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 — Nursing
Question: A nurse in a community clinic is developing an
education plan for an adult client newly diagnosed with type 2
diabetes. Which nursing action best demonstrates the
profession’s blend of art and science?
A. Telling the client to strictly follow the printed diet plan
without discussion.
B. Using evidence-based blood glucose targets while
collaboratively setting personalized self-management goals.
C. Referring the client to a diabetes educator and not
,participating further.
D. Prescribing medication adjustments based on the nurse’s
past experience.
Correct Answer: B
Rationales:
• B (Correct): Demonstrates application of current evidence
(science) and collaborative individualized care (art),
reflecting nursing’s combined scientific knowledge and
therapeutic interpersonal skills.
• A: One-way instruction ignores individualized teaching and
shared decision-making; not reflective of professional
nursing.
• C: Referral is appropriate, but abdicates ongoing nursing
role and therapeutic relationship.
• D: Nurses do not independently prescribe medication
changes; this exceeds scope and bypasses
interprofessional collaboration.
Teaching Point: Combine evidence-based targets with patient-
centered goal setting for effective nursing care.
Citation: 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: Consumer of Nursing and Health Care
Question: A 68-year-old retiree expresses concern about rising
healthcare costs and asks how to choose services. Which
nursing response best supports the patient as a consumer?
A. “Choose the lowest-cost provider; costs are most important.”
B. “I can help you compare quality measures, costs, and
coverage to match your needs.”
C. “You don’t need to worry—hospitals will take care of
everything.”
D. “Only use specialists; generalists aren’t as effective.”
Correct Answer: B
Rationales:
• B (Correct): Empowers patient decision-making by offering
assistance in comparing quality, cost, and coverage—
supports consumer role.
• A: Oversimplifies choices and may compromise quality; not
patient-centered.
• C: Dismisses the patient’s concern and undermines
informed consumer decision-making.
• D: Incorrect generalization; choice should be individualized
based on need and evidence.
, Teaching Point: Support patients to compare quality, cost, and
coverage when making healthcare choices.
Citation: 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 — The
Patient’s Basic Needs: Maslow Hierarchy of Needs
Question: A postoperative patient is sweaty, restless, and has a
respiratory rate of 30/min with SpO₂ 86% on room air. Using
Maslow’s hierarchy, which nursing priority is most appropriate?
A. Address the patient’s need for companionship.
B. Provide oxygen to correct hypoxia.
C. Discuss the patient’s concerns about surgery outcomes.
D. Offer a blanket for comfort.
Correct Answer: B
Rationales:
• B (Correct): Physiologic needs (air/oxygenation) are
highest priority per Maslow; correcting hypoxia prevents
immediate harm.
• A: Social needs are lower priority while physiologic
compromise exists.
Surgical Nursing
15th Edition
Author(s)Janice Hinkle, Kerry H. Cheever,
Kristen Overbaugh
TEST BANK
1⃣
Reference: Ch. 1 — Professional Nursing Practice — Nursing
Question: A nurse in a community clinic is developing an
education plan for an adult client newly diagnosed with type 2
diabetes. Which nursing action best demonstrates the
profession’s blend of art and science?
A. Telling the client to strictly follow the printed diet plan
without discussion.
B. Using evidence-based blood glucose targets while
collaboratively setting personalized self-management goals.
C. Referring the client to a diabetes educator and not
,participating further.
D. Prescribing medication adjustments based on the nurse’s
past experience.
Correct Answer: B
Rationales:
• B (Correct): Demonstrates application of current evidence
(science) and collaborative individualized care (art),
reflecting nursing’s combined scientific knowledge and
therapeutic interpersonal skills.
• A: One-way instruction ignores individualized teaching and
shared decision-making; not reflective of professional
nursing.
• C: Referral is appropriate, but abdicates ongoing nursing
role and therapeutic relationship.
• D: Nurses do not independently prescribe medication
changes; this exceeds scope and bypasses
interprofessional collaboration.
Teaching Point: Combine evidence-based targets with patient-
centered goal setting for effective nursing care.
Citation: 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: Consumer of Nursing and Health Care
Question: A 68-year-old retiree expresses concern about rising
healthcare costs and asks how to choose services. Which
nursing response best supports the patient as a consumer?
A. “Choose the lowest-cost provider; costs are most important.”
B. “I can help you compare quality measures, costs, and
coverage to match your needs.”
C. “You don’t need to worry—hospitals will take care of
everything.”
D. “Only use specialists; generalists aren’t as effective.”
Correct Answer: B
Rationales:
• B (Correct): Empowers patient decision-making by offering
assistance in comparing quality, cost, and coverage—
supports consumer role.
• A: Oversimplifies choices and may compromise quality; not
patient-centered.
• C: Dismisses the patient’s concern and undermines
informed consumer decision-making.
• D: Incorrect generalization; choice should be individualized
based on need and evidence.
, Teaching Point: Support patients to compare quality, cost, and
coverage when making healthcare choices.
Citation: 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 — The
Patient’s Basic Needs: Maslow Hierarchy of Needs
Question: A postoperative patient is sweaty, restless, and has a
respiratory rate of 30/min with SpO₂ 86% on room air. Using
Maslow’s hierarchy, which nursing priority is most appropriate?
A. Address the patient’s need for companionship.
B. Provide oxygen to correct hypoxia.
C. Discuss the patient’s concerns about surgery outcomes.
D. Offer a blanket for comfort.
Correct Answer: B
Rationales:
• B (Correct): Physiologic needs (air/oxygenation) are
highest priority per Maslow; correcting hypoxia prevents
immediate harm.
• A: Social needs are lower priority while physiologic
compromise exists.
