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
,Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts for Medical-Surgical
Nursing
Subtopics:
QSEN Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
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
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
Topic: Professional Nursing Concepts for Medical-Surgical
Nursing
Subtopics:
QSEN Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
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
