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 nurse on a medical-surgical unit begins the morning assessment of a
newly admitted patient. Which action best demonstrates the nurse's
use of clinical judgment?
A. Documenting the patient's vital signs before completing the
assessment
B. Comparing the patient's current findings with expected findings and
identifying changes that may require action
C. Asking another nurse to determine whether the patient's findings are
abnormal
D. Reviewing the patient's diagnosis before speaking with the patient
Correct Answer:
B. Comparing the patient's current findings with expected findings and
identifying changes that may require action
Rationale:
Clinical judgment involves recognizing relevant information, interpreting
findings, determining priorities, and deciding what action is needed.
Comparing current findings with expected findings helps the nurse
identify meaningful changes. Documenting data is necessary but does
not by itself demonstrate clinical judgment. Delegating interpretation to
another nurse does not replace the nurse's responsibility to assess.
Reviewing the diagnosis is useful but should not substitute for direct
assessment.
Question 2
Which nursing action best reflects patient-centered care?
, A. Establishing the plan of care according to the nurse's routine
B. Asking the patient which goals are most important to address during
hospitalization
C. Completing all care tasks quickly to reduce the patient's length of stay
D. Using the same teaching strategy for every patient with the same
diagnosis
Correct Answer:
B. Asking the patient which goals are most important to address during
hospitalization
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning and decision-making. A
standardized routine may be efficient but does not ensure that the
patient's priorities are addressed. Completing care quickly is not the
same as providing individualized care. Teaching should be adapted to
the individual patient's needs, abilities, and preferences.
Question 3
A nurse is preparing to administer medication to a medical-surgical
patient. Which action is most important for promoting patient safety?
A. Asking the patient to state the name of the medication
B. Verifying the patient's identity using approved identifiers before
administration
C. Reviewing the medication's common side effects after administration
D. Documenting the medication before giving it
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse on a medical-surgical unit begins the morning assessment of a
newly admitted patient. Which action best demonstrates the nurse's
use of clinical judgment?
A. Documenting the patient's vital signs before completing the
assessment
B. Comparing the patient's current findings with expected findings and
identifying changes that may require action
C. Asking another nurse to determine whether the patient's findings are
abnormal
D. Reviewing the patient's diagnosis before speaking with the patient
Correct Answer:
B. Comparing the patient's current findings with expected findings and
identifying changes that may require action
Rationale:
Clinical judgment involves recognizing relevant information, interpreting
findings, determining priorities, and deciding what action is needed.
Comparing current findings with expected findings helps the nurse
identify meaningful changes. Documenting data is necessary but does
not by itself demonstrate clinical judgment. Delegating interpretation to
another nurse does not replace the nurse's responsibility to assess.
Reviewing the diagnosis is useful but should not substitute for direct
assessment.
Question 2
Which nursing action best reflects patient-centered care?
, A. Establishing the plan of care according to the nurse's routine
B. Asking the patient which goals are most important to address during
hospitalization
C. Completing all care tasks quickly to reduce the patient's length of stay
D. Using the same teaching strategy for every patient with the same
diagnosis
Correct Answer:
B. Asking the patient which goals are most important to address during
hospitalization
Rationale:
Patient-centered care incorporates the patient's values, preferences,
needs, and goals into care planning and decision-making. A
standardized routine may be efficient but does not ensure that the
patient's priorities are addressed. Completing care quickly is not the
same as providing individualized care. Teaching should be adapted to
the individual patient's needs, abilities, and preferences.
Question 3
A nurse is preparing to administer medication to a medical-surgical
patient. Which action is most important for promoting patient safety?
A. Asking the patient to state the name of the medication
B. Verifying the patient's identity using approved identifiers before
administration
C. Reviewing the medication's common side effects after administration
D. Documenting the medication before giving it
