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 admitted medical-surgical patient tells the nurse, “I do not
understand what is going to happen today.” Which nursing action best
demonstrates patient-centered care?
A. Explain the unit routine and tell the patient to ask questions later.
B. Ask the patient what information is most important to understand
right now.
C. Provide a detailed written description of every possible procedure.
D. Ask the family to explain the patient's usual health-care preferences.
Correct Answer:
B. Ask the patient what information is most important to understand
right now.
Rationale:
Patient-centered care begins with understanding the patient's individual
concerns, preferences, values, and information needs. A is nurse-
directed rather than individualized. C may overwhelm the patient with
unnecessary information. D may provide useful information, but the
patient's own preferences and concerns should be assessed first.
Question 2
Which action by the nurse best reflects use of the nursing process?
A. Administering medications according to the provider's orders
B. Collecting assessment data before identifying nursing problems
C. Asking another nurse to determine the patient's priorities
D. Documenting interventions without reassessing the patient
, Correct Answer:
B. Collecting assessment data before identifying nursing problems
Rationale:
Assessment precedes analysis and planning in the nursing process. A is
an intervention based on an existing plan. C transfers professional
nursing judgment to another nurse. D omits evaluation, which is
essential to determine whether care was effective.
Question 3
A nurse receives a handoff about four medical-surgical patients. Which
patient should the nurse assess first?
A. A patient requesting assistance with bathing
B. A patient reporting new shortness of breath
C. A patient asking when discharge teaching will begin
D. A patient requesting a routine change of linens
Correct Answer:
B. A patient reporting new shortness of breath
Rationale:
New shortness of breath may indicate acute deterioration and requires
prompt assessment. The other needs are important but can safely be
addressed after immediate threats to physiologic stability are evaluated.
Question 4
Which statement by a nursing student indicates correct understanding
of evidence-based nursing care?
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly admitted medical-surgical patient tells the nurse, “I do not
understand what is going to happen today.” Which nursing action best
demonstrates patient-centered care?
A. Explain the unit routine and tell the patient to ask questions later.
B. Ask the patient what information is most important to understand
right now.
C. Provide a detailed written description of every possible procedure.
D. Ask the family to explain the patient's usual health-care preferences.
Correct Answer:
B. Ask the patient what information is most important to understand
right now.
Rationale:
Patient-centered care begins with understanding the patient's individual
concerns, preferences, values, and information needs. A is nurse-
directed rather than individualized. C may overwhelm the patient with
unnecessary information. D may provide useful information, but the
patient's own preferences and concerns should be assessed first.
Question 2
Which action by the nurse best reflects use of the nursing process?
A. Administering medications according to the provider's orders
B. Collecting assessment data before identifying nursing problems
C. Asking another nurse to determine the patient's priorities
D. Documenting interventions without reassessing the patient
, Correct Answer:
B. Collecting assessment data before identifying nursing problems
Rationale:
Assessment precedes analysis and planning in the nursing process. A is
an intervention based on an existing plan. C transfers professional
nursing judgment to another nurse. D omits evaluation, which is
essential to determine whether care was effective.
Question 3
A nurse receives a handoff about four medical-surgical patients. Which
patient should the nurse assess first?
A. A patient requesting assistance with bathing
B. A patient reporting new shortness of breath
C. A patient asking when discharge teaching will begin
D. A patient requesting a routine change of linens
Correct Answer:
B. A patient reporting new shortness of breath
Rationale:
New shortness of breath may indicate acute deterioration and requires
prompt assessment. The other needs are important but can safely be
addressed after immediate threats to physiologic stability are evaluated.
Question 4
Which statement by a nursing student indicates correct understanding
of evidence-based nursing care?
