3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is beginning care for a newly admitted patient.
Which action best demonstrates professional medical-surgical nursing
practice?
A. Completing tasks in the order they appear on the assignment sheet
B. Integrating assessment findings, patient preferences, and current
evidence when planning care
C. Waiting for the provider to determine all nursing priorities
D. Focusing primarily on completing documentation before interacting
with the patient
Correct Answer:
B. Integrating assessment findings, patient preferences, and current
evidence when planning care
Rationale:
The medical-surgical nurse combines clinical assessment, patient
preferences, nursing knowledge, and evidence to provide individualized
care. Option A focuses on task completion rather than clinical
reasoning. Option C incorrectly limits the nurse's independent role in
assessment and nursing care. Option D prioritizes documentation over
direct patient care.
Question 2
A nurse is caring for a patient whose condition has changed since the
previous shift. Which nursing-process action should the nurse perform
first?
A. Evaluate whether previously planned outcomes were achieved
B. Implement the interventions listed in the existing care plan
, C. Reassess the patient and collect current assessment data
D. Document the interventions provided during the previous shift
Correct Answer:
C. Reassess the patient and collect current assessment data
Rationale:
Assessment is the first step of the nursing process and provides the
current information needed for clinical judgment. Option A requires
outcome data that have not yet been established from a current
assessment. Option B may be inappropriate if the patient's condition
has changed. Option D does not address the patient's current status.
Question 3
A patient tells the nurse, "I want to be involved in deciding which
treatment option fits my daily routine." Which nursing response best
demonstrates patient-centered care?
A. "The provider will decide which treatment is safest."
B. "You should follow the standard plan used for most patients."
C. "Let's discuss your preferences and how they can be considered in
the plan of care."
D. "Your family can decide what treatment you should receive."
Correct Answer:
C. "Let's discuss your preferences and how they can be considered in
the plan of care."
Rationale:
Patient-centered care recognizes the patient's values, preferences,
needs, and participation in decisions. Option A excludes the patient
from decision-making. Option B ignores individual differences. Option D