A nurse working in an outpatient surgery center is responsible for taking a health history and performing a physical assessment on each patient scheduled for surgery. Why is establishing this database so important for nursing care?

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Ensuring medical and surgical safety is crucial to prevent complications during surgery. 2. Health history and physical assessment help identify potential risks and tailor care plans accordingly. 3. It allows the nurse to assess the patient's readiness for surgery and identify any contraindications. 4. This data informs decision-making, ensures appropriate interventions, and enhances patient outcomes. Summary: - Option A is incorrect because nurse-patient relationships are important but not the primary focus in this context. - Option C is incorrect as the importance of the assessment goes beyond routine procedure. - Option D is incorrect as the main goal is to ensure safety and address potential issues.

Correct Answer: A

Rationale: The correct answer is A because helping a patient prepare a living will is an ethical/legal skill that involves respecting the patient's autonomy and ensuring their wishes are documented. This action aligns with the principles of patient advocacy and informed consent. In contrast, obtaining a urine sample (B) is a technical skill, explaining a plan of care (C) is a communication skill, and holding a patient's hand (D) is a compassionate gesture but not necessarily an ethical/legal skill. Ultimately, the ability to facilitate a patient's decision-making process regarding their care and treatment options reflects a nurse's commitment to upholding ethical and legal standards in healthcare practice.

Correct Answer: D

Rationale: The nursing process involves assessment, diagnosis, planning, implementation, and evaluation to address actual or potential health problems. By focusing care on human responses related to health issues, nurses aim to promote optimal health outcomes. Choice D is correct as it aligns with the core purpose of nursing care. Choices A, B, and C are incorrect as they do not encompass the holistic approach of the nursing process, which aims to address health problems at the individual level rather than broader environmental interactions, disease effects, or medical outcomes.

Correct Answer: B

Rationale: The correct answer is B: The focus of nurses is the person with an illness. Rationale: 1. Nurses focus on the holistic care of individuals, including physical, emotional, and social aspects when they have an illness. 2. Nurses do not diagnose and treat diseases traditionally, as that is the role of doctors or healthcare professionals. 3. Illness does not necessarily mean a person cannot be healthy, as health is a state of physical, mental, and social well-being. 4. Illness is not a normal process affecting functioning; it is a deviation from the normal state of health.

Correct Answer: A

Rationale: The correct answer is A: physiologic needs. According to Maslow's hierarchy, physiological needs are the most basic as they include essential requirements for survival such as food, water, shelter, and sleep. Without fulfilling these needs, higher-level needs cannot be addressed. Safety and security (B), love and belonging (C), and self-esteem (D) are considered higher-level needs in the hierarchy and can only be addressed once physiological needs are met. Safety and security come after physiological needs, followed by love and belonging, and finally self-esteem.