11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing (11th Edition-Inspired)
Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
,Topic: Professional Nursing Concepts in Adult Health Nursing
Subtopics:
Quality and Safety Education for Nurses (QSEN)
Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Quality Review
✓ Original content developed for exam revision purposes only
✓ No copyrighted textbook or publisher test-bank questions
used
✓ NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice integrated
,✓ Patient safety emphasized throughout
✓ Contemporary interprofessional care concepts included
✓ Adult health nursing competencies aligned
✓ Clear single-best-answer structure where applicable
✓ NGN-style reasoning incorporated
Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized adult with heart failure.
During bedside shift report, the patient states, “I do not
understand why I am receiving a fluid restriction.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Continue the report and provide education later.
B. Ask the patient to discuss concerns with the provider.
C. Pause the report and explain the purpose of the fluid
restriction using language the patient understands.
D. Document the patient's concern in the chart.
Correct Answer
C
Detailed Rationale
, Patient-centered care requires respecting patient preferences,
needs, and values while ensuring patients actively participate in
care decisions. Addressing the patient's concern immediately
and providing understandable education promotes
engagement and informed decision-making.
Incorrect Option Analysis
A: Delays education and fails to address the immediate
concern.
B: Delegates nursing responsibility for education.
D: Documentation is important but does not meet the patient's
immediate learning need.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Health Promotion and Maintenance