7th Edition
• Author(s)Shannon Perry
• ISBN: 9780323776714
TEST BANK
,Unit I: Essential Concepts of Medical-Surgical Nursing
Inspired by concepts commonly taught in Medical-Surgical
Nursing (11th Edition) by Donna D. Ignatavicius, Cherie R.
Rebar, and Nicole M. Heimgartner
Question 1
Type: MCQ
Clinical Scenario
A nurse on a medical-surgical unit is caring for a hospitalized
older adult with heart failure. During bedside shift report, the
patient states, “I feel nervous when people talk about me
without asking what I want.”
Question Stem
Which nursing action best demonstrates patient-centered care?
Answer Options
A. Reviewing laboratory results before speaking with the
patient
B. Encouraging the patient to participate in care planning
decisions
C. Delegating patient teaching to the unlicensed assistive
personnel (UAP)
D. Completing discharge paperwork early in the shift
Correct Answer
,B. Encouraging the patient to participate in care planning
decisions
Detailed Rationale
Patient-centered care prioritizes the patient’s values,
preferences, and participation in healthcare decisions. Involving
the patient in care planning supports autonomy, shared
decision-making, and individualized care.
Incorrect Option Analysis
• A: Important for preparation but does not directly involve
the patient in decisions.
• C: Patient education should primarily be performed by the
registered nurse.
• D: Administrative efficiency alone does not reflect patient-
centered care.
Nursing Process Linkage
Planning
NCJMM Competencies
• Recognize Cues
• Generate Solutions
• Take Action
Difficulty Level
Easy
, Bloom’s Level
Apply
NCLEX Client Needs Category
Management of Care
Key Learning Objective
Promote patient-centered care through active patient
participation in healthcare decisions.
Question 2
Type: SATA
Clinical Scenario
A nurse is preparing to administer medications to four patients
during a busy shift.
Question Stem
Which actions demonstrate safe medication administration
practices? (Select all that apply.)
Answer Options
A. Confirming patient identity using two identifiers
B. Comparing medication labels with the MAR three times
C. Administering medications prepared by another nurse
without verification
D. Clarifying unclear medication prescriptions before