nbe 6nimportant 6nfor 6nthe 6nclient 6nor 6nfamily 6nto 6nperform. 6nHowever,
6n encouraging 6nthe 6nclient 6nto 6nbe 6nactive 6nin 6nhis 6nor 6nher 6nhealth 6ncare 6nas 6na 6nsafety
6n partner 6nis 6nthe 6nmost 6ncritical. 6nThe 6nother 6nactions 6nare 6nvery 6nlimited 6nin 6nscope 6nand 6ndo
6n not 6nprovide 6nthe 6nbroad 6nprotection 6nthat 6nbeing 6nactive 6nand 6ninvolved 6ndoes.
DIF: Understanding TOP: 6nIntegrated 6nProcess:
Teaching/Learning 6nKEY: 6nClient 6nsafety
6n
MSC: 6 n Client 6nNeeds 6nCategory: 6nSafe 6nand 6nEffective 6nCare 6nEnvironment: 6nSafety 6nand 6nInfection
Control
6n
3. A 6nnurse 6nis 6ncaring 6nfor 6na 6npostoperative 6nclient 6non 6nthe 6nsurgical 6nunit. 6nThe 6nclient’s
6n blood 6npressure 6nwas 6n142/76 6nmm 6nHg 6n30 6nminutes 6nago, 6nand 6nnow 6nis 6n88/50 6nmm
6n Hg. 6nWhat 6naction 6nwould 6nthe 6nnurse 6ntake 6nfirst?
a. Call 6nthe 6nRapid 6nResponse 6nTeam.
b. Document 6nand 6ncontinue 6nto 6nmonitor.
c. Notify 6nthe 6nprimary 6nhealth 6ncare 6nprovider.
d. Repeat 6nthe 6nblood 6npressure 6nin 6n15 6nminutes.
, CORRECT 6nANSWER: 6 n A
The 6npurpose 6nof 6nthe 6nRapid 6nResponse 6nTeam 6n(RRT) 6nis 6nto 6nintervene 6nwhen 6nclients 6nare
6n deteriorating 6nbefore 6nthey 6nsuffer 6neither 6nrespiratory 6nor 6ncardiac 6narrest. 6nSince 6nthe
6n client 6nhas 6nmanifested 6na 6nsignificant 6nchange, 6nthe 6nnurse 6nwould 6ncall 6nthe 6nRRT.
6n Changes 6nin 6nblood 6npressure, 6nmental 6nstatus, 6nheart 6nrate, 6ntemperature, 6noxygen
6n saturation, 6nand 6nlast 6n2 6nhours’ 6nurine 6noutput 6nare 6nparticularly 6nsignificant 6nand 6nare
6n part 6nof 6nthe 6nModified 6nEarly 6nWarning 6nSystem 6nguide. 6nDocumentation 6nis 6nvital, 6nbut
6n the 6nnurse 6nmust 6ndo 6nmore 6nthan 6ndocument. 6nThe 6nprimary 6nhealth 6ncare 6nprovider
6n would 6nbe 6nnotified, 6nbut 6nthis 6nis 6nnot 6nmore 6nimportant 6nthan 6ncalling 6nthe 6nRRT. 6nThe
6n client’s 6nblood 6npressure 6nwould 6nbe 6nreassessed 6nfrequently, 6nbut 6nthe 6npriority 6nis
6n getting 6nthe 6nrapid 6ncare 6nto 6nthe 6nclient.
DIF: Applying TOP: 6 n Integrated 6nProcess: 6nCommunication 6nand
Documentation 6nKEY: 6nRapid 6nResponse 6nTeam 6n(RRT), 6nClinical 6njudgment
6n
MSC: 6 n Client 6nNeeds 6nCategory: 6nPhysiological 6nIntegrity: 6nPhysiological 6nAdaptation
4. A 6nnurse 6nwishes 6nto 6nprovide 6nclient-centered 6ncare 6nin 6nall 6ninteractions. 6nWhich 6naction 6nby
the 6nnurse
6n
best 6ndemonstrates 6nthis 6nconcept?
a. Assesses 6nfor 6ncultural 6ninfluences 6naffecting 6nhealth 6ncare.
b. Ensures 6nthat 6nall 6nthe 6nclient’s 6nbasic 6nneeds 6nare 6nmet.
c. Tells 6nthe 6nclient 6nand 6nfamily 6nabout 6nall 6nupcoming 6ntests.
d. Thoroughly 6norients 6nthe 6nclient 6nand 6nfamily 6nto 6nthe 6nroom.
CORRECT 6nANSWER: 6 n A
Showing 6nrespect 6nfor 6nthe 6nclient 6nand 6nfamily’s 6npreferences 6nand 6nneeds 6nis 6nessential 6nto
6n ensure 6na 6nholistic 6nor 6n“whole-person” 6napproach 6nto 6ncare. 6nBy 6nassessing 6nthe 6neffect 6nof
6n the 6nclient’s 6nculture 6non 6nhealth 6ncare, 6nthis 6nnurse 6nis 6npracticing 6nclient-focused 6ncare.
6n Providing 6nfor 6nbasic 6nneeds 6ndoes 6nnot 6ndemonstrate 6nthis 6ncompetence. 6nSimply 6ntelling
6n the 6nclient 6nabout 6nall 6nupcoming 6ntests 6nis 6nnot 6nproviding 6nempowering 6neducation.
6n Orienting 6nthe 6nclient 6nand 6nfamily 6nto 6nthe 6nroom 6nis 6nan 6nimportant 6nsafety 6nmeasure, 6nbut
6n not 6ndirectly 6nrelated 6nto 6ndemonstrating 6nclient-centered 6ncare.
DIF: Understanding TOP: 6nIntegrated 6nProcess: 6nCulture 6nand
6n Spirituality 6nKEY: 6n Client-centered 6ncare, 6nCulture MSC: 6 n Client 6nNeeds 6nCategory:
Psychosocial 6nIntegrity
6n
5. A 6nclient 6nis 6ngoing 6nto 6nbe 6nadmitted 6nfor 6na 6nscheduled 6nsurgical 6nprocedure. 6nWhich
6n action 6ndoes 6nthe 6nnurse 6nexplain 6nis 6nthe 6nmost 6nimportant 6nthing 6nthe 6nclient 6ncan 6ndo
