Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Original Medical-Surgical Nursing Exam Revision Question
Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topic: Professional Nursing Concepts
Subtopics:
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 Checklist
✓ Original content created for educational review purposes
✓ No copyrighted textbook or proprietary test bank questions
reproduced
✓ Current NCLEX-style clinical judgment focus
✓ Patient safety integrated throughout
✓ Evidence-informed nursing practice emphasized
✓ Adult health nursing competencies represented
✓ Clear and unambiguous wording
,✓ Realistic clinical scenarios
✓ Strong prioritization and delegation content
✓ QSEN competency integration
Question 1
Type
MCQ
Clinical Scenario
A nurse begins a shift caring for a patient admitted with heart
failure. During bedside handoff, the patient states, "I want my
daughter involved in every decision about my treatment."
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Ask the daughter to remain outside during discussions to
maintain confidentiality
B. Document the request and include the daughter in
treatment discussions with patient consent
C. Explain that treatment decisions are made primarily by the
health care team
D. Refer all questions from the daughter to the provider
, Correct Answer
B
Detailed Rationale
Patient-centered care recognizes the patient as the primary
decision-maker and respects individual preferences, values, and
support systems. Including the daughter after obtaining
consent promotes shared decision-making and patient
autonomy.
Incorrect Option Analysis
A: Incorrect. Confidentiality does not prohibit family
involvement when the patient requests participation.
B: Correct.
C: Incorrect. Modern health care emphasizes shared decision-
making.
D: Incorrect. Nurses are active participants in patient education
and communication.
Nursing Process Linkage
Planning
NCJMM Competencies
Recognize Cues
Generate Solutions
Take Action
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Print ISBN: 9780323878265
TEST BANK
Original Medical-Surgical Nursing Exam Revision Question
Bank
Unit I: Essential Concepts of Medical-Surgical Nursing
Chapter 1: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing
Topic: Professional Nursing Concepts
Subtopics:
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 Checklist
✓ Original content created for educational review purposes
✓ No copyrighted textbook or proprietary test bank questions
reproduced
✓ Current NCLEX-style clinical judgment focus
✓ Patient safety integrated throughout
✓ Evidence-informed nursing practice emphasized
✓ Adult health nursing competencies represented
✓ Clear and unambiguous wording
,✓ Realistic clinical scenarios
✓ Strong prioritization and delegation content
✓ QSEN competency integration
Question 1
Type
MCQ
Clinical Scenario
A nurse begins a shift caring for a patient admitted with heart
failure. During bedside handoff, the patient states, "I want my
daughter involved in every decision about my treatment."
Question Stem
Which nursing action best demonstrates patient-centered care?
Options
A. Ask the daughter to remain outside during discussions to
maintain confidentiality
B. Document the request and include the daughter in
treatment discussions with patient consent
C. Explain that treatment decisions are made primarily by the
health care team
D. Refer all questions from the daughter to the provider
, Correct Answer
B
Detailed Rationale
Patient-centered care recognizes the patient as the primary
decision-maker and respects individual preferences, values, and
support systems. Including the daughter after obtaining
consent promotes shared decision-making and patient
autonomy.
Incorrect Option Analysis
A: Incorrect. Confidentiality does not prohibit family
involvement when the patient requests participation.
B: Correct.
C: Incorrect. Modern health care emphasizes shared decision-
making.
D: Incorrect. Nurses are active participants in patient education
and communication.
Nursing Process Linkage
Planning
NCJMM Competencies
Recognize Cues
Generate Solutions
Take Action
