12TH EDITION
• AUTHOR(S)PATRICIA A. POTTER;
ANNE G. PERRY; PATRICIA A.
STOCKERT; AMY HALL; WENDY
R. OSTENDORF
TEST BANK
,Question 1
A nurse is caring for four clients at the beginning of a shift.
Which action best reflects professional accountability?
A. Completing assigned tasks only if the charge nurse provides
reminders
B. Reviewing each client's plan of care before providing nursing
interventions
C. Waiting until the end of the shift to document assessments
D. Asking another nurse to verify all routine nursing decisions
Correct Answer: B
Rationale:
Professional accountability includes accepting responsibility for
safe, competent care. Reviewing the plan of care before
providing interventions promotes individualized, evidence-
based nursing practice and helps prevent errors. Waiting to
document increases the risk of omissions, and relying on others
for routine decisions does not demonstrate professional
responsibility.
Question 2
A newly licensed nurse asks why evidence-based practice is
emphasized in nursing. Which response by the preceptor is
most appropriate?
,A. It replaces the need for clinical judgment.
B. It ensures all clients receive identical care.
C. It integrates the best available evidence with clinical
expertise and client preferences.
D. It allows nurses to avoid collaborating with other disciplines.
Correct Answer: C
Rationale:
Evidence-based practice combines current best evidence,
clinical expertise, and the client's values and preferences to
support safe, high-quality care. It does not replace clinical
judgment, require identical care for every client, or eliminate
collaboration with the healthcare team.
Question 3
A nurse is caring for a client who refuses a scheduled treatment
after receiving information about the risks and benefits. What is
the nurse's best action?
A. Explain that refusal will result in discharge.
B. Respect the client's decision, document the refusal, and
notify the provider.
C. Ask a family member to persuade the client to accept
treatment.
D. Administer the treatment because it was prescribed.
Correct Answer: B
, Rationale:
Competent adults have the right to refuse treatment. The nurse
should ensure the decision is informed, document the refusal,
and communicate with the provider. Coercion or providing
treatment against the client's wishes violates ethical and legal
principles.
Question 4
A nurse identifies that a client is at high risk for falls. Which
intervention best demonstrates the nurse's role as a patient
advocate?
A. Requesting discharge to reduce hospital costs
B. Ignoring the client's concerns to maintain efficiency
C. Implementing fall precautions and communicating risks to
the healthcare team
D. Allowing unrestricted ambulation despite safety concerns
Correct Answer: C
Rationale:
Advocacy involves promoting client safety, protecting client
rights, and communicating concerns that may affect outcomes.
Implementing fall precautions and collaborating with the
healthcare team reduces the risk of injury while respecting the
client's dignity.
Question 5