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 statement best describes professional nursing practice?
Options:
A. Nursing practice is based only on physician orders and facility
policy.
B. Nursing practice involves autonomous, accountable care
,grounded in standards, ethics, and evidence.
C. Nursing practice is limited to providing comfort measures
and basic hygiene.
D. Nursing practice is the same in all settings and does not
change with patient needs.
Correct Answer:
B
Rationale for A:
This is incorrect because nursing practice is not limited to
carrying out orders. Registered nurses use independent
judgment, standards of practice, and evidence to guide care.
Rationale for B:
This is correct because professional nursing practice includes
accountability, autonomy, ethical practice, and evidence-based
decision-making. Nurses assess, plan, implement, and evaluate
care within their scope.
Rationale for C:
This is incorrect because nursing includes much more than
basic care. Nurses also coordinate care, teach, advocate,
prioritize, and evaluate outcomes.
Rationale for D:
This is incorrect because nursing practice varies by patient
condition, setting, and scope of practice. Professional judgment
must adapt to the patient’s needs and the care environment.
,Key Takeaway:
Professional nursing practice is accountable, evidence-based,
and guided by standards and scope.
Question 2:
Question Type:
MCQ
Question Stem:
A patient tells the nurse, “I will sign anything you bring me; I do
not need to read it.” What is the nurse’s best response?
Options:
A. “Signing it is enough because the provider already explained
everything.”
B. “You should read it quickly so we can move on.”
C. “I can stay with you while you review it and ask questions
before you decide.”
D. “Only the legal department can answer your questions about
this form.”
Correct Answer:
C
Rationale for A:
This is incorrect because a signature alone does not prove
understanding or informed decision-making. The nurse should
support the patient’s right to ask questions and make an
informed choice.
, Rationale for B:
This is incorrect because rushing the patient may increase
misunderstanding and undermine informed consent or
informed participation in care.
Rationale for C:
This is correct because the nurse supports the patient as a
consumer of health care by promoting understanding,
autonomy, and informed decision-making.
Rationale for D:
This is incorrect because the nurse can clarify the process,
encourage questions, and involve the correct provider when
needed. The nurse does not simply defer all questions to legal
staff.
Key Takeaway:
Patients have the right to understand care before agreeing to it,
and nurses help protect that right.
Question 3:
Question Type:
MCQ
Question Stem:
Which factor is most likely to limit a person’s ability to obtain
follow-up care after discharge?
Options:
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 statement best describes professional nursing practice?
Options:
A. Nursing practice is based only on physician orders and facility
policy.
B. Nursing practice involves autonomous, accountable care
,grounded in standards, ethics, and evidence.
C. Nursing practice is limited to providing comfort measures
and basic hygiene.
D. Nursing practice is the same in all settings and does not
change with patient needs.
Correct Answer:
B
Rationale for A:
This is incorrect because nursing practice is not limited to
carrying out orders. Registered nurses use independent
judgment, standards of practice, and evidence to guide care.
Rationale for B:
This is correct because professional nursing practice includes
accountability, autonomy, ethical practice, and evidence-based
decision-making. Nurses assess, plan, implement, and evaluate
care within their scope.
Rationale for C:
This is incorrect because nursing includes much more than
basic care. Nurses also coordinate care, teach, advocate,
prioritize, and evaluate outcomes.
Rationale for D:
This is incorrect because nursing practice varies by patient
condition, setting, and scope of practice. Professional judgment
must adapt to the patient’s needs and the care environment.
,Key Takeaway:
Professional nursing practice is accountable, evidence-based,
and guided by standards and scope.
Question 2:
Question Type:
MCQ
Question Stem:
A patient tells the nurse, “I will sign anything you bring me; I do
not need to read it.” What is the nurse’s best response?
Options:
A. “Signing it is enough because the provider already explained
everything.”
B. “You should read it quickly so we can move on.”
C. “I can stay with you while you review it and ask questions
before you decide.”
D. “Only the legal department can answer your questions about
this form.”
Correct Answer:
C
Rationale for A:
This is incorrect because a signature alone does not prove
understanding or informed decision-making. The nurse should
support the patient’s right to ask questions and make an
informed choice.
, Rationale for B:
This is incorrect because rushing the patient may increase
misunderstanding and undermine informed consent or
informed participation in care.
Rationale for C:
This is correct because the nurse supports the patient as a
consumer of health care by promoting understanding,
autonomy, and informed decision-making.
Rationale for D:
This is incorrect because the nurse can clarify the process,
encourage questions, and involve the correct provider when
needed. The nurse does not simply defer all questions to legal
staff.
Key Takeaway:
Patients have the right to understand care before agreeing to it,
and nurses help protect that right.
Question 3:
Question Type:
MCQ
Question Stem:
Which factor is most likely to limit a person’s ability to obtain
follow-up care after discharge?
Options:
