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 illnesses tells the
nurse, “I want to manage my medications so I can stay
independent.” Which nursing action best reflects treating the
patient as a consumer of healthcare?
,Options
A. Provide the patient with a standardized medication schedule
used on the unit.
B. Review the patient’s priorities and collaborate to create a
personalized medication plan.
C. Inform the patient that adherence is mandatory to avoid
complications.
D. Ask the pharmacist to call the patient weekly with reminders.
Correct Answer
B
Rationales
• Correct (B): Collaborating to create a personalized
medication plan respects the patient as a consumer,
incorporates their goals and abilities, and promotes shared
decision-making—consistent with Brunner & Suddarth’s
emphasis on patient-centered care.
• Incorrect (A): A standardized schedule may not fit the
patient’s routines or preferences and does not reflect
individualized consumer engagement.
• Incorrect (C): Telling the patient adherence is mandatory is
paternalistic and undermines the patient’s autonomy and
role as an informed consumer.
• Incorrect (D): Pharmacist reminders might help adherence
but do not involve the patient in decision-making or reflect
individualized planning.
,Teaching Point
Collaborate with patients to build individualized plans that
honor their preferences.
Citation (simplified APA)
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 post-operative patient becomes short of breath and has an
oxygen saturation of 88%. Using Maslow’s hierarchy, which
nursing priority most accurately directs immediate care?
Options
A. Evaluate the patient’s concern about body image after
surgery.
B. Administer supplemental oxygen and assess airway and
breathing.
C. Facilitate a family meeting to discuss recovery expectations.
D. Provide teaching about wound care and home modifications.
Correct Answer
B
, Rationales
• Correct (B): Airway and breathing are physiological,
foundational needs in Maslow’s hierarchy; addressing
hypoxemia is the immediate priority.
• Incorrect (A): Body image is a higher-level need (esteem)
and is secondary to life-sustaining interventions.
• Incorrect (C): Family meetings are important but not
urgent when physiologic compromise exists.
• Incorrect (D): Teaching about wound care is appropriate
once physiologic stability is achieved.
Teaching Point
Physiologic needs (airway, breathing, circulation) take priority in
Maslow-based nursing decisions.
Citation (simplified APA)
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question Stem
A nurse plans a community education session aiming to reduce