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 nurse notices that the patient
appears hesitant to ask questions while multiple team
members discuss the plan of care.
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Ask the patient to wait until rounds are complete before
discussing concerns.
B. Encourage the patient to participate in decision-making and
ask questions during rounds.
C. Provide educational materials after discharge.
D. Focus primarily on completing required documentation.
Correct Answer
B. Encourage the patient to participate in decision-making and
ask questions during rounds.
Detailed Rationale
Patient-centered care prioritizes respect for patient
preferences, values, and active involvement in healthcare
decisions. Encouraging participation during rounds promotes
shared decision-making and improves understanding of the
care plan.
Incorrect Option Analysis
,A: Delays patient involvement and may discourage
communication.
C: Education is important but does not actively involve the
patient in immediate decisions.
D: Documentation is necessary but should not supersede
patient engagement.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Management of Care
Key Learning Objective
Apply principles of patient-centered care during
interdisciplinary communication.
, QUESTION 2 (SATA)
Clinical Scenario
A nurse participates in a quality improvement initiative aimed
at reducing patient falls on a medical-surgical unit.
Question Stem
Which interventions support patient safety? Select all that
apply.
Options
A. Conduct fall-risk assessments.
B. Keep call lights within reach.
C. Encourage patients to ambulate without assistance to
promote independence.
D. Use bed alarms when indicated.
E. Remove clutter from pathways.
F. Ignore near-miss incidents if no injury occurred.
Correct Answers
A, B, D, E
Detailed Rationale
Fall prevention requires systematic assessment, environmental
safety measures, and proactive monitoring.
Incorrect Option Analysis
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 nurse notices that the patient
appears hesitant to ask questions while multiple team
members discuss the plan of care.
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Ask the patient to wait until rounds are complete before
discussing concerns.
B. Encourage the patient to participate in decision-making and
ask questions during rounds.
C. Provide educational materials after discharge.
D. Focus primarily on completing required documentation.
Correct Answer
B. Encourage the patient to participate in decision-making and
ask questions during rounds.
Detailed Rationale
Patient-centered care prioritizes respect for patient
preferences, values, and active involvement in healthcare
decisions. Encouraging participation during rounds promotes
shared decision-making and improves understanding of the
care plan.
Incorrect Option Analysis
,A: Delays patient involvement and may discourage
communication.
C: Education is important but does not actively involve the
patient in immediate decisions.
D: Documentation is necessary but should not supersede
patient engagement.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Management of Care
Key Learning Objective
Apply principles of patient-centered care during
interdisciplinary communication.
, QUESTION 2 (SATA)
Clinical Scenario
A nurse participates in a quality improvement initiative aimed
at reducing patient falls on a medical-surgical unit.
Question Stem
Which interventions support patient safety? Select all that
apply.
Options
A. Conduct fall-risk assessments.
B. Keep call lights within reach.
C. Encourage patients to ambulate without assistance to
promote independence.
D. Use bed alarms when indicated.
E. Remove clutter from pathways.
F. Ignore near-miss incidents if no injury occurred.
Correct Answers
A, B, D, E
Detailed Rationale
Fall prevention requires systematic assessment, environmental
safety measures, and proactive monitoring.
Incorrect Option Analysis
