TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapteru01:uOverviewuofuProfessionaluNursinguConceptsuforuMedical-
uSurgicaluNursing
MULTIPLEu CHOICE
1. Aunurseuwishesutouprovideuclient-
centereducareuinualluinteractions.uWhichuactionubyutheunurseubestudemonstratesuthisuconcept?
a. Assessesu foru culturalu influencesu affectingu healthu care
b. Ensuresuthatuallu theuclientsu basicu needsu areu met
c. Tellsutheu clientu andufamilyu aboutu allu upcomingu tests
d. Thoroughlyu orientsu theuclientu andufamilyu tou theu room
CORRECTuANSWER:u A
Competencyuinuclient-
focuseducareuisudemonstrateduwhenutheunurseufocusesuonucommunication,uculture,urespectucompassion,uclientu
education,uanduempowerment.uByuassessingutheueffectuofutheuclientsucultureuonuhealthucare,uthisunurseuisup
racticinguclient-
focuseducare.uProvidinguforubasicuneedsudoesunotudemonstrateuthisucompetence.uSimplyutellingutheuclientu
aboutualluupcomingutestsuisunotuprovidinguempoweringueducation.uOrientingutheuclientuandufamilyutoutheuro
omuisuanuimportantusafetyumeasure,ubutunotudirectlyurelatedutoudemonstratinguclient-centereducare.
DIF:u Understanding/Comprehensionu REF:u 3
KEY:uPatient-
centereducare|ucultureuMSC:uIntegrateduProcess:uCaringuNOT:uClie
ntuNeedsuCategory:uPsychosocialuIntegrity
2. Aunurseuisucaringuforuaupostoperativeuclientuonutheusurgicaluunit.uTheuclientsubloodupressureuwasu142/76u
mmuHgu30uminutesuago,uandunowuisu88/50ummuHg.uWhatuactionubyutheunurseuisubest?
a. Callu theuRapidu Responseu Team.
b. Documentu anducontinueu tou monitor.
c. Notifyutheu primaryu careu provider.
d. Repeatubloodu pressureu measurementu inu 15u minutes.
CORRECTuANSWER:u A
TheupurposeuofutheuRapiduResponseuTeamu(RRT)uisutouinterveneuwhenuclientsuareudeterioratingubeforeut
heyusufferueitherurespiratoryuorucardiacuarrest.uSinceutheuclientuhasumanifesteduausignificantuchange,utheunurse
ushoulducallutheuRRT.uChangesuinubloodupressure,umentalustatus,uhearturate,uandupainuareuparticularlyusig
nificant.
Documentationuisuvital,ubututheunurseumustudoumoreuthanudocument.uTheuprimaryucareuproviderushou
ldubeunotified,ubututhisuisunotutheupriorityuoverucallingutheuRRT.uTheuclientsubloodupressureushouldubeur
eassessedufrequently,ubututheupriorityuisugettingutheurapiducareutoutheuclient.
DIF:u Applying/Applicationu REF:u 3
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapteru01:uOverviewuofuProfessionaluNursinguConceptsuforuMedical-
uSurgicaluNursing
MULTIPLEu CHOICE
1. Aunurseuwishesutouprovideuclient-
centereducareuinualluinteractions.uWhichuactionubyutheunurseubestudemonstratesuthisuconcept?
a. Assessesu foru culturalu influencesu affectingu healthu care
b. Ensuresuthatuallu theuclientsu basicu needsu areu met
c. Tellsutheu clientu andufamilyu aboutu allu upcomingu tests
d. Thoroughlyu orientsu theuclientu andufamilyu tou theu room
CORRECTuANSWER:u A
Competencyuinuclient-
focuseducareuisudemonstrateduwhenutheunurseufocusesuonucommunication,uculture,urespectucompassion,uclientu
education,uanduempowerment.uByuassessingutheueffectuofutheuclientsucultureuonuhealthucare,uthisunurseuisup
racticinguclient-
focuseducare.uProvidinguforubasicuneedsudoesunotudemonstrateuthisucompetence.uSimplyutellingutheuclientu
aboutualluupcomingutestsuisunotuprovidinguempoweringueducation.uOrientingutheuclientuandufamilyutoutheuro
omuisuanuimportantusafetyumeasure,ubutunotudirectlyurelatedutoudemonstratinguclient-centereducare.
DIF:u Understanding/Comprehensionu REF:u 3
KEY:uPatient-
centereducare|ucultureuMSC:uIntegrateduProcess:uCaringuNOT:uClie
ntuNeedsuCategory:uPsychosocialuIntegrity
2. Aunurseuisucaringuforuaupostoperativeuclientuonutheusurgicaluunit.uTheuclientsubloodupressureuwasu142/76u
mmuHgu30uminutesuago,uandunowuisu88/50ummuHg.uWhatuactionubyutheunurseuisubest?
a. Callu theuRapidu Responseu Team.
b. Documentu anducontinueu tou monitor.
c. Notifyutheu primaryu careu provider.
d. Repeatubloodu pressureu measurementu inu 15u minutes.
CORRECTuANSWER:u A
TheupurposeuofutheuRapiduResponseuTeamu(RRT)uisutouinterveneuwhenuclientsuareudeterioratingubeforeut
heyusufferueitherurespiratoryuorucardiacuarrest.uSinceutheuclientuhasumanifesteduausignificantuchange,utheunurse
ushoulducallutheuRRT.uChangesuinubloodupressure,umentalustatus,uhearturate,uandupainuareuparticularlyusig
nificant.
Documentationuisuvital,ubututheunurseumustudoumoreuthanudocument.uTheuprimaryucareuproviderushou
ldubeunotified,ubututhisuisunotutheupriorityuoverucallingutheuRRT.uTheuclientsubloodupressureushouldubeur
eassessedufrequently,ubututheupriorityuisugettingutheurapiducareutoutheuclient.
DIF:u Applying/Applicationu REF:u 3
