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
Original NCLEX-Style Exam Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics:
QSEN Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty Level: 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 don't
think I can follow all these instructions.”
,Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Provide the standard discharge packet and ask the patient to
review it at home.
B. Ask the patient to identify concerns and collaborate on a
realistic self-management plan.
C. Tell the patient that following instructions exactly is
necessary to prevent readmission.
D. Focus teaching on medication administration because it is
the highest priority.
Correct Answer
B
Detailed Rationale
Patient-centered care emphasizes respecting patient
preferences, values, and individual circumstances.
Collaboratively identifying barriers and developing achievable
goals promotes engagement, adherence, and better outcomes.
Incorrect Option Analysis
A: Uses a one-size-fits-all approach and does not assess
individual needs.
C: Authoritarian communication may decrease trust and self-
efficacy.
, D: Medication teaching is important but does not address the
patient's stated concern.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Health Promotion and Maintenance
Key Learning Objective
Apply principles of patient-centered care in discharge planning.
Question 2 (SATA)
Clinical Scenario
A nurse participates in a unit quality improvement project
focused on reducing patient falls.
Question Stem
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
Original NCLEX-Style Exam Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics:
QSEN Competencies
Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty Level: 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 don't
think I can follow all these instructions.”
,Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Provide the standard discharge packet and ask the patient to
review it at home.
B. Ask the patient to identify concerns and collaborate on a
realistic self-management plan.
C. Tell the patient that following instructions exactly is
necessary to prevent readmission.
D. Focus teaching on medication administration because it is
the highest priority.
Correct Answer
B
Detailed Rationale
Patient-centered care emphasizes respecting patient
preferences, values, and individual circumstances.
Collaboratively identifying barriers and developing achievable
goals promotes engagement, adherence, and better outcomes.
Incorrect Option Analysis
A: Uses a one-size-fits-all approach and does not assess
individual needs.
C: Authoritarian communication may decrease trust and self-
efficacy.
, D: Medication teaching is important but does not address the
patient's stated concern.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs
Health Promotion and Maintenance
Key Learning Objective
Apply principles of patient-centered care in discharge planning.
Question 2 (SATA)
Clinical Scenario
A nurse participates in a unit quality improvement project
focused on reducing patient falls.
Question Stem
