Davis Advantage for Medical-Surgical Nursing,
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse begins caring for a newly admitted patient with
multiple chronic conditions. Which nursing action best demonstrates
patient-centered care?
A. Following the standard unit care plan without modification
B. Asking the patient about personal goals and preferences before
developing the plan of care
C. Allowing family members to make all treatment decisions
D. Completing all routine care before discussing the patient's concerns
Correct Answer:
B. Asking the patient about personal goals and preferences before
developing the plan of care
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into planning and decision-making. Option A does not
individualize care. Option C removes the patient's autonomy unless the
patient has specifically delegated decision-making. Option D delays
attention to patient concerns.
Question 2
Which nursing behavior best reflects clinical judgment in medical-
surgical practice?
A. Completing tasks in the same sequence for every patient
B. Recognizing a change in assessment findings and determining its
clinical significance
C. Waiting for the provider to identify all abnormal findings
D. Documenting care only after the end of the shift
, Correct Answer:
B. Recognizing a change in assessment findings and determining its
clinical significance
Rationale:
Clinical judgment involves recognizing relevant cues, interpreting their
meaning, and determining appropriate actions. Option A emphasizes
routine rather than individualized reasoning. Option C delays nursing
action. Option D may compromise timely documentation and
communication.
Question 3
The nurse is reviewing evidence before implementing a new
intervention for preventing pressure injuries. Which action best
represents evidence-based nursing care?
A. Selecting an intervention because it is commonly used on the unit
B. Using the nurse's personal preference as the primary basis for care
C. Integrating current evidence with clinical expertise and patient
preferences
D. Choosing the least expensive intervention regardless of effectiveness
Correct Answer:
C. Integrating current evidence with clinical expertise and patient
preferences
Rationale:
Evidence-based nursing combines the best available evidence, clinical
expertise, and patient values and preferences. Options A and B rely
primarily on tradition or personal preference. Option D focuses only on
cost and may not provide effective care.
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse begins caring for a newly admitted patient with
multiple chronic conditions. Which nursing action best demonstrates
patient-centered care?
A. Following the standard unit care plan without modification
B. Asking the patient about personal goals and preferences before
developing the plan of care
C. Allowing family members to make all treatment decisions
D. Completing all routine care before discussing the patient's concerns
Correct Answer:
B. Asking the patient about personal goals and preferences before
developing the plan of care
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into planning and decision-making. Option A does not
individualize care. Option C removes the patient's autonomy unless the
patient has specifically delegated decision-making. Option D delays
attention to patient concerns.
Question 2
Which nursing behavior best reflects clinical judgment in medical-
surgical practice?
A. Completing tasks in the same sequence for every patient
B. Recognizing a change in assessment findings and determining its
clinical significance
C. Waiting for the provider to identify all abnormal findings
D. Documenting care only after the end of the shift
, Correct Answer:
B. Recognizing a change in assessment findings and determining its
clinical significance
Rationale:
Clinical judgment involves recognizing relevant cues, interpreting their
meaning, and determining appropriate actions. Option A emphasizes
routine rather than individualized reasoning. Option C delays nursing
action. Option D may compromise timely documentation and
communication.
Question 3
The nurse is reviewing evidence before implementing a new
intervention for preventing pressure injuries. Which action best
represents evidence-based nursing care?
A. Selecting an intervention because it is commonly used on the unit
B. Using the nurse's personal preference as the primary basis for care
C. Integrating current evidence with clinical expertise and patient
preferences
D. Choosing the least expensive intervention regardless of effectiveness
Correct Answer:
C. Integrating current evidence with clinical expertise and patient
preferences
Rationale:
Evidence-based nursing combines the best available evidence, clinical
expertise, and patient values and preferences. Options A and B rely
primarily on tradition or personal preference. Option D focuses only on
cost and may not provide effective care.
