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 admits a patient to a medical-surgical unit with a newly
diagnosed chronic illness. Which action best demonstrates patient-
centered medical-surgical nursing?
A. Explain the treatment plan and ask the patient to follow it exactly
B. Ask the patient to describe personal goals and preferences before
developing the care plan
C. Complete the care plan using the unit's standard interventions
D. Encourage the patient's family to make treatment decisions
Correct Answer:
B. Ask the patient to describe personal goals and preferences before
developing the care plan
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into planning and decision-making. A standard plan
may require individualization. Family members may contribute when
appropriate, but the patient should be included in decisions whenever
possible. Simply instructing the patient does not establish shared
decision-making.
Question 2
Which nursing action reflects the clinical judgment competency of
recognizing cues?
A. Determining that a patient is at risk for infection
B. Noticing that a patient's respiratory rate has increased from 18/min
, to 28/min
C. Administering oxygen as prescribed
D. Evaluating whether the patient's oxygen saturation improves
Correct Answer:
B. Noticing that a patient's respiratory rate has increased from 18/min
to 28/min
Rationale:
Recognizing cues involves identifying relevant assessment findings.
Determining a risk represents analysis of cues, administering an
intervention is taking action, and evaluating oxygen saturation reflects
evaluation of outcomes.
Question 3
A nurse is beginning the nursing process for a newly admitted patient.
Which action should occur first?
A. Identify appropriate nursing interventions
B. Establish expected outcomes
C. Collect and validate patient assessment data
D. Evaluate the effectiveness of the plan of care
Correct Answer:
C. Collect and validate patient assessment data
Rationale:
Assessment is the initial step of the nursing process. The nurse gathers
and validates relevant subjective and objective information before
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse admits a patient to a medical-surgical unit with a newly
diagnosed chronic illness. Which action best demonstrates patient-
centered medical-surgical nursing?
A. Explain the treatment plan and ask the patient to follow it exactly
B. Ask the patient to describe personal goals and preferences before
developing the care plan
C. Complete the care plan using the unit's standard interventions
D. Encourage the patient's family to make treatment decisions
Correct Answer:
B. Ask the patient to describe personal goals and preferences before
developing the care plan
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into planning and decision-making. A standard plan
may require individualization. Family members may contribute when
appropriate, but the patient should be included in decisions whenever
possible. Simply instructing the patient does not establish shared
decision-making.
Question 2
Which nursing action reflects the clinical judgment competency of
recognizing cues?
A. Determining that a patient is at risk for infection
B. Noticing that a patient's respiratory rate has increased from 18/min
, to 28/min
C. Administering oxygen as prescribed
D. Evaluating whether the patient's oxygen saturation improves
Correct Answer:
B. Noticing that a patient's respiratory rate has increased from 18/min
to 28/min
Rationale:
Recognizing cues involves identifying relevant assessment findings.
Determining a risk represents analysis of cues, administering an
intervention is taking action, and evaluating oxygen saturation reflects
evaluation of outcomes.
Question 3
A nurse is beginning the nursing process for a newly admitted patient.
Which action should occur first?
A. Identify appropriate nursing interventions
B. Establish expected outcomes
C. Collect and validate patient assessment data
D. Evaluate the effectiveness of the plan of care
Correct Answer:
C. Collect and validate patient assessment data
Rationale:
Assessment is the initial step of the nursing process. The nurse gathers
and validates relevant subjective and objective information before
