Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical Scenario
A nurse is caring for a newly admitted adult patient with
pneumonia. The patient says, “I do not want to keep being
bothered. Just let me rest.” The nurse notices the patient has a
history of diabetes and lives alone.
Question Stem
Which nursing action best reflects patient-centered care?
Answer Options
A. Limit education until discharge to avoid overwhelming the
patient
B. Ask the patient about preferred times for teaching and
incorporate their daily routines
C. Provide standard discharge instructions to every patient with
pneumonia
D. Ask the provider to discharge the patient earlier to reduce
stress
Correct Answer
B. Ask the patient about preferred times for teaching and
incorporate their daily routines
Detailed Rationale
Patient-centered care begins with understanding the patient’s
preferences, routines, values, and readiness to learn. In this
scenario, the patient is expressing a need for rest, so the nurse
should adapt teaching to the patient’s preferred timing and
,self-management needs. This supports engagement,
adherence, and shared decision-making.
Incorrect Option Analysis
• A. Incorrect — Delaying education without assessing
readiness ignores patient needs.
Common misconception: that teaching should be avoided
if the patient seems tired.
Patient safety risk: missed discharge teaching can lead to
poor medication adherence and complications.
• C. Incorrect — Standard teaching alone is not
individualized.
Common misconception: that all patients with the same
diagnosis need identical discharge instructions.
Patient safety risk: important self-management needs
may be missed, especially in a patient with diabetes.
• D. Incorrect — The nurse should not request early
discharge to reduce stress without clinical justification.
Common misconception: that comfort concerns justify
changing discharge timing.
Patient safety risk: premature discharge may worsen
outcomes.
Nursing Process Linkage
Assessment
Clinical Judgment Competencies (NCJMM)
, Recognize Cues, Analyze Cues
Difficulty Level
Moderate
Bloom’s Cognitive Level
Apply
NCLEX Client Needs Category
Health Promotion and Maintenance
Key Learning Objective
Apply principles of patient-centered care by tailoring nursing
education and care planning to patient preferences and
readiness.
2) MCQ
Clinical Scenario
A nurse receives report on four patients.
Question Stem
Which patient should the nurse assess first?
Answer Options
A. A patient with chronic back pain who requests scheduled
analgesia
B. A postoperative patient reporting nausea after a dose of
opioid pain medication
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical Scenario
A nurse is caring for a newly admitted adult patient with
pneumonia. The patient says, “I do not want to keep being
bothered. Just let me rest.” The nurse notices the patient has a
history of diabetes and lives alone.
Question Stem
Which nursing action best reflects patient-centered care?
Answer Options
A. Limit education until discharge to avoid overwhelming the
patient
B. Ask the patient about preferred times for teaching and
incorporate their daily routines
C. Provide standard discharge instructions to every patient with
pneumonia
D. Ask the provider to discharge the patient earlier to reduce
stress
Correct Answer
B. Ask the patient about preferred times for teaching and
incorporate their daily routines
Detailed Rationale
Patient-centered care begins with understanding the patient’s
preferences, routines, values, and readiness to learn. In this
scenario, the patient is expressing a need for rest, so the nurse
should adapt teaching to the patient’s preferred timing and
,self-management needs. This supports engagement,
adherence, and shared decision-making.
Incorrect Option Analysis
• A. Incorrect — Delaying education without assessing
readiness ignores patient needs.
Common misconception: that teaching should be avoided
if the patient seems tired.
Patient safety risk: missed discharge teaching can lead to
poor medication adherence and complications.
• C. Incorrect — Standard teaching alone is not
individualized.
Common misconception: that all patients with the same
diagnosis need identical discharge instructions.
Patient safety risk: important self-management needs
may be missed, especially in a patient with diabetes.
• D. Incorrect — The nurse should not request early
discharge to reduce stress without clinical justification.
Common misconception: that comfort concerns justify
changing discharge timing.
Patient safety risk: premature discharge may worsen
outcomes.
Nursing Process Linkage
Assessment
Clinical Judgment Competencies (NCJMM)
, Recognize Cues, Analyze Cues
Difficulty Level
Moderate
Bloom’s Cognitive Level
Apply
NCLEX Client Needs Category
Health Promotion and Maintenance
Key Learning Objective
Apply principles of patient-centered care by tailoring nursing
education and care planning to patient preferences and
readiness.
2) MCQ
Clinical Scenario
A nurse receives report on four patients.
Question Stem
Which patient should the nurse assess first?
Answer Options
A. A patient with chronic back pain who requests scheduled
analgesia
B. A postoperative patient reporting nausea after a dose of
opioid pain medication
