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 68-year-old man with type 2 diabetes tells the nurse he wants
to manage more of his care at home to avoid frequent clinic
visits. Which nursing action best supports him as a health care
consumer while promoting self-management?
,A. Explain that clinic visits are essential and discourage home
management.
B. Provide written instructions only about medications and
schedule follow-up.
C. Assess his home resources, learning needs, and arrange
community services.
D. Offer telephone reassurance weekly and advise to call if
symptoms worsen.
Correct Answer
C
Rationales
• Correct (C): Assessing home resources and learning needs
identifies barriers and enables tailored self-management
plans and linkage to community services—a consumer-
centered, evidence-based approach supported in Brunner
& Suddarth.
• A: Discouraging home management ignores patient
preferences and autonomy; it fails to evaluate safety or
capabilities.
• B: Written medication instructions alone do not address
learning style, home support, or resources needed for safe
self-care.
• D: Telephone reassurance without an assessment and
coordinated services is insufficient for safe, long-term self-
management.
,Teaching Point
Assess resources and learning needs to create safe, consumer-
centered self-management plans.
Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2021). 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
A postoperative patient is anxious and refuses ambulation
because of pain. Using Maslow’s hierarchy, which nursing
intervention should be prioritized?
A. Teach the patient about long-term benefits of ambulation.
B. Administer analgesic as prescribed and assist with safe
ambulation.
C. Discuss the patient’s fears and explore psychological coping.
D. Encourage family to motivate the patient to walk more.
Correct Answer
B
Rationales
, • Correct (B): Addressing physiologic needs (pain control) is
the priority per Maslow; adequate analgesia enables safe
ambulation and prevents complications.
• A: Teaching long-term benefits is important but secondary
until pain (a basic physiological need) is managed.
• C: Psychological support is valuable but should follow
interventions that resolve immediate physiologic barriers
to activity.
• D: Family encouragement may help but won’t overcome
uncontrolled pain or guarantee safety.
Teaching Point
Treat physiological needs (e.g., pain) first to enable higher-level
recovery tasks like ambulation.
Citation (APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2021). 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 designing a health promotion plan for
employees at a factory with high rates of obesity and