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 nursing action best demonstrates patient-centered care?
Options:
A. Provide the same teaching to every patient so care is
consistent.
B. Ask the patient which goals are most important for today’s
plan of care.
,C. Decide the daily plan after reviewing the chart and the
provider orders.
D. Focus on the diagnosis first and discuss preferences later.
Correct Answer: B
Rationale for A:
Standardized teaching may be efficient, but it does not
individualize care. Patient-centered care requires tailoring
interventions to the person’s values, priorities, readiness, and
understanding.
Rationale for B:
This action directly involves the patient in setting goals and
planning care, which reflects respect, collaboration, and shared
decision-making. It improves adherence and supports
outcomes that matter to the patient.
Rationale for C:
The nurse should use clinical information to guide care, but the
patient should still be involved in planning. Deciding the plan
without patient input can reduce engagement and undermine
autonomy.
Rationale for D:
The diagnosis matters, but patient-centered care does not
delay discussion of the patient’s preferences. Effective nursing
practice integrates clinical priorities with the patient’s values
from the start.
,Key Takeaway:
Patient-centered care includes shared goal setting and respect
for the patient’s priorities.
Question 2
Question Type: MCQ
Question Stem:
Which task can the registered nurse appropriately delegate to
unlicensed assistive personnel (UAP)?
Options:
A. Evaluate the effectiveness of a pain intervention.
B. Obtain routine vital signs on a stable postoperative patient.
C. Teach the use of an incentive spirometer.
D. Assess a patient who reports new shortness of breath.
Correct Answer: B
Rationale for A:
Evaluation requires nursing judgment and cannot be delegated
to UAP. The RN must interpret the patient’s response and
determine whether the intervention worked.
Rationale for B:
Routine vital signs for a stable patient are appropriate for UAP
when the RN has determined the patient is stable and the task
is within facility policy. The RN remains responsible for
interpreting abnormal findings.
, Rationale for C:
Teaching requires assessment of learning needs and evaluation
of understanding, which are nursing responsibilities. UAP may
reinforce simple instructions only if directed by the RN and
policy allows.
Rationale for D:
New shortness of breath is an unstable finding and requires
assessment by the RN. Delegating assessment of a changing
condition is unsafe.
Key Takeaway:
Delegate routine, predictable tasks to UAP only when the
patient is stable and the task does not require nursing
judgment.
Question 3
Question Type: MCQ
Question Stem:
Which factor is an example of a social determinant of health?
Options:
A. Blood type
B. Genetic inheritance
C. Age
D. Difficulty paying for prescribed medications
Correct Answer: D
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 nursing action best demonstrates patient-centered care?
Options:
A. Provide the same teaching to every patient so care is
consistent.
B. Ask the patient which goals are most important for today’s
plan of care.
,C. Decide the daily plan after reviewing the chart and the
provider orders.
D. Focus on the diagnosis first and discuss preferences later.
Correct Answer: B
Rationale for A:
Standardized teaching may be efficient, but it does not
individualize care. Patient-centered care requires tailoring
interventions to the person’s values, priorities, readiness, and
understanding.
Rationale for B:
This action directly involves the patient in setting goals and
planning care, which reflects respect, collaboration, and shared
decision-making. It improves adherence and supports
outcomes that matter to the patient.
Rationale for C:
The nurse should use clinical information to guide care, but the
patient should still be involved in planning. Deciding the plan
without patient input can reduce engagement and undermine
autonomy.
Rationale for D:
The diagnosis matters, but patient-centered care does not
delay discussion of the patient’s preferences. Effective nursing
practice integrates clinical priorities with the patient’s values
from the start.
,Key Takeaway:
Patient-centered care includes shared goal setting and respect
for the patient’s priorities.
Question 2
Question Type: MCQ
Question Stem:
Which task can the registered nurse appropriately delegate to
unlicensed assistive personnel (UAP)?
Options:
A. Evaluate the effectiveness of a pain intervention.
B. Obtain routine vital signs on a stable postoperative patient.
C. Teach the use of an incentive spirometer.
D. Assess a patient who reports new shortness of breath.
Correct Answer: B
Rationale for A:
Evaluation requires nursing judgment and cannot be delegated
to UAP. The RN must interpret the patient’s response and
determine whether the intervention worked.
Rationale for B:
Routine vital signs for a stable patient are appropriate for UAP
when the RN has determined the patient is stable and the task
is within facility policy. The RN remains responsible for
interpreting abnormal findings.
, Rationale for C:
Teaching requires assessment of learning needs and evaluation
of understanding, which are nursing responsibilities. UAP may
reinforce simple instructions only if directed by the RN and
policy allows.
Rationale for D:
New shortness of breath is an unstable finding and requires
assessment by the RN. Delegating assessment of a changing
condition is unsafe.
Key Takeaway:
Delegate routine, predictable tasks to UAP only when the
patient is stable and the task does not require nursing
judgment.
Question 3
Question Type: MCQ
Question Stem:
Which factor is an example of a social determinant of health?
Options:
A. Blood type
B. Genetic inheritance
C. Age
D. Difficulty paying for prescribed medications
Correct Answer: D
