Harrison's Principles of Internal Medicine
(Vol.1 & Vol.2)
22nd Edition
• Author(s)Joseph Loscalzo; Anthony S.
Fauci; Dennis L. Kasper; Stephen Hauser;
Dan Longo; J. Larry Jameson
Test Bank
Medical-Surgical Nursing Test Bank (20 MCQs)
1.
A nurse emphasizes patient-centered care when planning
interventions. Which principle best defines patient-centered
clinical medicine?
A. Reliance on population-level guidelines
B. Integration of patient values, preferences, and clinical
evidence
C. Use of advanced diagnostics before physical examination
D. Provider-driven decision making
,Correct Answer: B
Rationale: Patient-centered care integrates clinical evidence
with individual patient preferences and values.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
The Practice of Medicine
2.
Which factor contributes MOST to preventable morbidity
according to health promotion principles?
A. Genetic predisposition
B. Infectious exposure
C. Modifiable lifestyle behaviors
D. Aging
Correct Answer: C
Rationale: Modifiable behaviors (smoking, diet, inactivity)
account for a large proportion of preventable disease burden.
Citation: Harrison’s 22nd ed., Promoting Good Health
3.
A patient refuses vaccination due to fear of adverse effects.
Which nursing response aligns with evidence-based
management of vaccine hesitancy?
A. Dismiss the concern to prevent misinformation
B. Provide empathetic dialogue and address specific concerns
,C. Delay vaccination indefinitely
D. Emphasize mandates over discussion
Correct Answer: B
Rationale: Respectful communication and targeted education
are central to addressing vaccine hesitancy.
Citation: Harrison’s 22nd ed., Vaccine Opposition and Hesitancy
4.
Clinical decision-making under uncertainty is BEST supported by
which approach?
A. Intuition alone
B. Algorithmic thinking only
C. Probabilistic reasoning and evidence appraisal
D. Defensive medicine
Correct Answer: C
Rationale: Clinical reasoning integrates probability, evidence,
and patient context.
Citation: Harrison’s 22nd ed., Decision-Making in Clinical
Medicine
5.
Precision medicine primarily aims to:
A. Replace clinical judgment
B. Tailor prevention and treatment based on individual
, variability
C. Focus exclusively on genomics
D. Eliminate population-based care
Correct Answer: B
Rationale: Precision medicine individualizes care using genetic,
environmental, and lifestyle data.
Citation: Harrison’s 22nd ed., Precision Medicine and Clinical
Care
6.
Which screening principle improves benefit-to-harm ratio?
A. Screening all diseases early
B. Screening diseases with effective treatment and detectable
preclinical phase
C. Screening rare diseases
D. Screening without informed consent
Correct Answer: B
Rationale: Effective screening targets diseases where early
detection improves outcomes.
Citation: Harrison’s 22nd ed., Screening and Prevention of
Disease
7.
(Vol.1 & Vol.2)
22nd Edition
• Author(s)Joseph Loscalzo; Anthony S.
Fauci; Dennis L. Kasper; Stephen Hauser;
Dan Longo; J. Larry Jameson
Test Bank
Medical-Surgical Nursing Test Bank (20 MCQs)
1.
A nurse emphasizes patient-centered care when planning
interventions. Which principle best defines patient-centered
clinical medicine?
A. Reliance on population-level guidelines
B. Integration of patient values, preferences, and clinical
evidence
C. Use of advanced diagnostics before physical examination
D. Provider-driven decision making
,Correct Answer: B
Rationale: Patient-centered care integrates clinical evidence
with individual patient preferences and values.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
The Practice of Medicine
2.
Which factor contributes MOST to preventable morbidity
according to health promotion principles?
A. Genetic predisposition
B. Infectious exposure
C. Modifiable lifestyle behaviors
D. Aging
Correct Answer: C
Rationale: Modifiable behaviors (smoking, diet, inactivity)
account for a large proportion of preventable disease burden.
Citation: Harrison’s 22nd ed., Promoting Good Health
3.
A patient refuses vaccination due to fear of adverse effects.
Which nursing response aligns with evidence-based
management of vaccine hesitancy?
A. Dismiss the concern to prevent misinformation
B. Provide empathetic dialogue and address specific concerns
,C. Delay vaccination indefinitely
D. Emphasize mandates over discussion
Correct Answer: B
Rationale: Respectful communication and targeted education
are central to addressing vaccine hesitancy.
Citation: Harrison’s 22nd ed., Vaccine Opposition and Hesitancy
4.
Clinical decision-making under uncertainty is BEST supported by
which approach?
A. Intuition alone
B. Algorithmic thinking only
C. Probabilistic reasoning and evidence appraisal
D. Defensive medicine
Correct Answer: C
Rationale: Clinical reasoning integrates probability, evidence,
and patient context.
Citation: Harrison’s 22nd ed., Decision-Making in Clinical
Medicine
5.
Precision medicine primarily aims to:
A. Replace clinical judgment
B. Tailor prevention and treatment based on individual
, variability
C. Focus exclusively on genomics
D. Eliminate population-based care
Correct Answer: B
Rationale: Precision medicine individualizes care using genetic,
environmental, and lifestyle data.
Citation: Harrison’s 22nd ed., Precision Medicine and Clinical
Care
6.
Which screening principle improves benefit-to-harm ratio?
A. Screening all diseases early
B. Screening diseases with effective treatment and detectable
preclinical phase
C. Screening rare diseases
D. Screening without informed consent
Correct Answer: B
Rationale: Effective screening targets diseases where early
detection improves outcomes.
Citation: Harrison’s 22nd ed., Screening and Prevention of
Disease
7.
