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 newly licensed nurse asks what makes nursing a profession
rather than a task-based job. Which statement by the preceptor
is the best answer?
Options:
A. “Nursing is a profession because it requires independent
judgment, a formal knowledge base, and accountability for
,patient outcomes.”
B. “Nursing is a profession because nurses carry out medical
orders quickly and accurately.”
C. “Nursing is a profession because most nursing actions can be
learned by observing experienced staff.”
D. “Nursing is a profession because it focuses primarily on
giving comfort and emotional support.”
Correct Answer:
A
Rationale for A:
This is correct because a profession is defined by specialized
knowledge, evidence-based practice, accountability, autonomy,
and a commitment to client welfare. Nursing uses clinical
judgment, theory, research, and standards of practice to guide
care.
Rationale for B:
Incorrect. Carrying out orders is only one part of nursing and
does not define a profession. A profession involves more than
task completion; it requires reasoning, assessment, and
evaluation.
Rationale for C:
Incorrect. Observation may help with skill acquisition, but
professional practice requires formal education, licensure, and
ongoing competency development. Independent clinical
judgment cannot be learned by imitation alone.
Rationale for D:
,Incorrect. Emotional support is important, but it is not the
defining characteristic of a profession. Nursing includes
assessment, prevention, advocacy, coordination, and
evaluation of care.
Key Takeaway:
Professional nursing is grounded in knowledge, accountability,
autonomy, and evidence-based clinical judgment.
Question 2:
Question Type: MCQ
Question Stem:
Which action best demonstrates the nurse’s role as an
advocate for the patient?
Options:
A. Explaining the patient’s treatment options in plain language
and confirming understanding
B. Documenting the provider’s orders exactly as written
C. Completing a procedure before the patient signs consent to
save time
D. Telling the patient that the provider has already decided the
plan of care
Correct Answer:
A
Rationale for A:
Correct. Advocacy includes ensuring the patient understands
, options, risks, benefits, and alternatives so the patient can
make informed decisions. The nurse supports autonomy and
informed consent by clarifying information.
Rationale for B:
Incorrect. Accurate documentation is important, but it does not
by itself demonstrate advocacy. Advocacy requires active
support of the patient’s rights and understanding.
Rationale for C:
Incorrect. This is unsafe and unethical. Consent must be
obtained before nonemergent procedures, and the nurse
should stop the process if consent is not present.
Rationale for D:
Incorrect. The nurse should not dismiss the patient’s role in
decision-making. Advocacy requires encouraging participation
and protecting the patient’s right to ask questions and choose.
Key Takeaway:
Advocacy means protecting patient rights, promoting informed
choice, and supporting autonomy.
Question 3:
Question Type: MCQ
Question Stem:
A nurse is caring for a patient who asks why a registered nurse
is assigned a task to an assistive personnel member. Which
explanation is best?
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 newly licensed nurse asks what makes nursing a profession
rather than a task-based job. Which statement by the preceptor
is the best answer?
Options:
A. “Nursing is a profession because it requires independent
judgment, a formal knowledge base, and accountability for
,patient outcomes.”
B. “Nursing is a profession because nurses carry out medical
orders quickly and accurately.”
C. “Nursing is a profession because most nursing actions can be
learned by observing experienced staff.”
D. “Nursing is a profession because it focuses primarily on
giving comfort and emotional support.”
Correct Answer:
A
Rationale for A:
This is correct because a profession is defined by specialized
knowledge, evidence-based practice, accountability, autonomy,
and a commitment to client welfare. Nursing uses clinical
judgment, theory, research, and standards of practice to guide
care.
Rationale for B:
Incorrect. Carrying out orders is only one part of nursing and
does not define a profession. A profession involves more than
task completion; it requires reasoning, assessment, and
evaluation.
Rationale for C:
Incorrect. Observation may help with skill acquisition, but
professional practice requires formal education, licensure, and
ongoing competency development. Independent clinical
judgment cannot be learned by imitation alone.
Rationale for D:
,Incorrect. Emotional support is important, but it is not the
defining characteristic of a profession. Nursing includes
assessment, prevention, advocacy, coordination, and
evaluation of care.
Key Takeaway:
Professional nursing is grounded in knowledge, accountability,
autonomy, and evidence-based clinical judgment.
Question 2:
Question Type: MCQ
Question Stem:
Which action best demonstrates the nurse’s role as an
advocate for the patient?
Options:
A. Explaining the patient’s treatment options in plain language
and confirming understanding
B. Documenting the provider’s orders exactly as written
C. Completing a procedure before the patient signs consent to
save time
D. Telling the patient that the provider has already decided the
plan of care
Correct Answer:
A
Rationale for A:
Correct. Advocacy includes ensuring the patient understands
, options, risks, benefits, and alternatives so the patient can
make informed decisions. The nurse supports autonomy and
informed consent by clarifying information.
Rationale for B:
Incorrect. Accurate documentation is important, but it does not
by itself demonstrate advocacy. Advocacy requires active
support of the patient’s rights and understanding.
Rationale for C:
Incorrect. This is unsafe and unethical. Consent must be
obtained before nonemergent procedures, and the nurse
should stop the process if consent is not present.
Rationale for D:
Incorrect. The nurse should not dismiss the patient’s role in
decision-making. Advocacy requires encouraging participation
and protecting the patient’s right to ask questions and choose.
Key Takeaway:
Advocacy means protecting patient rights, promoting informed
choice, and supporting autonomy.
Question 3:
Question Type: MCQ
Question Stem:
A nurse is caring for a patient who asks why a registered nurse
is assigned a task to an assistive personnel member. Which
explanation is best?
Options:
