3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse begins caring for a patient who was admitted
with pneumonia. Which action best demonstrates the competency of
patient-centered care?
A. Following the standard care plan without modification
B. Asking the patient about personal goals and preferences before
planning care
C. Completing all treatments as quickly as possible to maintain unit
efficiency
D. Providing the same discharge instructions used for every patient with
pneumonia
Correct Answer:
B. Asking the patient about personal goals and preferences before
planning care
Rationale:
Patient-centered care incorporates the patient's preferences, values,
needs, and goals into the plan of care. Option A ignores individual
differences, option C prioritizes efficiency over individualized care, and
option D does not account for differences in patient needs or
understanding.
Question 2
A nurse is reviewing a patient's chart before providing care. Which
action best reflects the use of the nursing process?
, A. Administering medications exactly as listed on the medication record
B. Collecting current assessment data before identifying nursing
priorities
C. Waiting for the provider to determine the patient's most urgent
needs
D. Implementing interventions before evaluating the patient's condition
Correct Answer:
B. Collecting current assessment data before identifying nursing
priorities
Rationale:
Assessment is the first component of the nursing process and provides
information needed to identify problems and priorities. Option A
describes task completion, option C places nursing judgment with
another discipline, and option D reverses the sequence by acting before
adequate assessment and planning.
Question 3
A nurse is caring for a postoperative patient whose blood pressure has
decreased from 128/76 mm Hg to 92/58 mm Hg and whose heart rate
has increased from 82/min to 112/min. What should the nurse do first?
A. Document the changes in the medical record
B. Reassess the patient and determine the significance of the findings
C. Ask the nursing assistant to repeat the vital signs in 30 minutes
D. Wait for the next scheduled provider rounds
Correct Answer:
B. Reassess the patient and determine the significance of the findings