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 begins the shift by reviewing the assignment
and identifying which patient should be assessed first. Which action
best demonstrates clinical judgment?
A. Completing routine documentation before seeing patients
B. Identifying which patient has the greatest risk for immediate
deterioration
C. Asking another nurse which patient is usually the most difficult
D. Seeing patients in the order they appear on the assignment sheet
Correct Answer:
B. Identifying which patient has the greatest risk for immediate
deterioration
Rationale:
Clinical judgment begins with recognizing and prioritizing the most
relevant clinical concerns. A focuses on documentation rather than
immediate patient needs. C does not replace independent assessment.
D ignores changes in patient acuity and priority.
Question 2
A nurse is developing a plan of care for a hospitalized adult who prefers
to participate actively in decisions about treatment. Which nursing
action best reflects patient-centered care?
A. Choosing interventions based only on unit routines
B. Asking the patient about personal goals and preferences before
finalizing the plan
, C. Providing the same discharge teaching used for every patient
D. Limiting the patient's participation to questions about medications
Correct Answer:
B. Asking the patient about personal goals and preferences before
finalizing the plan
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning. A and C emphasize standardized
routines rather than individualized care. D unnecessarily limits patient
participation.
Question 3
Which nursing action best demonstrates use of the nursing process
when caring for a patient with a newly identified clinical problem?
A. Implementing an intervention before collecting assessment data
B. Collecting relevant assessment findings before establishing nursing
priorities
C. Waiting for the provider to determine all nursing interventions
D. Documenting care without evaluating the patient's response
Correct Answer:
B. Collecting relevant assessment findings before establishing nursing
priorities
Rationale:
Assessment provides the data needed to identify problems, establish
priorities, and plan appropriate interventions. A skips assessment. C
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse begins the shift by reviewing the assignment
and identifying which patient should be assessed first. Which action
best demonstrates clinical judgment?
A. Completing routine documentation before seeing patients
B. Identifying which patient has the greatest risk for immediate
deterioration
C. Asking another nurse which patient is usually the most difficult
D. Seeing patients in the order they appear on the assignment sheet
Correct Answer:
B. Identifying which patient has the greatest risk for immediate
deterioration
Rationale:
Clinical judgment begins with recognizing and prioritizing the most
relevant clinical concerns. A focuses on documentation rather than
immediate patient needs. C does not replace independent assessment.
D ignores changes in patient acuity and priority.
Question 2
A nurse is developing a plan of care for a hospitalized adult who prefers
to participate actively in decisions about treatment. Which nursing
action best reflects patient-centered care?
A. Choosing interventions based only on unit routines
B. Asking the patient about personal goals and preferences before
finalizing the plan
, C. Providing the same discharge teaching used for every patient
D. Limiting the patient's participation to questions about medications
Correct Answer:
B. Asking the patient about personal goals and preferences before
finalizing the plan
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning. A and C emphasize standardized
routines rather than individualized care. D unnecessarily limits patient
participation.
Question 3
Which nursing action best demonstrates use of the nursing process
when caring for a patient with a newly identified clinical problem?
A. Implementing an intervention before collecting assessment data
B. Collecting relevant assessment findings before establishing nursing
priorities
C. Waiting for the provider to determine all nursing interventions
D. Documenting care without evaluating the patient's response
Correct Answer:
B. Collecting relevant assessment findings before establishing nursing
priorities
Rationale:
Assessment provides the data needed to identify problems, establish
priorities, and plan appropriate interventions. A skips assessment. C
