Medical-Surgical Nursing
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
,Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized patient with heart failure.
During bedside rounds, the patient states, "I don't understand
why my medications keep changing. No one asks me what I
think."
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
A. Follow the prescribed treatment plan exactly as written.
B. Encourage the patient to participate in decisions regarding
treatment options.
C. Ask the physician to explain the treatment plan again.
D. Provide the patient with written discharge instructions.
Correct Answer
B. Encourage the patient to participate in decisions regarding
treatment options.
Detailed Rationale
Patient-centered care recognizes patients as full partners in
healthcare decisions. Nurses should respect patient
preferences, values, and needs while actively involving patients
in planning and decision-making.
,Incorrect Option Analysis
A: Focuses on provider-directed care rather than shared
decision-making.
C: Helpful but does not directly involve the patient in decisions.
D: Education is important but does not necessarily promote
active participation.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Management of Care
Key Learning Objective
Apply patient-centered care principles in clinical practice.
Question 2 (MCQ)
, Clinical Scenario
A nurse discovers that a patient's identification band lists a
different birth date than the electronic health record.
Question Stem
What is the nurse's priority action?
Answer Options
A. Administer medications as scheduled.
B. Ask the patient which date is correct.
C. Stop and resolve the identification discrepancy before
providing care.
D. Notify the provider after completing assessments.
Correct Answer
C. Stop and resolve the identification discrepancy before
providing care.
Detailed Rationale
Patient identification errors can result in serious harm. Safety
standards require verification and correction of discrepancies
before any treatment, medication administration, or
procedures.
Incorrect Option Analysis
A: Unsafe; care should not proceed until identity is confirmed.
B: Helpful but insufficient alone.
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
,Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized patient with heart failure.
During bedside rounds, the patient states, "I don't understand
why my medications keep changing. No one asks me what I
think."
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
A. Follow the prescribed treatment plan exactly as written.
B. Encourage the patient to participate in decisions regarding
treatment options.
C. Ask the physician to explain the treatment plan again.
D. Provide the patient with written discharge instructions.
Correct Answer
B. Encourage the patient to participate in decisions regarding
treatment options.
Detailed Rationale
Patient-centered care recognizes patients as full partners in
healthcare decisions. Nurses should respect patient
preferences, values, and needs while actively involving patients
in planning and decision-making.
,Incorrect Option Analysis
A: Focuses on provider-directed care rather than shared
decision-making.
C: Helpful but does not directly involve the patient in decisions.
D: Education is important but does not necessarily promote
active participation.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Management of Care
Key Learning Objective
Apply patient-centered care principles in clinical practice.
Question 2 (MCQ)
, Clinical Scenario
A nurse discovers that a patient's identification band lists a
different birth date than the electronic health record.
Question Stem
What is the nurse's priority action?
Answer Options
A. Administer medications as scheduled.
B. Ask the patient which date is correct.
C. Stop and resolve the identification discrepancy before
providing care.
D. Notify the provider after completing assessments.
Correct Answer
C. Stop and resolve the identification discrepancy before
providing care.
Detailed Rationale
Patient identification errors can result in serious harm. Safety
standards require verification and correction of discrepancies
before any treatment, medication administration, or
procedures.
Incorrect Option Analysis
A: Unsafe; care should not proceed until identity is confirmed.
B: Helpful but insufficient alone.
