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:
A nurse is reviewing the concept of professional nursing
practice with a newly licensed nurse. Which action best reflects
professional accountability?
Options:
,A. Following a medication order even when the dosage appears
inconsistent with the patient's age
B. Documenting only the tasks completed to save time
C. Questioning a prescription that seems unsafe before
administering the medication
D. Delegating all patient teaching to the unlicensed assistive
personnel
Correct Answer:
C
Rationale for A:
This is unsafe practice. A professional nurse does not blindly
follow an order when it appears questionable. Accountability
includes using clinical judgment and protecting the patient from
harm.
Rationale for B:
Documentation must be accurate, timely, and complete.
Recording only task completion omits essential assessment
data, patient responses, and follow-up actions, which weakens
continuity of care and legal protection.
Rationale for C:
This is correct because accountability requires the nurse to
recognize a potentially unsafe order, verify it, and advocate for
the patient. Professional practice includes use of judgment,
communication, and patient safety.
,Rationale for D:
Teaching is a nursing responsibility and cannot be fully
delegated to unlicensed assistive personnel. UAP may reinforce
simple instructions, but assessment, teaching, and evaluation
remain nursing functions.
Key Takeaway:
Professional accountability means using nursing judgment,
advocating for safety, and accepting responsibility for nursing
actions.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement by a nurse best demonstrates an
understanding of the patient as a consumer of nursing and
health care?
Options:
A. “Patients should accept all recommendations without asking
questions.”
B. “Patients have the right to receive information needed to
make informed decisions.”
C. “Patients are not entitled to see their health record.”
D. “Patients should avoid comparing treatment options.”
Correct Answer:
B
, Rationale for A:
Patients are not expected to passively accept care. Respect for
autonomy means they should ask questions and participate in
decisions.
Rationale for B:
This is correct. As consumers, patients have rights to
information, informed consent, and participation in decisions
about care. This supports autonomy and shared decision-
making.
Rationale for C:
Patients generally have rights to access or review portions of
their health information according to policy and law. Denying
access is inconsistent with consumer rights.
Rationale for D:
Comparing treatment options is part of informed decision-
making. Patients can and should evaluate benefits, risks, and
alternatives with the health care team.
Key Takeaway:
A patient is an active consumer with rights to information,
choice, and participation in care decisions.
Question 3:
Question Type:
MCQ
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 nurse is reviewing the concept of professional nursing
practice with a newly licensed nurse. Which action best reflects
professional accountability?
Options:
,A. Following a medication order even when the dosage appears
inconsistent with the patient's age
B. Documenting only the tasks completed to save time
C. Questioning a prescription that seems unsafe before
administering the medication
D. Delegating all patient teaching to the unlicensed assistive
personnel
Correct Answer:
C
Rationale for A:
This is unsafe practice. A professional nurse does not blindly
follow an order when it appears questionable. Accountability
includes using clinical judgment and protecting the patient from
harm.
Rationale for B:
Documentation must be accurate, timely, and complete.
Recording only task completion omits essential assessment
data, patient responses, and follow-up actions, which weakens
continuity of care and legal protection.
Rationale for C:
This is correct because accountability requires the nurse to
recognize a potentially unsafe order, verify it, and advocate for
the patient. Professional practice includes use of judgment,
communication, and patient safety.
,Rationale for D:
Teaching is a nursing responsibility and cannot be fully
delegated to unlicensed assistive personnel. UAP may reinforce
simple instructions, but assessment, teaching, and evaluation
remain nursing functions.
Key Takeaway:
Professional accountability means using nursing judgment,
advocating for safety, and accepting responsibility for nursing
actions.
Question 2:
Question Type:
MCQ
Question Stem:
Which statement by a nurse best demonstrates an
understanding of the patient as a consumer of nursing and
health care?
Options:
A. “Patients should accept all recommendations without asking
questions.”
B. “Patients have the right to receive information needed to
make informed decisions.”
C. “Patients are not entitled to see their health record.”
D. “Patients should avoid comparing treatment options.”
Correct Answer:
B
, Rationale for A:
Patients are not expected to passively accept care. Respect for
autonomy means they should ask questions and participate in
decisions.
Rationale for B:
This is correct. As consumers, patients have rights to
information, informed consent, and participation in decisions
about care. This supports autonomy and shared decision-
making.
Rationale for C:
Patients generally have rights to access or review portions of
their health information according to policy and law. Denying
access is inconsistent with consumer rights.
Rationale for D:
Comparing treatment options is part of informed decision-
making. Patients can and should evaluate benefits, risks, and
alternatives with the health care team.
Key Takeaway:
A patient is an active consumer with rights to information,
choice, and participation in care decisions.
Question 3:
Question Type:
MCQ
