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 patient admitted with a
newly diagnosed chronic illness. Which action best demonstrates a core
competency of professional medical-surgical nursing?
A. Focusing primarily on the patient’s medical diagnosis
B. Using clinical judgment to integrate patient data into individualized
care
C. Waiting for the provider to identify all nursing priorities
D. Following the care plan without modifying it
Correct Answer:
B. Using clinical judgment to integrate patient data into individualized
care
Rationale:
Clinical judgment requires the nurse to recognize and interpret patient
findings, determine priorities, and make appropriate decisions. A is
incorrect because medical-surgical nursing addresses the whole patient,
not only the diagnosis. C is incorrect because nurses independently
identify nursing priorities within their scope. D is incorrect because care
should be continuously evaluated and modified according to patient
responses.
Question 2
The nurse is assessing an adult patient during the initial admission.
Which assessment finding should the nurse recognize as requiring
additional clarification before developing the plan of care?
, A. The patient reports having a support person at home.
B. The patient identifies a preferred language other than English.
C. The patient states, “I do not understand why I am being hospitalized.”
D. The patient reports usually sleeping 7 hours each night.
Correct Answer:
C. The patient states, “I do not understand why I am being hospitalized.”
Rationale:
A patient who does not understand the reason for hospitalization may
require additional explanation, communication support, and
assessment of understanding before care planning. A and D provide
useful baseline information. B is important because communication
needs should be addressed, but the statement itself does not indicate
immediate misunderstanding of the current situation.
Question 3
Which nursing action best reflects evidence-based nursing care?
A. Using an intervention because it has always been performed on the
unit
B. Choosing interventions based only on personal clinical experience
C. Integrating current evidence with clinical expertise and patient
preferences
D. Selecting interventions according to the preference of the most
experienced nurse
Correct Answer:
C. Integrating current evidence with clinical expertise and patient
preferences
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 patient admitted with a
newly diagnosed chronic illness. Which action best demonstrates a core
competency of professional medical-surgical nursing?
A. Focusing primarily on the patient’s medical diagnosis
B. Using clinical judgment to integrate patient data into individualized
care
C. Waiting for the provider to identify all nursing priorities
D. Following the care plan without modifying it
Correct Answer:
B. Using clinical judgment to integrate patient data into individualized
care
Rationale:
Clinical judgment requires the nurse to recognize and interpret patient
findings, determine priorities, and make appropriate decisions. A is
incorrect because medical-surgical nursing addresses the whole patient,
not only the diagnosis. C is incorrect because nurses independently
identify nursing priorities within their scope. D is incorrect because care
should be continuously evaluated and modified according to patient
responses.
Question 2
The nurse is assessing an adult patient during the initial admission.
Which assessment finding should the nurse recognize as requiring
additional clarification before developing the plan of care?
, A. The patient reports having a support person at home.
B. The patient identifies a preferred language other than English.
C. The patient states, “I do not understand why I am being hospitalized.”
D. The patient reports usually sleeping 7 hours each night.
Correct Answer:
C. The patient states, “I do not understand why I am being hospitalized.”
Rationale:
A patient who does not understand the reason for hospitalization may
require additional explanation, communication support, and
assessment of understanding before care planning. A and D provide
useful baseline information. B is important because communication
needs should be addressed, but the statement itself does not indicate
immediate misunderstanding of the current situation.
Question 3
Which nursing action best reflects evidence-based nursing care?
A. Using an intervention because it has always been performed on the
unit
B. Choosing interventions based only on personal clinical experience
C. Integrating current evidence with clinical expertise and patient
preferences
D. Selecting interventions according to the preference of the most
experienced nurse
Correct Answer:
C. Integrating current evidence with clinical expertise and patient
preferences
