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 reviewing the scope of professional nursing practice
with a newly licensed nurse. Which action best reflects the
nurse’s professional accountability?
Options:
A. Documenting a completed intervention after another nurse
verbally reports it was done
B. Using clinical judgment to assess a patient before
,implementing a standing order
C. Asking an unlicensed assistive personnel (UAP) to explain a
medication to a patient
D. Delegating all routine vital signs to the charge nurse
Correct Answer:
B
Rationale for A:
This is unsafe because the nurse is documenting care based
only on another person’s verbal report rather than personal
verification. Professional accountability requires that
documentation be accurate, timely, and based on actions the
nurse has performed or directly confirmed. False or
secondhand charting can compromise patient safety and legal
integrity.
Rationale for B:
This is the best answer because professional accountability
includes using nursing judgment before carrying out
interventions. Standing orders still require the nurse to assess
whether the intervention is appropriate for the patient’s
current status. This protects the patient and reflects
autonomous nursing practice.
Rationale for C:
A UAP cannot independently explain medications because that
requires nursing knowledge and patient teaching competence.
Teaching about medications is within the nurse’s scope, and
,delegating it to an unlicensed worker is inappropriate and
unsafe.
Rationale for D:
The charge nurse coordinates care and does not perform all
routine tasks for the unit. Vital signs may be delegated to
appropriate personnel depending on patient stability and
facility policy, but the nurse remains responsible for
interpretation and follow-up.
Key Takeaway:
Professional accountability means the nurse uses independent
judgment, remains responsible for care decisions, and does not
delegate or document outside the scope of practice.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement by a patient best reflects the concept of
health as used in professional nursing?
Options:
A. “Health means I never get sick.”
B. “Health is the absence of any chronic condition.”
C. “Health is my ability to function and adapt to life changes.”
D. “Health depends only on whether I can afford care.”
, Correct Answer:
C
Rationale for A:
Health does not mean a person never becomes ill. Even healthy
individuals can experience acute illness, injury, or temporary
decline.
Rationale for B:
Many people live with chronic illness and still experience
health. Modern nursing views health as broader than the
absence of disease.
Rationale for C:
This is correct because health is commonly understood as a
dynamic state that includes functional ability, adaptation, and
well-being. Nursing recognizes that people can maintain health
even when managing illness.
Rationale for D:
Access to care influences health, but it is not the only
determinant. Health is affected by biological, psychological,
social, environmental, and behavioral factors.
Key Takeaway:
Health is a dynamic state of adaptation, function, and well-
being, not simply the absence of disease.
Question 3:
Question Type:
MCQ
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 reviewing the scope of professional nursing practice
with a newly licensed nurse. Which action best reflects the
nurse’s professional accountability?
Options:
A. Documenting a completed intervention after another nurse
verbally reports it was done
B. Using clinical judgment to assess a patient before
,implementing a standing order
C. Asking an unlicensed assistive personnel (UAP) to explain a
medication to a patient
D. Delegating all routine vital signs to the charge nurse
Correct Answer:
B
Rationale for A:
This is unsafe because the nurse is documenting care based
only on another person’s verbal report rather than personal
verification. Professional accountability requires that
documentation be accurate, timely, and based on actions the
nurse has performed or directly confirmed. False or
secondhand charting can compromise patient safety and legal
integrity.
Rationale for B:
This is the best answer because professional accountability
includes using nursing judgment before carrying out
interventions. Standing orders still require the nurse to assess
whether the intervention is appropriate for the patient’s
current status. This protects the patient and reflects
autonomous nursing practice.
Rationale for C:
A UAP cannot independently explain medications because that
requires nursing knowledge and patient teaching competence.
Teaching about medications is within the nurse’s scope, and
,delegating it to an unlicensed worker is inappropriate and
unsafe.
Rationale for D:
The charge nurse coordinates care and does not perform all
routine tasks for the unit. Vital signs may be delegated to
appropriate personnel depending on patient stability and
facility policy, but the nurse remains responsible for
interpretation and follow-up.
Key Takeaway:
Professional accountability means the nurse uses independent
judgment, remains responsible for care decisions, and does not
delegate or document outside the scope of practice.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement by a patient best reflects the concept of
health as used in professional nursing?
Options:
A. “Health means I never get sick.”
B. “Health is the absence of any chronic condition.”
C. “Health is my ability to function and adapt to life changes.”
D. “Health depends only on whether I can afford care.”
, Correct Answer:
C
Rationale for A:
Health does not mean a person never becomes ill. Even healthy
individuals can experience acute illness, injury, or temporary
decline.
Rationale for B:
Many people live with chronic illness and still experience
health. Modern nursing views health as broader than the
absence of disease.
Rationale for C:
This is correct because health is commonly understood as a
dynamic state that includes functional ability, adaptation, and
well-being. Nursing recognizes that people can maintain health
even when managing illness.
Rationale for D:
Access to care influences health, but it is not the only
determinant. Health is affected by biological, psychological,
social, environmental, and behavioral factors.
Key Takeaway:
Health is a dynamic state of adaptation, function, and well-
being, not simply the absence of disease.
Question 3:
Question Type:
MCQ
