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
Medical-Surgical Nursing Exam Revision Question Bank
,Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a patient recently diagnosed with heart
failure. During discharge teaching, the patient states, “I do not
think I can follow all of these instructions.”
Question Stem
Which nursing action best reflects the QSEN competency of
patient-centered care?
Options
A. Instruct the patient to follow the written discharge plan
exactly.
B. Ask the patient which recommendations seem most difficult
and collaborate on a realistic plan.
C. Inform the provider that the patient is noncompliant.
D. Schedule follow-up appointments without consulting the
patient.
Correct Answer
B
Detailed Rationale
Patient-centered care recognizes the patient as an active
partner in care. Exploring barriers and collaboratively
developing achievable goals promotes engagement, self-
management, and adherence.
,Incorrect Option Analysis
A: Incorrect. Assumes a one-size-fits-all approach.
Misconception: Teaching equals understanding.
Safety concern: May lead to poor adherence.
C: Incorrect. Labels the patient rather than assessing barriers.
Misconception: Nonadherence reflects unwillingness.
Safety concern: Misses opportunities for intervention.
D: Incorrect. Excludes patient preferences.
Misconception: Efficiency outweighs patient involvement.
Nursing Process Linkage
Planning
NCJMM Competencies
Recognize Cues
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 in discharge planning.
Question 2 (MCQ)
Clinical Scenario
A nurse notices that two patient identifiers are not checked
before medication administration on a busy unit.
Question Stem
Which QSEN competency is most directly involved?
Options
A. Informatics
B. Evidence-Based Practice
C. Safety
D. Health Equity
Correct Answer
C
Detailed Rationale
Patient identification is a fundamental safety practice designed
to prevent medication errors and wrong-patient events.
Incorrect Option Analysis
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
,Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a patient recently diagnosed with heart
failure. During discharge teaching, the patient states, “I do not
think I can follow all of these instructions.”
Question Stem
Which nursing action best reflects the QSEN competency of
patient-centered care?
Options
A. Instruct the patient to follow the written discharge plan
exactly.
B. Ask the patient which recommendations seem most difficult
and collaborate on a realistic plan.
C. Inform the provider that the patient is noncompliant.
D. Schedule follow-up appointments without consulting the
patient.
Correct Answer
B
Detailed Rationale
Patient-centered care recognizes the patient as an active
partner in care. Exploring barriers and collaboratively
developing achievable goals promotes engagement, self-
management, and adherence.
,Incorrect Option Analysis
A: Incorrect. Assumes a one-size-fits-all approach.
Misconception: Teaching equals understanding.
Safety concern: May lead to poor adherence.
C: Incorrect. Labels the patient rather than assessing barriers.
Misconception: Nonadherence reflects unwillingness.
Safety concern: Misses opportunities for intervention.
D: Incorrect. Excludes patient preferences.
Misconception: Efficiency outweighs patient involvement.
Nursing Process Linkage
Planning
NCJMM Competencies
Recognize Cues
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 in discharge planning.
Question 2 (MCQ)
Clinical Scenario
A nurse notices that two patient identifiers are not checked
before medication administration on a busy unit.
Question Stem
Which QSEN competency is most directly involved?
Options
A. Informatics
B. Evidence-Based Practice
C. Safety
D. Health Equity
Correct Answer
C
Detailed Rationale
Patient identification is a fundamental safety practice designed
to prevent medication errors and wrong-patient events.
Incorrect Option Analysis
