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
Medical-Surgical Nursing Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
Subtopics:
Quality and Safety Education for Nurses (QSEN)
Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Quality Review
✓ Original content developed for educational revision purposes
✓ No copyrighted textbook or test-bank questions reproduced
✓ Clear and clinically realistic scenarios
,✓ Evidence-informed nursing practice integrated
✓ NCLEX-style clinical judgment emphasis
✓ Patient safety and prioritization incorporated
✓ Current nursing terminology utilized
✓ Comprehensive rationale and distractor analysis included
Question 1
Type
MCQ
Clinical Scenario
A nurse is caring for a hospitalized adult with newly diagnosed
heart failure. During rounds, the patient states, “I don't
understand why everyone keeps changing my medications
without asking me.”
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Explain that medication changes are determined by the
healthcare provider.
B. Ask the patient about treatment goals and include those
preferences in care planning.
, C. Provide written information about heart failure and return
later.
D. Reassure the patient that all changes are being made for
their benefit.
Correct Answer
B
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and participation in decision-making.
Exploring the patient's goals and incorporating them into the
plan of care promotes shared decision-making and improves
outcomes.
Incorrect Option Analysis
A
Incorrect because it reinforces a paternalistic approach.
Misconception: Providers alone determine care.
Safety concern: May reduce patient engagement.
C
Education is important but does not address participation.
Misconception: Information alone equals patient-centered
care.
D