Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
• Print ISBN: 9781975221133
TEST BANK
,
,Question 1
Question: A registered nurse is caring for a hospitalized patient who is
capable of making informed decisions about care. Which nursing action
best demonstrates professional nursing practice?
A. Making health decisions for the patient to prevent anxiety
B. Encouraging the patient to participate in decisions about the plan of
care
C. Asking the patient's family to determine the patient's preferences
D. Following the prescribed treatment plan without discussing
alternatives
Correct Answer: B. Encouraging the patient to participate in decisions
about the plan of care
Rationale: Professional nursing practice includes respect for patient
autonomy and active participation in health-care decisions. The nurse
should provide appropriate information, support informed choices, and
respect the patient's preferences whenever the patient has decision-
making capacity.
Question 2
Question: A nursing student asks why nursing is considered both a
profession and a discipline. Which response by the instructor is most
appropriate?
A. Nursing primarily depends on technical skills learned in clinical
settings.
B. Nursing combines specialized knowledge, professional standards,
clinical judgment, and service to patients.
C. Nursing is primarily focused on carrying out medical prescriptions.
, D. Nursing is defined mainly by the number of procedures nurses can
perform independently.
Correct Answer: B. Nursing combines specialized knowledge,
professional standards, clinical judgment, and service to patients.
Rationale: Nursing is a professional discipline that integrates a distinct
body of knowledge with clinical judgment, ethical responsibilities,
professional standards, and patient-centered care. Technical skills are
important but represent only one component of professional nursing
practice.
Question 3
Question: A patient tells the nurse, “I do not understand why this
treatment is necessary.” What is the nurse's best initial response?
A. “The health-care provider already explained the treatment.”
B. “You should agree to the treatment because it is recommended.”
C. “Tell me what you understand about the treatment so far.”
D. “Your family can explain it to you after the procedure.”
Correct Answer: C. “Tell me what you understand about the
treatment so far.”
Rationale: Assessing the patient's existing understanding is an
appropriate first step in patient-centered communication and
education. The nurse can then identify knowledge gaps, clarify
information, and support informed participation in care.
Question 4