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 man with COPD tells the nurse he
wants to avoid hospitalization and manage symptoms at home.
Which nursing action best reflects treating him as a consumer
of health care?
A. Teach him about COPD pathophysiology and spirometry
values.
B. Provide information about home oxygen safety, local
pulmonary rehab, and community resources.
C. Schedule weekly home visits without asking his preferences.
,D. Advise family members to make all care decisions to reduce
his burden.
Correct Answer: B
Rationales:
• Correct (B): Providing tailored information about home
oxygen safety, pulmonary rehabilitation, and community
resources supports patient-centered care and empowers
the patient to make informed choices, aligning with
Brunner & Suddarth’s emphasis on patients as consumers
of health services.
• Incorrect (A): Teaching pathophysiology alone may be
useful but does not address practical consumer needs like
access, safety, and resources.
• Incorrect (C): Scheduling visits without eliciting patient
preferences undermines patient autonomy and shared
decision-making.
• Incorrect (D): Defaulting decision-making to family
removes patient autonomy and fails to treat him as an
informed consumer.
Teaching Point: Empower patients with practical resources
and safety guidance to support self-management.
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: On admission, a post-op patient reports severe
shortness of breath and low oxygen saturation; he also
expresses anxiety about upcoming discharge planning. Which
nursing priority aligns with Maslow’s hierarchy?
A. Begin discharge teaching and arrange home services.
B. Address anxiety with therapeutic conversation.
C. Administer supplemental oxygen and assess respiratory
status.
D. Offer written materials about community resources.
Correct Answer: C
Rationales:
• Correct (C): Physiologic needs (airway/oxygenation) rank
highest in Maslow’s hierarchy; immediate respiratory
assessment and oxygenation are priorities per Brunner &
Suddarth.
• Incorrect (A): Discharge planning is important but
secondary to resolving life-threatening physiologic
problems.
• Incorrect (B): Anxiety should be addressed, but not before
stabilizing oxygenation.
• Incorrect (D): Providing resources is low priority until
physiologic stability is achieved.
Teaching Point: Treat airway and oxygenation before
, psychosocial or discharge planning concerns.
Citation: 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 52-year-old woman with hypertension says
she wants to lower her blood pressure without medication.
Which nurse action best applies health-promotion principles?
A. Tell her medications are inevitable with age.
B. Collaborate to set achievable goals for diet, activity, and
weight reduction.
C. Provide a one-page brochure on hypertension risks and leave
it at bedside.
D. Recommend stopping all sodium-containing foods
immediately.
Correct Answer: B
Rationales:
• Correct (B): Collaborating to set individualized, achievable
lifestyle goals reflects health-promotion strategies—
motivational, patient-centered, and sustainable—
consistent with Brunner & Suddarth.
• Incorrect (A): Dismissing the patient’s preference
undermines motivation and empowerment.