11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing 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
Question Distribution
MCQ: 8
SATA: 4
NGN Case Study: 3
Bow-Tie: 2
Matrix/Grid: 3
,Question 1 – MCQ
Clinical Scenario
A nurse begins a shift on a medical-surgical unit and reviews
patient goals with each assigned patient before developing the
daily plan of care.
Question Stem
Which QSEN competency is most directly demonstrated by this
action?
Answer Options
A. Quality Improvement
B. Informatics
C. Patient-Centered Care
D. Safety
Correct Answer
C. Patient-Centered Care
Detailed Rationale
Patient-centered care involves recognizing the patient as the
source of control and a full partner in providing compassionate
and coordinated care. Involving patients in goal setting
supports autonomy, preferences, values, and individualized
care planning.
Incorrect Option Analysis
, A. Quality Improvement
Focuses on system performance and outcome
measurement.
Misconception: Any care planning activity equals quality
improvement.
Safety concern: Failure to distinguish patient-specific goals
from system-level initiatives.
B. Informatics
Refers to the use of information technology and data
management.
Misconception: Reviewing records automatically means
informatics competency.
D. Safety
Safety is important but not the primary competency
illustrated.
Misconception: All nursing activities primarily represent
safety.
Nursing Process Linkage
Planning
NCJMM Competencies
Recognize Cues
Generate Solutions