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:
A new graduate nurse asks what best describes the professional
role of nursing. Which response is most accurate?
Options:
A. Nursing is primarily the execution of provider-prescribed
treatments.
B. Nursing is a profession that combines independent
,judgment, caring, science, and advocacy to promote health.
C. Nursing is the performance of technical tasks in hospitals and
clinics.
D. Nursing is a supportive role that assists the patient and
family with comfort measures only.
Correct Answer:
B
Rationale for A:
This is incorrect because nursing is not limited to carrying out
provider orders. Although collaboration and implementation of
prescribed therapy are part of practice, professional nursing
also includes independent assessment, clinical reasoning,
patient education, advocacy, and evaluation of outcomes.
Rationale for B:
This is correct. Professional nursing integrates scientific
knowledge, clinical judgment, communication, caring, ethics,
and advocacy. Nurses assess, plan, intervene, educate,
coordinate care, and evaluate outcomes to promote health and
safety across settings.
Rationale for C:
This is incorrect because nursing is much broader than technical
task performance. Technical skills are important, but
professional practice also requires judgment, leadership,
evidence-based care, and accountability.
,Rationale for D:
This is incorrect because comfort measures are only one part of
nursing care. Nurses also manage symptoms, prevent
complications, coordinate interdisciplinary care, and support
decision-making.
Key Takeaway:
Professional nursing is a distinct discipline that uses science,
judgment, and advocacy to improve patient outcomes.
Question 2:
Question Type: MCQ
Question Stem:
A nurse is caring for a patient who says, “I do not want the
treatment the provider recommended.” Which nursing action
best reflects respect for the patient as a consumer of health
care?
Options:
A. Explain that the provider has already made the best decision.
B. Tell the patient that refusal will delay discharge.
C. Assess the patient’s understanding and support the patient’s
right to make an informed choice.
D. Ask the family to decide because the patient is being
difficult.
, Correct Answer:
C
Rationale for A:
This is incorrect because it dismisses patient autonomy. The
provider may recommend treatment, but the patient has the
right to accept or refuse care after receiving information.
Rationale for B:
This is incorrect because coercion is inappropriate and does not
support informed decision-making. Nurses should provide
education and explore concerns, not pressure the patient.
Rationale for C:
This is correct. The patient is a consumer with rights, including
autonomy and informed consent. The nurse should assess
understanding, clarify information, and support decision-
making while ensuring the choice is informed.
Rationale for D:
This is incorrect because the patient’s own decision-making
rights should be respected unless the patient lacks capacity.
Family input may be helpful, but it does not replace patient
autonomy.
Key Takeaway:
Patients are active consumers of health care and have the right
to informed, voluntary choices.
Question 3: