(Vol.1 & Vol.2)
22nd Edition
• Author(s)Joseph Loscalzo; Anthony S.
Fauci; Dennis L. Kasper; Stephen Hauser;
Dan Longo; J. Larry Jameson
Test Bank
Covered
PART 1: Foundations of Clinical Medicine
PART 2: Cardinal Symptoms & Clinical Presentations
PART 3: Clinical Pharmacology
PART 4: Oncology & Hematology
PART 5: Infectious Diseases
PART 6: Cardiovascular Disorders
PART 7: Respiratory Disorders
PART 8: Critical Care Medicine
PART 9: Kidney & Urinary Tract Disorders
PART 10: Gastrointestinal & Hepatobiliary Disorders
,PART 11: Immune-Mediated & Rheumatologic Disorders
PART 12: Endocrinology & Metabolism
PART 13: Neurologic & Psychiatric Disorders
PART 14: Toxicology & Environmental Injury
PART 15: Environmental & Occupational Medicine
PART 16: Genetics, Precision & Systems Medicine
PART 17–20: Special & Emerging Topics
The practice of patient-centered care in modern clinical
medicine most strongly emphasizes which nursing action?
A. Following physician orders without clarification
B. Eliciting the patient’s values, preferences, and goals before
planning care
C. Prioritizing institutional efficiency over individual preferences
D. Applying a standard care pathway to every patient with the
same diagnosis
Answer: B
Rationale: Patient-centered care requires nurses to assess and
incorporate patient values and goals into the plan of care; this
improves adherence and outcomes.
Citation: Harrison’s, 22nd ed. — Chapter: The Practice of
Medicine
Which nursing-led intervention is most effective for
promoting population health at the community level?
A. Reporting only individual patient data to public health
B. Individual health education without screening programs
,C. Coordinating community-based prevention programs and
education
D. Restricting health promotion to acute-care settings
Answer: C
Rationale: Nurses play a key role in coordinating community
prevention and education initiatives, which are central to
promoting health at the population level.
Citation: Harrison’s, 22nd ed. — Chapter: Promoting Good
Health
A parent expresses doubts about routine childhood vaccines.
The best initial nursing approach is to:
A. Dismiss concerns and proceed with vaccination immediately
B. Provide empathetic listening, elicit specific concerns, and
offer evidence-based information
C. Refuse care if the parent refuses vaccination
D. Tell the parent that refusal will lead to legal consequences
Answer: B
Rationale: Addressing vaccine hesitancy starts with empathy
and exploring concerns; nurses should provide clear, evidence-
based information to support informed decisions.
Citation: Harrison’s, 22nd ed. — Chapter: Vaccine Opposition
and Hesitancy
In shared decision-making for a high-risk procedure, the
nurse’s most important contribution is to:
A. Make the final choice if the patient is indecisive
B. Ensure the patient understands risks, benefits, and
, alternatives and document comprehension
C. Only follow the surgeon’s informed consent form
D. Encourage the patient to avoid asking questions to speed the
process
Answer: B
Rationale: Nurses facilitate informed consent by ensuring
patient understanding and documenting comprehension,
supporting ethical decision-making.
Citation: Harrison’s, 22nd ed. — Chapter: Decision-Making in
Clinical Medicine
Which statement best reflects the role of precision medicine
in nursing care?
A. Precision medicine only involves ordering genomic tests.
B. It supports tailoring prevention and treatment based on
individual genetic, environmental, and lifestyle factors, guiding
nursing assessment and education.
C. It eliminates the need for shared decision-making.
D. It replaces standard clinical assessment entirely.
Answer: B
Rationale: Precision medicine informs individualized risk
assessment and interventions; nurses must interpret
implications for care planning and patient counseling.
Citation: Harrison’s, 22nd ed. — Chapter: Precision Medicine
and Clinical Care
For a screening test to be useful at the population level,
nurse-educators should explain that it must: