Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
Subtopics
Quality and Safety Education for Nurses (QSEN)
Competencies
, Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Quality Review Statement
This examination resource has been reviewed to ensure:
✓ Original content only
✓ No copyrighted or publisher-derived questions
✓ NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice
✓ Patient safety emphasis
✓ Clear and realistic clinical scenarios
✓ Appropriate adult-health nursing application
,✓ Alignment with professional nursing competencies
✓ Integration of QSEN concepts and NCJMM framework
Question 1 – MCQ
Clinical Scenario
A nurse begins a shift caring for a 72-year-old patient admitted
with heart failure. During bedside report, the patient states, “I
prefer that my daughter participate in all decisions about my
treatment.”
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Provide education only to the patient because confidentiality
must be maintained.
B. Include the daughter in discussions after obtaining the
patient’s permission.
C. Refer all treatment discussions to the physician.
D. Ask the daughter to leave during nursing assessments.
Correct Answer
B. Include the daughter in discussions after obtaining the
patient’s permission.
Detailed Rationale
, Patient-centered care respects patient preferences, values, and
expressed wishes. Including the daughter after obtaining
consent supports shared decision-making while maintaining
confidentiality and autonomy.
Incorrect Option Analysis
A
Incorrect because patient permission allows involvement of
designated family members.
Misconception: Confidentiality prohibits all family involvement.
Safety Concern: May ignore patient wishes.
C
Incorrect because nurses participate actively in communication
and education.
Misconception: Physicians are solely responsible for care
discussions.
D
Incorrect because excluding the daughter disregards patient
preferences.
Safety Concern: Can reduce support and understanding of
treatment plans.
Nursing Process Linkage
Planning
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Topic: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
Subtopics
Quality and Safety Education for Nurses (QSEN)
Competencies
, Patient-Centered Care
Safety
Teamwork and Collaboration
Evidence-Based Practice (EBP)
Quality Improvement (QI)
Informatics
Clinical Judgment
Health Equity
Ethics
Difficulty: Mixed
Quality Review Statement
This examination resource has been reviewed to ensure:
✓ Original content only
✓ No copyrighted or publisher-derived questions
✓ NCLEX-style clinical judgment focus
✓ Evidence-informed nursing practice
✓ Patient safety emphasis
✓ Clear and realistic clinical scenarios
✓ Appropriate adult-health nursing application
,✓ Alignment with professional nursing competencies
✓ Integration of QSEN concepts and NCJMM framework
Question 1 – MCQ
Clinical Scenario
A nurse begins a shift caring for a 72-year-old patient admitted
with heart failure. During bedside report, the patient states, “I
prefer that my daughter participate in all decisions about my
treatment.”
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Provide education only to the patient because confidentiality
must be maintained.
B. Include the daughter in discussions after obtaining the
patient’s permission.
C. Refer all treatment discussions to the physician.
D. Ask the daughter to leave during nursing assessments.
Correct Answer
B. Include the daughter in discussions after obtaining the
patient’s permission.
Detailed Rationale
, Patient-centered care respects patient preferences, values, and
expressed wishes. Including the daughter after obtaining
consent supports shared decision-making while maintaining
confidentiality and autonomy.
Incorrect Option Analysis
A
Incorrect because patient permission allows involvement of
designated family members.
Misconception: Confidentiality prohibits all family involvement.
Safety Concern: May ignore patient wishes.
C
Incorrect because nurses participate actively in communication
and education.
Misconception: Physicians are solely responsible for care
discussions.
D
Incorrect because excluding the daughter disregards patient
preferences.
Safety Concern: Can reduce support and understanding of
treatment plans.
Nursing Process Linkage
Planning
