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 on a medical-surgical unit is caring for a client who
asks, “Why do I need to sign this form before surgery?” Which
response by the nurse is best?
Options:
,A. “The form confirms that you are paying for the procedure.”
B. “The form shows that you understand the procedure, risks,
and alternatives.”
C. “The form allows the surgeon to decide what procedure is
best.”
D. “The form replaces the need for the nurse to provide
teaching.”
Correct Answer:
B
Rationale for A:
Incorrect. Signing an informed consent form does not confirm
payment. Financial counseling and billing are separate from the
consent process. Confusing cost with informed consent can
undermine the client’s understanding of patient rights.
Rationale for B:
Correct. Informed consent reflects the client’s understanding of
the procedure, expected benefits, risks, and alternatives before
agreeing to treatment. This supports autonomy, legal
protection, and ethical nursing practice.
Rationale for C:
Incorrect. The surgeon recommends the procedure, but the
client retains the right to decide whether to proceed. The
purpose of consent is not to transfer decision-making authority
away from the client.
,Rationale for D:
Incorrect. Consent does not replace nursing teaching. The nurse
still reinforces education, assesses understanding, and clarifies
misconceptions. Teaching and consent are related but distinct
responsibilities.
Key Takeaway:
Informed consent protects client autonomy by ensuring a
decision is made with understanding of the procedure and its
risks.
Question 2:
Question Type:
MCQ
Question Stem:
A nurse is reviewing the concept of health with a newly
admitted client. Which statement best reflects a modern
nursing view of health?
Options:
A. “Health means the absence of disease.”
B. “Health is the ability to function at the highest possible
level.”
C. “Health is determined only by genetics and medical care.”
D. “Health is the same as being cured.”
Correct Answer:
B
, Rationale for A:
Incorrect. Health is broader than the absence of disease. Many
individuals live with chronic illness and still experience a
meaningful level of wellness and function.
Rationale for B:
Correct. A modern nursing view of health includes optimal
functioning, adaptation, and well-being across physical,
psychological, social, and spiritual dimensions.
Rationale for C:
Incorrect. Health is influenced by many factors, including
environment, behaviors, social conditions, access to care,
education, and culture, not just genetics and treatment.
Rationale for D:
Incorrect. Being cured is not the same as health. A person may
be medically cured of one condition but still have significant
limitations or unmet health needs.
Key Takeaway:
Health is a dynamic state of function and well-being, not simply
the absence of illness.
Question 3:
Question Type:
MCQ
Question Stem:
A community health nurse is planning care for a neighborhood
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 on a medical-surgical unit is caring for a client who
asks, “Why do I need to sign this form before surgery?” Which
response by the nurse is best?
Options:
,A. “The form confirms that you are paying for the procedure.”
B. “The form shows that you understand the procedure, risks,
and alternatives.”
C. “The form allows the surgeon to decide what procedure is
best.”
D. “The form replaces the need for the nurse to provide
teaching.”
Correct Answer:
B
Rationale for A:
Incorrect. Signing an informed consent form does not confirm
payment. Financial counseling and billing are separate from the
consent process. Confusing cost with informed consent can
undermine the client’s understanding of patient rights.
Rationale for B:
Correct. Informed consent reflects the client’s understanding of
the procedure, expected benefits, risks, and alternatives before
agreeing to treatment. This supports autonomy, legal
protection, and ethical nursing practice.
Rationale for C:
Incorrect. The surgeon recommends the procedure, but the
client retains the right to decide whether to proceed. The
purpose of consent is not to transfer decision-making authority
away from the client.
,Rationale for D:
Incorrect. Consent does not replace nursing teaching. The nurse
still reinforces education, assesses understanding, and clarifies
misconceptions. Teaching and consent are related but distinct
responsibilities.
Key Takeaway:
Informed consent protects client autonomy by ensuring a
decision is made with understanding of the procedure and its
risks.
Question 2:
Question Type:
MCQ
Question Stem:
A nurse is reviewing the concept of health with a newly
admitted client. Which statement best reflects a modern
nursing view of health?
Options:
A. “Health means the absence of disease.”
B. “Health is the ability to function at the highest possible
level.”
C. “Health is determined only by genetics and medical care.”
D. “Health is the same as being cured.”
Correct Answer:
B
, Rationale for A:
Incorrect. Health is broader than the absence of disease. Many
individuals live with chronic illness and still experience a
meaningful level of wellness and function.
Rationale for B:
Correct. A modern nursing view of health includes optimal
functioning, adaptation, and well-being across physical,
psychological, social, and spiritual dimensions.
Rationale for C:
Incorrect. Health is influenced by many factors, including
environment, behaviors, social conditions, access to care,
education, and culture, not just genetics and treatment.
Rationale for D:
Incorrect. Being cured is not the same as health. A person may
be medically cured of one condition but still have significant
limitations or unmet health needs.
Key Takeaway:
Health is a dynamic state of function and well-being, not simply
the absence of illness.
Question 3:
Question Type:
MCQ
Question Stem:
A community health nurse is planning care for a neighborhood
