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 Exam Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics Covered
Quality and Safety Education for Nurses (QSEN)
Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Question Distribution
MCQ: 8
SATA: 4
NGN Case Study: 3
Bow-Tie: 2
, Matrix/Grid: 1
Priority/Delegation: 2
QUESTION 1 (MCQ)
Clinical Scenario
A nurse begins a shift on a medical-surgical unit and receives
handoff reports on four patients.
Question Stem
Which action best demonstrates the QSEN competency of
patient-centered care?
Options
A. Following unit routines without modifications
B. Encouraging the patient to participate in setting daily goals
C. Delegating all hygiene care to assistive personnel
D. Limiting family involvement to visiting hours
Correct Answer
B. Encouraging the patient to participate in setting daily goals
Detailed Rationale
Patient-centered care emphasizes respecting patient
preferences, values, and needs while involving patients in
healthcare decisions. Collaboratively establishing daily goals
promotes autonomy, engagement, and individualized care.
, Incorrect Option Analysis
A. Following unit routines without modifications
Incorrect because standardized routines may not reflect
patient preferences.
Misconception: Efficiency equals patient-centeredness.
Safety concern: May overlook individualized needs.
C. Delegating all hygiene care
Incorrect because delegation alone does not involve the
patient in care decisions.
D. Limiting family involvement
Incorrect because patient-centered care often includes
desired family participation.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Apply