Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference — Ch. 1 — Professional Nursing Practice — The
Practice of Nursing
Question Stem
A nurse working on a surgical unit is asked to orient a new nurse
to unit policies while also providing safe patient care. Which
action best demonstrates professional nursing practice
,consistent with Brunner & Suddarth’s description of the nurse’s
role?
A. Agree to precept for the new nurse and delay documentation
until the end of the shift to keep up with patient care.
B. Explain unit policies during a scheduled orientation time and
prioritize immediate patient needs first.
C. Delegate the orientation to a nursing assistant so the nurse
can concentrate on clinical tasks.
D. Provide only written policies and ask the new nurse to read
independently between patient assignments.
Correct Answer
B
Rationales
• Correct (B): Orienting during a scheduled time while
prioritizing immediate patient needs balances education
and patient safety, reflecting the professional role of
coordinating care and teaching.
• A (incorrect): Delaying documentation compromises
patient safety and legal standards; professional practice
requires timely record-keeping.
• C (incorrect): Delegating orientation to a nursing assistant
is inappropriate because teaching/role modeling for new
nurses is a professional nursing responsibility.
, • D (incorrect): Solely providing written materials without
guided teaching fails to ensure understanding and does
not promote safe, effective orientation.
Teaching Point
Balance teaching responsibilities with immediate patient safety
and timely documentation.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2
Reference — Ch. 1 — The Patient: Consumer of Nursing and
Health Care
Question Stem
A 68-year-old patient with chronic heart failure asks the nurse
about a new telemonitoring service that will transmit daily
weights to the clinic. Based on patient-centered care principles,
what is the nurse’s best next action?
A. Enroll the patient immediately to improve clinical
monitoring.
B. Explain how the service works and assess the patient’s
values, access, and willingness to use it.
C. Recommend against technology because older adults rarely
use telehealth effectively.
, D. Tell the patient that telemonitoring is optional and leave the
brochure.
Correct Answer
B
Rationales
• Correct (B): Patient-centered care requires assessing the
patient’s values, readiness, and access before
implementing interventions; informed discussion supports
shared decision-making.
• A (incorrect): Immediate enrollment bypasses assessment
of preferences, access, and consent.
• C (incorrect): Assuming inability based on age is ageist and
contradicts individualized care principles.
• D (incorrect): Passive handing of information without
discussion does not ensure understanding or shared
decision-making.
Teaching Point
Assess patient preferences, access, and readiness before
implementing health technology interventions.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference — Ch. 1 — Professional Nursing Practice — The
Practice of Nursing
Question Stem
A nurse working on a surgical unit is asked to orient a new nurse
to unit policies while also providing safe patient care. Which
action best demonstrates professional nursing practice
,consistent with Brunner & Suddarth’s description of the nurse’s
role?
A. Agree to precept for the new nurse and delay documentation
until the end of the shift to keep up with patient care.
B. Explain unit policies during a scheduled orientation time and
prioritize immediate patient needs first.
C. Delegate the orientation to a nursing assistant so the nurse
can concentrate on clinical tasks.
D. Provide only written policies and ask the new nurse to read
independently between patient assignments.
Correct Answer
B
Rationales
• Correct (B): Orienting during a scheduled time while
prioritizing immediate patient needs balances education
and patient safety, reflecting the professional role of
coordinating care and teaching.
• A (incorrect): Delaying documentation compromises
patient safety and legal standards; professional practice
requires timely record-keeping.
• C (incorrect): Delegating orientation to a nursing assistant
is inappropriate because teaching/role modeling for new
nurses is a professional nursing responsibility.
, • D (incorrect): Solely providing written materials without
guided teaching fails to ensure understanding and does
not promote safe, effective orientation.
Teaching Point
Balance teaching responsibilities with immediate patient safety
and timely documentation.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2
Reference — Ch. 1 — The Patient: Consumer of Nursing and
Health Care
Question Stem
A 68-year-old patient with chronic heart failure asks the nurse
about a new telemonitoring service that will transmit daily
weights to the clinic. Based on patient-centered care principles,
what is the nurse’s best next action?
A. Enroll the patient immediately to improve clinical
monitoring.
B. Explain how the service works and assess the patient’s
values, access, and willingness to use it.
C. Recommend against technology because older adults rarely
use telehealth effectively.
, D. Tell the patient that telemonitoring is optional and leave the
brochure.
Correct Answer
B
Rationales
• Correct (B): Patient-centered care requires assessing the
patient’s values, readiness, and access before
implementing interventions; informed discussion supports
shared decision-making.
• A (incorrect): Immediate enrollment bypasses assessment
of preferences, access, and consent.
• C (incorrect): Assuming inability based on age is ageist and
contradicts individualized care principles.
• D (incorrect): Passive handing of information without
discussion does not ensure understanding or shared
decision-making.
Teaching Point
Assess patient preferences, access, and readiness before
implementing health technology interventions.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
