Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
Reference —Ch. 1 — Professional Nursing Practice — The
Patient: Consumer of Nursing and Health Care
Question Stem
A 58-year-old patient with type 2 diabetes expresses frustration
about medication costs and asks the nurse for options. Which
nursing action best reflects treating the patient as an informed
consumer of health care?
,A. Explain that costs are the physician’s responsibility and avoid
discussing alternatives.
B. Provide a list of patient-assistance programs and suggest
discussing generic alternatives with the provider.
C. Advise the patient to skip doses to make the medication last
longer.
D. Tell the patient to avoid follow-up appointments to reduce
fees.
Correct Answer
B
Rationales
• Correct (B): Providing resources (patient-assistance
programs) and encouraging discussion of generics supports
patient autonomy, shared decision-making, and access —
key elements of treating patients as health-care
consumers.
• A: Deflecting responsibility fails to empower the patient
and ignores nurse’s role in patient advocacy.
• C: Recommending skipped doses is unsafe and violates
standards of care.
• D: Discouraging follow-up care jeopardizes health and
contradicts patient-centered care principles.
Teaching Point
Advocate and provide resources so patients can make informed,
affordable care choices.
,Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2)
Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
Question Stem
During triage of a multicasualty incident, the nurse must
prioritize patients. Which patient should receive first priority
based on Maslow’s hierarchy?
A. A conscious patient with a deep laceration but stable vital
signs.
B. A patient who is anxious about losing a job due to the
incident.
C. A patient with absent respirations and no pulse.
D. A patient with moderate pain rating 6/10 and intact airway.
Correct Answer
C
Rationales
• Correct (C): Airway, breathing, and circulation (physiologic
survival needs) are highest priority in Maslow’s framework
, and emergency triage; absent respirations/pulse require
immediate resuscitation.
• A: Deep laceration is important but not more urgent than
absent respirations/pulse.
• B: Psychosocial concerns (safety/belonging) are lower
priority than physiologic threats.
• D: Moderate pain with intact airway is lower priority than
life-threatening ABC compromise.
Teaching Point
Always prioritize physiologic needs
(airway/breathing/circulation) before psychosocial concerns.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3)
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question Stem
A clinic nurse is planning an educational session for adults at
risk of cardiovascular disease. Which intervention best
exemplifies primary prevention?
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
Reference —Ch. 1 — Professional Nursing Practice — The
Patient: Consumer of Nursing and Health Care
Question Stem
A 58-year-old patient with type 2 diabetes expresses frustration
about medication costs and asks the nurse for options. Which
nursing action best reflects treating the patient as an informed
consumer of health care?
,A. Explain that costs are the physician’s responsibility and avoid
discussing alternatives.
B. Provide a list of patient-assistance programs and suggest
discussing generic alternatives with the provider.
C. Advise the patient to skip doses to make the medication last
longer.
D. Tell the patient to avoid follow-up appointments to reduce
fees.
Correct Answer
B
Rationales
• Correct (B): Providing resources (patient-assistance
programs) and encouraging discussion of generics supports
patient autonomy, shared decision-making, and access —
key elements of treating patients as health-care
consumers.
• A: Deflecting responsibility fails to empower the patient
and ignores nurse’s role in patient advocacy.
• C: Recommending skipped doses is unsafe and violates
standards of care.
• D: Discouraging follow-up care jeopardizes health and
contradicts patient-centered care principles.
Teaching Point
Advocate and provide resources so patients can make informed,
affordable care choices.
,Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2)
Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
Question Stem
During triage of a multicasualty incident, the nurse must
prioritize patients. Which patient should receive first priority
based on Maslow’s hierarchy?
A. A conscious patient with a deep laceration but stable vital
signs.
B. A patient who is anxious about losing a job due to the
incident.
C. A patient with absent respirations and no pulse.
D. A patient with moderate pain rating 6/10 and intact airway.
Correct Answer
C
Rationales
• Correct (C): Airway, breathing, and circulation (physiologic
survival needs) are highest priority in Maslow’s framework
, and emergency triage; absent respirations/pulse require
immediate resuscitation.
• A: Deep laceration is important but not more urgent than
absent respirations/pulse.
• B: Psychosocial concerns (safety/belonging) are lower
priority than physiologic threats.
• D: Moderate pain with intact airway is lower priority than
life-threatening ABC compromise.
Teaching Point
Always prioritize physiologic needs
(airway/breathing/circulation) before psychosocial concerns.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3)
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question Stem
A clinic nurse is planning an educational session for adults at
risk of cardiovascular disease. Which intervention best
exemplifies primary prevention?
