Chapter 01: Overview of Professional Nursing Concepts for MedicalSurgical Nursing MULTIPLE CHOICE 1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse bestdemonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients 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 demonstratedwhen the nurse focuses on communication, culture, respectcompassion, client education, and empowerment. By assessing the effect ofthe clients 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-centeredcare. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centered care| culture MSC: Integrated Process: CaringNOT: Client Needs Category: Psychosocial Integrity 2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mmHg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best? a. Callthe 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
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