Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
Quality Review Checklist
,✓ Original content created for educational review purposes
only
✓ No copyrighted publisher test-bank items reproduced
✓ NCLEX-style clinical judgment emphasis
✓ Clear, unambiguous wording
✓ Evidence-informed nursing practice integrated
✓ Patient safety and prioritization incorporated
✓ Adult health nursing competencies addressed
✓ Nursing process and NCJMM competencies identified
✓ Appropriate difficulty progression from foundational to
advanced application
Question 1 (MCQ)
Clinical Scenario
A nurse begins a shift on a medical-surgical unit and receives
report on four patients. The nurse reviews each patient's plan
of care before making rounds.
Question Stem
Which action best demonstrates patient-centered care?
Options
A. Following the physician's plan without discussing it with the
patient
,B. Encouraging the patient to participate in decisions regarding
treatment goals
C. Prioritizing unit efficiency over individual preferences
D. Limiting family involvement to reduce interruptions
Correct Answer
B. Encouraging the patient to participate in decisions
regarding treatment goals
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and goals. Shared decision-making
improves adherence, satisfaction, and health outcomes.
Patients should actively participate in developing their care
plans whenever possible.
Incorrect Option Analysis
A.
Incorrect because care planning should involve the
patient.
Misconception: Healthcare providers alone determine
treatment decisions.
Safety concern: Reduced patient engagement may impair
adherence.
C.
, Incorrect because patient needs supersede organizational
convenience.
Misconception: Efficiency is the primary goal of care.
D.
Incorrect because family participation is often beneficial
when desired by the patient.
Misconception: Family involvement always disrupts care.
Nursing Process Linkage
Planning
NCJMM Competencies
Generate Solutions
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Health Promotion and Maintenance
Key Learning Objective
Apply principles of patient-centered care during treatment
planning.
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
Quality Review Checklist
,✓ Original content created for educational review purposes
only
✓ No copyrighted publisher test-bank items reproduced
✓ NCLEX-style clinical judgment emphasis
✓ Clear, unambiguous wording
✓ Evidence-informed nursing practice integrated
✓ Patient safety and prioritization incorporated
✓ Adult health nursing competencies addressed
✓ Nursing process and NCJMM competencies identified
✓ Appropriate difficulty progression from foundational to
advanced application
Question 1 (MCQ)
Clinical Scenario
A nurse begins a shift on a medical-surgical unit and receives
report on four patients. The nurse reviews each patient's plan
of care before making rounds.
Question Stem
Which action best demonstrates patient-centered care?
Options
A. Following the physician's plan without discussing it with the
patient
,B. Encouraging the patient to participate in decisions regarding
treatment goals
C. Prioritizing unit efficiency over individual preferences
D. Limiting family involvement to reduce interruptions
Correct Answer
B. Encouraging the patient to participate in decisions
regarding treatment goals
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and goals. Shared decision-making
improves adherence, satisfaction, and health outcomes.
Patients should actively participate in developing their care
plans whenever possible.
Incorrect Option Analysis
A.
Incorrect because care planning should involve the
patient.
Misconception: Healthcare providers alone determine
treatment decisions.
Safety concern: Reduced patient engagement may impair
adherence.
C.
, Incorrect because patient needs supersede organizational
convenience.
Misconception: Efficiency is the primary goal of care.
D.
Incorrect because family participation is often beneficial
when desired by the patient.
Misconception: Family involvement always disrupts care.
Nursing Process Linkage
Planning
NCJMM Competencies
Generate Solutions
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Health Promotion and Maintenance
Key Learning Objective
Apply principles of patient-centered care during treatment
planning.
