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 is beginning the shift and receives reports on
four patients. Which patient should the nurse assess first?
A. A patient requesting assistance with bathing
B. A patient reporting new-onset difficulty breathing
C. A patient who needs discharge instructions reviewed
D. A patient reporting a pain rating of 5/10 after receiving analgesia
Correct Answer:
B. A patient reporting new-onset difficulty breathing
Rationale:
New-onset difficulty breathing may indicate an acute threat to
oxygenation and requires immediate assessment. The other patients
have needs that can be addressed after an unstable airway or breathing
problem is evaluated.
Question 2
A nurse uses the nursing process when caring for a hospitalized patient.
Which action represents the assessment phase?
A. Identifying impaired physical mobility as a nursing diagnosis
B. Determining whether the patient's mobility has improved
C. Collecting information about the patient's gait and strength
D. Developing a plan to assist the patient with ambulation
Correct Answer:
C. Collecting information about the patient's gait and strength
, Rationale:
Assessment involves systematically collecting subjective and objective
patient data. Identifying problems occurs during analysis/diagnosis,
planning establishes goals and interventions, and determining whether
goals were achieved is evaluation.
Question 3
A nurse is caring for a patient who says, "I do not understand why I
need this procedure." What is the nurse's best initial response?
A. "The provider would not have recommended it unless it was
necessary."
B. "You should ask your family what they think you should do."
C. "Tell me what you understand about the procedure so far."
D. "The procedure is commonly performed for patients with your
condition."
Correct Answer:
C. "Tell me what you understand about the procedure so far."
Rationale:
Patient-centered care begins by assessing the patient's understanding,
concerns, preferences, and informational needs. The nurse should not
dismiss concerns or substitute personal opinions for individualized
education.
Question 4
Which nursing action best demonstrates evidence-based nursing care?
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is beginning the shift and receives reports on
four patients. Which patient should the nurse assess first?
A. A patient requesting assistance with bathing
B. A patient reporting new-onset difficulty breathing
C. A patient who needs discharge instructions reviewed
D. A patient reporting a pain rating of 5/10 after receiving analgesia
Correct Answer:
B. A patient reporting new-onset difficulty breathing
Rationale:
New-onset difficulty breathing may indicate an acute threat to
oxygenation and requires immediate assessment. The other patients
have needs that can be addressed after an unstable airway or breathing
problem is evaluated.
Question 2
A nurse uses the nursing process when caring for a hospitalized patient.
Which action represents the assessment phase?
A. Identifying impaired physical mobility as a nursing diagnosis
B. Determining whether the patient's mobility has improved
C. Collecting information about the patient's gait and strength
D. Developing a plan to assist the patient with ambulation
Correct Answer:
C. Collecting information about the patient's gait and strength
, Rationale:
Assessment involves systematically collecting subjective and objective
patient data. Identifying problems occurs during analysis/diagnosis,
planning establishes goals and interventions, and determining whether
goals were achieved is evaluation.
Question 3
A nurse is caring for a patient who says, "I do not understand why I
need this procedure." What is the nurse's best initial response?
A. "The provider would not have recommended it unless it was
necessary."
B. "You should ask your family what they think you should do."
C. "Tell me what you understand about the procedure so far."
D. "The procedure is commonly performed for patients with your
condition."
Correct Answer:
C. "Tell me what you understand about the procedure so far."
Rationale:
Patient-centered care begins by assessing the patient's understanding,
concerns, preferences, and informational needs. The nurse should not
dismiss concerns or substitute personal opinions for individualized
education.
Question 4
Which nursing action best demonstrates evidence-based nursing care?
