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 heart failure tells the nurse they
prefer to manage daily medications independently but asks for
help when symptoms worsen. Which nursing action best
supports this patient-centered preference?
,A. Provide written instructions only and discharge the patient.
B. Create a mutually agreed self-management plan with
symptom thresholds for contacting the clinic.
C. Schedule daily home nursing visits indefinitely.
D. Instruct the patient to call emergency services for any
symptom change.
Correct Answer
B
Rationales
• Correct (B): Developing a mutually agreed self-
management plan respects patient autonomy and provides
actionable thresholds for when to seek help, aligning care
with the patient as a consumer of healthcare.
• A (incorrect): Written instructions alone do not ensure
understanding or support shared decision making.
• C (incorrect): Daily home visits indefinitely are not patient-
centered or resource-appropriate when the patient wishes
independence.
• D (incorrect): Advising emergency services for any change
is overly cautious, may increase unnecessary use of
resources, and undermines self-management.
Teaching Point
Collaborate to create clear self-management plans with
symptom thresholds.
,Citation (APA)
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 with inadequate pain control is refusing
to ambulate. Using Maslow’s hierarchy, which nursing priority
best addresses the barrier to rehabilitation?
A. Arrange a social worker consult to discuss family support.
B. Reinforce the importance of long-term goals for
independence.
C. Administer prescribed analgesia and reassess readiness to
ambulate.
D. Provide written gait-training instructions for the patient to
follow.
Correct Answer
C
Rationales
, • Correct (C): Pain relief addresses physiologic safety needs
(basic needs), enabling participation in higher-level
rehabilitation activities like ambulation.
• A (incorrect): Social support is important, but it does not
immediately resolve physiologic barriers to ambulation.
• B (incorrect): Discussing long-term goals is higher-level
(esteem/self-actualization) and premature when
physiologic needs are unmet.
• D (incorrect): Written instructions are ineffective if pain
prevents physical activity.
Teaching Point
Treat physiologic and safety needs first to enable higher-level
functioning.
Citation (APA)
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 clinic plans a community program to reduce Type 2 diabetes
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 heart failure tells the nurse they
prefer to manage daily medications independently but asks for
help when symptoms worsen. Which nursing action best
supports this patient-centered preference?
,A. Provide written instructions only and discharge the patient.
B. Create a mutually agreed self-management plan with
symptom thresholds for contacting the clinic.
C. Schedule daily home nursing visits indefinitely.
D. Instruct the patient to call emergency services for any
symptom change.
Correct Answer
B
Rationales
• Correct (B): Developing a mutually agreed self-
management plan respects patient autonomy and provides
actionable thresholds for when to seek help, aligning care
with the patient as a consumer of healthcare.
• A (incorrect): Written instructions alone do not ensure
understanding or support shared decision making.
• C (incorrect): Daily home visits indefinitely are not patient-
centered or resource-appropriate when the patient wishes
independence.
• D (incorrect): Advising emergency services for any change
is overly cautious, may increase unnecessary use of
resources, and undermines self-management.
Teaching Point
Collaborate to create clear self-management plans with
symptom thresholds.
,Citation (APA)
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 with inadequate pain control is refusing
to ambulate. Using Maslow’s hierarchy, which nursing priority
best addresses the barrier to rehabilitation?
A. Arrange a social worker consult to discuss family support.
B. Reinforce the importance of long-term goals for
independence.
C. Administer prescribed analgesia and reassess readiness to
ambulate.
D. Provide written gait-training instructions for the patient to
follow.
Correct Answer
C
Rationales
, • Correct (C): Pain relief addresses physiologic safety needs
(basic needs), enabling participation in higher-level
rehabilitation activities like ambulation.
• A (incorrect): Social support is important, but it does not
immediately resolve physiologic barriers to ambulation.
• B (incorrect): Discussing long-term goals is higher-level
(esteem/self-actualization) and premature when
physiologic needs are unmet.
• D (incorrect): Written instructions are ineffective if pain
prevents physical activity.
Teaching Point
Treat physiologic and safety needs first to enable higher-level
functioning.
Citation (APA)
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 clinic plans a community program to reduce Type 2 diabetes
