Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference
Ch. 1 — The Patient: Consumer of Nursing and Health Care
Question Stem
A 68-year-old man with limited mobility and low income arrives
at the clinic for a follow-up. As the nurse prepares a plan of
care, which action best reflects patient-centered care for this
individual?
Options
A. Schedule all follow-up visits at the most convenient clinic
times.
,B. Provide written discharge instructions and ask him to read
them at home.
C. Ask about his preferences, transportation access, and home
support, then tailor the plan.
D. Refer him to the social worker and consider the nursing task
complete.
Correct Answer
C
Rationales
• Correct (C): Eliciting preferences, transportation, and
support assesses the patient’s needs and enables an
individualized plan—core to patient-centered nursing care.
• Incorrect (A): Scheduling clinic times without assessing his
situation may not match his real barriers or preferences.
• Incorrect (B): Providing written instructions alone ignores
health literacy, functional limitations, and need for tailored
teaching.
• Incorrect (D): Referring appropriately is useful but
abandoning assessment and collaboration is not patient-
centered nursing.
Teaching Point
Assess social determinants and preferences to individualize
patient-centered care.
,Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2
Reference
Ch. 1 — The Patient’s Basic Needs: Maslow Hierarchy of Needs
Question Stem
A nurse admits an anxious postoperative patient who refuses to
ambulate because of incisional pain. Using Maslow’s hierarchy,
which nursing action should be prioritized first?
Options
A. Arrange for a family member to remain at bedside for
reassurance.
B. Administer prescribed analgesic before ambulation and
reassess pain.
C. Teach deep breathing and relaxation techniques for anxiety
reduction.
D. Begin progressive mobility exercises and document refusal.
Correct Answer
B
Rationales
, • Correct (B): Physiologic needs (pain control) are
foundational; treating pain enables participation in higher-
level interventions like mobility.
• Incorrect (A): Emotional support is important but
secondary to relieving physiologic pain that limits function.
• Incorrect (C): Relaxation can help anxiety but will not
enable safe ambulation if pain remains uncontrolled.
• Incorrect (D): Forcing mobility or only documenting refusal
neglects addressing the primary physiological barrier—
pain.
Teaching Point
Address physiologic needs (pain) first to enable participation in
recovery activities.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3
Reference
Ch. 1 — Health Promotion
Question Stem
A 52-year-old patient with stage 1 hypertension asks how to
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference
Ch. 1 — The Patient: Consumer of Nursing and Health Care
Question Stem
A 68-year-old man with limited mobility and low income arrives
at the clinic for a follow-up. As the nurse prepares a plan of
care, which action best reflects patient-centered care for this
individual?
Options
A. Schedule all follow-up visits at the most convenient clinic
times.
,B. Provide written discharge instructions and ask him to read
them at home.
C. Ask about his preferences, transportation access, and home
support, then tailor the plan.
D. Refer him to the social worker and consider the nursing task
complete.
Correct Answer
C
Rationales
• Correct (C): Eliciting preferences, transportation, and
support assesses the patient’s needs and enables an
individualized plan—core to patient-centered nursing care.
• Incorrect (A): Scheduling clinic times without assessing his
situation may not match his real barriers or preferences.
• Incorrect (B): Providing written instructions alone ignores
health literacy, functional limitations, and need for tailored
teaching.
• Incorrect (D): Referring appropriately is useful but
abandoning assessment and collaboration is not patient-
centered nursing.
Teaching Point
Assess social determinants and preferences to individualize
patient-centered care.
,Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2
Reference
Ch. 1 — The Patient’s Basic Needs: Maslow Hierarchy of Needs
Question Stem
A nurse admits an anxious postoperative patient who refuses to
ambulate because of incisional pain. Using Maslow’s hierarchy,
which nursing action should be prioritized first?
Options
A. Arrange for a family member to remain at bedside for
reassurance.
B. Administer prescribed analgesic before ambulation and
reassess pain.
C. Teach deep breathing and relaxation techniques for anxiety
reduction.
D. Begin progressive mobility exercises and document refusal.
Correct Answer
B
Rationales
, • Correct (B): Physiologic needs (pain control) are
foundational; treating pain enables participation in higher-
level interventions like mobility.
• Incorrect (A): Emotional support is important but
secondary to relieving physiologic pain that limits function.
• Incorrect (C): Relaxation can help anxiety but will not
enable safe ambulation if pain remains uncontrolled.
• Incorrect (D): Forcing mobility or only documenting refusal
neglects addressing the primary physiological barrier—
pain.
Teaching Point
Address physiologic needs (pain) first to enable participation in
recovery activities.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3
Reference
Ch. 1 — Health Promotion
Question Stem
A 52-year-old patient with stage 1 hypertension asks how to
