Lewis's Medical-Surgical Nursing
Assessment and Management of
Clinical Problems
13th Edition
• Author(s)Mariann M. Harding;
Jeffrey Kwong; Debra Hagler;
Courtney Reinisch
TEST BANK
Question 1
A nurse is caring for a patient who prefers to participate
actively in decisions regarding treatment options. Which
nursing action best demonstrates patient-centered care?
A. Selecting the treatment plan that is most efficient for the
health care team
,B. Encouraging the patient to participate in decision-making
and respecting personal preferences
C. Following provider prescriptions without discussing them
with the patient
D. Limiting information to prevent the patient from becoming
overwhelmed
Correct Answer: B
Rationale:
Patient-centered care emphasizes respect for patient
preferences, values, and participation in health care decisions.
Encouraging involvement promotes autonomy and shared
decision-making. The other options do not fully support the
patient's right to participate in care planning.
Question 2
A nurse is reviewing the standards of professional nursing
practice. Which activity is most consistent with professional
accountability?
A. Delegating all patient education to assistive personnel
B. Accepting responsibility for nursing actions and outcomes
C. Performing only tasks specifically requested by a provider
D. Avoiding participation in quality improvement initiatives
Correct Answer: B
,Rationale:
Professional accountability requires nurses to accept
responsibility for their decisions, actions, and outcomes. Nurses
are accountable for providing safe, competent care and
evaluating results. The other options do not reflect professional
accountability.
Question 3
A nurse is using clinical judgment while caring for a patient with
worsening shortness of breath. Which action best reflects
clinical judgment?
A. Waiting until the next shift to report findings
B. Comparing assessment findings with previous data and
determining the need for intervention
C. Documenting findings without further action
D. Asking another nurse to make all decisions regarding care
Correct Answer: B
Rationale:
Clinical judgment involves recognizing cues, analyzing
information, identifying patient needs, and determining
appropriate actions. Comparing current and previous findings
helps the nurse identify changes and intervene appropriately.
, Question 4
A nurse is participating in an interprofessional team meeting.
Which statement best describes the purpose of
interprofessional collaboration?
A. To allow physicians to direct all patient care decisions
B. To ensure each discipline works independently
C. To combine expertise from multiple disciplines to improve
patient outcomes
D. To reduce communication among team members
Correct Answer: C
Rationale:
Interprofessional collaboration involves multiple disciplines
working together to provide coordinated, high-quality care.
Effective collaboration improves communication, patient
safety, and health outcomes.
Question 5
A nurse is caring for a hospitalized patient. Which information
should be documented in the electronic health record (EHR)?
A. Personal opinions about the patient's behavior
B. Objective assessment findings and nursing interventions
C. Assumptions regarding future complications
Assessment and Management of
Clinical Problems
13th Edition
• Author(s)Mariann M. Harding;
Jeffrey Kwong; Debra Hagler;
Courtney Reinisch
TEST BANK
Question 1
A nurse is caring for a patient who prefers to participate
actively in decisions regarding treatment options. Which
nursing action best demonstrates patient-centered care?
A. Selecting the treatment plan that is most efficient for the
health care team
,B. Encouraging the patient to participate in decision-making
and respecting personal preferences
C. Following provider prescriptions without discussing them
with the patient
D. Limiting information to prevent the patient from becoming
overwhelmed
Correct Answer: B
Rationale:
Patient-centered care emphasizes respect for patient
preferences, values, and participation in health care decisions.
Encouraging involvement promotes autonomy and shared
decision-making. The other options do not fully support the
patient's right to participate in care planning.
Question 2
A nurse is reviewing the standards of professional nursing
practice. Which activity is most consistent with professional
accountability?
A. Delegating all patient education to assistive personnel
B. Accepting responsibility for nursing actions and outcomes
C. Performing only tasks specifically requested by a provider
D. Avoiding participation in quality improvement initiatives
Correct Answer: B
,Rationale:
Professional accountability requires nurses to accept
responsibility for their decisions, actions, and outcomes. Nurses
are accountable for providing safe, competent care and
evaluating results. The other options do not reflect professional
accountability.
Question 3
A nurse is using clinical judgment while caring for a patient with
worsening shortness of breath. Which action best reflects
clinical judgment?
A. Waiting until the next shift to report findings
B. Comparing assessment findings with previous data and
determining the need for intervention
C. Documenting findings without further action
D. Asking another nurse to make all decisions regarding care
Correct Answer: B
Rationale:
Clinical judgment involves recognizing cues, analyzing
information, identifying patient needs, and determining
appropriate actions. Comparing current and previous findings
helps the nurse identify changes and intervene appropriately.
, Question 4
A nurse is participating in an interprofessional team meeting.
Which statement best describes the purpose of
interprofessional collaboration?
A. To allow physicians to direct all patient care decisions
B. To ensure each discipline works independently
C. To combine expertise from multiple disciplines to improve
patient outcomes
D. To reduce communication among team members
Correct Answer: C
Rationale:
Interprofessional collaboration involves multiple disciplines
working together to provide coordinated, high-quality care.
Effective collaboration improves communication, patient
safety, and health outcomes.
Question 5
A nurse is caring for a hospitalized patient. Which information
should be documented in the electronic health record (EHR)?
A. Personal opinions about the patient's behavior
B. Objective assessment findings and nursing interventions
C. Assumptions regarding future complications
