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 medical-surgical nurse is beginning care for a patient admitted with
worsening shortness of breath. Which action best demonstrates the
nurse's role in patient-centered care?
A. Complete all assessments before allowing the patient to ask
questions
B. Ask the patient about goals and preferences related to the plan of
care
C. Use the same nursing interventions used for patients with similar
diagnoses
D. Ask the family to make decisions before discussing options with the
patient
Correct Answer:
B. Ask the patient about goals and preferences related to the plan of
care
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into clinical decisions. Option A delays patient
participation. Option C fails to individualize care. Option D disregards
the patient's role in decisions when the patient can participate.
Question 2
A nurse is caring for four patients on a medical-surgical unit. Which
patient should the nurse assess first?
, A. A patient requesting assistance with a shower
B. A patient reporting new-onset confusion and a respiratory rate of
30/min
C. A patient awaiting discharge instructions
D. A patient requesting pain medication for chronic back pain rated
6/10
Correct Answer:
B. A patient reporting new-onset confusion and a respiratory rate of
30/min
Rationale:
New-onset confusion with tachypnea may indicate acute deterioration,
including impaired oxygenation. This patient requires immediate
assessment. The other patients have needs that are important but are
not the highest priority.
Question 3
Which nursing action best reflects the use of clinical judgment?
A. Following the care plan without modification
B. Selecting interventions based only on the medical diagnosis
C. Interpreting assessment findings and determining the most
appropriate response
D. Asking another nurse to make decisions about unfamiliar findings
Correct Answer:
C. Interpreting assessment findings and determining the most
appropriate response
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is beginning care for a patient admitted with
worsening shortness of breath. Which action best demonstrates the
nurse's role in patient-centered care?
A. Complete all assessments before allowing the patient to ask
questions
B. Ask the patient about goals and preferences related to the plan of
care
C. Use the same nursing interventions used for patients with similar
diagnoses
D. Ask the family to make decisions before discussing options with the
patient
Correct Answer:
B. Ask the patient about goals and preferences related to the plan of
care
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into clinical decisions. Option A delays patient
participation. Option C fails to individualize care. Option D disregards
the patient's role in decisions when the patient can participate.
Question 2
A nurse is caring for four patients on a medical-surgical unit. Which
patient should the nurse assess first?
, A. A patient requesting assistance with a shower
B. A patient reporting new-onset confusion and a respiratory rate of
30/min
C. A patient awaiting discharge instructions
D. A patient requesting pain medication for chronic back pain rated
6/10
Correct Answer:
B. A patient reporting new-onset confusion and a respiratory rate of
30/min
Rationale:
New-onset confusion with tachypnea may indicate acute deterioration,
including impaired oxygenation. This patient requires immediate
assessment. The other patients have needs that are important but are
not the highest priority.
Question 3
Which nursing action best reflects the use of clinical judgment?
A. Following the care plan without modification
B. Selecting interventions based only on the medical diagnosis
C. Interpreting assessment findings and determining the most
appropriate response
D. Asking another nurse to make decisions about unfamiliar findings
Correct Answer:
C. Interpreting assessment findings and determining the most
appropriate response
