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 — Nursing
Question Stem: A nurse is designing a care plan for a newly
admitted adult with multiple chronic conditions. Which nursing
action best illustrates the profession’s unique focus compared
with other health disciplines?
A. Prescribing a medication to manage symptoms
B. Performing a focused physical assessment and coordinating
care priorities
,C. Interpreting diagnostic imaging results for disease staging
D. Providing financial counseling to arrange follow-up care
Correct Answer: B
Rationales:
• Correct (B): Nursing emphasizes holistic assessment and
coordination of care that integrates biological,
psychological, and social needs; identifying and prioritizing
problems guides safe nursing interventions.
• Incorrect (A): Prescribing medications is outside typical
nursing scope of practice for most nurses and reflects a
medical role.
• Incorrect (C): Interpreting diagnostic imaging for staging is
primarily a diagnostic/medical function, not the nurse’s
primary role.
• Incorrect (D): Helping arrange resources may be part of
nursing coordination, but financial counseling is usually
performed by case management or social services.
Teaching Point: Nurses lead holistic assessment and care
coordination to address complex patient needs.
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: Consumer of Nursing and
Health Care
Question Stem: A 68-year-old patient is reluctant to accept a
recommended home health referral due to cost concerns.
Which nurse response best supports the patient-as-consumer
model and promotes shared decision-making?
A. “If you refuse, you will likely be readmitted.”
B. “Let me explain the services, costs, and alternatives so you
can decide.”
C. “I’ll make the referral anyway; it’s for your own good.”
D. “Most patients in your situation accept home health.”
Correct Answer: B
Rationales:
• Correct (B): The consumer model emphasizes informed
choice and shared decision-making; providing clear
information about services, costs, and alternatives
respects autonomy.
• Incorrect (A): Using fear to coerce undermines patient
autonomy and informed consent.
• Incorrect (C): Making unilateral decisions disregards the
patient’s role as a consumer and erodes trust.
• Incorrect (D): Generalizing others’ choices doesn’t address
this patient’s values or provide necessary information.
Teaching Point: Provide clear options and costs to support
patient autonomy and shared decisions.
, 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’s Basic Needs: Maslow
Hierarchy of Needs
Question Stem: A postoperative patient with stable vital signs is
anxious and refusing to ambulate. Using Maslow’s hierarchy,
which nursing action should be prioritized to facilitate recovery?
A. Encourage ambulation immediately to prevent complications
B. Assess and address the patient’s anxiety and provide
emotional support
C. Provide a written exercise schedule for the patient to follow
later
D. Discuss advanced directives to clarify goals of care
Correct Answer: B
Rationales:
• Correct (B): Anxiety is a psychological need; addressing
safety and emotional needs can remove barriers to
participating in activity (higher-level needs) and promote
recovery.
• Incorrect (A): Forcing ambulation without addressing
underlying anxiety may fail and risk nonadherence or
harm.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1
Reference: Ch. 1 — Nursing
Question Stem: A nurse is designing a care plan for a newly
admitted adult with multiple chronic conditions. Which nursing
action best illustrates the profession’s unique focus compared
with other health disciplines?
A. Prescribing a medication to manage symptoms
B. Performing a focused physical assessment and coordinating
care priorities
,C. Interpreting diagnostic imaging results for disease staging
D. Providing financial counseling to arrange follow-up care
Correct Answer: B
Rationales:
• Correct (B): Nursing emphasizes holistic assessment and
coordination of care that integrates biological,
psychological, and social needs; identifying and prioritizing
problems guides safe nursing interventions.
• Incorrect (A): Prescribing medications is outside typical
nursing scope of practice for most nurses and reflects a
medical role.
• Incorrect (C): Interpreting diagnostic imaging for staging is
primarily a diagnostic/medical function, not the nurse’s
primary role.
• Incorrect (D): Helping arrange resources may be part of
nursing coordination, but financial counseling is usually
performed by case management or social services.
Teaching Point: Nurses lead holistic assessment and care
coordination to address complex patient needs.
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: Consumer of Nursing and
Health Care
Question Stem: A 68-year-old patient is reluctant to accept a
recommended home health referral due to cost concerns.
Which nurse response best supports the patient-as-consumer
model and promotes shared decision-making?
A. “If you refuse, you will likely be readmitted.”
B. “Let me explain the services, costs, and alternatives so you
can decide.”
C. “I’ll make the referral anyway; it’s for your own good.”
D. “Most patients in your situation accept home health.”
Correct Answer: B
Rationales:
• Correct (B): The consumer model emphasizes informed
choice and shared decision-making; providing clear
information about services, costs, and alternatives
respects autonomy.
• Incorrect (A): Using fear to coerce undermines patient
autonomy and informed consent.
• Incorrect (C): Making unilateral decisions disregards the
patient’s role as a consumer and erodes trust.
• Incorrect (D): Generalizing others’ choices doesn’t address
this patient’s values or provide necessary information.
Teaching Point: Provide clear options and costs to support
patient autonomy and shared decisions.
, 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’s Basic Needs: Maslow
Hierarchy of Needs
Question Stem: A postoperative patient with stable vital signs is
anxious and refusing to ambulate. Using Maslow’s hierarchy,
which nursing action should be prioritized to facilitate recovery?
A. Encourage ambulation immediately to prevent complications
B. Assess and address the patient’s anxiety and provide
emotional support
C. Provide a written exercise schedule for the patient to follow
later
D. Discuss advanced directives to clarify goals of care
Correct Answer: B
Rationales:
• Correct (B): Anxiety is a psychological need; addressing
safety and emotional needs can remove barriers to
participating in activity (higher-level needs) and promote
recovery.
• Incorrect (A): Forcing ambulation without addressing
underlying anxiety may fail and risk nonadherence or
harm.
