Harrison's Principles of Internal Medicine
(Vol.1 & Vol.2)
21st Edition Newer Edition
Author(s)Joseph Loscalzo; Anthony S. Fauci;
Dennis L. Kasper; Stephen Hauser; Dan Longo;
J. Larry Jameson
TEST BANK
1)
Reference — Ch. 1 — The Practice of Medicine — The Doctor–
Patient Relationship. accessmedicine.mhmedical.com
Question Stem
A 64-year-old man with multiple chronic illnesses tells his
primary care nurse he is reluctant to follow a newly prescribed
medication because of the cost and side-effect worries. Which
immediate nursing action best supports shared decision-making
and preserves the therapeutic relationship?
Options
A. Insist the patient start the medication now because
,nonadherence will worsen outcomes.
B. Explore the patient’s concerns about cost and side effects,
elicit preferences, and offer alternatives.
C. Ask the patient to sign a refusal form and document
noncompliance.
D. Arrange automatic refills to remove barriers without
discussing concerns.
Correct Answer
B
Rationales
Correct: Exploring concerns and eliciting preferences facilitates
shared decision-making, respects autonomy, and identifies
modifiable barriers (cost, side effects) enabling a collaborative
plan.
A: Immediate insistence disregards patient values and risks
damaging trust.
C: Signing refusal documents is premature and bypasses
problem-solving and negotiation.
D: Removing barriers without discussion neglects the patient’s
values and may lead to covert nonadherence.
Teaching Point
Elicit patient concerns and preferences first; shared decision-
making improves adherence and trust.
Citation (APA)
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
,2)
Reference — Ch. 2 — Promoting Good Health — Primary
Prevention and Behavior Change.
accessmedicine.mhmedical.com
Question Stem
A 50-year-old woman with prediabetes asks which lifestyle
change will most reduce her long-term diabetes risk. Based on
evidence-based prevention guidance, which nurse
recommendation is best?
Options
A. Begin daily low-dose aspirin to prevent diabetes.
B. Start a moderate-intensity aerobic exercise program plus
weight loss of 5–7%.
C. Take vitamin supplements to improve insulin sensitivity.
D. Stop all carbohydrates entirely to prevent progression.
Correct Answer
B
Rationales
Correct: Moderate-intensity exercise plus modest weight loss
(≈5–7%) is the most evidence-based primary prevention
strategy to delay or prevent progression from prediabetes to
diabetes.
A: Low-dose aspirin reduces vascular events in some patients
but does not prevent diabetes.
C: Routine vitamin supplements lack proven effect for diabetes
prevention.
D: Complete carbohydrate elimination is neither safe nor
, necessary and is not supported by prevention guidelines.
Teaching Point
Moderate exercise + 5–7% weight loss is key for diabetes
prevention in prediabetes.
Citation (APA)
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 2.
3)
Reference — Ch. 3 — Vaccine Opposition and Hesitancy —
Drivers of Hesitancy and Communication Strategies.
accessmedicine.mhmedical.com
Question Stem
A nurse is preparing to counsel a hesitant parent who believes
vaccines cause autism after reading social media posts. Which
approach best addresses hesitancy and promotes vaccine
acceptance?
Options
A. Provide a long list of published studies disproving the autism
link.
B. Use a presumptive recommendation, address specific
concerns compassionately, and offer to answer questions.
C. Refuse to vaccinate until the parent consents in writing.
D. Tell the parent that refusing vaccines is irresponsible and will
harm their child.
Correct Answer
(Vol.1 & Vol.2)
21st Edition Newer Edition
Author(s)Joseph Loscalzo; Anthony S. Fauci;
Dennis L. Kasper; Stephen Hauser; Dan Longo;
J. Larry Jameson
TEST BANK
1)
Reference — Ch. 1 — The Practice of Medicine — The Doctor–
Patient Relationship. accessmedicine.mhmedical.com
Question Stem
A 64-year-old man with multiple chronic illnesses tells his
primary care nurse he is reluctant to follow a newly prescribed
medication because of the cost and side-effect worries. Which
immediate nursing action best supports shared decision-making
and preserves the therapeutic relationship?
Options
A. Insist the patient start the medication now because
,nonadherence will worsen outcomes.
B. Explore the patient’s concerns about cost and side effects,
elicit preferences, and offer alternatives.
C. Ask the patient to sign a refusal form and document
noncompliance.
D. Arrange automatic refills to remove barriers without
discussing concerns.
Correct Answer
B
Rationales
Correct: Exploring concerns and eliciting preferences facilitates
shared decision-making, respects autonomy, and identifies
modifiable barriers (cost, side effects) enabling a collaborative
plan.
A: Immediate insistence disregards patient values and risks
damaging trust.
C: Signing refusal documents is premature and bypasses
problem-solving and negotiation.
D: Removing barriers without discussion neglects the patient’s
values and may lead to covert nonadherence.
Teaching Point
Elicit patient concerns and preferences first; shared decision-
making improves adherence and trust.
Citation (APA)
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
,2)
Reference — Ch. 2 — Promoting Good Health — Primary
Prevention and Behavior Change.
accessmedicine.mhmedical.com
Question Stem
A 50-year-old woman with prediabetes asks which lifestyle
change will most reduce her long-term diabetes risk. Based on
evidence-based prevention guidance, which nurse
recommendation is best?
Options
A. Begin daily low-dose aspirin to prevent diabetes.
B. Start a moderate-intensity aerobic exercise program plus
weight loss of 5–7%.
C. Take vitamin supplements to improve insulin sensitivity.
D. Stop all carbohydrates entirely to prevent progression.
Correct Answer
B
Rationales
Correct: Moderate-intensity exercise plus modest weight loss
(≈5–7%) is the most evidence-based primary prevention
strategy to delay or prevent progression from prediabetes to
diabetes.
A: Low-dose aspirin reduces vascular events in some patients
but does not prevent diabetes.
C: Routine vitamin supplements lack proven effect for diabetes
prevention.
D: Complete carbohydrate elimination is neither safe nor
, necessary and is not supported by prevention guidelines.
Teaching Point
Moderate exercise + 5–7% weight loss is key for diabetes
prevention in prediabetes.
Citation (APA)
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 2.
3)
Reference — Ch. 3 — Vaccine Opposition and Hesitancy —
Drivers of Hesitancy and Communication Strategies.
accessmedicine.mhmedical.com
Question Stem
A nurse is preparing to counsel a hesitant parent who believes
vaccines cause autism after reading social media posts. Which
approach best addresses hesitancy and promotes vaccine
acceptance?
Options
A. Provide a long list of published studies disproving the autism
link.
B. Use a presumptive recommendation, address specific
concerns compassionately, and offer to answer questions.
C. Refuse to vaccinate until the parent consents in writing.
D. Tell the parent that refusing vaccines is irresponsible and will
harm their child.
Correct Answer
