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 nurse begins care for a hospitalized adult who has several chronic
conditions. Which action best demonstrates patient-centered medical-
surgical nursing care?
A. Asking the patient to follow the unit routine without discussion
B. Developing the plan of care based primarily on the nurse's
preferences
C. Incorporating the patient's values, preferences, and goals into the
plan of care
D. Limiting patient participation to answering assessment questions
Correct Answer:
C. Incorporating the patient's values, preferences, and goals into the
plan of care
Rationale:
Patient-centered care actively includes the patient's values, preferences,
needs, and goals in clinical decisions. Option A is incorrect because care
should be individualized rather than based solely on unit routines.
Option B is incorrect because the nurse's preferences should not
replace patient preferences. Option D is incorrect because patients
should participate in planning and evaluating their care.
Question 2
, A newly licensed medical-surgical nurse is organizing a shift. Which
competency is most important when caring for a patient whose
condition may change rapidly?
A. Memorizing all unit procedures
B. Recognizing clinically significant changes and responding
appropriately
C. Completing documentation before performing patient assessments
D. Performing every task independently
Correct Answer:
B. Recognizing clinically significant changes and responding
appropriately
Rationale:
Medical-surgical nursing requires ongoing assessment, recognition of
deterioration, clinical judgment, and timely intervention. Option A is
useful but does not replace clinical judgment. Option C is incorrect
because patient assessment and immediate safety needs take priority
over routine documentation. Option D is incorrect because safe nursing
practice includes delegation and interprofessional collaboration when
appropriate.
Question 3
A nurse is reviewing evidence before implementing a new intervention
for a patient. Which source provides the strongest basis for evidence-
based nursing care?
A. A colleague's personal preference
B. A social media discussion about the intervention
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse begins care for a hospitalized adult who has several chronic
conditions. Which action best demonstrates patient-centered medical-
surgical nursing care?
A. Asking the patient to follow the unit routine without discussion
B. Developing the plan of care based primarily on the nurse's
preferences
C. Incorporating the patient's values, preferences, and goals into the
plan of care
D. Limiting patient participation to answering assessment questions
Correct Answer:
C. Incorporating the patient's values, preferences, and goals into the
plan of care
Rationale:
Patient-centered care actively includes the patient's values, preferences,
needs, and goals in clinical decisions. Option A is incorrect because care
should be individualized rather than based solely on unit routines.
Option B is incorrect because the nurse's preferences should not
replace patient preferences. Option D is incorrect because patients
should participate in planning and evaluating their care.
Question 2
, A newly licensed medical-surgical nurse is organizing a shift. Which
competency is most important when caring for a patient whose
condition may change rapidly?
A. Memorizing all unit procedures
B. Recognizing clinically significant changes and responding
appropriately
C. Completing documentation before performing patient assessments
D. Performing every task independently
Correct Answer:
B. Recognizing clinically significant changes and responding
appropriately
Rationale:
Medical-surgical nursing requires ongoing assessment, recognition of
deterioration, clinical judgment, and timely intervention. Option A is
useful but does not replace clinical judgment. Option C is incorrect
because patient assessment and immediate safety needs take priority
over routine documentation. Option D is incorrect because safe nursing
practice includes delegation and interprofessional collaboration when
appropriate.
Question 3
A nurse is reviewing evidence before implementing a new intervention
for a patient. Which source provides the strongest basis for evidence-
based nursing care?
A. A colleague's personal preference
B. A social media discussion about the intervention
