Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1⃣
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 be more involved in decisions about their
care plan. Which nursing action best supports the patient’s role
as a consumer of health care?
,A. Provide the patient with the hospital’s standard discharge
instructions and ask if they have questions.
B. Ask the patient about their health goals and preferences,
then collaborate to set priorities.
C. Explain that clinical decisions must be made by the health
care team and proceed with the team’s plan.
D. Refer the patient to website brochures about their diagnoses
and leave planning to primary care.
Correct Answer
B
Rationales
Correct: Collaborating to identify the patient’s health goals and
priorities empowers decision-making and respects the patient
as a consumer, improving adherence and outcomes.
A: Giving standard instructions is important but passive; it does
not elicit patient goals or shared decision-making.
C: Dismissing patient involvement undermines autonomy and
consumer-centered care.
D: Providing resources is useful but insufficient without active
discussion and shared planning.
Teaching Point
Elicit patient goals and collaborate on priorities to support
consumer-centered care.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
,Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2️⃣
Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
Question Stem
A postoperative patient is reporting chest pain and dyspnea, but
also asks about bringing a favorite blanket from home. Using
Maslow’s hierarchy, which action should the nurse prioritize?
A. Bring the blanket to provide comfort and reduce anxiety.
B. Assess the chest pain and respiratory status immediately.
C. Offer education about post-op expectations and healing.
D. Arrange a referral to a social worker for home comfort items.
Correct Answer
B
Rationales
Correct: Physiologic needs and safety (airway, breathing,
circulation) are highest priority; assessment of chest pain and
dyspnea is immediate.
A: Comfort items are psychosocial and lower priority when
physiologic distress is present.
C: Education is important but secondary to assessing and
treating potential life-threatening problems.
, D: Social work referral is not appropriate until the patient's
acute physiologic needs are addressed.
Teaching Point
Prioritize physiologic and safety needs before psychosocial
comforts per Maslow.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3️⃣
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question Stem
A 52-year-old man with hypertension asks the nurse which
lifestyle change will most effectively reduce cardiovascular risk.
Which response demonstrates evidence-based health
promotion counseling?
A. “You should immediately stop all physical activity to lower
heart strain.”
B. “Reducing sodium intake, increasing regular aerobic activity,
and weight loss lower cardiovascular risk.”
C. “Only medication can reduce risk—diet won’t make a real
difference.”
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1⃣
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 be more involved in decisions about their
care plan. Which nursing action best supports the patient’s role
as a consumer of health care?
,A. Provide the patient with the hospital’s standard discharge
instructions and ask if they have questions.
B. Ask the patient about their health goals and preferences,
then collaborate to set priorities.
C. Explain that clinical decisions must be made by the health
care team and proceed with the team’s plan.
D. Refer the patient to website brochures about their diagnoses
and leave planning to primary care.
Correct Answer
B
Rationales
Correct: Collaborating to identify the patient’s health goals and
priorities empowers decision-making and respects the patient
as a consumer, improving adherence and outcomes.
A: Giving standard instructions is important but passive; it does
not elicit patient goals or shared decision-making.
C: Dismissing patient involvement undermines autonomy and
consumer-centered care.
D: Providing resources is useful but insufficient without active
discussion and shared planning.
Teaching Point
Elicit patient goals and collaborate on priorities to support
consumer-centered care.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
,Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
2️⃣
Reference
Ch. 1 — Professional Nursing Practice — The Patient’s Basic
Needs: Maslow Hierarchy of Needs
Question Stem
A postoperative patient is reporting chest pain and dyspnea, but
also asks about bringing a favorite blanket from home. Using
Maslow’s hierarchy, which action should the nurse prioritize?
A. Bring the blanket to provide comfort and reduce anxiety.
B. Assess the chest pain and respiratory status immediately.
C. Offer education about post-op expectations and healing.
D. Arrange a referral to a social worker for home comfort items.
Correct Answer
B
Rationales
Correct: Physiologic needs and safety (airway, breathing,
circulation) are highest priority; assessment of chest pain and
dyspnea is immediate.
A: Comfort items are psychosocial and lower priority when
physiologic distress is present.
C: Education is important but secondary to assessing and
treating potential life-threatening problems.
, D: Social work referral is not appropriate until the patient's
acute physiologic needs are addressed.
Teaching Point
Prioritize physiologic and safety needs before psychosocial
comforts per Maslow.
Citation
Hinkle, J., Cheever, K., & Overbaugh, K. (2022). Brunner &
Suddarth’s Textbook of Medical-Surgical Nursing (15th Ed.). Ch.
1.
3️⃣
Reference
Ch. 1 — Professional Nursing Practice — Health Promotion
Question Stem
A 52-year-old man with hypertension asks the nurse which
lifestyle change will most effectively reduce cardiovascular risk.
Which response demonstrates evidence-based health
promotion counseling?
A. “You should immediately stop all physical activity to lower
heart strain.”
B. “Reducing sodium intake, increasing regular aerobic activity,
and weight loss lower cardiovascular risk.”
C. “Only medication can reduce risk—diet won’t make a real
difference.”
