3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is caring for a patient admitted with new-onset
weakness. Which action best demonstrates the nurse's clinical
judgment competency?
A. Documenting all assessment findings before deciding what they
mean
B. Recognizing important findings, interpreting their significance, and
determining the next nursing action
C. Waiting for the provider to identify the cause of the patient's
symptoms
D. Following the same intervention used for another patient with
weakness
Correct Answer: B
Rationale: Clinical judgment requires the nurse to recognize relevant
cues, interpret their meaning, prioritize concerns, and select
appropriate actions. A delays interpretation of important information. C
inappropriately transfers nursing judgment to another professional. D
ignores individual patient differences and clinical context.
Question 2
A nurse is using the nursing process to plan care for a patient with
impaired mobility. Which action represents the planning phase?
A. Identifying that the patient has an unsteady gait
B. Determining that impaired physical mobility is a nursing diagnosis
, C. Developing a goal that the patient will transfer safely with assistance
D. Reassessing the patient's gait after ambulation
Correct Answer: C
Rationale: Planning involves establishing measurable goals and
selecting nursing interventions. A is assessment. B is the diagnostic
phase. D represents evaluation.
Question 3
Which nursing action best demonstrates patient-centered care?
A. Explaining the treatment plan without asking for the patient's
preferences
B. Using the same teaching strategy for every patient
C. Incorporating the patient's values, preferences, and goals into the
plan of care
D. Asking a family member to make all decisions for the patient
Correct Answer: C
Rationale: Patient-centered care respects the patient's values,
preferences, needs, and goals. A excludes patient participation. B fails
to individualize care. D is inappropriate unless the patient lacks
decision-making capacity and an authorized surrogate is required.
Question 4