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-
2 2 2 2 2 2 2 2
Surgical Nursing
2 2
MULTIPLE2 CHOICE
1. A2nurse2wishes2to2provide2client-
centered2care2in2all2interactions.2Which2action2by2the2nurse2best2demonstrates2this2concept?
a. Assesses2 for2 cultural2 influences2 affecting2 health2 care
b. Ensures2that2all2 the2clients2 basic2 needs2 are2 met
c. Tells2the2 client2 and2family2 about2 all2 upcoming2 tests
d. Thoroughly2 orients2 the2 client2 and2family2 to2 the2 room
CORRECT2ANSWER:2 A
Competency2in2client-
focused2care2is2demonstrated2when2the2nurse2focuses2on2communication,2culture,2respect2compassion,2client2educ
ation,2and2empowerment.2By2assessing2the2effect2of2the2clients2culture2on2health2care,2this2nurse2is2practicing2c
lient-
focused2care.2Providing2for2basic2needs2does2not2demonstrate2this2competence.2Simply2telling2the2client2about2
all2upcoming2tests2is2not2providing2empowering2education.2Orienting2the2client2and2family2to2the2room2is2an2im
portant2safety2measure,2but2not2directly2related2to2demonstrating2client-centered2care.
DIF:2 Understanding/Comprehension2 REF:2 3
KEY:2Patient-
centered2care|2culture2MSC:2Integrated2Process:2Caring2NOT:2Client2
Needs2Category:2Psychosocial2Integrity
2. A2nurse2is2caring2for2a2postoperative2client2on2the2surgical2unit.2The2clients2blood2pressure2was2142/762mm2H
g2302minutes2ago,2and2now2is288/502mm2Hg.2What2action2by2the2nurse2is2best?
a. Call2 the2 Rapid2 Response2 Team.
b. Document2 and2continue2 to2 monitor.
c. Notify2 the2 primary2 care2 provider.
d. Repeat2 blood2 pressure2 measurement2 in2 152 minutes.
CORRECT2ANSWER:2 A
The2purpose2of2the2Rapid2Response2Team2(RRT)2is2to2intervene2when2clients2are2deteriorating2before2they2su
ffer2either2respiratory2or2cardiac2arrest.2Since2the2client2has2manifested2a2significant2change,2the2nurse2should2call2t
he2RRT.2Changes2in2blood2pressure,2mental2status,2heart2rate,2and2pain2are2particularly2significant.
Documentation2is2vital,2but2the2nurse2must2do2more2than2document.2The2primary2care2provider2should2be2
notified,2but2this2is2not2the2priority2over2calling2the2RRT.2The2clients2blood2pressure2should2be2reassessed2fre
quently,2but2the2priority2is2getting2the2rapid2care2to2the2client.
DIF:2 Applying/Application2 REF:2 3
KEY:2Rapid2Response2Team2(RRT)|2medical2emergencies2 MS
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-
2 2 2 2 2 2 2 2
Surgical Nursing
2 2
MULTIPLE2 CHOICE
1. A2nurse2wishes2to2provide2client-
centered2care2in2all2interactions.2Which2action2by2the2nurse2best2demonstrates2this2concept?
a. Assesses2 for2 cultural2 influences2 affecting2 health2 care
b. Ensures2that2all2 the2clients2 basic2 needs2 are2 met
c. Tells2the2 client2 and2family2 about2 all2 upcoming2 tests
d. Thoroughly2 orients2 the2 client2 and2family2 to2 the2 room
CORRECT2ANSWER:2 A
Competency2in2client-
focused2care2is2demonstrated2when2the2nurse2focuses2on2communication,2culture,2respect2compassion,2client2educ
ation,2and2empowerment.2By2assessing2the2effect2of2the2clients2culture2on2health2care,2this2nurse2is2practicing2c
lient-
focused2care.2Providing2for2basic2needs2does2not2demonstrate2this2competence.2Simply2telling2the2client2about2
all2upcoming2tests2is2not2providing2empowering2education.2Orienting2the2client2and2family2to2the2room2is2an2im
portant2safety2measure,2but2not2directly2related2to2demonstrating2client-centered2care.
DIF:2 Understanding/Comprehension2 REF:2 3
KEY:2Patient-
centered2care|2culture2MSC:2Integrated2Process:2Caring2NOT:2Client2
Needs2Category:2Psychosocial2Integrity
2. A2nurse2is2caring2for2a2postoperative2client2on2the2surgical2unit.2The2clients2blood2pressure2was2142/762mm2H
g2302minutes2ago,2and2now2is288/502mm2Hg.2What2action2by2the2nurse2is2best?
a. Call2 the2 Rapid2 Response2 Team.
b. Document2 and2continue2 to2 monitor.
c. Notify2 the2 primary2 care2 provider.
d. Repeat2 blood2 pressure2 measurement2 in2 152 minutes.
CORRECT2ANSWER:2 A
The2purpose2of2the2Rapid2Response2Team2(RRT)2is2to2intervene2when2clients2are2deteriorating2before2they2su
ffer2either2respiratory2or2cardiac2arrest.2Since2the2client2has2manifested2a2significant2change,2the2nurse2should2call2t
he2RRT.2Changes2in2blood2pressure,2mental2status,2heart2rate,2and2pain2are2particularly2significant.
Documentation2is2vital,2but2the2nurse2must2do2more2than2document.2The2primary2care2provider2should2be2
notified,2but2this2is2not2the2priority2over2calling2the2RRT.2The2clients2blood2pressure2should2be2reassessed2fre
quently,2but2the2priority2is2getting2the2rapid2care2to2the2client.
DIF:2 Applying/Application2 REF:2 3
KEY:2Rapid2Response2Team2(RRT)|2medical2emergencies2 MS
