Medical-Surgical Nursing (11th Edition)

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: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
Subtopics Covered
 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
Question Distribution
 MCQ: 8
 SATA: 4
 NGN Case Study: 3
 Bow-Tie: 2

,  Matrix/Grid: 3


QUESTION 1
Type
MCQ
Clinical Scenario
A nurse is caring for a hospitalized patient with newly
diagnosed heart failure. During rounds, the patient states, “I do
not understand why I need to weigh myself every day after
discharge.”
Question Stem
Which nursing response best reflects the QSEN competency of
patient-centered care?
Answer Options
A. “The provider wants you to monitor your weight every day.”
B. “Daily weights help identify fluid retention early. What
concerns do you have about doing this at home?”
C. “You should follow the discharge instructions exactly.”
D. “Most patients with heart failure weigh themselves daily.”
Correct Answer
B
Detailed Rationale

, Patient-centered care emphasizes respecting patient
preferences, needs, values, and active participation in care
decisions. Option B provides education while inviting the
patient to discuss concerns and barriers, promoting shared
decision-making.
Incorrect Option Analysis
A: Provider-focused rather than patient-centered.
 Misconception: Compliance equals understanding.
 Safety concern: Limited patient engagement.
C: Authoritarian communication.
 Misconception: Following instructions ensures adherence.
 Safety concern: Does not assess understanding.
D: Uses social comparison rather than individualized teaching.
 Misconception: Normalizing behavior promotes
adherence.
 Safety concern: Ignores patient-specific barriers.
Nursing Process Linkage
Implementation
NCJMM Competencies
 Analyze Cues
 Generate Solutions
 Take Action