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 why I need all these tests.” Which nursing action best
demonstrates patient-centered care?
A. Tell the patient that the provider ordered the tests for a reason.
B. Ask the patient what concerns or questions they have about the
tests.
C. Explain that the tests are routine for all patients with the diagnosis.
D. Ask the patient's family to explain the testing process.
Correct Answer:
B. Ask the patient what concerns or questions they have about the
tests.
Rationale:
Patient-centered care begins by identifying the patient's needs,
concerns, values, and preferences. Asking open-ended questions allows
the nurse to understand the patient's perspective and tailor education
accordingly. Option A is dismissive, option C makes an unsupported
generalization, and option D shifts responsibility away from the nurse
and may not reflect the patient's wishes.
Question 2
Which nursing action best reflects effective clinical judgment during the
initial assessment of a medical-surgical patient?
A. Document every finding before taking action.
B. Focus only on findings related to the admitting diagnosis.
C. Identify abnormal cues and determine which require immediate
, attention.
D. Wait for the provider to interpret unexpected assessment findings.
Correct Answer:
C. Identify abnormal cues and determine which require immediate
attention.
Rationale:
Clinical judgment requires recognizing relevant cues, interpreting their
significance, and deciding what action is needed. The nurse must
prioritize urgent findings rather than simply collecting or documenting
data. Option A may delay necessary care, option B can cause important
problems to be missed, and option D does not reflect independent
nursing responsibility.
Question 3
A nurse is caring for four patients. Which patient should the nurse
assess first?
A. A patient requesting assistance with bathing
B. A patient reporting pain rated 6/10 after physical therapy
C. A patient newly confused with a respiratory rate of 30/min
D. A patient asking when discharge instructions will be completed
Correct Answer:
C. A patient newly confused with a respiratory rate of 30/min
Rationale:
New confusion and tachypnea may indicate acute deterioration, such as
hypoxia, and require immediate assessment. The other patients have
needs that are important but are not as immediately threatening to
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 why I need all these tests.” Which nursing action best
demonstrates patient-centered care?
A. Tell the patient that the provider ordered the tests for a reason.
B. Ask the patient what concerns or questions they have about the
tests.
C. Explain that the tests are routine for all patients with the diagnosis.
D. Ask the patient's family to explain the testing process.
Correct Answer:
B. Ask the patient what concerns or questions they have about the
tests.
Rationale:
Patient-centered care begins by identifying the patient's needs,
concerns, values, and preferences. Asking open-ended questions allows
the nurse to understand the patient's perspective and tailor education
accordingly. Option A is dismissive, option C makes an unsupported
generalization, and option D shifts responsibility away from the nurse
and may not reflect the patient's wishes.
Question 2
Which nursing action best reflects effective clinical judgment during the
initial assessment of a medical-surgical patient?
A. Document every finding before taking action.
B. Focus only on findings related to the admitting diagnosis.
C. Identify abnormal cues and determine which require immediate
, attention.
D. Wait for the provider to interpret unexpected assessment findings.
Correct Answer:
C. Identify abnormal cues and determine which require immediate
attention.
Rationale:
Clinical judgment requires recognizing relevant cues, interpreting their
significance, and deciding what action is needed. The nurse must
prioritize urgent findings rather than simply collecting or documenting
data. Option A may delay necessary care, option B can cause important
problems to be missed, and option D does not reflect independent
nursing responsibility.
Question 3
A nurse is caring for four patients. Which patient should the nurse
assess first?
A. A patient requesting assistance with bathing
B. A patient reporting pain rated 6/10 after physical therapy
C. A patient newly confused with a respiratory rate of 30/min
D. A patient asking when discharge instructions will be completed
Correct Answer:
C. A patient newly confused with a respiratory rate of 30/min
Rationale:
New confusion and tachypnea may indicate acute deterioration, such as
hypoxia, and require immediate assessment. The other patients have
needs that are important but are not as immediately threatening to
