TEST BANK Brunner & SudTest Bank – Brunner & Suddarth's Textbook of Medical-Surgical Nursing by Hinkle, Cheever, Overbaughdarth's Textbook of Medical-Surgical Nursing Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh Revised Edition

Brunner & Suddarth's Textbook of Medical- Surgical Nursing 15
th Edition

Author(s): Janice L Hinkle, Kerry H. Cheever TEST BANK

, Chapter 1: Health Care Delivery and Evidence- so so so so so so



Based Nursing Practice so s o




1. The public health nurse is presenting a health promotion class to a group of new
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mothers. How should the nurse best define health? so so so so so so so



A) Health is being disease free. so so so so



B) Health is having fulfillment in all domains of life. so so so so so so so so



C) Health is having psychological and physiological harmony. so so so so so so



D) Health is being connected in body, mind, and spirit. so so so so so so so so so



Ans: D sos o



Feedback:
The World Health Organization (WHO) defines health in the preamble to its constituti
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on as a ìstate of complete physical, mental, and social well-
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being and not merely the absence of disease and infirmity.î The other answers are inco
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rrect because they are not congruent with the WHO definition of health.
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2. A nurse is speaking to a group of prospective nursing students about what it is like to be a
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nurse. What is one characteristic the nurse would cite as necessary to possess to be an eff
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ective nurse? so



A) Sensitivity to cultural differences so so so



B) Team-focused approach to problem-solving so so so



C) Strict adherence to routine so so so



D) Ability to face criticism so so so s



oAns: A sos o



Feedback:
To promote an effective nurse-
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patient relationship and positive outcomes of care, nursing care must be culturally compet
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ent, appropriate, and sensitive to cultural differences. Team-
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focused nursing and strict adherence to routine are not characteristics needed to be an eff
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ective nurse. The ability to handle criticism is important, but to a lesser degree than cultur
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al competence.
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3. With increases in longevity, people have had to become more knowledgeable about the
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ir health and the professional health care that they receive. One outcome of this pheno
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menon is the development of organized self- so so so so so so



care education programs. Which of the following do these programs prioritize?
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A) Adequate prenatal care so so



B) Government advocacy and lobbying so so so



C) Judicious use of online communities so so so so



D) Management of illness so so s



oAns: D sos o



Feedback:
Organized self- so



care education programs emphasize health promotion, disease prevention, managemen
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t of illness, self-
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care, and judicious use of the professional health care system. Prenatal care, lobbying,
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and Internet activities are secondary.
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,4. The home health nurse is assisting a patient and his family in planning the patient's ret
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urn to work after surgery and the development of postsurgical complications. The nur
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se is preparing a plan of care that addresses the patient's multifaceted needs. To which
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level of Maslow's hierarchy of basic needs does the patient's need for self-
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fulfillment relate?
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A) Physiologic
B) Transcendence
C) Love and belonging so so



D) Self-
actualization Ans: D so sos o



Feedback:
Maslow's highest level of human needs is self-actualization, which includes self-
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fulfillment, desire to know and understand, and aesthetic needs. The other answers are
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incorrect because self-fulfillment does not relate directly to them.
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5. The view that health and illness are not static states but that they exist on a continuum is
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central to professional health care systems. When planning care, this view aids the nurs
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e in appreciating which of the following?
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A) Care should focus primarily on the treatment of disease. so so so so so so so so



B) A person's state of health is ever-changing. so so so so so so



C) A person can transition from health to illness rapidly.
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D) Care should focus on the patient's compliance with interventions.so so so so so so so so s o



Ans: B sos o



Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being
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neither completely healthy nor completely ill. Instead, a person's state of health is ever-
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changing and has the potential to range from high- so so so so so so so so



level wellness to extremely poor health and imminent death. The other answers are incor
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rect because patient care should not focus just on the treatment of disease. Rapid declines
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in health and ìcomplianceî with treatment are not key to this view of health.
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, 6. A group of nursing students are participating in a community health clinic. When provid
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ing care in this context, what should the students teach participants about disease prevent
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ion?
A) It is best achieved through attending self-help groups.
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B) It is best achieved by reducing psychological stress.
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C) It is best achieved by being an active participant in the community.
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D) It is best achieved by exhibiting behaviors that promote health.
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Ans: D sos o



Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-
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care. Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in co
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mmunity health clinics do not teach that disease prevention is best achieved through atte
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nding self- so



help groups, by reducing stress, or by being an active participant in the community, thou
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gh each of these activities is consistent with a healthy lifestyle.
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7. A nurse on a medical-
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surgical unit has asked to represent the unit on the hospital's quality committee. W
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hen describing quality improvement programs to nursing colleagues and members
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of other health disciplines, what characteristic should the nurse cite?
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A) These programs establish consequences for health care professionals' actions.
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B) These programs focus on the processes used to provide care. so so so so so so so so so



C) These programs identify specific incidents related to quality. so so so so so so so



D) These programs seek to justify health care costs and systems. so so so so so so so so so so



Ans: B sos o



Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality a
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mong them is a focus on the processes that are used to provide care. Consequences, a foc
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us on incidents, and justification for health care costs are not universal characteristics of
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quality improvement efforts. so so




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