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 newly licensed nurse is caring for four medical-surgical patients.
Which action best demonstrates the competency of clinical judgment?
A. Completing all routine tasks in the order they appear on the
assignment sheet
B. Recognizing a change in a patient's condition, interpreting its
significance, and selecting an appropriate nursing response
C. Asking another nurse to make all decisions involving changes in
patient status
D. Documenting care immediately after each intervention without
changing the plan
Correct Answer:
B. Recognizing a change in a patient's condition, interpreting its
significance, and selecting an appropriate nursing response
Rationale:
Clinical judgment involves recognizing relevant cues, analyzing their
meaning, determining priorities, taking appropriate action, and
evaluating outcomes. Option A emphasizes task completion rather than
judgment. Option C transfers responsibility for nursing decisions
unnecessarily. Option D addresses documentation but not clinical
reasoning.
Question 2
Which nursing action best reflects patient-centered care in the medical-
surgical setting?
A. Applying the same discharge instructions to every patient with the
same diagnosis
, B. Asking the patient about personal preferences and incorporating
them into the plan of care when clinically appropriate
C. Selecting interventions based primarily on the nurse's routine
practice pattern
D. Limiting patient participation to prevent confusion about the
treatment plan
Correct Answer:
B. Asking the patient about personal preferences and incorporating
them into the plan of care when clinically appropriate
Rationale:
Patient-centered care recognizes the patient as a partner in care and
incorporates preferences, values, needs, and goals into safe clinical
decisions. Option A ignores individual differences. Option C centers the
nurse rather than the patient. Option D reduces shared decision-
making.
Question 3
A nurse is reviewing a change in a patient's blood pressure, heart rate,
urine output, and level of consciousness. Which competency is the
nurse primarily using when deciding that the findings may indicate
clinical deterioration?
A. Clinical judgment
B. Delegation
C. Documentation
D. Scheduling
Correct Answer:
A. Clinical judgment
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed nurse is caring for four medical-surgical patients.
Which action best demonstrates the competency of clinical judgment?
A. Completing all routine tasks in the order they appear on the
assignment sheet
B. Recognizing a change in a patient's condition, interpreting its
significance, and selecting an appropriate nursing response
C. Asking another nurse to make all decisions involving changes in
patient status
D. Documenting care immediately after each intervention without
changing the plan
Correct Answer:
B. Recognizing a change in a patient's condition, interpreting its
significance, and selecting an appropriate nursing response
Rationale:
Clinical judgment involves recognizing relevant cues, analyzing their
meaning, determining priorities, taking appropriate action, and
evaluating outcomes. Option A emphasizes task completion rather than
judgment. Option C transfers responsibility for nursing decisions
unnecessarily. Option D addresses documentation but not clinical
reasoning.
Question 2
Which nursing action best reflects patient-centered care in the medical-
surgical setting?
A. Applying the same discharge instructions to every patient with the
same diagnosis
, B. Asking the patient about personal preferences and incorporating
them into the plan of care when clinically appropriate
C. Selecting interventions based primarily on the nurse's routine
practice pattern
D. Limiting patient participation to prevent confusion about the
treatment plan
Correct Answer:
B. Asking the patient about personal preferences and incorporating
them into the plan of care when clinically appropriate
Rationale:
Patient-centered care recognizes the patient as a partner in care and
incorporates preferences, values, needs, and goals into safe clinical
decisions. Option A ignores individual differences. Option C centers the
nurse rather than the patient. Option D reduces shared decision-
making.
Question 3
A nurse is reviewing a change in a patient's blood pressure, heart rate,
urine output, and level of consciousness. Which competency is the
nurse primarily using when deciding that the findings may indicate
clinical deterioration?
A. Clinical judgment
B. Delegation
C. Documentation
D. Scheduling
Correct Answer:
A. Clinical judgment
