3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly admitted medical-surgical patient asks the nurse, “What will
happen after you finish your assessment?” Which response by the
nurse best reflects the nursing process?
A. “I will determine which medical diagnosis your provider should
treat.”
B. “I will use the assessment findings to identify your nursing problems
and plan appropriate care.”
C. “I will wait for the provider to determine your priorities before
making a nursing plan.”
D. “I will document your symptoms and ask the next nurse to decide
what should be done.”
Correct Answer:
B
Rationale:
The nursing process uses assessment findings to identify nursing
diagnoses or problems, establish goals, implement care, and evaluate
outcomes. Option A incorrectly assigns medical diagnosis to the nurse.
Option C delays independent nursing judgment. Option D fails to use
the current nurse's responsibility for planning and coordinating care.
Question 2
Which nursing action best demonstrates patient-centered care for an
older adult who is newly admitted with a chronic illness?
A. Selecting the treatment schedule that is easiest for the nursing unit
B. Asking the patient about personal preferences, routines, and goals
before developing the care plan
, C. Explaining that hospital routines must take priority over the patient's
usual practices
D. Asking the family to make all care decisions because the patient is
older
Correct Answer:
B
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning. Option A prioritizes staff
convenience. Option C dismisses patient preferences. Option D removes
the patient's autonomy without establishing that the patient lacks
decision-making capacity.
Question 3
A nurse is preparing to administer medication to a patient on a medical-
surgical unit. Which action is most important for preventing a patient-
identification error?
A. Asking the patient to state the room number
B. Comparing the medication administration record with two approved
patient identifiers
C. Asking a family member to confirm the patient's identity
D. Confirming the patient's diagnosis before scanning the medication
Correct Answer:
B
Rationale:
Using two approved identifiers helps verify that the medication is being
given to the correct patient. Room number is not an acceptable