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 medical-surgical nurse is caring for a patient admitted
with worsening shortness of breath. Which action best demonstrates
clinical judgment?
A. Complete all routine assessments before addressing the patient's
breathing difficulty.
B. Recognize the change in respiratory status, analyze its significance,
and initiate appropriate nursing actions.
C. Ask another nurse to determine whether the patient's symptoms are
serious.
D. Document the respiratory findings at the end of the shift.
Correct Answer:
B
Rationale:
Clinical judgment involves recognizing relevant cues, analyzing their
significance, determining priorities, taking appropriate action, and
evaluating outcomes. A delays a potentially urgent problem. C
inappropriately transfers responsibility for an assessment the nurse
should initiate. D delays documentation and does not address the
patient's immediate needs.
Question 2
, A medical-surgical nurse is developing a plan of care for a patient with
multiple chronic conditions. Which nursing action best reflects patient-
centered care?
A. Use the standard unit care plan without modification.
B. Ask the patient about personal goals and incorporate them into the
plan of care.
C. Allow the patient's family to make all decisions about treatment.
D. Select interventions based primarily on the nurse's preferences.
Correct Answer:
B
Rationale:
Patient-centered care incorporates the patient's preferences, values,
goals, needs, and circumstances into care decisions. A standardized plan
may require individualization. C disregards the patient's autonomy
unless decision-making authority has appropriately been delegated. D
places the nurse's preferences above the patient's needs.
Question 3
Which action by a medical-surgical nurse best demonstrates evidence-
based nursing practice?
A. Performing a procedure according to how the nurse was taught years
ago
B. Choosing an intervention because most nurses on the unit prefer it
C. Integrating current evidence with clinical expertise and patient
preferences
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed medical-surgical nurse is caring for a patient admitted
with worsening shortness of breath. Which action best demonstrates
clinical judgment?
A. Complete all routine assessments before addressing the patient's
breathing difficulty.
B. Recognize the change in respiratory status, analyze its significance,
and initiate appropriate nursing actions.
C. Ask another nurse to determine whether the patient's symptoms are
serious.
D. Document the respiratory findings at the end of the shift.
Correct Answer:
B
Rationale:
Clinical judgment involves recognizing relevant cues, analyzing their
significance, determining priorities, taking appropriate action, and
evaluating outcomes. A delays a potentially urgent problem. C
inappropriately transfers responsibility for an assessment the nurse
should initiate. D delays documentation and does not address the
patient's immediate needs.
Question 2
, A medical-surgical nurse is developing a plan of care for a patient with
multiple chronic conditions. Which nursing action best reflects patient-
centered care?
A. Use the standard unit care plan without modification.
B. Ask the patient about personal goals and incorporate them into the
plan of care.
C. Allow the patient's family to make all decisions about treatment.
D. Select interventions based primarily on the nurse's preferences.
Correct Answer:
B
Rationale:
Patient-centered care incorporates the patient's preferences, values,
goals, needs, and circumstances into care decisions. A standardized plan
may require individualization. C disregards the patient's autonomy
unless decision-making authority has appropriately been delegated. D
places the nurse's preferences above the patient's needs.
Question 3
Which action by a medical-surgical nurse best demonstrates evidence-
based nursing practice?
A. Performing a procedure according to how the nurse was taught years
ago
B. Choosing an intervention because most nurses on the unit prefer it
C. Integrating current evidence with clinical expertise and patient
preferences
