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:
Which action by a nurse best demonstrates professional
accountability?
Options:
A. Asking another nurse to finish documentation after the shift
is over
,B. Reporting a medication omission promptly according to
agency policy
C. Waiting to see whether the patient experiences any adverse
effects first
D. Notifying the provider only if the patient later asks about the
missed dose
Correct Answer:
B
Rationale for A:
Delegating documentation to another nurse after the shift does
not address the issue directly and may delay accurate charting.
Accountability requires the nurse who made the error or
identified the omission to act promptly and transparently.
Rationale for B:
This is the best answer because accountability means accepting
responsibility for one’s actions and following established safety
procedures. Prompt reporting supports patient safety, allows
timely intervention, and ensures accurate documentation and
quality review.
Rationale for C:
Waiting is unsafe because it delays action and may increase the
risk of harm. Accountability requires immediate recognition,
assessment, and reporting of an error or omission rather than
passive observation.
,Rationale for D:
The nurse should not depend on the patient to identify a
medication omission. Professional accountability requires the
nurse to act independently, communicate the issue, and follow
policy without shifting responsibility.
Key Takeaway:
Accountability means taking responsibility for actions and
responding promptly to safety concerns.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement best reflects a patient’s right as a consumer of
health care?
Options:
A. “I must accept every treatment recommended by the
provider.”
B. “I can only ask questions after I sign the consent form.”
C. “I have the right to receive information and refuse
treatment.”
D. “The nurse decides which treatments are best for me
without discussion.”
, Correct Answer:
C
Rationale for A:
Patients are not required to accept every recommendation.
Health care consumers have the right to participate in decisions
and decline treatments after receiving appropriate information.
Rationale for B:
Questions should be encouraged before consent is signed.
Informed decision-making depends on understanding the risks,
benefits, and alternatives beforehand, not afterward.
Rationale for C:
This is correct because patients have the right to informed
consent, education, and refusal of treatment. Nursing care
must respect autonomy and support informed choices.
Rationale for D:
Nurses do not make unilateral decisions for competent adult
patients. The nurse’s role is to educate, advocate, and support
shared decision-making.
Key Takeaway:
Patients are active consumers of care with the right to
information, choice, and refusal.
Question 3:
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:
Which action by a nurse best demonstrates professional
accountability?
Options:
A. Asking another nurse to finish documentation after the shift
is over
,B. Reporting a medication omission promptly according to
agency policy
C. Waiting to see whether the patient experiences any adverse
effects first
D. Notifying the provider only if the patient later asks about the
missed dose
Correct Answer:
B
Rationale for A:
Delegating documentation to another nurse after the shift does
not address the issue directly and may delay accurate charting.
Accountability requires the nurse who made the error or
identified the omission to act promptly and transparently.
Rationale for B:
This is the best answer because accountability means accepting
responsibility for one’s actions and following established safety
procedures. Prompt reporting supports patient safety, allows
timely intervention, and ensures accurate documentation and
quality review.
Rationale for C:
Waiting is unsafe because it delays action and may increase the
risk of harm. Accountability requires immediate recognition,
assessment, and reporting of an error or omission rather than
passive observation.
,Rationale for D:
The nurse should not depend on the patient to identify a
medication omission. Professional accountability requires the
nurse to act independently, communicate the issue, and follow
policy without shifting responsibility.
Key Takeaway:
Accountability means taking responsibility for actions and
responding promptly to safety concerns.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement best reflects a patient’s right as a consumer of
health care?
Options:
A. “I must accept every treatment recommended by the
provider.”
B. “I can only ask questions after I sign the consent form.”
C. “I have the right to receive information and refuse
treatment.”
D. “The nurse decides which treatments are best for me
without discussion.”
, Correct Answer:
C
Rationale for A:
Patients are not required to accept every recommendation.
Health care consumers have the right to participate in decisions
and decline treatments after receiving appropriate information.
Rationale for B:
Questions should be encouraged before consent is signed.
Informed decision-making depends on understanding the risks,
benefits, and alternatives beforehand, not afterward.
Rationale for C:
This is correct because patients have the right to informed
consent, education, and refusal of treatment. Nursing care
must respect autonomy and support informed choices.
Rationale for D:
Nurses do not make unilateral decisions for competent adult
patients. The nurse’s role is to educate, advocate, and support
shared decision-making.
Key Takeaway:
Patients are active consumers of care with the right to
information, choice, and refusal.
Question 3:
