Davis Advantage for Medical-Surgical Nursing,
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse is beginning care for a patient admitted to a medical-surgical
unit. Which action best demonstrates patient-centered care?
A. Asking the patient to follow the unit routine without modification
B. Including the patient in decisions about daily care whenever possible
C. Completing all care independently to save time
D. Using standardized interventions without discussing preferences
Correct Answer:
B. Including the patient in decisions about daily care whenever possible
Rationale:
Patient-centered care recognizes the patient as an active participant in
care decisions. Respecting preferences, values, needs, and goals
promotes individualized care. Options A, C, and D emphasize staff
convenience or standardized routines rather than collaboration with the
patient.
Question 2
A medical-surgical nurse reviews the plan of care and notices that an
intervention is not producing the expected patient response. Which
component of the nursing process should the nurse use first to address
this finding?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
, Correct Answer:
D. Evaluation
Rationale:
Evaluation determines whether expected outcomes have been achieved
and whether the plan of care is effective. If outcomes are not met, the
nurse reassesses the patient and modifies the plan as needed.
Assessment gathers initial and ongoing data, diagnosis identifies nursing
problems, and planning establishes goals and interventions.
Question 3
A nurse receives a change-of-shift report about four patients. Which
patient should the nurse assess first?
A. A patient requesting assistance with repositioning
B. A patient with a new onset of confusion and oxygen saturation of
86%
C. A patient waiting for discharge instructions
D. A patient reporting chronic back pain rated 5/10
Correct Answer:
B. A patient with a new onset of confusion and oxygen saturation of
86%
Rationale:
New confusion combined with significant hypoxemia suggests possible
acute deterioration and requires immediate assessment. The nurse
should prioritize threats to airway, breathing, and circulation. The other
patients have needs that are important but are not the highest priority.
Question 4
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse is beginning care for a patient admitted to a medical-surgical
unit. Which action best demonstrates patient-centered care?
A. Asking the patient to follow the unit routine without modification
B. Including the patient in decisions about daily care whenever possible
C. Completing all care independently to save time
D. Using standardized interventions without discussing preferences
Correct Answer:
B. Including the patient in decisions about daily care whenever possible
Rationale:
Patient-centered care recognizes the patient as an active participant in
care decisions. Respecting preferences, values, needs, and goals
promotes individualized care. Options A, C, and D emphasize staff
convenience or standardized routines rather than collaboration with the
patient.
Question 2
A medical-surgical nurse reviews the plan of care and notices that an
intervention is not producing the expected patient response. Which
component of the nursing process should the nurse use first to address
this finding?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
, Correct Answer:
D. Evaluation
Rationale:
Evaluation determines whether expected outcomes have been achieved
and whether the plan of care is effective. If outcomes are not met, the
nurse reassesses the patient and modifies the plan as needed.
Assessment gathers initial and ongoing data, diagnosis identifies nursing
problems, and planning establishes goals and interventions.
Question 3
A nurse receives a change-of-shift report about four patients. Which
patient should the nurse assess first?
A. A patient requesting assistance with repositioning
B. A patient with a new onset of confusion and oxygen saturation of
86%
C. A patient waiting for discharge instructions
D. A patient reporting chronic back pain rated 5/10
Correct Answer:
B. A patient with a new onset of confusion and oxygen saturation of
86%
Rationale:
New confusion combined with significant hypoxemia suggests possible
acute deterioration and requires immediate assessment. The nurse
should prioritize threats to airway, breathing, and circulation. The other
patients have needs that are important but are not the highest priority.
Question 4
