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
Question 1 — MCQ
Clinical Scenario
,A nurse begins a shift caring for a patient admitted with heart
failure. During bedside report, the patient states, “I don't
understand why my medications keep changing.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Reviewing laboratory values before entering the room
B. Explaining medication changes and inviting the patient to
participate in decision-making
C. Following the physician’s orders exactly as written
D. Completing documentation before speaking with the patient
Correct Answer
B
Detailed Rationale
Patient-centered care requires respecting patient preferences,
needs, and values while involving the patient in healthcare
decisions. Explaining medication changes and encouraging
participation promotes shared decision-making and autonomy.
Incorrect Option Analysis
A
, Incorrect because it focuses on clinical preparation rather
than patient engagement.
Misconception: Good assessment alone equals patient-
centered care.
C
Incorrect because patient-centered care extends beyond
carrying out orders.
Safety concern: Excluding patients may decrease
adherence.
D
Incorrect because documentation should not supersede
patient interaction.
Misconception: Administrative tasks take priority over
communication.
Nursing Process Linkage
Implementation
NCJMM Competencies
Analyze Cues
Generate Solutions
Take Action
Difficulty
Easy
, Bloom's Level
Apply
NCLEX Category
Management of Care
Learning Objective
Apply patient-centered care principles during clinical
interactions.
Question 2 — MCQ
Clinical Scenario
A nurse discovers that a medication was administered one hour
later than prescribed.
Question Stem
What is the nurse's priority action?
Options
A. Notify the patient’s family
B. Document the delay and evaluate for patient effects
C. Wait to determine if harm occurs
D. Discard the medication record
Correct Answer
B
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
Question 1 — MCQ
Clinical Scenario
,A nurse begins a shift caring for a patient admitted with heart
failure. During bedside report, the patient states, “I don't
understand why my medications keep changing.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Reviewing laboratory values before entering the room
B. Explaining medication changes and inviting the patient to
participate in decision-making
C. Following the physician’s orders exactly as written
D. Completing documentation before speaking with the patient
Correct Answer
B
Detailed Rationale
Patient-centered care requires respecting patient preferences,
needs, and values while involving the patient in healthcare
decisions. Explaining medication changes and encouraging
participation promotes shared decision-making and autonomy.
Incorrect Option Analysis
A
, Incorrect because it focuses on clinical preparation rather
than patient engagement.
Misconception: Good assessment alone equals patient-
centered care.
C
Incorrect because patient-centered care extends beyond
carrying out orders.
Safety concern: Excluding patients may decrease
adherence.
D
Incorrect because documentation should not supersede
patient interaction.
Misconception: Administrative tasks take priority over
communication.
Nursing Process Linkage
Implementation
NCJMM Competencies
Analyze Cues
Generate Solutions
Take Action
Difficulty
Easy
, Bloom's Level
Apply
NCLEX Category
Management of Care
Learning Objective
Apply patient-centered care principles during clinical
interactions.
Question 2 — MCQ
Clinical Scenario
A nurse discovers that a medication was administered one hour
later than prescribed.
Question Stem
What is the nurse's priority action?
Options
A. Notify the patient’s family
B. Document the delay and evaluate for patient effects
C. Wait to determine if harm occurs
D. Discard the medication record
Correct Answer
B
