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 — The Patient: Consumer of Nursing and
Health Care — Nursing Management
Question Stem: A 58-year-old patient declines a recommended
cardiac catheterization because of cost concerns and asks the
nurse what to do next. Which action by the nurse best supports
the patient as a health-care consumer?
A. Explain again why the procedure is absolutely necessary and
insist the patient consent.
B. Respect the decision and end the discussion to avoid further
distress.
,C. Explore the patient’s concerns, provide information about
alternatives and resources, and offer to involve the case
manager.
D. Document refusal and notify the provider only if the patient
asks.
Correct Answer: C
Rationales:
• Correct (C): Supports patient autonomy and consumer
rights by eliciting concerns, providing clear options, and
connecting the patient to financial/care resources—aligns
with patient-centered care principles.
• A: Coercion undermines informed consent and is not
patient-centered.
• B: Passive acceptance risks unmet needs and missed
opportunities for shared decision making.
• D: Documentation is necessary but notification and active
help (case manager) better support the consumer role.
Teaching Point: Assist patients to make informed choices by
exploring concerns and offering resources.
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’s Basic Needs: Maslow
Hierarchy of Needs — Nursing Management
Question Stem: During triage a postoperative patient is
reported to have new stridor and a drop in oxygen saturation to
86%. Which nursing priority aligns with Maslow’s hierarchy?
A. Provide emotional support to address anxiety.
B. Administer prescribed PRN opioid for pain relief.
C. Assess and secure the airway immediately.
D. Teach deep-breathing exercises to prevent atelectasis.
Correct Answer: C
Rationales:
• Correct (C): Airway is a physiological (basic) need—
immediate assessment/intervention prevents life-
threatening hypoxia.
• A: Emotional needs are important but secondary to airway
compromise.
• B: Opioids may worsen respiratory status; unsafe until
airway/oxygenation are stable.
• D: Teaching exercises is appropriate later; immediate
airway management takes precedence.
Teaching Point: Address physiological needs (airway, breathing,
circulation) before higher-order needs.
, Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
3
Reference: Ch. 1 — Health Promotion — Nursing Management
Question Stem: A community clinic serving adults with high
diabetes prevalence asks the nurse to design a health-
promotion program. Which strategy best reflects primary
prevention and likely reduces new cases?
A. Teach foot care to patients with established diabetic
neuropathy.
B. Offer community screening and lifestyle education focused
on diet, activity, and weight loss.
C. Arrange glucagon training for family members of patients
with hypoglycemia.
D. Provide insulin administration workshops for current insulin
users.
Correct Answer: B
Rationales:
• Correct (B): Primary prevention targets risk reduction
before disease onset—screening plus lifestyle education
addresses modifiable risk factors for type 2 diabetes.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference: Ch. 1 — The Patient: Consumer of Nursing and
Health Care — Nursing Management
Question Stem: A 58-year-old patient declines a recommended
cardiac catheterization because of cost concerns and asks the
nurse what to do next. Which action by the nurse best supports
the patient as a health-care consumer?
A. Explain again why the procedure is absolutely necessary and
insist the patient consent.
B. Respect the decision and end the discussion to avoid further
distress.
,C. Explore the patient’s concerns, provide information about
alternatives and resources, and offer to involve the case
manager.
D. Document refusal and notify the provider only if the patient
asks.
Correct Answer: C
Rationales:
• Correct (C): Supports patient autonomy and consumer
rights by eliciting concerns, providing clear options, and
connecting the patient to financial/care resources—aligns
with patient-centered care principles.
• A: Coercion undermines informed consent and is not
patient-centered.
• B: Passive acceptance risks unmet needs and missed
opportunities for shared decision making.
• D: Documentation is necessary but notification and active
help (case manager) better support the consumer role.
Teaching Point: Assist patients to make informed choices by
exploring concerns and offering resources.
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’s Basic Needs: Maslow
Hierarchy of Needs — Nursing Management
Question Stem: During triage a postoperative patient is
reported to have new stridor and a drop in oxygen saturation to
86%. Which nursing priority aligns with Maslow’s hierarchy?
A. Provide emotional support to address anxiety.
B. Administer prescribed PRN opioid for pain relief.
C. Assess and secure the airway immediately.
D. Teach deep-breathing exercises to prevent atelectasis.
Correct Answer: C
Rationales:
• Correct (C): Airway is a physiological (basic) need—
immediate assessment/intervention prevents life-
threatening hypoxia.
• A: Emotional needs are important but secondary to airway
compromise.
• B: Opioids may worsen respiratory status; unsafe until
airway/oxygenation are stable.
• D: Teaching exercises is appropriate later; immediate
airway management takes precedence.
Teaching Point: Address physiological needs (airway, breathing,
circulation) before higher-order needs.
, Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
3
Reference: Ch. 1 — Health Promotion — Nursing Management
Question Stem: A community clinic serving adults with high
diabetes prevalence asks the nurse to design a health-
promotion program. Which strategy best reflects primary
prevention and likely reduces new cases?
A. Teach foot care to patients with established diabetic
neuropathy.
B. Offer community screening and lifestyle education focused
on diet, activity, and weight loss.
C. Arrange glucagon training for family members of patients
with hypoglycemia.
D. Provide insulin administration workshops for current insulin
users.
Correct Answer: B
Rationales:
• Correct (B): Primary prevention targets risk reduction
before disease onset—screening plus lifestyle education
addresses modifiable risk factors for type 2 diabetes.
