Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical scenario:
A nurse is caring for a newly admitted adult with multiple
chronic conditions. During admission, the patient says, “I want
to go home as soon as possible because I have to care for my
grandchildren.” The nurse plans care.
Stem:
Which nursing action best demonstrates patient-centered care?
Answer options:
A. Provide the standard discharge teaching packet immediately
B. Ask the patient what concerns matter most and build the
plan around those priorities
C. Explain that hospital priorities must come before family
responsibilities
D. Delay teaching until the interprofessional team has
completed all consults
Correct answer:
B
Detailed rationale:
Patient-centered care begins with learning what matters to the
patient, including goals, values, family responsibilities, and
barriers to care. By asking about priorities, the nurse can align
education, discharge planning, and treatment goals with the
patient’s real-life context. This improves engagement,
adherence, and outcomes.
,Incorrect option analysis:
• A: Incorrect because handing out generic material does
not individualize care. Misconception: education alone
equals patient-centered care. Risk: poor understanding
and low adherence.
• C: Incorrect because it dismisses the patient’s values.
Misconception: the nurse decides priorities alone. Risk:
reduced trust and cooperation.
• D: Incorrect because patient-centered care starts early and
should not be delayed. Misconception: care planning must
wait for every consult. Risk: missed opportunities for
timely discharge preparation.
Nursing process linkage:
Assessment
NCJMM competencies:
Recognize Cues, Analyze Cues
Difficulty level:
Moderate
Bloom’s cognitive level:
Apply
NCLEX client needs category:
Management of Care
, Key learning objective:
Identify how patient-centered care integrates patient values
into nursing planning.
2) MCQ
Clinical scenario:
A nurse is reviewing the plan of care for a patient with pressure
injury risk. The unit recently adopted a new skin-prevention
bundle based on current evidence.
Stem:
Which action best reflects evidence-based nursing care?
Answer options:
A. Following only the nurse manager’s preference for
repositioning intervals
B. Using the bundle because it combines research evidence,
clinical expertise, and patient needs
C. Waiting until the patient develops a pressure injury before
starting prevention
D. Using a prevention plan that was effective in a different
hospital 10 years ago
Correct answer:
B
Detailed rationale:
Evidence-based nursing care combines the best current
research, clinical expertise, and patient preferences. A
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical scenario:
A nurse is caring for a newly admitted adult with multiple
chronic conditions. During admission, the patient says, “I want
to go home as soon as possible because I have to care for my
grandchildren.” The nurse plans care.
Stem:
Which nursing action best demonstrates patient-centered care?
Answer options:
A. Provide the standard discharge teaching packet immediately
B. Ask the patient what concerns matter most and build the
plan around those priorities
C. Explain that hospital priorities must come before family
responsibilities
D. Delay teaching until the interprofessional team has
completed all consults
Correct answer:
B
Detailed rationale:
Patient-centered care begins with learning what matters to the
patient, including goals, values, family responsibilities, and
barriers to care. By asking about priorities, the nurse can align
education, discharge planning, and treatment goals with the
patient’s real-life context. This improves engagement,
adherence, and outcomes.
,Incorrect option analysis:
• A: Incorrect because handing out generic material does
not individualize care. Misconception: education alone
equals patient-centered care. Risk: poor understanding
and low adherence.
• C: Incorrect because it dismisses the patient’s values.
Misconception: the nurse decides priorities alone. Risk:
reduced trust and cooperation.
• D: Incorrect because patient-centered care starts early and
should not be delayed. Misconception: care planning must
wait for every consult. Risk: missed opportunities for
timely discharge preparation.
Nursing process linkage:
Assessment
NCJMM competencies:
Recognize Cues, Analyze Cues
Difficulty level:
Moderate
Bloom’s cognitive level:
Apply
NCLEX client needs category:
Management of Care
, Key learning objective:
Identify how patient-centered care integrates patient values
into nursing planning.
2) MCQ
Clinical scenario:
A nurse is reviewing the plan of care for a patient with pressure
injury risk. The unit recently adopted a new skin-prevention
bundle based on current evidence.
Stem:
Which action best reflects evidence-based nursing care?
Answer options:
A. Following only the nurse manager’s preference for
repositioning intervals
B. Using the bundle because it combines research evidence,
clinical expertise, and patient needs
C. Waiting until the patient develops a pressure injury before
starting prevention
D. Using a prevention plan that was effective in a different
hospital 10 years ago
Correct answer:
B
Detailed rationale:
Evidence-based nursing care combines the best current
research, clinical expertise, and patient preferences. A
