Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
Q1
Reference: Ch. 1 — Professional Nursing Practice — Nursing
Question Stem: A 68-year-old patient is admitted after a fall.
The nurse notes the patient’s fear of losing independence and
asks about his home support. Which nursing action best
demonstrates the profession’s holistic focus?
A. Document the fall mechanism in the record and notify the
physician.
B. Ask the patient about his social supports, daily routines, and
,living environment.
C. Provide discharge instructions focused only on fall-prevention
devices.
D. Delegate assessment of home safety to physical therapy.
Correct Answer: B
Rationale — Correct: Asking about social supports, routines,
and environment reflects nursing’s holistic approach addressing
physical, psychosocial, and environmental factors, consistent
with Brunner & Suddarth’s description of nursing as caring for
the whole person.
Rationale — Incorrect:
A. Important for safety documentation but focuses narrowly on
event reporting, not holistic care.
C. Education on devices is useful but incomplete without
assessing psychosocial needs.
D. Delegation may be appropriate for specific tasks, but initial
comprehensive assessment is the nurse’s responsibility.
Teaching Point: Holistic nursing assesses biological,
psychological, social, and environmental needs.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
Q2
Reference: Ch. 1 — The Patient: Consumer of Nursing and
Health Care — The Patient: Consumer of Nursing and Health
,Care
Question Stem: A patient with limited health literacy is
prescribed a new medication. Which strategy best aligns with
patient-centered care to ensure understanding?
A. Provide the full manufacturer pamphlet for the patient to
read at home.
B. Use teach-back to have the patient explain how and when to
take the medication.
C. Assume the family will manage medication and give
instructions to them only.
D. Schedule a single follow-up appointment and document that
teaching was done.
Correct Answer: B
Rationale — Correct: Teach-back verifies patient understanding
and is central to patient-centered care; Brunner & Suddarth
emphasize adapting education to patient needs and health
literacy.
Rationale — Incorrect:
A. Pamphlets may overwhelm patients with limited literacy and
do not ensure comprehension.
C. Involving family can help, but assuming family will manage
ignores individual patient autonomy and assessment needs.
D. Scheduling follow-up is good, but documentation alone does
not confirm understanding.
Teaching Point: Use teach-back to confirm patient
understanding of instructions.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
Q3
Reference: Ch. 1 — The Patient’s Basic Needs: Maslow
Hierarchy of Needs — The Patient’s Basic Needs: Maslow
Hierarchy of Needs
Question Stem: In a busy med-surg unit, three patients need
immediate attention. Which patient should the nurse assess
first, applying Maslow’s priority of needs?
A. A postoperative patient requesting extra blankets for
comfort.
B. A patient with COPD reporting increased shortness of breath
and SpO₂ 86%.
C. A patient who wants help filling out a form for social services.
D. A patient expressing anxiety about returning home alone.
Correct Answer: B
Rationale — Correct: Airway/oxygenation is a physiological
need and takes highest priority; Brunner & Suddarth use
Maslow to guide prioritization toward basic physiologic needs
first.
Rationale — Incorrect:
A. Comfort (safety/comfort) is lower priority than compromised
oxygenation.
C. Social needs are important but rank lower than physiologic
threats.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
Q1
Reference: Ch. 1 — Professional Nursing Practice — Nursing
Question Stem: A 68-year-old patient is admitted after a fall.
The nurse notes the patient’s fear of losing independence and
asks about his home support. Which nursing action best
demonstrates the profession’s holistic focus?
A. Document the fall mechanism in the record and notify the
physician.
B. Ask the patient about his social supports, daily routines, and
,living environment.
C. Provide discharge instructions focused only on fall-prevention
devices.
D. Delegate assessment of home safety to physical therapy.
Correct Answer: B
Rationale — Correct: Asking about social supports, routines,
and environment reflects nursing’s holistic approach addressing
physical, psychosocial, and environmental factors, consistent
with Brunner & Suddarth’s description of nursing as caring for
the whole person.
Rationale — Incorrect:
A. Important for safety documentation but focuses narrowly on
event reporting, not holistic care.
C. Education on devices is useful but incomplete without
assessing psychosocial needs.
D. Delegation may be appropriate for specific tasks, but initial
comprehensive assessment is the nurse’s responsibility.
Teaching Point: Holistic nursing assesses biological,
psychological, social, and environmental needs.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
Q2
Reference: Ch. 1 — The Patient: Consumer of Nursing and
Health Care — The Patient: Consumer of Nursing and Health
,Care
Question Stem: A patient with limited health literacy is
prescribed a new medication. Which strategy best aligns with
patient-centered care to ensure understanding?
A. Provide the full manufacturer pamphlet for the patient to
read at home.
B. Use teach-back to have the patient explain how and when to
take the medication.
C. Assume the family will manage medication and give
instructions to them only.
D. Schedule a single follow-up appointment and document that
teaching was done.
Correct Answer: B
Rationale — Correct: Teach-back verifies patient understanding
and is central to patient-centered care; Brunner & Suddarth
emphasize adapting education to patient needs and health
literacy.
Rationale — Incorrect:
A. Pamphlets may overwhelm patients with limited literacy and
do not ensure comprehension.
C. Involving family can help, but assuming family will manage
ignores individual patient autonomy and assessment needs.
D. Scheduling follow-up is good, but documentation alone does
not confirm understanding.
Teaching Point: Use teach-back to confirm patient
understanding of instructions.
Citation: Hinkle, J., Cheever, K., & Overbaugh, K. (2022).
, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
(15th Ed.). Ch. 1.
Q3
Reference: Ch. 1 — The Patient’s Basic Needs: Maslow
Hierarchy of Needs — The Patient’s Basic Needs: Maslow
Hierarchy of Needs
Question Stem: In a busy med-surg unit, three patients need
immediate attention. Which patient should the nurse assess
first, applying Maslow’s priority of needs?
A. A postoperative patient requesting extra blankets for
comfort.
B. A patient with COPD reporting increased shortness of breath
and SpO₂ 86%.
C. A patient who wants help filling out a form for social services.
D. A patient expressing anxiety about returning home alone.
Correct Answer: B
Rationale — Correct: Airway/oxygenation is a physiological
need and takes highest priority; Brunner & Suddarth use
Maslow to guide prioritization toward basic physiologic needs
first.
Rationale — Incorrect:
A. Comfort (safety/comfort) is lower priority than compromised
oxygenation.
C. Social needs are important but rank lower than physiologic
threats.
