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 medical-surgical nurse is reviewing the principles of
professional nursing practice with a newly hired graduate
nurse. Which statement best reflects the nurse's primary
professional responsibility?
Options:
,A. Following physician prescriptions without questioning them
B. Providing patient-centered care based on evidence, ethics,
and clinical judgment
C. Prioritizing organizational goals over patient preferences
D. Delegating all nontechnical tasks to assistive personnel
Correct Answer: B
Rationale for A:
Following prescriptions is an important responsibility; however,
professional nursing practice requires independent clinical
judgment. Nurses must assess orders for safety and
appropriateness and advocate for patients when concerns
arise.
Rationale for B:
Professional nursing practice is grounded in patient-centered
care, evidence-based interventions, ethical principles, and
sound clinical judgment. Nurses integrate these elements to
promote optimal outcomes and patient safety.
Rationale for C:
Healthcare organizations have important goals, but patient
welfare remains the nurse's primary focus. Patient preferences
and values should be incorporated whenever possible.
Rationale for D:
,Delegation is a nursing responsibility, but nurses remain
accountable for patient outcomes. Delegating all nontechnical
tasks is neither practical nor reflective of professional nursing
accountability.
Key Takeaway:
Professional nursing practice combines evidence-based care,
ethics, advocacy, and clinical judgment to achieve safe patient-
centered outcomes.
Question 2
Question Type: MCQ
Question Stem:
A nurse is caring for a patient recently diagnosed with
hypertension. Which nursing action best demonstrates patient-
centered care?
Options:
A. Providing standardized education regardless of the patient's
concerns
B. Developing a care plan based solely on laboratory results
C. Including the patient's cultural beliefs and preferences when
planning treatment
D. Encouraging strict adherence to treatment without
discussing barriers
, Correct Answer: C
Rationale for A:
Standardized education may not address individual needs,
literacy levels, or concerns. Patient-centered care requires
personalization.
Rationale for B:
Laboratory findings are important but represent only one
aspect of holistic care. Effective care plans include patient
values, preferences, and goals.
Rationale for C:
Patient-centered care respects cultural, personal, and social
factors that influence health decisions and treatment
adherence.
Rationale for D:
Patients are more likely to adhere to treatment when barriers
and concerns are openly discussed and addressed
collaboratively.
Key Takeaway:
Patient-centered care involves partnership, respect for
preferences, and individualized planning.
Question 3
Question Type: MCQ
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 medical-surgical nurse is reviewing the principles of
professional nursing practice with a newly hired graduate
nurse. Which statement best reflects the nurse's primary
professional responsibility?
Options:
,A. Following physician prescriptions without questioning them
B. Providing patient-centered care based on evidence, ethics,
and clinical judgment
C. Prioritizing organizational goals over patient preferences
D. Delegating all nontechnical tasks to assistive personnel
Correct Answer: B
Rationale for A:
Following prescriptions is an important responsibility; however,
professional nursing practice requires independent clinical
judgment. Nurses must assess orders for safety and
appropriateness and advocate for patients when concerns
arise.
Rationale for B:
Professional nursing practice is grounded in patient-centered
care, evidence-based interventions, ethical principles, and
sound clinical judgment. Nurses integrate these elements to
promote optimal outcomes and patient safety.
Rationale for C:
Healthcare organizations have important goals, but patient
welfare remains the nurse's primary focus. Patient preferences
and values should be incorporated whenever possible.
Rationale for D:
,Delegation is a nursing responsibility, but nurses remain
accountable for patient outcomes. Delegating all nontechnical
tasks is neither practical nor reflective of professional nursing
accountability.
Key Takeaway:
Professional nursing practice combines evidence-based care,
ethics, advocacy, and clinical judgment to achieve safe patient-
centered outcomes.
Question 2
Question Type: MCQ
Question Stem:
A nurse is caring for a patient recently diagnosed with
hypertension. Which nursing action best demonstrates patient-
centered care?
Options:
A. Providing standardized education regardless of the patient's
concerns
B. Developing a care plan based solely on laboratory results
C. Including the patient's cultural beliefs and preferences when
planning treatment
D. Encouraging strict adherence to treatment without
discussing barriers
, Correct Answer: C
Rationale for A:
Standardized education may not address individual needs,
literacy levels, or concerns. Patient-centered care requires
personalization.
Rationale for B:
Laboratory findings are important but represent only one
aspect of holistic care. Effective care plans include patient
values, preferences, and goals.
Rationale for C:
Patient-centered care respects cultural, personal, and social
factors that influence health decisions and treatment
adherence.
Rationale for D:
Patients are more likely to adhere to treatment when barriers
and concerns are openly discussed and addressed
collaboratively.
Key Takeaway:
Patient-centered care involves partnership, respect for
preferences, and individualized planning.
Question 3
Question Type: MCQ
