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 admitting an older adult client to a medical-surgical
unit. During the initial assessment, the client says, “I do not
want a lot of people discussing my care in front of me. I get
confused when too many people talk at once.”
Question Stem:
Which nursing action best reflects patient-centered care?
Answer Options:
A. Ask the family to answer most questions so the assessment
moves faster.
B. Limit interruptions, speak directly to the client, and assess
preferred communication needs.
C. Explain that team-based care requires many people to
participate in the conversation.
D. Document the concern and continue the admission
assessment without changes.
Correct Answer:
B
Detailed Rationale:
Patient-centered care means respecting the client’s
preferences, communication needs, and comfort during care.
Limiting interruptions, addressing the client directly, and
adapting communication supports dignity, comprehension, and
trust. This approach also promotes accurate assessment and
better engagement in care.
,Incorrect Option Analysis:
• A: Incorrect because it reduces the client’s autonomy.
Misconception: Family should automatically lead
communication.
Risk: The nurse may miss the client’s own preferences and
symptoms.
• C: Incorrect because it justifies ignoring the client’s stated
needs.
Misconception: Team participation overrides individual
preference.
Risk: Poor communication and reduced satisfaction.
• D: Incorrect because documenting without adjusting care
is incomplete patient-centered practice.
Misconception: Documentation alone solves the concern.
Risk: The client may become anxious or confused and
withhold information.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues, Analyze Cues
Difficulty Level: Easy
Bloom’s Cognitive Level: Understand
NCLEX Client Needs Category: Management of Care
Key Learning Objective: Identify nursing actions that
demonstrate patient-centered communication and respectful
care.
, 2) MCQ
Clinical Scenario:
A new graduate nurse is preparing to begin a shift on a medical-
surgical unit. The preceptor asks what makes clinical judgment
different from simply following tasks.
Question Stem:
Which statement by the new nurse best demonstrates
understanding of clinical judgment?
Answer Options:
A. “Clinical judgment means completing all assigned tasks on
time.”
B. “Clinical judgment is the ability to recognize cues, interpret
them, and decide what action is needed.”
C. “Clinical judgment is mainly used by physicians when
patients become unstable.”
D. “Clinical judgment is the same as documenting assessments
accurately.”
Correct Answer:
B
Detailed Rationale:
Clinical judgment is the nurse’s decision-making process that
includes recognizing relevant cues, analyzing those cues,
prioritizing hypotheses, generating solutions, taking action, and
evaluating outcomes. It is central to safe nursing practice and
goes beyond task completion.
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 admitting an older adult client to a medical-surgical
unit. During the initial assessment, the client says, “I do not
want a lot of people discussing my care in front of me. I get
confused when too many people talk at once.”
Question Stem:
Which nursing action best reflects patient-centered care?
Answer Options:
A. Ask the family to answer most questions so the assessment
moves faster.
B. Limit interruptions, speak directly to the client, and assess
preferred communication needs.
C. Explain that team-based care requires many people to
participate in the conversation.
D. Document the concern and continue the admission
assessment without changes.
Correct Answer:
B
Detailed Rationale:
Patient-centered care means respecting the client’s
preferences, communication needs, and comfort during care.
Limiting interruptions, addressing the client directly, and
adapting communication supports dignity, comprehension, and
trust. This approach also promotes accurate assessment and
better engagement in care.
,Incorrect Option Analysis:
• A: Incorrect because it reduces the client’s autonomy.
Misconception: Family should automatically lead
communication.
Risk: The nurse may miss the client’s own preferences and
symptoms.
• C: Incorrect because it justifies ignoring the client’s stated
needs.
Misconception: Team participation overrides individual
preference.
Risk: Poor communication and reduced satisfaction.
• D: Incorrect because documenting without adjusting care
is incomplete patient-centered practice.
Misconception: Documentation alone solves the concern.
Risk: The client may become anxious or confused and
withhold information.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues, Analyze Cues
Difficulty Level: Easy
Bloom’s Cognitive Level: Understand
NCLEX Client Needs Category: Management of Care
Key Learning Objective: Identify nursing actions that
demonstrate patient-centered communication and respectful
care.
, 2) MCQ
Clinical Scenario:
A new graduate nurse is preparing to begin a shift on a medical-
surgical unit. The preceptor asks what makes clinical judgment
different from simply following tasks.
Question Stem:
Which statement by the new nurse best demonstrates
understanding of clinical judgment?
Answer Options:
A. “Clinical judgment means completing all assigned tasks on
time.”
B. “Clinical judgment is the ability to recognize cues, interpret
them, and decide what action is needed.”
C. “Clinical judgment is mainly used by physicians when
patients become unstable.”
D. “Clinical judgment is the same as documenting assessments
accurately.”
Correct Answer:
B
Detailed Rationale:
Clinical judgment is the nurse’s decision-making process that
includes recognizing relevant cues, analyzing those cues,
prioritizing hypotheses, generating solutions, taking action, and
evaluating outcomes. It is central to safe nursing practice and
goes beyond task completion.
