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 is beginning care for four medical-surgical patients. Which
action best demonstrates patient-centered care?
A. Following the unit routine for all patients to promote consistency
B. Asking the patient about preferences and incorporating them into the
plan of care
C. Completing all care as quickly as possible to reduce interruptions
D. Using the same teaching materials for every patient with the same
diagnosis
Correct Answer:
B. Asking the patient about preferences and incorporating them into the
plan of care
Rationale:
Patient-centered care recognizes the patient's preferences, values,
needs, and goals when planning and delivering care. Option A
emphasizes routine rather than individual needs. Option C prioritizes
efficiency over individualized care. Option D assumes that patients with
similar conditions have identical learning needs and preferences.
Question 2
A nurse is reviewing the purpose of clinical judgment in medical-surgical
nursing. Which statement best describes clinical judgment?
A. Performing tasks according to the usual unit routine
B. Selecting nursing actions based only on the medical diagnosis
C. Using patient data, nursing knowledge, and clinical reasoning to
make care decisions
, D. Waiting for the provider to determine which nursing intervention is
appropriate
Correct Answer:
C. Using patient data, nursing knowledge, and clinical reasoning to
make care decisions
Rationale:
Clinical judgment involves interpreting patient information, identifying
priorities, deciding what actions are needed, and evaluating the
response to care. Option A relies on routine rather than assessment.
Option B limits decision-making to the medical diagnosis. Option D
incorrectly minimizes the nurse's professional responsibility for clinical
decisions within the nursing scope of practice.
Question 3
A nurse is caring for a patient who states, "I do not understand why I
need this treatment." What is the nurse's best initial response?
A. "The provider ordered it, so it is necessary."
B. "You should ask your family to explain it to you."
C. "Tell me what you understand about the treatment so far."
D. "I will give you written information to read later."
Correct Answer:
C. "Tell me what you understand about the treatment so far."
Rationale:
Assessing the patient's current understanding is the appropriate first
step before providing education. It allows the nurse to identify
knowledge gaps and tailor teaching. Option A does not promote
understanding or shared decision-making. Option B shifts the nurse's
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse is beginning care for four medical-surgical patients. Which
action best demonstrates patient-centered care?
A. Following the unit routine for all patients to promote consistency
B. Asking the patient about preferences and incorporating them into the
plan of care
C. Completing all care as quickly as possible to reduce interruptions
D. Using the same teaching materials for every patient with the same
diagnosis
Correct Answer:
B. Asking the patient about preferences and incorporating them into the
plan of care
Rationale:
Patient-centered care recognizes the patient's preferences, values,
needs, and goals when planning and delivering care. Option A
emphasizes routine rather than individual needs. Option C prioritizes
efficiency over individualized care. Option D assumes that patients with
similar conditions have identical learning needs and preferences.
Question 2
A nurse is reviewing the purpose of clinical judgment in medical-surgical
nursing. Which statement best describes clinical judgment?
A. Performing tasks according to the usual unit routine
B. Selecting nursing actions based only on the medical diagnosis
C. Using patient data, nursing knowledge, and clinical reasoning to
make care decisions
, D. Waiting for the provider to determine which nursing intervention is
appropriate
Correct Answer:
C. Using patient data, nursing knowledge, and clinical reasoning to
make care decisions
Rationale:
Clinical judgment involves interpreting patient information, identifying
priorities, deciding what actions are needed, and evaluating the
response to care. Option A relies on routine rather than assessment.
Option B limits decision-making to the medical diagnosis. Option D
incorrectly minimizes the nurse's professional responsibility for clinical
decisions within the nursing scope of practice.
Question 3
A nurse is caring for a patient who states, "I do not understand why I
need this treatment." What is the nurse's best initial response?
A. "The provider ordered it, so it is necessary."
B. "You should ask your family to explain it to you."
C. "Tell me what you understand about the treatment so far."
D. "I will give you written information to read later."
Correct Answer:
C. "Tell me what you understand about the treatment so far."
Rationale:
Assessing the patient's current understanding is the appropriate first
step before providing education. It allows the nurse to identify
knowledge gaps and tailor teaching. Option A does not promote
understanding or shared decision-making. Option B shifts the nurse's
