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 Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
,Topic: Overview of 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: Mixed
Quality Review Statement
This question bank has been reviewed to ensure:
✓ Original content only
✓ No copyrighted or publisher-derived test-bank questions
✓ NCLEX-style clinical judgment focus
,✓ Evidence-informed nursing practice
✓ Patient safety emphasis
✓ Clear and unambiguous wording
✓ Realistic adult medical-surgical scenarios
✓ Integration of QSEN competencies and professional nursing
concepts
Question 1 (MCQ)
Clinical Scenario
A nurse is caring for a 72-year-old patient admitted with heart
failure. During bedside report, the patient states, “No one has
asked what my goals are for this hospitalization.”
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Follow the provider's treatment plan exactly as written.
B. Ask the patient about personal goals and preferences for
care.
C. Focus on completing all required assessments before
discussing concerns.
D. Explain that treatment decisions are determined by the
healthcare team.
Correct Answer
, B. Ask the patient about personal goals and preferences for
care.
Detailed Rationale
Patient-centered care emphasizes respect for patient values,
preferences, and expressed needs. Understanding the patient's
goals promotes shared decision-making and individualized care
planning.
Incorrect Option Analysis
A: Task-focused rather than patient-focused.
Misconception: Provider orders alone determine care.
C: Assessment is important, but patient engagement should not
be delayed unnecessarily.
Safety concern: Missed opportunities to identify patient
priorities.
D: Excludes the patient from decision-making.
Misconception: Healthcare decisions are solely provider-driven.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues, Analyze Cues
Difficulty
Easy
Bloom's Level