Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1️⃣
1⃣ Reference
Ch. 1 — The Patient: Consumer of Nursing and Health Care
2️⃣ Question Stem
A 68-year-old retired teacher with limited income refuses a
recommended medication because of cost. Which nursing
action best demonstrates patient-centered care while
addressing this barrier?
,3️⃣ Options
A. Document the refusal and continue with planned teaching at
the next visit.
B. Inform the provider immediately and request discontinuation
of the prescription.
C. Explore the patient’s financial concerns, assess ability to pay,
and discuss low-cost alternatives or assistance programs.
D. Tell the patient the medication is essential and insist they
obtain it.
4️⃣ Correct Answer
C
5⃣ Rationales
• Correct (C): Exploring barriers and offering alternatives
aligns with patient-centered care and the role of the nurse
as advocate and care coordinator; it addresses social
determinants that affect health outcomes.
• A: Passive documentation without problem-solving fails to
address the identified barrier and risks nonadherence.
• B: Stopping therapy without assessment could harm the
patient clinically and sidesteps addressing affordability.
• D: Insisting ignores patient autonomy and may damage
therapeutic rapport.
,6⃣ Teaching Point
Assess and address socioeconomic barriers; advocate for
affordable options.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2️02️2️). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2️⃣
1⃣ Reference
Ch. 1 — The Patient’s Basic Needs: Maslow Hierarchy of Needs
2️⃣ Question Stem
A post-op patient with low oxygen saturation (SpO₂ 86%) is
complaining about pain and requests pain medication. Which
nursing action takes priority?
3️⃣ Options
A. Administer the prescribed opioid analgesic immediately.
B. Reposition the patient, assess airway/breathing, and apply
oxygen as needed before analgesia.
C. Tell the patient pain is expected and document the
complaint.
D. Call the surgeon to refuse analgesia until saturation
improves.
, 4️⃣ Correct Answer
B
5⃣ Rationales
• Correct (B): According to Maslow-based prioritization and
basic physiological needs, airway and oxygenation are
higher priority than pain relief; addressing breathing first
promotes safety.
• A: Giving opioids before ensuring adequate oxygenation
risks respiratory depression and worsened hypoxia.
• C: Documentation alone neglects immediate physiological
risk.
• D: Delaying care by contacting the surgeon needlessly
prolongs a safety issue.
6⃣ Teaching Point
Always address airway, breathing, circulation before comfort
interventions when physiologic compromise exists.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2️02️2️). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3️⃣
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1️⃣
1⃣ Reference
Ch. 1 — The Patient: Consumer of Nursing and Health Care
2️⃣ Question Stem
A 68-year-old retired teacher with limited income refuses a
recommended medication because of cost. Which nursing
action best demonstrates patient-centered care while
addressing this barrier?
,3️⃣ Options
A. Document the refusal and continue with planned teaching at
the next visit.
B. Inform the provider immediately and request discontinuation
of the prescription.
C. Explore the patient’s financial concerns, assess ability to pay,
and discuss low-cost alternatives or assistance programs.
D. Tell the patient the medication is essential and insist they
obtain it.
4️⃣ Correct Answer
C
5⃣ Rationales
• Correct (C): Exploring barriers and offering alternatives
aligns with patient-centered care and the role of the nurse
as advocate and care coordinator; it addresses social
determinants that affect health outcomes.
• A: Passive documentation without problem-solving fails to
address the identified barrier and risks nonadherence.
• B: Stopping therapy without assessment could harm the
patient clinically and sidesteps addressing affordability.
• D: Insisting ignores patient autonomy and may damage
therapeutic rapport.
,6⃣ Teaching Point
Assess and address socioeconomic barriers; advocate for
affordable options.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2️02️2️). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2️⃣
1⃣ Reference
Ch. 1 — The Patient’s Basic Needs: Maslow Hierarchy of Needs
2️⃣ Question Stem
A post-op patient with low oxygen saturation (SpO₂ 86%) is
complaining about pain and requests pain medication. Which
nursing action takes priority?
3️⃣ Options
A. Administer the prescribed opioid analgesic immediately.
B. Reposition the patient, assess airway/breathing, and apply
oxygen as needed before analgesia.
C. Tell the patient pain is expected and document the
complaint.
D. Call the surgeon to refuse analgesia until saturation
improves.
, 4️⃣ Correct Answer
B
5⃣ Rationales
• Correct (B): According to Maslow-based prioritization and
basic physiological needs, airway and oxygenation are
higher priority than pain relief; addressing breathing first
promotes safety.
• A: Giving opioids before ensuring adequate oxygenation
risks respiratory depression and worsened hypoxia.
• C: Documentation alone neglects immediate physiological
risk.
• D: Delaying care by contacting the surgeon needlessly
prolongs a safety issue.
6⃣ Teaching Point
Always address airway, breathing, circulation before comfort
interventions when physiologic compromise exists.
7️⃣ Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2️02️2️). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3️⃣
