11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics Covered
Quality and Safety Education for Nurses (QSEN)
Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Question 1 (MCQ)
Clinical Scenario
,A nurse is caring for a patient newly diagnosed with heart
failure. During discharge teaching, the patient states, "I am
worried about how this condition will affect my daily life."
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Providing the patient with standardized discharge
instructions
B. Asking the patient about personal goals and incorporating
them into the care plan
C. Scheduling follow-up appointments according to facility
protocol
D. Teaching only the information required by the physician
Correct Answer
B. Asking the patient about personal goals and incorporating
them into the care plan
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and needs. Collaboratively developing a
care plan based on the patient's goals promotes engagement,
adherence, and individualized care.
Incorrect Option Analysis
, A: Standardized instructions may be helpful but do not
individualize care.
Misconception: Information delivery alone equals patient-
centered care.
Safety concern: May overlook unique learning needs.
C: Following protocol supports continuity but does not
prioritize patient preferences.
Misconception: Organizational processes alone ensure
patient-centered care.
D: Limiting education to provider-directed content excludes
patient concerns.
Safety concern: Important self-management issues may be
missed.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Apply