Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse is reviewing the fundamental purpose of professional
nursing practice with a group of newly licensed nurses. Which
statement best reflects the primary focus of nursing?
A. Diagnosing diseases and prescribing treatments
B. Promoting health, preventing illness, and assisting patients in
achieving optimal functioning
C. Performing only physician-directed interventions
D. Managing hospital administrative operations
Correct Answer: B
,Rationale:
Professional nursing focuses on promoting health, preventing
illness, restoring health, alleviating suffering, and assisting
individuals to achieve optimal levels of functioning. Nursing
care extends across health promotion, illness prevention, and
patient-centered care. Option A reflects the medical role.
Option C inaccurately limits nursing autonomy. Option D is not
the primary purpose of nursing practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
A nurse is caring for a patient who expresses concern about
participating in decisions regarding treatment. Which nursing
response best supports patient-centered care?
A. “Your provider will decide what is best for you.”
B. “You should follow the treatment plan exactly as
prescribed.”
C. “You are encouraged to participate in decisions about your
care.”
D. “Family members should make healthcare decisions for you.”
Correct Answer: C
Rationale:
Patients are consumers of healthcare and active participants in
,healthcare decisions. Patient-centered care emphasizes
partnership, autonomy, and informed participation. Options A
and B reduce patient involvement, while D is inappropriate
unless the patient lacks decision-making capacity.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse identifies that a patient’s health is affected by
inadequate housing and limited access to nutritious food.
Which factor influencing health is demonstrated?
A. Genetic predisposition
B. Environmental and social determinants of health
C. Diagnostic uncertainty
D. Acute illness trajectory
Correct Answer: B
Rationale:
Health is influenced by multiple determinants, including
environmental, economic, and social factors. Housing stability
and food access significantly influence health outcomes. The
other options do not best explain the patient’s circumstances.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
, Question 4
Which nursing action best demonstrates evidence-based
practice?
A. Following interventions solely because senior nurses prefer
them
B. Choosing interventions supported by current evidence,
clinical expertise, and patient preferences
C. Applying the same intervention to every patient with a
similar diagnosis
D. Using only personal experience to guide care
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values/preferences to improve
outcomes. Options A and D lack research support, while C
ignores individualized care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 5
A nurse identifies a medication discrepancy before
administration and reports it immediately. Which principle of
quality and safety is most clearly demonstrated?
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse is reviewing the fundamental purpose of professional
nursing practice with a group of newly licensed nurses. Which
statement best reflects the primary focus of nursing?
A. Diagnosing diseases and prescribing treatments
B. Promoting health, preventing illness, and assisting patients in
achieving optimal functioning
C. Performing only physician-directed interventions
D. Managing hospital administrative operations
Correct Answer: B
,Rationale:
Professional nursing focuses on promoting health, preventing
illness, restoring health, alleviating suffering, and assisting
individuals to achieve optimal levels of functioning. Nursing
care extends across health promotion, illness prevention, and
patient-centered care. Option A reflects the medical role.
Option C inaccurately limits nursing autonomy. Option D is not
the primary purpose of nursing practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 2
A nurse is caring for a patient who expresses concern about
participating in decisions regarding treatment. Which nursing
response best supports patient-centered care?
A. “Your provider will decide what is best for you.”
B. “You should follow the treatment plan exactly as
prescribed.”
C. “You are encouraged to participate in decisions about your
care.”
D. “Family members should make healthcare decisions for you.”
Correct Answer: C
Rationale:
Patients are consumers of healthcare and active participants in
,healthcare decisions. Patient-centered care emphasizes
partnership, autonomy, and informed participation. Options A
and B reduce patient involvement, while D is inappropriate
unless the patient lacks decision-making capacity.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 3
A nurse identifies that a patient’s health is affected by
inadequate housing and limited access to nutritious food.
Which factor influencing health is demonstrated?
A. Genetic predisposition
B. Environmental and social determinants of health
C. Diagnostic uncertainty
D. Acute illness trajectory
Correct Answer: B
Rationale:
Health is influenced by multiple determinants, including
environmental, economic, and social factors. Housing stability
and food access significantly influence health outcomes. The
other options do not best explain the patient’s circumstances.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
, Question 4
Which nursing action best demonstrates evidence-based
practice?
A. Following interventions solely because senior nurses prefer
them
B. Choosing interventions supported by current evidence,
clinical expertise, and patient preferences
C. Applying the same intervention to every patient with a
similar diagnosis
D. Using only personal experience to guide care
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient values/preferences to improve
outcomes. Options A and D lack research support, while C
ignores individualized care.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Chapter 1: Professional Nursing Practice
Question 5
A nurse identifies a medication discrepancy before
administration and reports it immediately. Which principle of
quality and safety is most clearly demonstrated?
