Test Bank Medical-Surgical Nursing: Patient-Centered Collaborative Care – 8th Edition (Ignatavicius & Workman)

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Chapter 1: Introduction to Medical-Surgical Nursing Practice Ignatavicius: Medical-Surgical Nursing, 8th Edition

Chapter 1: Introduction to Medical-Surgical Nursing Practice
Ignatavicius: Medical-Surgical Nursing, 8th Edition

MULTIPLE CHOICE

1. 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 clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the client’s safety.

DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

2. 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.

DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control