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 is reviewing professional practice
standards. Which action best demonstrates accountability?
Options:
A. Asking an experienced nurse to approve every medication
before administration
,B. Documenting a completed assessment only after the
electronic chart is finalized
C. Following up on a medication error by reporting it and
participating in root-cause review
D. Delegating all patient teaching to the unlicensed assistive
personnel
Correct Answer:
C
Rationale for A:
Seeking support is appropriate when learning, but asking
another nurse to approve every medication does not reflect
true accountability. Accountability means the nurse remains
responsible for their own actions and clinical decisions, even
when consulting others.
Rationale for B:
Documentation should be timely and reflect the care actually
provided. Waiting to chart until the end of an electronic session
does not demonstrate accountability and may increase the risk
of omitted or inaccurate information.
Rationale for C:
This is the best answer. Accountability includes owning one’s
actions, reporting errors promptly, and participating in safety
improvement processes. Root-cause review supports patient
safety, systems improvement, and professional responsibility.
,Rationale for D:
Teaching is a nursing responsibility and cannot be delegated to
unlicensed assistive personnel. Delegating all patient teaching
would be unsafe and outside the UAP role.
Key Takeaway:
Accountability means the nurse accepts responsibility for
actions, reports errors, and participates in improving safety and
care quality.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement by a nurse best reflects the concept of
patient-centered care?
Options:
A. “I will focus on completing tasks in the order they appear on
my worksheet.”
B. “I will include the patient’s values and preferences when
planning care.”
C. “I will avoid discussing treatment options unless the provider
is present.”
D. “I will explain the plan of care only if the patient asks
questions.”
, Correct Answer:
B
Rationale for A:
Task completion is important, but patient-centered care is not
driven only by workflow. It focuses on the patient’s needs,
goals, values, and preferences.
Rationale for B:
This is correct. Patient-centered care requires collaboration
with the patient and family, when appropriate, and
incorporates the patient’s beliefs, preferences, and goals into
the plan of care.
Rationale for C:
Patients should receive clear information about care and
options from the appropriate members of the interprofessional
team. Nursing education does not require the provider to be
present before discussion.
Rationale for D:
Education should be proactive, not only reactive to patient
questions. Patient-centered care includes anticipating
informational needs and supporting informed decision-making.
Key Takeaway:
Patient-centered care means the patient’s preferences, values,
and goals guide planning and delivery of care.
Question 3:
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 is reviewing professional practice
standards. Which action best demonstrates accountability?
Options:
A. Asking an experienced nurse to approve every medication
before administration
,B. Documenting a completed assessment only after the
electronic chart is finalized
C. Following up on a medication error by reporting it and
participating in root-cause review
D. Delegating all patient teaching to the unlicensed assistive
personnel
Correct Answer:
C
Rationale for A:
Seeking support is appropriate when learning, but asking
another nurse to approve every medication does not reflect
true accountability. Accountability means the nurse remains
responsible for their own actions and clinical decisions, even
when consulting others.
Rationale for B:
Documentation should be timely and reflect the care actually
provided. Waiting to chart until the end of an electronic session
does not demonstrate accountability and may increase the risk
of omitted or inaccurate information.
Rationale for C:
This is the best answer. Accountability includes owning one’s
actions, reporting errors promptly, and participating in safety
improvement processes. Root-cause review supports patient
safety, systems improvement, and professional responsibility.
,Rationale for D:
Teaching is a nursing responsibility and cannot be delegated to
unlicensed assistive personnel. Delegating all patient teaching
would be unsafe and outside the UAP role.
Key Takeaway:
Accountability means the nurse accepts responsibility for
actions, reports errors, and participates in improving safety and
care quality.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement by a nurse best reflects the concept of
patient-centered care?
Options:
A. “I will focus on completing tasks in the order they appear on
my worksheet.”
B. “I will include the patient’s values and preferences when
planning care.”
C. “I will avoid discussing treatment options unless the provider
is present.”
D. “I will explain the plan of care only if the patient asks
questions.”
, Correct Answer:
B
Rationale for A:
Task completion is important, but patient-centered care is not
driven only by workflow. It focuses on the patient’s needs,
goals, values, and preferences.
Rationale for B:
This is correct. Patient-centered care requires collaboration
with the patient and family, when appropriate, and
incorporates the patient’s beliefs, preferences, and goals into
the plan of care.
Rationale for C:
Patients should receive clear information about care and
options from the appropriate members of the interprofessional
team. Nursing education does not require the provider to be
present before discussion.
Rationale for D:
Education should be proactive, not only reactive to patient
questions. Patient-centered care includes anticipating
informational needs and supporting informed decision-making.
Key Takeaway:
Patient-centered care means the patient’s preferences, values,
and goals guide planning and delivery of care.
Question 3:
