TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th edition by Donna D. Ignatavicius ISBN: 978-0323878265 |2027 Update

TEST BANK FOR Medical-Surgical Nursing: Concepts for
Clinical Judgment and Collaborative Care 11th edition by Donna
D. Ignatavicius ISBN: 978-0323878265 |2027 Update

,Medical-Surgical Nursing: Concepts for Clinical
Judgment and Collaborative Care
11th Edition — Donna D. Ignatavicius, Cherie R. Rebar &
Nicole M. Heimgartner
ISBN: 9780323878265


CHAPTER 1
Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Question 1. Which action best demonstrates patient-centered care?

 A) Applying the same plan to every patient
 B) Allowing only the provider to make decisions
 C) Incorporating the patient's values, preferences, and goals
 D) Allowing family members to decide for a competent patient

Answer: C) Incorporating the patient's values, preferences, and goals

Rationale: Patient-centered care incorporates the patient's preferences, values, goals,
and individual circumstances into the plan of care.

Question 2. Which statement best describes evidence-based nursing practice?

 A) Using interventions because they are traditional
 B) Combining best available evidence, clinical expertise, and patient preferences
 C) Relying only on personal experience
 D) Choosing interventions solely because they cost less

Answer: B) Combining best available evidence, clinical expertise, and patient
preferences

Rationale: Evidence-based practice integrates current evidence, professional expertise,
and patient preferences.

Question 3. Which patient should the nurse assess first?

 A) A patient with chronic knee pain
 B) A patient requesting help with bathing
 C) A patient with new-onset difficulty breathing
 D) A patient awaiting routine discharge teaching

,Answer: C) A patient with new-onset difficulty breathing

Rationale: New respiratory difficulty may threaten oxygenation and life and therefore
takes priority.

Question 4. Which ethical principle supports a competent patient's right to make
healthcare decisions?

 A) Beneficence
 B) Autonomy
 C) Justice
 D) Fidelity

Answer: B) Autonomy

Rationale: Autonomy is the patient's right to make informed decisions about personal
healthcare.

Question 5. Which ethical principle means avoiding unnecessary harm?

 A) Autonomy
 B) Justice
 C) Nonmaleficence
 D) Fidelity

Answer: C) Nonmaleficence

Rationale: Nonmaleficence requires healthcare professionals to avoid causing
unnecessary harm.

Question 6. Which action best demonstrates beneficence?

 A) Providing an intervention intended to benefit the patient
 B) Allowing a patient to refuse treatment
 C) Distributing resources fairly
 D) Protecting confidential information

Answer: A) Providing an intervention intended to benefit the patient

Rationale: Beneficence means acting for the patient's benefit, including promoting health
and relieving suffering.

Question 7. Which action best demonstrates justice?

 A) Giving preferential treatment to a friend
 B) Providing care fairly according to patient needs
 C) Giving additional resources based on wealth
 D) Prioritizing patients based on personal preference

, Answer: B) Providing care fairly according to patient needs

Rationale: Justice involves fairness and equitable treatment.

Question 8. Which activity is a responsibility of the registered nurse?

 A) Prescribing all medications independently
 B) Performing comprehensive nursing assessments
 C) Making every medical diagnosis
 D) Performing procedures outside the nurse's scope

Answer: B) Performing comprehensive nursing assessments

Rationale: Comprehensive assessment is a fundamental nursing responsibility.

Question 9. A patient's condition changes significantly from baseline. What should the
nurse do first?

 A) Wait for the next scheduled assessment
 B) Reassess the patient and determine the significance of the change
 C) Document without further action
 D) Ask another patient for advice

Answer: B) Reassess the patient and determine the significance of the change

Rationale: A significant change requires reassessment and clinical judgment to
determine whether deterioration is occurring.

Question 10. Which statement best describes interprofessional collaboration?

 A) One professional makes all decisions
 B) Professionals work together toward shared patient outcomes
 C) Nurses avoid communication with other disciplines
 D) Patients are excluded from care planning

Answer: B) Professionals work together toward shared patient outcomes

Rationale: Collaboration coordinates the expertise of multiple professionals toward
shared patient goals.

Question 11. Which action best promotes continuity of care?

 A) Providing incomplete handoff information
 B) Communicating relevant information during transitions of care
 C) Changing treatment without communication
 D) Documenting only the diagnosis

Answer: B) Communicating relevant information during transitions of care