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 caring for a patient who requests detailed
information about treatment options before signing a consent
form. Which nursing action best demonstrates advocacy in
professional nursing practice?
,A. Encouraging the patient to follow the provider’s
recommendation without discussion
B. Providing unbiased information so the patient can make an
informed decision
C. Asking the patient’s family to decide on behalf of the patient
D. Delaying the discussion until after the procedure is
scheduled
Correct Answer: B
Rationale:
Professional nursing practice includes advocacy for the
patient’s rights, autonomy, and informed decision-making.
Providing accurate and unbiased information supports the
patient’s ability to make informed choices about care.
Encouraging unquestioned compliance does not support
autonomy. Asking the family to decide may violate the patient’s
rights if the patient is competent. Delaying education interferes
with informed consent.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is preparing a plan of care for a hospitalized patient.
Which action reflects evidence-based nursing practice?
A. Following routines that have traditionally been used on the
unit
,B. Implementing interventions based solely on personal
experience
C. Integrating current research findings with clinical expertise
and patient preferences
D. Applying interventions recommended by coworkers without
evaluation
Correct Answer: C
Rationale:
Evidence-based nursing practice integrates current best
evidence, clinical expertise, and patient values to guide patient
care decisions. Reliance only on tradition, personal preference,
or coworker recommendations does not reflect evidence-based
practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse manager reviews a medication error that occurred
during a shift change. Which strategy is most effective in
promoting patient safety?
A. Punishing the nurse involved in the error
B. Limiting communication during handoff reports
C. Encouraging reporting and analysis of errors to improve
systems
D. Avoiding discussion of the error with the health care team
, Correct Answer: C
Rationale:
A culture of safety encourages reporting, analysis, and system
improvement to reduce future errors and improve patient
outcomes. Punitive approaches discourage reporting. Effective
communication during handoffs is essential for safety. Avoiding
discussion prevents learning and improvement.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse is assessing factors that influence a patient’s health
status. Which factor is considered a social determinant of
health?
A. Blood type
B. Housing stability
C. Genetic inheritance alone
D. Cardiac rhythm
Correct Answer: B
Rationale:
Social determinants of health include environmental and
socioeconomic conditions such as housing, education,
employment, and access to resources. These factors
significantly influence health outcomes. Blood type, genetics,
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 caring for a patient who requests detailed
information about treatment options before signing a consent
form. Which nursing action best demonstrates advocacy in
professional nursing practice?
,A. Encouraging the patient to follow the provider’s
recommendation without discussion
B. Providing unbiased information so the patient can make an
informed decision
C. Asking the patient’s family to decide on behalf of the patient
D. Delaying the discussion until after the procedure is
scheduled
Correct Answer: B
Rationale:
Professional nursing practice includes advocacy for the
patient’s rights, autonomy, and informed decision-making.
Providing accurate and unbiased information supports the
patient’s ability to make informed choices about care.
Encouraging unquestioned compliance does not support
autonomy. Asking the family to decide may violate the patient’s
rights if the patient is competent. Delaying education interferes
with informed consent.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 2
A nurse is preparing a plan of care for a hospitalized patient.
Which action reflects evidence-based nursing practice?
A. Following routines that have traditionally been used on the
unit
,B. Implementing interventions based solely on personal
experience
C. Integrating current research findings with clinical expertise
and patient preferences
D. Applying interventions recommended by coworkers without
evaluation
Correct Answer: C
Rationale:
Evidence-based nursing practice integrates current best
evidence, clinical expertise, and patient values to guide patient
care decisions. Reliance only on tradition, personal preference,
or coworker recommendations does not reflect evidence-based
practice.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 3
The nurse manager reviews a medication error that occurred
during a shift change. Which strategy is most effective in
promoting patient safety?
A. Punishing the nurse involved in the error
B. Limiting communication during handoff reports
C. Encouraging reporting and analysis of errors to improve
systems
D. Avoiding discussion of the error with the health care team
, Correct Answer: C
Rationale:
A culture of safety encourages reporting, analysis, and system
improvement to reduce future errors and improve patient
outcomes. Punitive approaches discourage reporting. Effective
communication during handoffs is essential for safety. Avoiding
discussion prevents learning and improvement.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1: Principles of Nursing Practice
Question 4
A nurse is assessing factors that influence a patient’s health
status. Which factor is considered a social determinant of
health?
A. Blood type
B. Housing stability
C. Genetic inheritance alone
D. Cardiac rhythm
Correct Answer: B
Rationale:
Social determinants of health include environmental and
socioeconomic conditions such as housing, education,
employment, and access to resources. These factors
significantly influence health outcomes. Blood type, genetics,
