3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse begins caring for a patient admitted to a medical-surgical unit.
Which action best demonstrates patient-centered care?
A. Asking the patient to follow the standard unit routine without
modification
B. Including the patient’s preferences when developing the plan of care
C. Completing nursing interventions before discussing them with the
patient
D. Using the nurse’s preferred treatment approach to promote
efficiency
Correct Answer:
B. Including the patient’s preferences when developing the plan of care
Rationale:
Patient-centered care incorporates the patient’s values, preferences,
needs, and goals into care planning. Option A disregards individual
preferences. Option C limits patient participation. Option D centers care
on the nurse rather than the patient.
Question 2
Which actions demonstrate effective clinical judgment by a medical-
surgical nurse? Select all that apply.
A. Recognizing a significant change in the patient’s condition
B. Connecting assessment findings with possible clinical problems
C. Waiting for the provider to identify all problems before acting
D. Evaluating whether interventions produced the desired response
, Correct Answer:
A, B, D
Rationale:
Clinical judgment involves recognizing important cues, analyzing their
meaning, and evaluating patient responses. Option A reflects
recognition of cues, B reflects analysis, and D reflects evaluation. Option
C is incorrect because the nurse is responsible for identifying changes
and taking appropriate nursing action within scope.
Question 3
A nurse is reviewing research before changing a routine nursing
intervention. Which principle is most important when applying
evidence-based nursing care?
A. Using research findings without considering the individual patient
B. Selecting interventions based only on tradition
C. Integrating best available evidence with clinical expertise and patient
preferences
D. Choosing interventions that are fastest for the nursing staff
Correct Answer:
C. Integrating best available evidence with clinical expertise and patient
preferences
Rationale:
Evidence-based nursing combines the best available evidence with
professional expertise and the patient’s values and preferences. Option
A ignores individualized care. Option B relies on tradition rather than
evidence. Option D prioritizes convenience rather than patient
outcomes.