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
Type
MCQ
Clinical Scenario
A nurse is caring for a 68-year-old patient hospitalized with
heart failure. During bedside shift report, the patient asks
several questions about medication changes.
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Completing report outside the patient's room to save time
B. Asking the patient to wait until rounds for questions
C. Including the patient in discussion of medications and care
goals
D. Referring all questions directly to the provider
Correct Answer
C. Including the patient in discussion of medications and care
goals
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and active participation in decision-
,making. Including the patient during bedside report promotes
engagement, understanding, and shared decision-making.
Incorrect Option Analysis
A: Excludes patient participation. May contribute to
communication gaps.
B: Delays needed education and discourages engagement.
D: Nurses are responsible for patient education within their
scope of practice.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category
Management of Care
Key Learning Objective
Apply principles of patient-centered care.
, Question 2
Type
MCQ
Clinical Scenario
A nurse notices that a patient's allergy band is missing before
medication administration.
Question Stem
What is the nurse's priority action?
Options
A. Administer medications as scheduled
B. Replace the allergy band and verify allergies before
medication administration
C. Ask a family member about allergies
D. Document the missing band after medication administration
Correct Answer
B
Detailed Rationale
Safety is a core QSEN competency. Verifying allergies before
medication administration prevents potentially life-threatening
medication errors.
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
Type
MCQ
Clinical Scenario
A nurse is caring for a 68-year-old patient hospitalized with
heart failure. During bedside shift report, the patient asks
several questions about medication changes.
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Completing report outside the patient's room to save time
B. Asking the patient to wait until rounds for questions
C. Including the patient in discussion of medications and care
goals
D. Referring all questions directly to the provider
Correct Answer
C. Including the patient in discussion of medications and care
goals
Detailed Rationale
Patient-centered care emphasizes respect for patient
preferences, values, and active participation in decision-
,making. Including the patient during bedside report promotes
engagement, understanding, and shared decision-making.
Incorrect Option Analysis
A: Excludes patient participation. May contribute to
communication gaps.
B: Delays needed education and discourages engagement.
D: Nurses are responsible for patient education within their
scope of practice.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category
Management of Care
Key Learning Objective
Apply principles of patient-centered care.
, Question 2
Type
MCQ
Clinical Scenario
A nurse notices that a patient's allergy band is missing before
medication administration.
Question Stem
What is the nurse's priority action?
Options
A. Administer medications as scheduled
B. Replace the allergy band and verify allergies before
medication administration
C. Ask a family member about allergies
D. Document the missing band after medication administration
Correct Answer
B
Detailed Rationale
Safety is a core QSEN competency. Verifying allergies before
medication administration prevents potentially life-threatening
medication errors.
