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 a shift and receives assignments
for four patients. Which action best demonstrates the nurse’s
competency in clinical judgment?
A. Completing all routine tasks in the order they appear on the
assignment sheet
B. Identifying which patient findings require immediate attention and
adjusting care priorities accordingly
C. Asking the charge nurse to determine the priority for every patient
D. Focusing first on the patient who has the greatest number of
scheduled medications
Correct Answer:
B. Identifying which patient findings require immediate attention and
adjusting care priorities accordingly
Rationale:
Clinical judgment requires the nurse to recognize important cues,
analyze their significance, prioritize patient needs, and act
appropriately. Completing tasks strictly in sequence, relying on another
nurse for every decision, or prioritizing by medication count does not
demonstrate effective clinical reasoning.
Question 2
Which nursing action best reflects evidence-based nursing care?
A. Using the intervention most commonly used by experienced nurses
on the unit
B. Selecting an intervention based only on the nurse’s personal
experience
, C. Integrating current evidence, clinical expertise, and the patient’s
preferences
D. Following a routine intervention even when the patient’s condition
differs from the usual situation
Correct Answer:
C. Integrating current evidence, clinical expertise, and the patient’s
preferences
Rationale:
Evidence-based practice integrates the best available research evidence
with clinical expertise and patient preferences and values. Habit or
personal experience alone is insufficient, and standardized routines may
need to be adapted to individual patient circumstances.
Question 3
A nurse is caring for a patient admitted to a medical-surgical unit. The
patient states, “I am worried that nobody is listening to what I want.”
Which response best reflects patient-centered care?
A. “The health care team knows what treatment is necessary.”
B. “You should follow the prescribed plan without questioning it.”
C. “Tell me what concerns and preferences you would like the health
care team to consider.”
D. “Your family can explain your preferences to the health care team.”
Correct Answer:
C. “Tell me what concerns and preferences you would like the health
care team to consider.”
Rationale:
Patient-centered care recognizes the patient as an active participant in
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is beginning a shift and receives assignments
for four patients. Which action best demonstrates the nurse’s
competency in clinical judgment?
A. Completing all routine tasks in the order they appear on the
assignment sheet
B. Identifying which patient findings require immediate attention and
adjusting care priorities accordingly
C. Asking the charge nurse to determine the priority for every patient
D. Focusing first on the patient who has the greatest number of
scheduled medications
Correct Answer:
B. Identifying which patient findings require immediate attention and
adjusting care priorities accordingly
Rationale:
Clinical judgment requires the nurse to recognize important cues,
analyze their significance, prioritize patient needs, and act
appropriately. Completing tasks strictly in sequence, relying on another
nurse for every decision, or prioritizing by medication count does not
demonstrate effective clinical reasoning.
Question 2
Which nursing action best reflects evidence-based nursing care?
A. Using the intervention most commonly used by experienced nurses
on the unit
B. Selecting an intervention based only on the nurse’s personal
experience
, C. Integrating current evidence, clinical expertise, and the patient’s
preferences
D. Following a routine intervention even when the patient’s condition
differs from the usual situation
Correct Answer:
C. Integrating current evidence, clinical expertise, and the patient’s
preferences
Rationale:
Evidence-based practice integrates the best available research evidence
with clinical expertise and patient preferences and values. Habit or
personal experience alone is insufficient, and standardized routines may
need to be adapted to individual patient circumstances.
Question 3
A nurse is caring for a patient admitted to a medical-surgical unit. The
patient states, “I am worried that nobody is listening to what I want.”
Which response best reflects patient-centered care?
A. “The health care team knows what treatment is necessary.”
B. “You should follow the prescribed plan without questioning it.”
C. “Tell me what concerns and preferences you would like the health
care team to consider.”
D. “Your family can explain your preferences to the health care team.”
Correct Answer:
C. “Tell me what concerns and preferences you would like the health
care team to consider.”
Rationale:
Patient-centered care recognizes the patient as an active participant in
