11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
,Medical-Surgical Nursing (11th Edition) – Exam Revision
Question Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topics Covered
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
Question 1 – MCQ
Clinical Scenario
,A nurse is caring for a patient newly diagnosed with heart
failure. During discharge teaching, the patient states, “I am
worried because I live alone and may forget my medications.”
Question Stem
Which nursing action best demonstrates the QSEN competency
of patient-centered care?
Answer Options
A. Provide the standard discharge packet used for all heart
failure patients.
B. Ask the patient about routines and collaborate to develop an
individualized medication schedule.
C. Schedule a follow-up appointment without discussing it with
the patient.
D. Explain that medication adherence is the patient’s
responsibility.
Correct Answer
B. Ask the patient about routines and collaborate to develop
an individualized medication schedule.
Detailed Rationale
Patient-centered care requires respecting patient preferences,
values, needs, and circumstances. Collaborating with the
patient to create an individualized plan promotes engagement,
adherence, and self-management.
, Incorrect Option Analysis
A: Standardized teaching alone may not address individual
needs.
Misconception: All patients learn effectively from generic
materials.
Safety concern: Increased risk for medication errors after
discharge.
C: Excludes patient participation.
Misconception: Clinicians should make decisions
independently.
Safety concern: Poor follow-up adherence.
D: Shifts responsibility without support.
Misconception: Education alone ensures compliance.
Safety concern: Potential treatment failure.
Nursing Process Linkage
Planning
NCJMM Competencies
Analyze Cues
Generate Solutions
Take Action
Difficulty