Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
A nurse is caring for a client whose medication barcode does
not match the medication label at the bedside. Which action
best demonstrates accountability in professional nursing
practice?
Options:
,A. Administer the medication because the order was verified
earlier
B. Ask the UAP to recheck the medication before administration
C. Hold the medication, follow safety policy, and report the
discrepancy
D. Document that the medication was given after a delayed
start
Correct Answer: C
Rationale for A:
This is unsafe. Verifying the order earlier does not override a
current barcode mismatch, because the medication package,
patient, and order must match at the point of administration.
Rationale for B:
A UAP does not have the authority to resolve a medication
discrepancy. The RN remains accountable for medication safety
and must address the mismatch directly.
Rationale for C:
This is the safest and most professional response.
Accountability includes recognizing a safety issue, stopping the
process, following policy, and reporting the discrepancy to
prevent patient harm.
Rationale for D:
Documenting a medication as given when it was not
administered is inaccurate and unsafe. Professional practice
,requires truthful, timely documentation of what actually
occurred.
Key Takeaway:
Accountability means the nurse owns the safety decision,
follows policy, and acts to prevent harm.
Question 2:
Question Type: MCQ
Question Stem:
Which nursing action best reflects the patient as an active
consumer of nursing and health care services?
Options:
A. Asking the patient to identify personal goals before creating
the plan of care
B. Telling the patient that the provider will decide the plan
without input
C. Giving the patient printed instructions and leaving the room
immediately
D. Asking the family member to make all decisions for the
patient
Correct Answer: A
Rationale for A:
This supports patient-centered care and shared decision-
, making. Patients are consumers when they participate in
choices that match their values, goals, and preferences.
Rationale for B:
This is not patient-centered care. While the provider
contributes to treatment decisions, the patient should still be
involved in planning and informed choices.
Rationale for C:
Printed instructions alone do not ensure understanding or
participation. Effective consumer-centered care includes
discussion, clarification, and verification of understanding.
Rationale for D:
Family involvement may be helpful, but decision-making
belongs to the patient unless the patient lacks capacity or has
formally delegated authority. The nurse must respect
autonomy.
Key Takeaway:
Patients are active consumers when they participate in
decisions and the care plan reflects their priorities.
Question 3:
Question Type: MCQ
Question Stem:
Which statement best describes health?
Options:
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
A nurse is caring for a client whose medication barcode does
not match the medication label at the bedside. Which action
best demonstrates accountability in professional nursing
practice?
Options:
,A. Administer the medication because the order was verified
earlier
B. Ask the UAP to recheck the medication before administration
C. Hold the medication, follow safety policy, and report the
discrepancy
D. Document that the medication was given after a delayed
start
Correct Answer: C
Rationale for A:
This is unsafe. Verifying the order earlier does not override a
current barcode mismatch, because the medication package,
patient, and order must match at the point of administration.
Rationale for B:
A UAP does not have the authority to resolve a medication
discrepancy. The RN remains accountable for medication safety
and must address the mismatch directly.
Rationale for C:
This is the safest and most professional response.
Accountability includes recognizing a safety issue, stopping the
process, following policy, and reporting the discrepancy to
prevent patient harm.
Rationale for D:
Documenting a medication as given when it was not
administered is inaccurate and unsafe. Professional practice
,requires truthful, timely documentation of what actually
occurred.
Key Takeaway:
Accountability means the nurse owns the safety decision,
follows policy, and acts to prevent harm.
Question 2:
Question Type: MCQ
Question Stem:
Which nursing action best reflects the patient as an active
consumer of nursing and health care services?
Options:
A. Asking the patient to identify personal goals before creating
the plan of care
B. Telling the patient that the provider will decide the plan
without input
C. Giving the patient printed instructions and leaving the room
immediately
D. Asking the family member to make all decisions for the
patient
Correct Answer: A
Rationale for A:
This supports patient-centered care and shared decision-
, making. Patients are consumers when they participate in
choices that match their values, goals, and preferences.
Rationale for B:
This is not patient-centered care. While the provider
contributes to treatment decisions, the patient should still be
involved in planning and informed choices.
Rationale for C:
Printed instructions alone do not ensure understanding or
participation. Effective consumer-centered care includes
discussion, clarification, and verification of understanding.
Rationale for D:
Family involvement may be helpful, but decision-making
belongs to the patient unless the patient lacks capacity or has
formally delegated authority. The nurse must respect
autonomy.
Key Takeaway:
Patients are active consumers when they participate in
decisions and the care plan reflects their priorities.
Question 3:
Question Type: MCQ
Question Stem:
Which statement best describes health?
Options:
