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
Patient: Consumer of Nursing and Health Care
Question Stem: A 68-year-old patient with multiple chronic
conditions tells the nurse they want to avoid hospital
readmission and remain independent at home. Which nursing
action best supports the patient as an informed consumer of
health care?
A. Provide a generic brochure about chronic illness
,management.
B. Arrange a home health visit and review personalized self-
management goals with the patient.
C. Schedule routine clinic follow-ups without patient input.
D. Encourage the patient to call only when symptoms worsen.
Correct Answer: B
Rationales:
• Correct (B): Arranging home health and collaboratively
reviewing individualized goals empowers the patient,
supports self-management, and aligns care with patient
preferences — core to treating patients as consumers of
care.
• A: A generic brochure may provide information but lacks
personalization and collaborative goal setting required for
meaningful consumer engagement.
• C: Scheduling visits without patient input ignores the
patient’s preferences and decreases shared decision-
making.
• D: Telling the patient to wait until symptoms worsen delays
preventive action and undermines proactive self-
management.
Teaching Point: Collaborate on individualized self-
management plans to empower patients.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
,2
Reference: Ch. 1 — Professional Nursing Practice — The
Patient’s Basic Needs: Maslow Hierarchy of Needs
Question Stem: A postoperative patient who is hypoxic (SpO₂
88%) and anxious requests pain medication for incisional pain.
Using Maslow’s hierarchy and the nursing process, which
nursing action is the highest priority?
A. Administer PRN opioid for pain per order.
B. Provide a guided imagery audio recording to reduce anxiety.
C. Apply oxygen and notify the surgeon about hypoxia.
D. Offer a warm blanket for comfort.
Correct Answer: C
Rationales:
• Correct (C): Physiologic needs (oxygenation) take priority;
correcting hypoxia is essential before comfort measures.
This reflects clinical prioritization and safety.
• A: Pain control is important but should follow addressing
life-threatening physiologic deficits (hypoxia).
• B: Anxiety reduction is helpful but secondary to ensuring
adequate oxygenation.
• D: A blanket improves comfort but does not address the
immediate physiologic threat.
Teaching Point: Treat airway/oxygenation before comfort
measures per Maslow and safety priorities.
, Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s… Ch. 1.
3
Reference: Ch. 1 — Professional Nursing Practice — Health
Promotion
Question Stem: The community health nurse is designing a
hypertension prevention program for middle-aged adults.
Which program component best reflects health promotion
principles?
A. Monthly blood pressure screenings only.
B. A one-time lecture on hypertension risks.
C. An ongoing lifestyle workshop teaching diet, exercise, and
goal setting.
D. Mailing pamphlets about medication adherence.
Correct Answer: C
Rationales:
• Correct (C): Ongoing, skill-building workshops that support
behavior change embody health promotion by enabling
individuals to adopt healthier lifestyles.
• A: Screenings identify risk but do not actively promote
sustained behavior change.
• B: A single lecture has limited impact on long-term
behavior.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference: Ch. 1 — Professional Nursing Practice — The
Patient: Consumer of Nursing and Health Care
Question Stem: A 68-year-old patient with multiple chronic
conditions tells the nurse they want to avoid hospital
readmission and remain independent at home. Which nursing
action best supports the patient as an informed consumer of
health care?
A. Provide a generic brochure about chronic illness
,management.
B. Arrange a home health visit and review personalized self-
management goals with the patient.
C. Schedule routine clinic follow-ups without patient input.
D. Encourage the patient to call only when symptoms worsen.
Correct Answer: B
Rationales:
• Correct (B): Arranging home health and collaboratively
reviewing individualized goals empowers the patient,
supports self-management, and aligns care with patient
preferences — core to treating patients as consumers of
care.
• A: A generic brochure may provide information but lacks
personalization and collaborative goal setting required for
meaningful consumer engagement.
• C: Scheduling visits without patient input ignores the
patient’s preferences and decreases shared decision-
making.
• D: Telling the patient to wait until symptoms worsen delays
preventive action and undermines proactive self-
management.
Teaching Point: Collaborate on individualized self-
management plans to empower patients.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
,2
Reference: Ch. 1 — Professional Nursing Practice — The
Patient’s Basic Needs: Maslow Hierarchy of Needs
Question Stem: A postoperative patient who is hypoxic (SpO₂
88%) and anxious requests pain medication for incisional pain.
Using Maslow’s hierarchy and the nursing process, which
nursing action is the highest priority?
A. Administer PRN opioid for pain per order.
B. Provide a guided imagery audio recording to reduce anxiety.
C. Apply oxygen and notify the surgeon about hypoxia.
D. Offer a warm blanket for comfort.
Correct Answer: C
Rationales:
• Correct (C): Physiologic needs (oxygenation) take priority;
correcting hypoxia is essential before comfort measures.
This reflects clinical prioritization and safety.
• A: Pain control is important but should follow addressing
life-threatening physiologic deficits (hypoxia).
• B: Anxiety reduction is helpful but secondary to ensuring
adequate oxygenation.
• D: A blanket improves comfort but does not address the
immediate physiologic threat.
Teaching Point: Treat airway/oxygenation before comfort
measures per Maslow and safety priorities.
, Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s… Ch. 1.
3
Reference: Ch. 1 — Professional Nursing Practice — Health
Promotion
Question Stem: The community health nurse is designing a
hypertension prevention program for middle-aged adults.
Which program component best reflects health promotion
principles?
A. Monthly blood pressure screenings only.
B. A one-time lecture on hypertension risks.
C. An ongoing lifestyle workshop teaching diet, exercise, and
goal setting.
D. Mailing pamphlets about medication adherence.
Correct Answer: C
Rationales:
• Correct (C): Ongoing, skill-building workshops that support
behavior change embody health promotion by enabling
individuals to adopt healthier lifestyles.
• A: Screenings identify risk but do not actively promote
sustained behavior change.
• B: A single lecture has limited impact on long-term
behavior.
