3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly admitted medical-surgical patient asks the nurse, “What can I
expect from you during my hospitalization?” Which response best
reflects patient-centered nursing care?
A. “I will decide which interventions are best based on your diagnosis.”
B. “I will explain your care, include you in decisions, and respect your
preferences.”
C. “The health care provider will determine the plan, and I will carry it
out.”
D. “Your family can make decisions for you if you are unsure.”
Correct Answer:
B
Rationale:
Patient-centered care involves respecting the patient’s preferences,
values, needs, and informed participation in care decisions. Option A
excludes the patient from decision-making. Option C reduces nursing
care to task completion. Option D assumes family members should
make decisions without first considering the patient’s wishes and
decision-making capacity.
Question 2
Which action by a medical-surgical nurse best demonstrates the
competency of clinical judgment?
A. Completing all assigned tasks before reassessing the patient
B. Recognizing a change in patient findings and determining the most
, appropriate response
C. Following the same intervention plan for every patient with the same
diagnosis
D. Waiting for the provider to identify all changes in the patient’s
condition
Correct Answer:
B
Rationale:
Clinical judgment requires the nurse to recognize meaningful cues,
analyze their significance, prioritize concerns, and determine
appropriate actions. Option A emphasizes task completion rather than
patient assessment. Option C ignores individual patient differences.
Option D fails to demonstrate independent nursing judgment.
Question 3
A nurse is beginning care for a patient admitted with an acute medical
condition. Which nursing action should occur first in the nursing
process?
A. Develop expected patient outcomes
B. Implement prescribed interventions
C. Collect and analyze patient assessment data
D. Evaluate the effectiveness of interventions
Correct Answer:
C
Rationale:
Assessment is the first step of the nursing process and provides the
information needed to identify patient problems and establish