Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
1. Question Type
MCQ
2. Clinical Scenario
A new graduate nurse is caring for a hospitalized older adult
with pneumonia who says, “I do not want to be rushed. Please
explain what you are doing before you touch me.”
3. Question Stem
Which nursing action best reflects patient-centered care?
4. Answer Options
A. Proceed with the assessment quickly to complete it before
medication pass
B. Explain each step, allow the patient time to respond, and
incorporate preferences into the plan
C. Ask the charge nurse to complete the assessment because
the patient seems anxious
D. Focus on physical findings first and address preferences after
the assessment
5. Correct Answer
B
6. Detailed Rationale
,Patient-centered care respects the patient’s values,
preferences, and communication needs. Explaining each step
and allowing time for questions promotes trust, reduces
anxiety, and supports shared decision-making. This approach is
especially important in acute care where patients may feel
vulnerable.
7. Incorrect Option Analysis
A. Incorrect.
• Why: Speed does not support individualized care.
• Misconception: Efficient care is the same as good care.
• Safety Risk: The patient may disengage, refuse care, or
misunderstand instructions.
C. Incorrect.
• Why: Anxiety does not mean the assessment should be
delegated away; it should be addressed therapeutically.
• Misconception: Patient distress makes the task
inappropriate for the assigned nurse.
• Safety Risk: Delayed assessment can miss deterioration or
critical findings.
D. Incorrect.
• Why: Preferences are part of the assessment and should
be integrated from the start.
, • Misconception: Physical needs must always be addressed
before communication needs.
• Safety Risk: Poor rapport may reduce cooperation and
future adherence.
8. Nursing Process Linkage
Assessment
9. NCJMM Competencies
Recognize Cues; Take Action
10. Difficulty Level
Easy
11. Bloom’s Cognitive Level
Apply
12. NCLEX Client Needs Category
Psychosocial Integrity
13. Key Learning Objective
Identify behaviors that reflect patient-centered communication
and individualized nursing care.
2) MCQ
1. Question Type
MCQ