TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR
INTERPROFFESSIONAL COLLABORATIVE
PROTECTION 11th EDITION IGNATAVICIUS ALL
CHAPTERS.
,Chapter 01: Overview Of Professional Nursing Concepts For Medical- Surgical Nursing
MULTIPLE CHOICE
1. A Care giver Wishes To Provide Patient-Centered Protection In All Interactions.
Which ActionBy The Care giver Best Demonstrates This Concept?
a. Assesses For Cultural Influences Affecting Health Protection
b. Ensures That All The Patients Basic Needs Are Met
c. Tells The Patient And Family About All Upcoming Tests
d. Thoroughly Orients The Patient And Family To The Room
ANS: A
Competency In Patient-Focused Protection Is Demonstrated When The Care giverfocuses On
Communication, Culture, Respect Compassion, Patient Education, And Empowerment. By
Assessing The Effect Of The Patients Culture On Health Protection, This Care giver Is
Practicing Patient-Focused Protection. Providing For Basic Needs Does Not Demonstrate This
Competence. Simply Telling The Patient About All Upcoming Tests Is Not Providing
Empowering Education.
Orienting The Patient Andfamily To Theroom Is
Animportantsafetymeasure,
Butnotdirectlyrelatedtodemonstratingpatient-Centered
Protection.
2. A Care giver Is Caring For A Postoperative Patient On The Surgical Unit. The
Patients Blood Pressure Was 142/76 Mm Hg 30 Minutes Ago, And Now Is 88/50 Mm Hg.
What Action By TheCare giver Isbest?
a. Call The Rapid Response Team.
b. Document And Continue To Monitor.
c. Notify The Primary Protection Provider.
,d. Repeat Blood Pressure Measurement In 15 Minutes.
ANS: A
The Purpose Of The Rapid Response Team (RRT) Is To Intervene When Patients
AreDeteriorating Before They Suffereitherrespiratoryorcardiacarrest.
Sincethepatienthasmanifestedasignificantchange, Thecare givershould Call The
RRT.
Changes InBlood Pressure, Mental Status, Heart Rate, And Pain Are Particularly Significant.
Documentation Is Vital, But The Care givermust Do More Than Document. The Primary
Protection Provider Should Be Notified, But This Is Not The Priority Over Calling The RRT.
The PatientsBlood Pressure Should
Be Reassessed Frequently, But The Priority Is Getting The Rapid Protection To Thepatient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| Medical Emergencies MSC: Integrated
Process:Communication And Documentation
NOT: Patient Needs Category: Physiological Integrity: Physiological Adaptation
3. A Care giver Is Orienting A New Patient And Family To The Inpatient Unit. What
Information Does The Care giver Provide To Help The Patient Promote His Or Her Own
Safety?
a. Encourage The Patient And Family To Be Active Partners.
b. Have The Patient Monitor Hand Hygiene In Protectiongivers.
c. Offer The Family The Opportunity To Stay With The Patient.
d. Tell The Patient To Always Wear His Or Her Armband.
ANS: A
Each Action Could Be Important For The Patient Or Family To Perform. However, Encouraging
The Patient To Be Active In His Or Her Health Protection As A Partner Is The Most Critical. The
OtherActions Are Very Limited In Scope And Do Not Provide The Broad Protection That Being
ActiveAnd Involveddoes.
, MSC: Integrated Process: Teaching/Learning
NOT: Patient Needs Category: Safe And Effective Protection Environment: Safety And
InfectionControl
4. A New Care giver Is Working With A Preceptor On An Inpatientmedical-Surgical
Unit.The Preceptor Advises The Student That Which Is The Priority When Working As A
Professionalcare giver?
a. Attending To Holistic Patient Needs
b. Ensuring Patient Safety
c. Not Making Medication Errors
d. Providing Patient-Focused Protection
ANS: B
All Actions Are Appropriate For The Professional Care giver. However, Ensuring Patient Safety
Is ThePriority. Up To 98,000 Deaths Result Each Year From Errors In Hospital Protection,
According To The2000 Institute Of Medicine Report. Many More Patients Have Suffered
Injuries And Less Serious Outcomes. Every Care giver Has The Responsibility To Guard The
Patients Safety.
5. A Patient Is Going To Be Admitted For A Scheduled Surgical Procedure. Which
Action Does The Care giver Explain Is The Most Important Thing The Patient Can Do To
ProtectAgainsterrors?
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 Protectiongiver Who Comes In The Room.
ANS: A
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