TestmBankmMedicalmSurgicalmNursing,ConceptsmformInterprofessionalmCollaborativemCarem
9thmEditionmbymIGNATAVICIUS
,TestmBankmMedicalmSurgicalmNursing,ConceptsmformInterprofessionalmCollaborativemCarem
9thmEditionmbymIGNATAVICIUS
Chapterm01:mOverviewmofmProfessionalmNursingmConceptsmformMedical-mSurgicalmNursing
MULTIPLEmCHOICE
1. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnursembestmdemonstratesmthismconcep
t?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare
b. Ensuresmthatmallmthemclientsmbasicmneedsmaremmet
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom
ANS:mA
Competencyminmclient-
focusedmcaremismdemonstratedmwhenmthemnursefocusesmonmcommunication,mculture,mrespectmcom
passion,mclientmeducation,mandmempowerment.mBymassessingmthemeffectmofmthemclientsmculturemo
nmhealthmcare,mthismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotmdemonstratemthismcompetence.mSimplymtellin
gmthemclientmaboutmallmupcomingmtestsmismnotmprovidingmempoweringmeducation.
Orientingmthemclientmandfamilymtomtheroommismanimportantsafetymeasu
re,mbutnotdirectlyrelatedtodemonstratingclient-centeredmcare.
DIF:mUnderstanding/ComprehensionmREF:m3
KEY:mPatient-
centeredmcare|mculturemMSC:mIntegratedmProcess:mCaringmNOT:mClientmNeedsmCategory:mPsycho
socialmIntegrity
2. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclientsmbloodmpre
ssuremwasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactionmbymthemnu
rsemisbest?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymcaremprovider.
,TestmBankmMedicalmSurgicalmNursing,ConceptsmformInterprofessionalmCollaborativemCarem
9thmEditionmbymIGNATAVICIUS
d. Repeatmbloodmpressuremmeasurementminm15mminutes.
, TestmBankmMedicalmSurgicalmNursing,ConceptsmformInterprofessionalmCollaborativemCarem
9thmEditionmbymIGNATAVICIUS
ANS:mA
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdeteriorati
ngmbeforemtheymsuffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange,mthenurseshouldmcallmthemRRT.mChangesminmbloo
dmpressure,mmentalmstatus,mheartmrate,mandmpainmaremparticularlymsignificant.mDocumentationmism
vital,mbutmthemnursemustmdommoremthanmdocument.mThemprimarymcaremprovidermshouldmbemnotifi
ed,mbutmthismismnotmthemprioritymovermcallingmthemRRT.mThemclientsmbloodmpressuremshould
bemreassessedmfrequently,mbutmthemprioritymismgettingmthemrapidmcaremtomtheclient.
DIF:mApplying/ApplicationmREF:m3
KEY:mRapidmResponsemTeamm(RRT)|mmedicalmemergenciesmMSC:mIntegratedmProcess:m
CommunicationmandmDocumentation
NOT:mClientmNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
3. Amnursemismorientingmamnewmclientmandmfamilymtomtheminpatientmunit.mWhatminformation
mdoesmthemnursemprovidemtomhelpmthemclientmpromotemhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:mA
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencouragingmthe
mclientmtombemactiveminmhismormhermhealthmcaremasmampartnermismthemmostmcritical.mThemothermaction
smaremverymlimitedminmscopemandmdomnotmprovidemthembroadmprotectionmthatmbeingmactivemandminvo
lveddoes.
DIF:mUnderstanding/ComprehensionmREF:m3mKEY:mPatientmsafety