Medical-Surgical Nursing
8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts in Adult Health Nursing
Focus Areas:
, QSEN Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty Level: Mixed
Question Distribution
MCQ: 8
SATA: 4
NGN Case Study: 3
Bow-Tie: 2
Matrix/Grid: 1
Priority/Delegation: 2
,Question 1 — MCQ
Clinical Scenario
A nurse on a medical-surgical unit receives bedside shift report
for four patients. During report, the off-going nurse states,
“Room 402 complains a lot and is probably exaggerating the
pain.”
Question Stem
Which response by the oncoming nurse best demonstrates
patient-centered care?
Answer Options
A. “I’ll continue the current pain regimen since it appears
adequate.”
B. “I’ll assess the patient’s pain experience and discuss goals for
comfort with the patient.”
C. “Patients with chronic pain often overreport symptoms.”
D. “I’ll avoid giving opioids unless objective signs of pain are
present.”
Correct Answer
B. “I’ll assess the patient’s pain experience and discuss goals
for comfort with the patient.”
Detailed Rationale
, Patient-centered care emphasizes respect for patient
preferences, individualized assessment, and collaborative care
planning. Pain is subjective, and the nurse should conduct an
unbiased assessment while involving the patient in determining
acceptable comfort goals.
Incorrect Option Analysis
A.
Incorrect because it assumes the existing regimen is effective
without reassessment.
Misconception: Stable orders equal effective care.
Safety Concern: Untreated pain may worsen outcomes.
C.
Incorrect because it stereotypes patients with chronic pain.
Misconception: Chronic pain patients exaggerate symptoms.
Safety Concern: Bias contributes to inequitable treatment.
D.
Incorrect because pain should not require objective validation.
Misconception: Pain must be visibly demonstrated.
Safety Concern: Delayed pain management.
Nursing Process Linkage
Assessment
NCJMM Competencies
8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts in Adult Health Nursing
Focus Areas:
, QSEN Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty Level: Mixed
Question Distribution
MCQ: 8
SATA: 4
NGN Case Study: 3
Bow-Tie: 2
Matrix/Grid: 1
Priority/Delegation: 2
,Question 1 — MCQ
Clinical Scenario
A nurse on a medical-surgical unit receives bedside shift report
for four patients. During report, the off-going nurse states,
“Room 402 complains a lot and is probably exaggerating the
pain.”
Question Stem
Which response by the oncoming nurse best demonstrates
patient-centered care?
Answer Options
A. “I’ll continue the current pain regimen since it appears
adequate.”
B. “I’ll assess the patient’s pain experience and discuss goals for
comfort with the patient.”
C. “Patients with chronic pain often overreport symptoms.”
D. “I’ll avoid giving opioids unless objective signs of pain are
present.”
Correct Answer
B. “I’ll assess the patient’s pain experience and discuss goals
for comfort with the patient.”
Detailed Rationale
, Patient-centered care emphasizes respect for patient
preferences, individualized assessment, and collaborative care
planning. Pain is subjective, and the nurse should conduct an
unbiased assessment while involving the patient in determining
acceptable comfort goals.
Incorrect Option Analysis
A.
Incorrect because it assumes the existing regimen is effective
without reassessment.
Misconception: Stable orders equal effective care.
Safety Concern: Untreated pain may worsen outcomes.
C.
Incorrect because it stereotypes patients with chronic pain.
Misconception: Chronic pain patients exaggerate symptoms.
Safety Concern: Bias contributes to inequitable treatment.
D.
Incorrect because pain should not require objective validation.
Misconception: Pain must be visibly demonstrated.
Safety Concern: Delayed pain management.
Nursing Process Linkage
Assessment
NCJMM Competencies
