TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION IGNATAVICIUS
A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the Client’s basic needs ...
2024
TEST BANK
FOR MEDICAL
SURGICAL
NURSING
11TH EDITION
IGNATAVICIU
S
,Chapter 01: Overview of Professional Nursing Concepts for
Medical- Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates
this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the Client’s basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect
compassion, client education, and empowerment. By assessing the effect of the Client’s culture on health care, this
nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client and family
to the room is an important safety measure, but not directly related to demonstrating client-centered care.
2. A nurse is caring for a postoperative client on the surgical unit. The Client’s blood pressure was 142/76 mm Hg
30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when Client’s are deteriorating before they suffer either
respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT. Changes
in blood pressure, mental status, heart rate, and pain are particularly significant.
,Documentation is vital, but the nurse must do more than document. The primary care provider should be notified, but
this is not the priority over calling the RRT. The Client’s blood pressure should be reassessed frequently, but the priority
is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to
help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging the client to be active in his or
her health care as a partner is the most critical. The other actions are very limited in scope and do not provide the broad
protection that being active and involved does.
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the
student that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
, ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000
deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report. Many more
Client’s have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the Client’s safety.
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the
most important thing the client can do to protect against errors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up campaign
encourages Client’s to help ensure their safety. One recommendation is for Client’s to know all their medications and
why they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other Client’s
ANS: A
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