TestjBankjMedicaljSurgicaljNursing,ConceptsjforjInterprofessionaljCollaborativejCarej9thjEd
itionjbyjIGNATAVICIUS
,TestjBankjMedicaljSurgicaljNursing,ConceptsjforjInterprofessionaljCollaborativejCarej9thjEd
itionjbyjIGNATAVICIUS
Chapterj01:jOverviewjofjProfessionaljNursingjConceptsjforjMedical-jSurgicaljNursing
MULTIPLEjCHOICE
1. Ajnursejwishesjtojprovidejclient-
centeredjcarejinjalljinteractions.jWhichjactionjbyjthejnursejbestjdemonstratesjthisjconcept?
a. Assessesjforjculturaljinfluencesjaffectingjhealthjcare
b. Ensuresjthatjalljthejclientsjbasicjneedsjarejmet
c. Tellsjthejclientjandjfamilyjaboutjalljupcomingjtests
d. Thoroughlyjorientsjthejclientjandjfamilyjtojthejroom
ANS:jA
Competencyjinjclient-
focusedjcarejisjdemonstratedjwhenjthejnursefocusesjonjcommunication,jculture,jrespectjcompassio
n,jclientjeducation,jandjempowerment.jByjassessingjthejeffectjofjthejclientsjculturejonjhealthjcare,jth
isjnursejisjpracticingjclient-
focusedjcare.jProvidingjforjbasicjneedsjdoesjnotjdemonstratejthisjcompetence.jSimplyjtellingjthejcli
entjaboutjalljupcomingjtestsjisjnotjprovidingjempoweringjeducation.
Orientingjthejclientjandfamilyjtojtheroomjisjanimportantsafetymeasure,jb
utnotdirectlyrelatedtodemonstratingclient-centeredjcare.
DIF:jUnderstanding/ComprehensionjREF:j3
KEY:jPatient-
centeredjcare|jculturejMSC:jIntegratedjProcess:jCaringjNOT:jClientjNeedsjCategory:jPsychosocialjI
ntegrity
2. Ajnursejisjcaringjforjajpostoperativejclientjonjthejsurgicaljunit.jThejclientsjbloodjpressurejwasj
142/76jmmjHgj30jminutesjago,jandjnowjisj88/50jmmjHg.jWhatjactionjbyjthejnursejisbest?
a. CalljthejRapidjResponsejTeam.
b. Documentjandjcontinuejtojmonitor.
c. Notifyjthejprimaryjcarejprovider.
d. Repeatjbloodjpressurejmeasurementjinj15jminutes.
,TestjBankjMedicaljSurgicaljNursing,ConceptsjforjInterprofessionaljCollaborativejCarej9thjEd
itionjbyjIGNATAVICIUS
ANS:jA
ThejpurposejofjthejRapidjResponsejTeamj(RRT)jisjtojintervenejwhenjclientsjarejdeterioratingjbeforej
theyjsuffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange,jthenurseshouldjcalljthejRRT.jChangesjinjbloodjpr
essure,jmentaljstatus,jheartjrate,jandjpainjarejparticularlyjsignificant.jDocumentationjisjvital,jbutjthej
nursemustjdojmorejthanjdocument.jThejprimaryjcarejproviderjshouldjbejnotified,jbutjthisjisjnotjthejpr
iorityjoverjcallingjthejRRT.jThejclientsjbloodjpressurejshould
bejreassessedjfrequently,jbutjthejpriorityjisjgettingjthejrapidjcarejtojtheclient.
DIF:jApplying/ApplicationjREF:j3
KEY:jRapidjResponsejTeamj(RRT)|jmedicaljemergenciesjMSC:jIntegratedjProcess:jComm
unicationjandjDocumentation
NOT:jClientjNeedsjCategory:jPhysiologicaljIntegrity:jPhysiologicaljAdaptation
3. Ajnursejisjorientingjajnewjclientjandjfamilyjtojthejinpatientjunit.jWhatjinformationjdoesjthej
nursejprovidejtojhelpjthejclientjpromotejhisjorjherjownjsafety?
a. Encouragejthejclientjandjfamilyjtojbejactivejpartners.
b. Havejthejclientjmonitorjhandjhygienejinjcaregivers.
c. Offerjthejfamilyjthejopportunityjtojstayjwithjthejclient.
d. Telljthejclientjtojalwaysjwearjhisjorjherjarmband.
ANS:jA
Eachjactionjcouldjbejimportantjforjthejclientjorjfamilyjtojperform.jHowever,jencouragingjthejclientjtoj
bejactivejinjhisjorjherjhealthjcarejasjajpartnerjisjthejmostjcritical.jThejotherjactionsjarejveryjlimitedjinjsc
opejandjdojnotjprovidejthejbroadjprotectionjthatjbeingjactivejandjinvolveddoes.
DIF:jUnderstanding/ComprehensionjREF:j3jKEY:jPatientjsafety
, TestjBankjMedicaljSurgicaljNursing,ConceptsjforjInterprofessionaljCollaborativejCarej9thjEd
itionjbyjIGNATAVICIUS
MSC:jIntegratedjProcess:jTeaching/Learning
NOT:jClientjNeedsjCategory:jSafejandjEffectivejCarejEnvironment:jSafetyjandjInfectionjCo
ntrol
4. Ajnewjnursejisjworkingjwithjajpreceptorjonjanjinpatientmedical-
surgicaljunit.jThejpreceptorjadvisesjthejstudentjthatjwhichjisjthejpriorityjwhenjworkingjasjajprof
essionalnurse?
a. Attendingjtojholisticjclientjneeds
b. Ensuringjclientjsafety
c. Notjmakingjmedicationjerrors
d. Providingjclient-focusedjcare
ANS:jB
Alljactionsjarejappropriatejforjthejprofessionaljnurse.jHowever,jensuringjclientjsafetyjisjthejpriority.jU
pjtoj98,000jdeathsjresultjeachjyearjfromjerrorsjinjhospitaljcare,jaccordingjtojthej2000jInstitutejofjMedi
cinejreport.jManyjmorejclientsjhavejsufferedjinjuriesjandjlessjseriousjoutcomes.jEveryjnursejhasjthejre
sponsibilityjtojguardjthejclientsjsafety.
DIF:jUnderstanding/ComprehensionjREF:j2jKEY:jPatientjsafetyjM
SC:jIntegratedjProcess:jNursingjProcess:jIntervention
NOT:jClientjNeedsjCategory:jSafejandjEffectivejCarejEnvironment:jSafetyjandjInfectionjCo
ntrol
5. Ajclientjisjgoingjtojbejadmittedjforjajscheduledjsurgicaljprocedure.jWhichjactionjdoesjthej
nursejexplainjisjthejmostjimportantjthingjthejclientjcanjdojtojprotectjagainsterrors?
a. Bringjajlistjofjalljmedicationsjandjwhatjtheyjarejfor.
b. Keepjthejdoctorsjphonejnumberjbyjthejtelephone.
c. Makejsurejalljprovidersjwashjhandsjbeforejenteringjthejroom.
d. Writejdownjthejnamejofjeachjcaregiverjwhojcomesjinjthejroom.
ANS:jA