Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse explains to a patient that nursing care includes health
promotion, illness prevention, restoration of health, and
supportive care. Which statement best reflects the scope of
professional nursing practice?
A. Nursing focuses primarily on carrying out prescribed medical
treatments.
B. Nursing addresses patient responses to health and illness
,across the lifespan.
C. Nursing is limited to care provided in acute care hospitals.
D. Nursing responsibilities end when a patient is discharged.
Correct Answer: B
Rationale:
Professional nursing focuses on human responses to actual and
potential health problems and promotes health across the
lifespan. Nursing practice extends beyond treatment
implementation and includes assessment, planning,
intervention, evaluation, education, and advocacy. Acute care is
only one setting in which nursing is practiced, and care
coordination often continues after discharge.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Professional Nursing Practice
Question 2
A nurse is caring for several patients. Which action best
demonstrates patient advocacy?
A. Following a provider's prescription without question
B. Reporting a patient's concerns and preferences to the health
care team
C. Delegating all patient education to assistive personnel
D. Limiting communication to objective clinical findings
,Correct Answer: B
Rationale:
Advocacy involves protecting patient rights, promoting
informed decision-making, and communicating patient
preferences to the interdisciplinary team. Nurses serve as
patient advocates by ensuring that patients' values and wishes
are represented in care planning. Blindly following prescriptions
or avoiding communication does not fulfill the advocacy role.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 3
A nurse uses current research findings to determine the most
effective intervention for reducing catheter-associated
complications. This action reflects which principle?
A. Delegation
B. Accountability
C. Evidence-based practice
D. Case management
Correct Answer: C
Rationale:
Evidence-based practice integrates the best available evidence,
clinical expertise, and patient preferences to improve outcomes
, and quality of care. Using research findings to guide nursing
interventions exemplifies evidence-based practice. Delegation
and case management involve different aspects of nursing care
delivery.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Quality, Safety, and Evidence-Based Practice
Question 4
A patient states, “Health means different things to different
people.” Which nurse response is most appropriate?
A. “Health is simply the absence of disease.”
B. “Health is determined only by laboratory findings.”
C. “Health is a dynamic state influenced by many physical,
psychological, and social factors.”
D. “Health depends entirely on genetics.”
Correct Answer: C
Rationale:
Health is a dynamic and multidimensional state affected by
physical, emotional, social, cultural, developmental, and
environmental factors. It is not merely the absence of disease
and cannot be determined solely by laboratory results or
genetics.
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Question 1
A nurse explains to a patient that nursing care includes health
promotion, illness prevention, restoration of health, and
supportive care. Which statement best reflects the scope of
professional nursing practice?
A. Nursing focuses primarily on carrying out prescribed medical
treatments.
B. Nursing addresses patient responses to health and illness
,across the lifespan.
C. Nursing is limited to care provided in acute care hospitals.
D. Nursing responsibilities end when a patient is discharged.
Correct Answer: B
Rationale:
Professional nursing focuses on human responses to actual and
potential health problems and promotes health across the
lifespan. Nursing practice extends beyond treatment
implementation and includes assessment, planning,
intervention, evaluation, education, and advocacy. Acute care is
only one setting in which nursing is practiced, and care
coordination often continues after discharge.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1, Professional Nursing Practice
Question 2
A nurse is caring for several patients. Which action best
demonstrates patient advocacy?
A. Following a provider's prescription without question
B. Reporting a patient's concerns and preferences to the health
care team
C. Delegating all patient education to assistive personnel
D. Limiting communication to objective clinical findings
,Correct Answer: B
Rationale:
Advocacy involves protecting patient rights, promoting
informed decision-making, and communicating patient
preferences to the interdisciplinary team. Nurses serve as
patient advocates by ensuring that patients' values and wishes
are represented in care planning. Blindly following prescriptions
or avoiding communication does not fulfill the advocacy role.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Professional Nursing Practice
Question 3
A nurse uses current research findings to determine the most
effective intervention for reducing catheter-associated
complications. This action reflects which principle?
A. Delegation
B. Accountability
C. Evidence-based practice
D. Case management
Correct Answer: C
Rationale:
Evidence-based practice integrates the best available evidence,
clinical expertise, and patient preferences to improve outcomes
, and quality of care. Using research findings to guide nursing
interventions exemplifies evidence-based practice. Delegation
and case management involve different aspects of nursing care
delivery.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Quality, Safety, and Evidence-Based Practice
Question 4
A patient states, “Health means different things to different
people.” Which nurse response is most appropriate?
A. “Health is simply the absence of disease.”
B. “Health is determined only by laboratory findings.”
C. “Health is a dynamic state influenced by many physical,
psychological, and social factors.”
D. “Health depends entirely on genetics.”
Correct Answer: C
Rationale:
Health is a dynamic and multidimensional state affected by
physical, emotional, social, cultural, developmental, and
environmental factors. It is not merely the absence of disease
and cannot be determined solely by laboratory results or
genetics.
