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 nurse explains to a patient that evidence-based practice (EBP)
guides clinical decisions. Which statement by the nurse best
describes evidence-based practice?
Options:
,A. Using interventions that are based solely on physician
preference
B. Integrating research evidence, clinical expertise, and patient
preferences
C. Following institutional policies without considering patient
values
D. Applying interventions that were effective for previous
patients
Correct Answer: B
Rationale for A:
Physician recommendations are important; however, EBP
requires integration of multiple sources of evidence, including
research findings and patient preferences. Reliance on
physician preference alone does not represent evidence-based
care.
Rationale for B:
This is correct. EBP combines the best available research
evidence, clinical expertise, and the patient's values and
preferences to support optimal health outcomes and
individualized care.
Rationale for C:
Policies support safe practice but should not replace
consideration of patient values and current evidence. EBP
requires individualized decision-making.
,Rationale for D:
Past experiences may contribute to clinical expertise, but EBP
requires systematic evaluation of current evidence rather than
relying solely on previous experiences.
Key Takeaway:
Evidence-based practice integrates research, clinical expertise,
and patient preferences to guide nursing care.
Question 2
Question Type: MCQ
Question Stem:
Which action by a nurse demonstrates patient-centered care?
Options:
A. Selecting interventions without discussing options
B. Encouraging the patient to participate in care planning
C. Prioritizing organizational efficiency over patient preferences
D. Limiting patient questions to save time
Correct Answer: B
Rationale for A:
Patient-centered care involves collaboration. Excluding patients
from decision-making limits autonomy and engagement.
Rationale for B:
, This is correct. Patient-centered care emphasizes respect for
patient values, preferences, and active participation in health
decisions.
Rationale for C:
Efficiency is important but should not supersede individualized
care and patient preferences.
Rationale for D:
Encouraging questions promotes understanding, informed
consent, and patient engagement.
Key Takeaway:
Patient-centered care requires partnership, communication,
and shared decision-making.
Question 3
Question Type: MCQ
Question Stem:
A newly licensed nurse asks about the primary purpose of
quality improvement initiatives. What is the best response?
Options:
A. To eliminate all healthcare costs
B. To identify and improve healthcare processes and outcomes
C. To increase documentation requirements
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 nurse explains to a patient that evidence-based practice (EBP)
guides clinical decisions. Which statement by the nurse best
describes evidence-based practice?
Options:
,A. Using interventions that are based solely on physician
preference
B. Integrating research evidence, clinical expertise, and patient
preferences
C. Following institutional policies without considering patient
values
D. Applying interventions that were effective for previous
patients
Correct Answer: B
Rationale for A:
Physician recommendations are important; however, EBP
requires integration of multiple sources of evidence, including
research findings and patient preferences. Reliance on
physician preference alone does not represent evidence-based
care.
Rationale for B:
This is correct. EBP combines the best available research
evidence, clinical expertise, and the patient's values and
preferences to support optimal health outcomes and
individualized care.
Rationale for C:
Policies support safe practice but should not replace
consideration of patient values and current evidence. EBP
requires individualized decision-making.
,Rationale for D:
Past experiences may contribute to clinical expertise, but EBP
requires systematic evaluation of current evidence rather than
relying solely on previous experiences.
Key Takeaway:
Evidence-based practice integrates research, clinical expertise,
and patient preferences to guide nursing care.
Question 2
Question Type: MCQ
Question Stem:
Which action by a nurse demonstrates patient-centered care?
Options:
A. Selecting interventions without discussing options
B. Encouraging the patient to participate in care planning
C. Prioritizing organizational efficiency over patient preferences
D. Limiting patient questions to save time
Correct Answer: B
Rationale for A:
Patient-centered care involves collaboration. Excluding patients
from decision-making limits autonomy and engagement.
Rationale for B:
, This is correct. Patient-centered care emphasizes respect for
patient values, preferences, and active participation in health
decisions.
Rationale for C:
Efficiency is important but should not supersede individualized
care and patient preferences.
Rationale for D:
Encouraging questions promotes understanding, informed
consent, and patient engagement.
Key Takeaway:
Patient-centered care requires partnership, communication,
and shared decision-making.
Question 3
Question Type: MCQ
Question Stem:
A newly licensed nurse asks about the primary purpose of
quality improvement initiatives. What is the best response?
Options:
A. To eliminate all healthcare costs
B. To identify and improve healthcare processes and outcomes
C. To increase documentation requirements
