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
Medical-Surgical Nursing Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts for Medical-Surgical
Nursing
Subtopics
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 Level: Mixed
Quality Review Verification
✓ Original content created for educational review purposes
✓ No copyrighted or publisher-derived test-bank items
✓ NCLEX-style clinical judgment focus
,✓ Evidence-informed nursing practice integrated
✓ Realistic adult health scenarios
✓ Patient safety emphasis throughout
✓ Current professional nursing standards reflected
✓ Consistent medical-surgical terminology
✓ Clear rationale and distractor analysis included
Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized adult with heart failure.
During morning rounds, the patient states, “I don't understand
why my fluid intake is restricted. Nobody explained it to me.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Explain the fluid restriction and ask the patient about
concerns regarding adherence.
B. Tell the patient that the provider ordered the restriction and
it must be followed.
C. Print educational materials and leave them at the bedside.
D. Inform the charge nurse that the patient is questioning the
treatment plan.
, Correct Answer
A
Detailed Rationale
Patient-centered care requires respecting patient preferences,
values, and learning needs while actively involving patients in
decisions about their care. Exploring concerns and providing
individualized education promotes engagement and informed
participation.
Incorrect Option Analysis
B: Authoritarian approach; does not support shared decision-
making.
Misconception: Compliance equals understanding.
Safety concern: Poor adherence may result.
C: Information alone does not ensure understanding.
Misconception: Education is merely providing written material.
D: Escalation is unnecessary before directly addressing the
patient's concern.
Misconception: Patient questions indicate noncompliance.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
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 Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Professional Nursing Concepts for Medical-Surgical
Nursing
Subtopics
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 Level: Mixed
Quality Review Verification
✓ Original content created for educational review purposes
✓ No copyrighted or publisher-derived test-bank items
✓ NCLEX-style clinical judgment focus
,✓ Evidence-informed nursing practice integrated
✓ Realistic adult health scenarios
✓ Patient safety emphasis throughout
✓ Current professional nursing standards reflected
✓ Consistent medical-surgical terminology
✓ Clear rationale and distractor analysis included
Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a hospitalized adult with heart failure.
During morning rounds, the patient states, “I don't understand
why my fluid intake is restricted. Nobody explained it to me.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Options
A. Explain the fluid restriction and ask the patient about
concerns regarding adherence.
B. Tell the patient that the provider ordered the restriction and
it must be followed.
C. Print educational materials and leave them at the bedside.
D. Inform the charge nurse that the patient is questioning the
treatment plan.
, Correct Answer
A
Detailed Rationale
Patient-centered care requires respecting patient preferences,
values, and learning needs while actively involving patients in
decisions about their care. Exploring concerns and providing
individualized education promotes engagement and informed
participation.
Incorrect Option Analysis
B: Authoritarian approach; does not support shared decision-
making.
Misconception: Compliance equals understanding.
Safety concern: Poor adherence may result.
C: Information alone does not ensure understanding.
Misconception: Education is merely providing written material.
D: Escalation is unnecessary before directly addressing the
patient's concern.
Misconception: Patient questions indicate noncompliance.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
