Ignatavicius: Medical-Surgical
Nursing, 9th Edition Key PointsChapter 01: Overview of
Professional Nursing Concepts for
Medical-Surgical Nursing 202... [Show More] 2/2023
Complete Solution
The scope of medical-surgical nursing, sometimes called adult health nursing, is to :
- Answer- promote health and prevent illness or injury in patients from 18 years of
age to older than 100 years of age.
Medical-surgical nursing requires special knowledge and clinical skills to meet the
needs of: - Answer- adult patients in a variety of settings across the continuum.
Patients are recipients of care in: - Answer- mutually trusting relationships with
nurses and other members of the health care team.
Medical-surgical nurses focus on meeting the basic needs (concepts) of adult patient
in the areas of: - Answer- 1. fluid and electrolyte balance
2. protection
3. oxygenation and tissue perfusion
4. mobility
5. sensation
6. cognition
7. nutrition
8. metabolism and bowel elimination
9. sexuality—to provide a holistic approach to patient care.
The nurse can function in various roles as a: - Answer- care coordinator, transition
manager, caregiver, patient educator, leader, and patient and family advocate.
To function in these roles, nurses need to have: - Answer- the knowledge, skills, and
attitudes /KSA's, to keep patients and their families safe.
Nurses play a major role in coordinating care with: - Answer- the interprofessional
team to promote safe, quality care.
The Joint Commission /TJC requires that healthcare organizations create a culture
of: - Answer- SAFETY and encourage patients and families to become safety
partners in protecting patients from harm.
National Patient Safety Goals /NPSGs address: - Answer- high-risk issues such as
drug administration, fall reduction, pressure ulcer prevention, infection prevention,
and communication among health care team members.
Sentinel events are a - Answer- severe variation in the standard of care caused by
human or system error and results in an avoidable patient death or major harm and
are always reported.
The six core competencies for health care professionals based on research by the
Institute of Medicine and Quality and Safety Education for Nurses are: - AnswerPATIENT-CENTERED CARE, TEAMWORK AND COLLABORATION, EVIDENCEBASED PRACTICE, QUALITY IMPROVEMENT, INFORMATICS AND
TECHNOLOGY, and SAFETY.
Nurses, as advocates for: - Answer- the patient and family, teach them how to be
empowered and have more control over their care.
Characteristics of patient-centered care include: - Answer- respect values,
preferences, and needs, coordination of care, information, communication, and
education, comfort, emotional support, involvement of family and friends, transition
and continuity, and access to care.
Nurses function as coordinators of care by: - Answer- communicating and
collaborating with
members of the health care team.
Consideration of the special health care needs of the: - Answer- LGBTQ population
has been added to the Healthy People 2020 initiative because of health disparities
and previous discrimination. Include questions about gender identity and sexual
activity as part of the health history.
As part of the QSEN KSAs /knowledge, skills, and attitude, the competencies of: -
Answer- TEAMWORK AND COLLABORATION are key components to achieving
quality patient care. Interdisciplinary communication is essential when planning,
implementing, and evaluating patient care.
Such communication may be provided partly via e-mail: - Answer- but is better
accomplished through face-to-face and phone communications.
A lack of communication has been shown to cause many: - Answer- medical errors
and patient SAFETY risks.
An NPSG was established to communicate ongoing patient care needs: - Answersuch as pain management and respiratory support, to post-discharge caregivers.
The SBAR procedure or a similar established protocol is used for: - Answersuccessful communication among caregivers and among health care agencies.
SBAR is a : - Answer- formal method of communication between two or more
members of the health care team that includes these four steps....... [Show Less]
