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 Exam Revision Question Bank
,Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics Covered
Quality and Safety Education for Nurses (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 begins a shift caring for a 72-year-old patient admitted
with heart failure. During bedside report, the patient states, “I
prefer that my daughter help me make treatment decisions.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
A. Provide education only to the patient because autonomy
must be preserved.
B. Include the daughter in discussions after obtaining the
patient's permission.
C. Encourage the patient to make decisions independently.
D. Request that the provider discuss treatment options without
family involvement.
Correct Answer
B. Include the daughter in discussions after obtaining the
patient's permission.
Detailed Rationale
Patient-centered care respects patient preferences, values,
cultural beliefs, and desired level of family involvement.
Obtaining permission and involving the daughter supports
shared decision-making while preserving autonomy.
Incorrect Option Analysis
, A. Incorrect
Misconception: Autonomy means excluding family.
Safety Concern: May ignore patient preferences.
C. Incorrect
Misconception: Independence is always preferred.
Patient-centered care requires honoring individual wishes.
D. Incorrect
Excludes desired support person.
Contradicts patient's expressed preference.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs Category
Management of Care
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
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics Covered
Quality and Safety Education for Nurses (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 begins a shift caring for a 72-year-old patient admitted
with heart failure. During bedside report, the patient states, “I
prefer that my daughter help me make treatment decisions.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
A. Provide education only to the patient because autonomy
must be preserved.
B. Include the daughter in discussions after obtaining the
patient's permission.
C. Encourage the patient to make decisions independently.
D. Request that the provider discuss treatment options without
family involvement.
Correct Answer
B. Include the daughter in discussions after obtaining the
patient's permission.
Detailed Rationale
Patient-centered care respects patient preferences, values,
cultural beliefs, and desired level of family involvement.
Obtaining permission and involving the daughter supports
shared decision-making while preserving autonomy.
Incorrect Option Analysis
, A. Incorrect
Misconception: Autonomy means excluding family.
Safety Concern: May ignore patient preferences.
C. Incorrect
Misconception: Independence is always preferred.
Patient-centered care requires honoring individual wishes.
D. Incorrect
Excludes desired support person.
Contradicts patient's expressed preference.
Nursing Process Linkage
Implementation
NCJMM Competencies
Recognize Cues
Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Client Needs Category
Management of Care
