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 the primary purpose of
professional nursing practice?
Options:
A. To perform delegated tasks efficiently under provider
supervision
B. To promote, maintain, and restore health through
,accountable, evidence-based care
C. To focus exclusively on curing disease through medical
treatment
D. To prioritize hospital productivity over individual patient
preferences
Correct Answer: B
Rationale for A:
Delegated tasks are part of nursing workflow, but they are not
the primary purpose of professional nursing practice. Nursing is
broader than task completion and requires independent
judgment, assessment, planning, intervention, and evaluation.
Rationale for B:
Professional nursing practice is centered on health promotion,
illness prevention, restoration of health, alleviation of suffering,
and advocacy. It is grounded in accountability, ethical
standards, and evidence-based decision-making, all of which
define nursing as a distinct profession.
Rationale for C:
Curing disease is not the sole focus of nursing. Nurses care for
patients with acute, chronic, and end-of-life conditions, and
they address functional, psychosocial, educational, and safety
needs in addition to medical treatment.
Rationale for D:
Patient-centered care requires alignment with patient goals,
values, and preferences. Productivity matters in health systems,
,but it cannot override professional accountability or
individualized care.
Key Takeaway:
Professional nursing practice is accountable, evidence-based,
and patient-centered.
Question 2:
Question Type: MCQ
Question Stem:
A newly admitted adult patient says, “I do not understand why I
need to sign consent forms before a procedure.” Which
response by the nurse is best?
Options:
A. “Signing consent means the nurse has explained all possible
risks.”
B. “Consent shows that you agree to the procedure after the
provider explains it.”
C. “Consent is optional if the procedure is considered routine.”
D. “Consent is only needed for surgery, not for diagnostic
procedures.”
Correct Answer: B
Rationale for A:
The nurse does not obtain informed consent by providing the
complete procedural explanation. The provider performing the
, procedure is responsible for explaining the nature, benefits,
risks, alternatives, and consequences of refusal.
Rationale for B:
Informed consent is the patient’s voluntary agreement after
receiving adequate information from the provider. The nurse
may witness the signature, verify understanding, and advocate
for clarification, but the provider gives the explanation.
Rationale for C:
Consent is not optional when a procedure requires informed
authorization. The level of consent depends on the
intervention, but the patient’s right to make informed decisions
remains central.
Rationale for D:
Many diagnostic procedures, especially those involving invasive
techniques or significant risk, also require informed consent.
Consent requirements are not limited to surgery.
Key Takeaway:
The nurse supports informed consent, but the provider explains
the procedure and obtains the authorization.
Question 3:
Question Type: MCQ
Question Stem:
Which factor is most likely to have a negative influence on a
community’s overall health status?
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 the primary purpose of
professional nursing practice?
Options:
A. To perform delegated tasks efficiently under provider
supervision
B. To promote, maintain, and restore health through
,accountable, evidence-based care
C. To focus exclusively on curing disease through medical
treatment
D. To prioritize hospital productivity over individual patient
preferences
Correct Answer: B
Rationale for A:
Delegated tasks are part of nursing workflow, but they are not
the primary purpose of professional nursing practice. Nursing is
broader than task completion and requires independent
judgment, assessment, planning, intervention, and evaluation.
Rationale for B:
Professional nursing practice is centered on health promotion,
illness prevention, restoration of health, alleviation of suffering,
and advocacy. It is grounded in accountability, ethical
standards, and evidence-based decision-making, all of which
define nursing as a distinct profession.
Rationale for C:
Curing disease is not the sole focus of nursing. Nurses care for
patients with acute, chronic, and end-of-life conditions, and
they address functional, psychosocial, educational, and safety
needs in addition to medical treatment.
Rationale for D:
Patient-centered care requires alignment with patient goals,
values, and preferences. Productivity matters in health systems,
,but it cannot override professional accountability or
individualized care.
Key Takeaway:
Professional nursing practice is accountable, evidence-based,
and patient-centered.
Question 2:
Question Type: MCQ
Question Stem:
A newly admitted adult patient says, “I do not understand why I
need to sign consent forms before a procedure.” Which
response by the nurse is best?
Options:
A. “Signing consent means the nurse has explained all possible
risks.”
B. “Consent shows that you agree to the procedure after the
provider explains it.”
C. “Consent is optional if the procedure is considered routine.”
D. “Consent is only needed for surgery, not for diagnostic
procedures.”
Correct Answer: B
Rationale for A:
The nurse does not obtain informed consent by providing the
complete procedural explanation. The provider performing the
, procedure is responsible for explaining the nature, benefits,
risks, alternatives, and consequences of refusal.
Rationale for B:
Informed consent is the patient’s voluntary agreement after
receiving adequate information from the provider. The nurse
may witness the signature, verify understanding, and advocate
for clarification, but the provider gives the explanation.
Rationale for C:
Consent is not optional when a procedure requires informed
authorization. The level of consent depends on the
intervention, but the patient’s right to make informed decisions
remains central.
Rationale for D:
Many diagnostic procedures, especially those involving invasive
techniques or significant risk, also require informed consent.
Consent requirements are not limited to surgery.
Key Takeaway:
The nurse supports informed consent, but the provider explains
the procedure and obtains the authorization.
Question 3:
Question Type: MCQ
Question Stem:
Which factor is most likely to have a negative influence on a
community’s overall health status?
