Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
Reference: Ch. 1 — The Patient’s Basic Needs: Maslow
Hierarchy of Needs
Question Stem: A 68-year-old patient with COPD is admitted
with increasing dyspnea and confusion. Which nursing action
should be prioritized first?
A. Teach pursed-lip breathing to improve ventilation.
B. Administer supplemental oxygen per order and reassess
respiratory status.
,C. Discuss advance directives with the patient and family.
D. Offer written educational materials about smoking cessation.
Correct Answer: B
Rationales:
• Correct (B): Per Maslow-based prioritization, physiologic
needs (airway/oxygenation) are highest priority; Brunner &
Suddarth emphasize immediate stabilization (administer
oxygen and reassess) before teaching or planning.
• Incorrect (A): Teaching breathing techniques is important
but is secondary to correcting hypoxemia in an acute
decompensation.
• Incorrect (C): Advance-care planning is important for
overall care but is not urgent when patient is hypoxic and
confused.
• Incorrect (D): Providing educational materials is
appropriate later during stabilization and discharge
planning, not as the first action.
Teaching Point: Always treat airway/oxygenation needs before
education or planning.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
2
,Reference: Ch. 1 — Health Promotion
Question Stem: A nurse is planning a community teaching
session for adults at risk for type 2 diabetes. Which outcome is
the most appropriate evaluation measure for health promotion
effectiveness?
A. Number of attendees who report knowledge of diabetes
pathophysiology.
B. Percentage of participants who schedule follow-up screening
fasting glucose within 3 months.
C. Satisfaction scores collected immediately after the session.
D. Distribution count of printed diabetes brochures.
Correct Answer: B
Rationales:
• Correct (B): Brunner & Suddarth describe health
promotion evaluation as behavior- and outcome-oriented;
scheduling and completing screening shows applied
behavior change and risk reduction.
• Incorrect (A): Knowledge gain is a process measure but not
the best indicator of sustained health-promoting behavior.
• Incorrect (C): Satisfaction is useful for program
improvement but does not measure health outcomes.
• Incorrect (D): Distribution numbers reflect reach, not
actual behavior or screening uptake.
, Teaching Point: Evaluate health promotion by measurable
behavior or outcome changes.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
3
Reference: Ch. 1 — The Patient: Consumer of Nursing and
Health Care
Question Stem: A patient requests alternative herbal therapy
for chronic insomnia. Which nursing response best supports
patient-centered care while ensuring safety?
A. "Herbal therapies are ineffective; I will not support that
choice."
B. "Tell me which herb you want; I will review for safety and
possible interactions with your medications."
C. "You should stop all prescription sleep medicine if you try the
herb."
D. "I'll give you a brochure and leave the decision to you."
Correct Answer: B
Rationales:
• Correct (B): Brunner & Suddarth emphasize respecting
patient as health care consumer while assessing safety—
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
Reference: Ch. 1 — The Patient’s Basic Needs: Maslow
Hierarchy of Needs
Question Stem: A 68-year-old patient with COPD is admitted
with increasing dyspnea and confusion. Which nursing action
should be prioritized first?
A. Teach pursed-lip breathing to improve ventilation.
B. Administer supplemental oxygen per order and reassess
respiratory status.
,C. Discuss advance directives with the patient and family.
D. Offer written educational materials about smoking cessation.
Correct Answer: B
Rationales:
• Correct (B): Per Maslow-based prioritization, physiologic
needs (airway/oxygenation) are highest priority; Brunner &
Suddarth emphasize immediate stabilization (administer
oxygen and reassess) before teaching or planning.
• Incorrect (A): Teaching breathing techniques is important
but is secondary to correcting hypoxemia in an acute
decompensation.
• Incorrect (C): Advance-care planning is important for
overall care but is not urgent when patient is hypoxic and
confused.
• Incorrect (D): Providing educational materials is
appropriate later during stabilization and discharge
planning, not as the first action.
Teaching Point: Always treat airway/oxygenation needs before
education or planning.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
2
,Reference: Ch. 1 — Health Promotion
Question Stem: A nurse is planning a community teaching
session for adults at risk for type 2 diabetes. Which outcome is
the most appropriate evaluation measure for health promotion
effectiveness?
A. Number of attendees who report knowledge of diabetes
pathophysiology.
B. Percentage of participants who schedule follow-up screening
fasting glucose within 3 months.
C. Satisfaction scores collected immediately after the session.
D. Distribution count of printed diabetes brochures.
Correct Answer: B
Rationales:
• Correct (B): Brunner & Suddarth describe health
promotion evaluation as behavior- and outcome-oriented;
scheduling and completing screening shows applied
behavior change and risk reduction.
• Incorrect (A): Knowledge gain is a process measure but not
the best indicator of sustained health-promoting behavior.
• Incorrect (C): Satisfaction is useful for program
improvement but does not measure health outcomes.
• Incorrect (D): Distribution numbers reflect reach, not
actual behavior or screening uptake.
, Teaching Point: Evaluate health promotion by measurable
behavior or outcome changes.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
3
Reference: Ch. 1 — The Patient: Consumer of Nursing and
Health Care
Question Stem: A patient requests alternative herbal therapy
for chronic insomnia. Which nursing response best supports
patient-centered care while ensuring safety?
A. "Herbal therapies are ineffective; I will not support that
choice."
B. "Tell me which herb you want; I will review for safety and
possible interactions with your medications."
C. "You should stop all prescription sleep medicine if you try the
herb."
D. "I'll give you a brochure and leave the decision to you."
Correct Answer: B
Rationales:
• Correct (B): Brunner & Suddarth emphasize respecting
patient as health care consumer while assessing safety—
