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 newly licensed medical-surgical nurse is caring for four patients.
Which action best demonstrates the competency of clinical judgment?
A. Completing all routine assessments in the order listed on the
assignment sheet
B. Recognizing that a new change in mental status may indicate clinical
deterioration and investigating the cause
C. Asking another nurse to identify which patients should be reassessed
D. Documenting all findings before deciding whether they require
intervention
Correct Answer:
B. Recognizing that a new change in mental status may indicate clinical
deterioration and investigating the cause
Rationale:
Clinical judgment involves noticing relevant cues, interpreting their
significance, determining priorities, and taking appropriate action. A
new change in mental status can signal deterioration and requires
further assessment. The other options emphasize task completion or
delegation without demonstrating clinical reasoning.
Question 2
The nurse is beginning the initial assessment of a patient admitted to a
medical-surgical unit. Which action is most consistent with patient-
centered care?
A. Asking the patient to wait until all admission forms are completed
B. Using the nurse's preferred terminology to explain the plan of care
C. Asking the patient about personal goals and preferences related to
, treatment
D. Providing standardized instructions without asking whether the
patient has questions
Correct Answer:
C. Asking the patient about personal goals and preferences related to
treatment
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning and decision-making. The other
actions are task-centered or provider-centered rather than
individualized.
Question 3
Which nursing action best reflects evidence-based nursing care?
A. Performing a procedure exactly as a previous nurse taught it
B. Using the intervention most commonly preferred by the unit staff
C. Combining current research evidence, clinical expertise, and patient
preferences when planning care
D. Selecting an intervention based only on the patient's diagnosis
Correct Answer:
C. Combining current research evidence, clinical expertise, and patient
preferences when planning care
Rationale:
Evidence-based practice integrates the best available evidence with
clinical expertise and the patient's preferences and circumstances.
Tradition, popularity, or diagnosis alone should not determine nursing
care.
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed medical-surgical nurse is caring for four patients.
Which action best demonstrates the competency of clinical judgment?
A. Completing all routine assessments in the order listed on the
assignment sheet
B. Recognizing that a new change in mental status may indicate clinical
deterioration and investigating the cause
C. Asking another nurse to identify which patients should be reassessed
D. Documenting all findings before deciding whether they require
intervention
Correct Answer:
B. Recognizing that a new change in mental status may indicate clinical
deterioration and investigating the cause
Rationale:
Clinical judgment involves noticing relevant cues, interpreting their
significance, determining priorities, and taking appropriate action. A
new change in mental status can signal deterioration and requires
further assessment. The other options emphasize task completion or
delegation without demonstrating clinical reasoning.
Question 2
The nurse is beginning the initial assessment of a patient admitted to a
medical-surgical unit. Which action is most consistent with patient-
centered care?
A. Asking the patient to wait until all admission forms are completed
B. Using the nurse's preferred terminology to explain the plan of care
C. Asking the patient about personal goals and preferences related to
, treatment
D. Providing standardized instructions without asking whether the
patient has questions
Correct Answer:
C. Asking the patient about personal goals and preferences related to
treatment
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning and decision-making. The other
actions are task-centered or provider-centered rather than
individualized.
Question 3
Which nursing action best reflects evidence-based nursing care?
A. Performing a procedure exactly as a previous nurse taught it
B. Using the intervention most commonly preferred by the unit staff
C. Combining current research evidence, clinical expertise, and patient
preferences when planning care
D. Selecting an intervention based only on the patient's diagnosis
Correct Answer:
C. Combining current research evidence, clinical expertise, and patient
preferences when planning care
Rationale:
Evidence-based practice integrates the best available evidence with
clinical expertise and the patient's preferences and circumstances.
Tradition, popularity, or diagnosis alone should not determine nursing
care.
