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 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized patient with heart failure.
During bedside shift report, the patient requests to participate
in discussing the plan of care.
,Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Discuss the plan of care outside the patient's room to avoid
interruptions.
B. Encourage the patient to participate in setting daily goals.
C. Limit patient involvement because clinical decisions should
be made by healthcare professionals.
D. Provide care according to standardized protocols without
considering patient preferences.
Correct Answer
B. Encourage the patient to participate in setting daily goals.
Detailed Rationale
Patient-centered care emphasizes respecting patients'
preferences, values, and involvement in decision-making.
Including the patient in goal setting promotes autonomy,
engagement, and improved outcomes.
Incorrect Option Analysis
A. Excludes the patient from care planning.
Misconception: Healthcare providers know best.
Safety concern: Reduced communication and satisfaction.
, C. Contradicts patient-centered principles.
Misconception: Patients should not influence decisions.
Safety concern: Poor adherence to treatment plans.
D. Ignores individual patient preferences.
Misconception: Standardization alone ensures quality
care.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category
Management of Care
Key Learning Objective
Apply patient-centered care principles to nursing practice.