Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
A nurse is teaching a newly admitted adult client about the
nurse’s role in care planning. Which statement by the client
best shows understanding of the nurse as an advocate?
Options:
A. “The nurse makes every health care decision for me.”
B. “The nurse helps me understand choices so I can decide
what is best for me.”
,C. “The nurse only carries out prescriptions written by the
provider.”
D. “The nurse should avoid discussing treatments to prevent
confusion.”
Correct Answer: B
Rationale for A:
This is incorrect because advocacy does not mean taking away
the client’s autonomy. The nurse supports the client’s right to
make informed decisions, not making decisions for the client.
Rationale for B:
This is correct because advocacy includes clarifying information,
protecting client rights, and helping the client participate in
informed decision-making. The nurse supports, informs, and
promotes self-determination.
Rationale for C:
This is incorrect because nursing practice is broader than task
completion. Nurses assess, teach, coordinate care, and
advocate, rather than simply carrying out provider instructions.
Rationale for D:
This is incorrect because avoiding discussion undermines
informed consent and shared decision-making. Clear
communication is a core part of safe, ethical nursing care.
Key Takeaway:
Advocacy means protecting client rights and supporting
informed, autonomous decisions.
,Question 2:
Question Type: MCQ
Question Stem:
Which nursing action is most appropriate for delegation to an
unlicensed assistive personnel (UAP)?
Options:
A. Assessing a client who reports new shortness of breath
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs for a stable client
D. Interpreting a client’s abnormal laboratory results
Correct Answer: C
Rationale for A:
This is incorrect because assessment requires nursing judgment
and cannot be delegated to UAP. New shortness of breath is
potentially urgent and must be evaluated by the nurse.
Rationale for B:
This is incorrect because teaching requires licensed nursing
knowledge and evaluation of understanding. A UAP cannot
provide client education.
Rationale for C:
This is correct because obtaining routine vital signs for a stable
client is a predictable, repetitive task that can be delegated
when the nurse has provided clear instructions and the client’s
condition is stable.
, Rationale for D:
This is incorrect because interpreting laboratory results is part
of professional nursing assessment and clinical judgment. UAPs
do not analyze data or determine implications.
Key Takeaway:
Delegate routine, predictable tasks to UAPs only when the
client is stable and the outcome is expected.
Question 3:
Question Type: MCQ
Question Stem:
A student nurse is asked to define health. Which response is
most accurate?
Options:
A. “Health means the absence of disease in the body.”
B. “Health is the same as having normal laboratory values.”
C. “Health is a dynamic state of physical, mental, and social
well-being.”
D. “Health depends only on genetics and age.”
Correct Answer: C
Rationale for A:
This is incorrect because health is broader than simply not
having disease. A person may live with chronic illness and still
experience a meaningful level of health.
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
A nurse is teaching a newly admitted adult client about the
nurse’s role in care planning. Which statement by the client
best shows understanding of the nurse as an advocate?
Options:
A. “The nurse makes every health care decision for me.”
B. “The nurse helps me understand choices so I can decide
what is best for me.”
,C. “The nurse only carries out prescriptions written by the
provider.”
D. “The nurse should avoid discussing treatments to prevent
confusion.”
Correct Answer: B
Rationale for A:
This is incorrect because advocacy does not mean taking away
the client’s autonomy. The nurse supports the client’s right to
make informed decisions, not making decisions for the client.
Rationale for B:
This is correct because advocacy includes clarifying information,
protecting client rights, and helping the client participate in
informed decision-making. The nurse supports, informs, and
promotes self-determination.
Rationale for C:
This is incorrect because nursing practice is broader than task
completion. Nurses assess, teach, coordinate care, and
advocate, rather than simply carrying out provider instructions.
Rationale for D:
This is incorrect because avoiding discussion undermines
informed consent and shared decision-making. Clear
communication is a core part of safe, ethical nursing care.
Key Takeaway:
Advocacy means protecting client rights and supporting
informed, autonomous decisions.
,Question 2:
Question Type: MCQ
Question Stem:
Which nursing action is most appropriate for delegation to an
unlicensed assistive personnel (UAP)?
Options:
A. Assessing a client who reports new shortness of breath
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs for a stable client
D. Interpreting a client’s abnormal laboratory results
Correct Answer: C
Rationale for A:
This is incorrect because assessment requires nursing judgment
and cannot be delegated to UAP. New shortness of breath is
potentially urgent and must be evaluated by the nurse.
Rationale for B:
This is incorrect because teaching requires licensed nursing
knowledge and evaluation of understanding. A UAP cannot
provide client education.
Rationale for C:
This is correct because obtaining routine vital signs for a stable
client is a predictable, repetitive task that can be delegated
when the nurse has provided clear instructions and the client’s
condition is stable.
, Rationale for D:
This is incorrect because interpreting laboratory results is part
of professional nursing assessment and clinical judgment. UAPs
do not analyze data or determine implications.
Key Takeaway:
Delegate routine, predictable tasks to UAPs only when the
client is stable and the outcome is expected.
Question 3:
Question Type: MCQ
Question Stem:
A student nurse is asked to define health. Which response is
most accurate?
Options:
A. “Health means the absence of disease in the body.”
B. “Health is the same as having normal laboratory values.”
C. “Health is a dynamic state of physical, mental, and social
well-being.”
D. “Health depends only on genetics and age.”
Correct Answer: C
Rationale for A:
This is incorrect because health is broader than simply not
having disease. A person may live with chronic illness and still
experience a meaningful level of health.
