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
Unit 1: Principles of Nursing Practice — Professional Nursing
Practice
Question 1
Question Type: MCQ
Question Stem: Which statement best reflects professional
nursing practice?
Options:
A. The nurse is responsible only for tasks that are performed
directly at the bedside.
B. The nurse is accountable for nursing actions and outcomes
within the scope of practice.
C. The nurse may delegate any task that is faster for the team
,to complete.
D. The nurse’s role is primarily to carry out provider
prescriptions exactly as written.
Correct Answer: B
Rationale for A: Incorrect. Professional nursing practice
includes bedside care, but it is not limited to direct hands-on
tasks. Nurses are responsible for assessment, planning,
implementation, evaluation, education, advocacy, and
documentation across the full scope of practice.
Rationale for B: Correct. Accountability is a core principle of
professional nursing practice. The nurse is responsible for using
clinical judgment, practicing within licensure and standards,
and being answerable for nursing decisions and outcomes.
Rationale for C: Incorrect. Delegation must be based on patient
stability, task predictability, and staff competence, not
convenience or speed. Unsafe delegation can place the client at
risk and expose the nurse to legal and professional
consequences.
Rationale for D: Incorrect. Nursing is not limited to following
orders. The nurse uses independent judgment, collaborates
with the health care team, and applies the nursing process to
provide safe and effective care.
Key Takeaway: Professional nursing practice requires
accountability, clinical judgment, and care within defined
standards of practice.
,Question 2
Question Type: MCQ
Question Stem: Which action best demonstrates that the
patient is acting as a consumer of nursing and health care
services?
Options:
A. Accepting every recommendation without asking questions
B. Choosing among treatment options after reviewing risks,
benefits, and costs
C. Waiting for the nurse to decide all care needs
D. Following the plan of care only because the provider ordered
it
Correct Answer: B
Rationale for A: Incorrect. A consumer of health care asks
questions, compares options, and participates in decisions.
Accepting recommendations passively does not show consumer
behavior.
Rationale for B: Correct. A health care consumer evaluates
choices and participates in decision-making. Choosing a plan
after understanding risks, benefits, and costs reflects informed
consumer participation.
Rationale for C: Incorrect. The patient is not expected to be
passive. Modern nursing practice supports shared decision-
making and patient-centered care.
, Rationale for D: Incorrect. Provider orders are important, but
consumer behavior involves understanding and choosing
among options when possible. Health care decisions should
reflect informed consent and patient preference.
Key Takeaway: The patient as a consumer participates actively
in decisions about care and treatment.
Question 3
Question Type: MCQ
Question Stem: Which statement best describes health from a
nursing perspective?
Options:
A. The complete absence of disease or disability
B. A dynamic state of optimal functioning and adaptation
C. A condition that remains stable throughout life
D. The ability to avoid health care contact whenever possible
Correct Answer: B
Rationale for A: Incorrect. Health is broader than the absence
of disease. A person may live with chronic illness and still
experience health through adaptation, function, and well-
being.
Rationale for B: Correct. Nursing views health as a dynamic
process influenced by physical, mental, social, cultural, and
environmental factors. It reflects the person’s ability to adapt
and function.
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Unit 1: Principles of Nursing Practice — Professional Nursing
Practice
Question 1
Question Type: MCQ
Question Stem: Which statement best reflects professional
nursing practice?
Options:
A. The nurse is responsible only for tasks that are performed
directly at the bedside.
B. The nurse is accountable for nursing actions and outcomes
within the scope of practice.
C. The nurse may delegate any task that is faster for the team
,to complete.
D. The nurse’s role is primarily to carry out provider
prescriptions exactly as written.
Correct Answer: B
Rationale for A: Incorrect. Professional nursing practice
includes bedside care, but it is not limited to direct hands-on
tasks. Nurses are responsible for assessment, planning,
implementation, evaluation, education, advocacy, and
documentation across the full scope of practice.
Rationale for B: Correct. Accountability is a core principle of
professional nursing practice. The nurse is responsible for using
clinical judgment, practicing within licensure and standards,
and being answerable for nursing decisions and outcomes.
Rationale for C: Incorrect. Delegation must be based on patient
stability, task predictability, and staff competence, not
convenience or speed. Unsafe delegation can place the client at
risk and expose the nurse to legal and professional
consequences.
Rationale for D: Incorrect. Nursing is not limited to following
orders. The nurse uses independent judgment, collaborates
with the health care team, and applies the nursing process to
provide safe and effective care.
Key Takeaway: Professional nursing practice requires
accountability, clinical judgment, and care within defined
standards of practice.
,Question 2
Question Type: MCQ
Question Stem: Which action best demonstrates that the
patient is acting as a consumer of nursing and health care
services?
Options:
A. Accepting every recommendation without asking questions
B. Choosing among treatment options after reviewing risks,
benefits, and costs
C. Waiting for the nurse to decide all care needs
D. Following the plan of care only because the provider ordered
it
Correct Answer: B
Rationale for A: Incorrect. A consumer of health care asks
questions, compares options, and participates in decisions.
Accepting recommendations passively does not show consumer
behavior.
Rationale for B: Correct. A health care consumer evaluates
choices and participates in decision-making. Choosing a plan
after understanding risks, benefits, and costs reflects informed
consumer participation.
Rationale for C: Incorrect. The patient is not expected to be
passive. Modern nursing practice supports shared decision-
making and patient-centered care.
, Rationale for D: Incorrect. Provider orders are important, but
consumer behavior involves understanding and choosing
among options when possible. Health care decisions should
reflect informed consent and patient preference.
Key Takeaway: The patient as a consumer participates actively
in decisions about care and treatment.
Question 3
Question Type: MCQ
Question Stem: Which statement best describes health from a
nursing perspective?
Options:
A. The complete absence of disease or disability
B. A dynamic state of optimal functioning and adaptation
C. A condition that remains stable throughout life
D. The ability to avoid health care contact whenever possible
Correct Answer: B
Rationale for A: Incorrect. Health is broader than the absence
of disease. A person may live with chronic illness and still
experience health through adaptation, function, and well-
being.
Rationale for B: Correct. Nursing views health as a dynamic
process influenced by physical, mental, social, cultural, and
environmental factors. It reflects the person’s ability to adapt
and function.
