Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1
Question Type: MCQ
Question Stem:
A registered nurse is caring for four patients on a medical-
surgical unit. Which action best demonstrates professional
nursing practice?
Options:
A. Performing interventions based solely on unit tradition
,B. Using current evidence, patient preferences, and clinical
expertise to plan care
C. Following a physician's recommendation without assessing
appropriateness
D. Delegating all patient education to unlicensed assistive
personnel
Correct Answer: B
Rationale for A:
Unit traditions may not reflect current best practices.
Professional nursing requires integration of evidence-based
standards rather than reliance on customary routines.
Continuing outdated practices can compromise patient
outcomes and safety.
Rationale for B:
This option reflects evidence-based nursing practice, which
combines the best available evidence, clinical expertise, and
patient values. This approach promotes safe, effective, patient-
centered care and aligns with professional nursing standards.
Rationale for C:
Nurses are accountable for independent clinical judgment.
Blindly implementing recommendations without assessment
may place patients at risk and fails to meet professional
responsibilities.
Rationale for D:
,Patient education is a nursing responsibility requiring
assessment and evaluation. While assistive personnel may
reinforce teaching, accountability for education remains with
the registered nurse.
Key Takeaway:
Professional nursing practice integrates evidence, clinical
expertise, and patient preferences to promote optimal
outcomes.
Question 2
Question Type: MCQ
Question Stem:
A nurse is explaining the concept of patient-centered care to a
newly hired nurse. Which statement indicates correct
understanding?
Options:
A. "The nurse determines the plan of care without patient
input."
B. "Patient preferences and values should guide clinical
decisions whenever possible."
C. "Family members should make all decisions for adult
patients."
D. "Efficiency is more important than patient participation."
, Correct Answer: B
Rationale for A:
Patient-centered care emphasizes partnership and shared
decision-making. Excluding the patient from care planning
contradicts this principle.
Rationale for B:
Patient-centered care respects individual preferences, values,
and needs. Involving patients in decision-making promotes
autonomy, satisfaction, and adherence to treatment plans.
Rationale for C:
Competent adult patients retain the right to make their own
decisions. Family involvement is important but does not replace
patient autonomy.
Rationale for D:
Efficiency is important, but quality care requires meaningful
patient participation and informed decision-making.
Key Takeaway:
Patient-centered care places the patient's values and
preferences at the center of healthcare decisions.
Question 3
Question Type: MCQ
Question Stem:
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1
Question Type: MCQ
Question Stem:
A registered nurse is caring for four patients on a medical-
surgical unit. Which action best demonstrates professional
nursing practice?
Options:
A. Performing interventions based solely on unit tradition
,B. Using current evidence, patient preferences, and clinical
expertise to plan care
C. Following a physician's recommendation without assessing
appropriateness
D. Delegating all patient education to unlicensed assistive
personnel
Correct Answer: B
Rationale for A:
Unit traditions may not reflect current best practices.
Professional nursing requires integration of evidence-based
standards rather than reliance on customary routines.
Continuing outdated practices can compromise patient
outcomes and safety.
Rationale for B:
This option reflects evidence-based nursing practice, which
combines the best available evidence, clinical expertise, and
patient values. This approach promotes safe, effective, patient-
centered care and aligns with professional nursing standards.
Rationale for C:
Nurses are accountable for independent clinical judgment.
Blindly implementing recommendations without assessment
may place patients at risk and fails to meet professional
responsibilities.
Rationale for D:
,Patient education is a nursing responsibility requiring
assessment and evaluation. While assistive personnel may
reinforce teaching, accountability for education remains with
the registered nurse.
Key Takeaway:
Professional nursing practice integrates evidence, clinical
expertise, and patient preferences to promote optimal
outcomes.
Question 2
Question Type: MCQ
Question Stem:
A nurse is explaining the concept of patient-centered care to a
newly hired nurse. Which statement indicates correct
understanding?
Options:
A. "The nurse determines the plan of care without patient
input."
B. "Patient preferences and values should guide clinical
decisions whenever possible."
C. "Family members should make all decisions for adult
patients."
D. "Efficiency is more important than patient participation."
, Correct Answer: B
Rationale for A:
Patient-centered care emphasizes partnership and shared
decision-making. Excluding the patient from care planning
contradicts this principle.
Rationale for B:
Patient-centered care respects individual preferences, values,
and needs. Involving patients in decision-making promotes
autonomy, satisfaction, and adherence to treatment plans.
Rationale for C:
Competent adult patients retain the right to make their own
decisions. Family involvement is important but does not replace
patient autonomy.
Rationale for D:
Efficiency is important, but quality care requires meaningful
patient participation and informed decision-making.
Key Takeaway:
Patient-centered care places the patient's values and
preferences at the center of healthcare decisions.
Question 3
Question Type: MCQ
Question Stem:
