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Test Bank for Brunner and Suddarths Textbook of Medical-Surgical Nursing 12th Edition by Smeltzer

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Test Bank for Brunner and Suddarths Textbook of Medical-Surgical Nursing 12th Edition by Smeltzer/Test Bank for Brunner and Suddarths Textbook of Medical-Surgical Nursing 12th Edition by Smeltzer

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TEST BANK > CONTROL PANEL > POOL MANAGER > POOL CANVAS


Pool Canvas

Add, modify, and remove questions. Select a question type from the Add Question drop-down list and click Go to add questions. U
which default options, such as feedback and images, are available for question creation.

Add Creation Settings

Name Chapter 01: Health Care Delivery and Nursing Practice
Description Diploma exported pool
Instructions



Multiple Choice 1 points

Question The school nurse is presenting a health promotion class to a group of high school students. How does th
Answer A. Health is being disease free.
B. Health is having fulfilling relationships.
C. Health is having a clean drinking source and nutritious food.
D. Health is being connected in body, mind, and spirit.
Correct The World Health Organization (WHO) defines health in the preamble to its constitution as a “state
Feedback social well-being and not merely the absence of disease and infirmity.” The other answers are inco
WHO defines health.
Incorrect The World Health Organization (WHO) defines health in the preamble to its constitution as a “state
Feedback social well-being and not merely the absence of disease and infirmity.” The other answers are inco
WHO defines health.



Multiple Choice 1 points

Question A nurse is speaking to a group of high school students about what it is like to be a nurse. What is one ch
as necessary to possess to be an effective nurse?
Answer A. Sensitivity to cultural differences
B. Team-focused nursing approach
C. Strict adherence to routine
D. One set cultural practice
Correct To promote an effective nurse–patient relationship and positive outcomes of care, nursing care mus
Feedback appropriate, and sensitive to cultural differences. Team-focused nursing and strict adherence to rou
needed to be an effective nurse. “One set” cultural practice is nonexistent.
Incorrect To promote an effective nurse–patient relationship and positive outcomes of care, nursing care mus
Feedback appropriate, and sensitive to cultural differences. Team-focused nursing and strict adherence to rou
needed to be an effective nurse. “One set” cultural practice is nonexistent.



Multiple Choice 1 points

Question With the changing population and increased longevity, people have had to become more knowledgeable
professional health care they receive. A development that has been born of this trend is organized self-care educa
these programs emphasize?
Answer A. Good prenatal care
B. An abundance of information
C. Judicious use of internet self-help groups
D. Management of illness
Correct Organized self-care education programs emphasize health promotion, disease prevention, manag
Feedback judicious use of the professional health care system. The other answers are incorrect because the
education programs.
Incorrect Organized self-care education programs emphasize health promotion, disease prevention, manag
Feedback judicious use of the professional health care system. The other answers are incorrect because the
education programs.

,Correct By viewing health and illness on a continuum, it is possible to consider a person as being neither com
Feedback Instead, a person's state of health is ever-changing and has the potential to range from high-level we
and imminent death. The other answers are incorrect because patient care should not focus just on t
have varying degrees of illness, and care should not focus on the response to medications but on the
of nursing care.
Incorrect By viewing health and illness on a continuum, it is possible to consider a person as being neither com
Feedback Instead, a person's state of health is ever-changing and has the potential to range from high-level we
and imminent death. The other answers are incorrect because patient care should not focus just on t
have varying degrees of illness, and care should not focus on the response to medications but on the
of nursing care.



Multiple Choice 1 points

Question What does the nurse, working in a community health clinic, teach about disease prevention?
Answer A. That it is best achieved through attending self-help groups
B. That it is best achieved by taking yearly physicals
C. That it is best achieved by being an active participant in the community
D. That it is best achieved by exhibiting behaviors that promote health
Correct Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is
Feedback oriented toward wellness. The other answers are incorrect because nurses in community health clin
prevention is best achieved through attending self-help groups, or by taking yearly physicals or by b
community.
Incorrect Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is
Feedback oriented toward wellness. The other answers are incorrect because nurses in community health clin
prevention is best achieved through attending self-help groups, or by taking yearly physicals or by b
community.



Multiple Choice 1 points

Question A nurse on a medical-surgical unit has asked to represent her unit on the hospital's Continuous Quality I
researching CQI programs, what has the nurse found?
Answer A. CQI programs establish accountability on the part of health care professionals.
B. CQI programs focus on the process used to provide care.
C. CQI programs identify incidents rather than processes.
D. CQI programs justify health care costs.
Correct Unlike QA, which focuses on individual incidents or errors and minimal expectations, CQI focuses on
Feedback care, with the aim of improving quality by assessing and improving those processes that most affect
satisfaction. The other answers are incorrect because CQI programs do not focus on the accountabi
professionals, they do not identify incidents rather than processes, and they do not justify health care
Incorrect Unlike QA, which focuses on individual incidents or errors and minimal expectations, CQI focuses on
Feedback care, with the aim of improving quality by assessing and improving those processes that most affect
satisfaction. The other answers are incorrect because CQI programs do not focus on the accountabi
professionals, they do not identify incidents rather than processes, and they do not justify health care



Multiple Choice 1 points

Question Because of managed health care there have been many significant changes in the health care delivery
managed health care has had on the patient population?
Answer A. Patients are in the hospital for a longer period of time.
B. Patients are locked into prenegotiated payment rates that have remained unchanged.
C. Patients with high home-care needs are being discharged into the community.
D. Patient use of ambulatory care has decreased.
Correct Managed care has contributed to a dramatic reduction in inpatient hospital days, continuing expansio
Feedback competition, and marketing strategies that appeal to consumers as well as to insurers and regulators
returning to the community with more health care needs, many of which are complex. The other answ
patients are not in the hospital for longer periods of time; patients are not locked into payment rates th
and patient use of ambulatory care has not decreased, it has increased.
Incorrect Managed care has contributed to a dramatic reduction in inpatient hospital days, continuing expansio

,Question Many institutions use clinical pathways to direct patient care for certain diagnosis-related groups (DRGs
on a clinical pathway, she knows that to achieve the desired outcomes specific care must be given within what?
Answer A. The designated time frame of the clinical pathway
B. The auspices of the nurse manager of the unit
C. The modifications made by that specific care unit
D. The timeframe designated by the nurse initiating the clinical pathway
Correct The pathways indicate key events, such as diagnostic tests, treatments, activities, medications, cons
Feedback occur within specified times for patients to achieve the desired and timely outcomes. The other answ
not given within the auspices of the units nurse manager, and a clinical pathway is not modified from
modified by the nurse initiating the pathway.
Incorrect The pathways indicate key events, such as diagnostic tests, treatments, activities, medications, cons
Feedback occur within specified times for patients to achieve the desired and timely outcomes. The other answ
not given within the auspices of the units nurse manager, and a clinical pathway is not modified from
modified by the nurse initiating the pathway.



Multiple Choice 1 points

Question Staff nurses in an ICU setting have noticed that their patients required fewer interventions for pain when
their observations on to a nurse researcher and asked the researcher to design a study about the effects of noise
patients. How does this demonstrate the primary purpose of nursing research?
Answer A. Nursing research involves patients and their care while hospitalized.
B. Nursing research contributes to the scientific base of nursing practice.
C. Nursing research draws conclusions about the quality of patient care.
D. Nursing research explains ongoing medical studies to patients.
Correct The primary task of nursing research is to contribute to the scientific base of nursing practice. Studie
Feedback effectiveness of nursing interventions and nursing care. The science of nursing grows through resea
scientifically based rationale for nursing practice and patient care. The other answers are incorrect b
purpose of nursing research.
Incorrect The primary task of nursing research is to contribute to the scientific base of nursing practice. Studie
Feedback effectiveness of nursing interventions and nursing care. The science of nursing grows through resea
scientifically based rationale for nursing practice and patient care. The other answers are incorrect b
purpose of nursing research.



Multiple Choice 1 points

Question Nurses now have the option to practice in a variety of settings. One of the fastest growing venues of pra
health care environment is home health care. What is the basis for the growth in this health care setting?
Answer A. The chronic nursing shortage
B. The focus on treatment of disease
C. The preference of nurses to work during the day instead of evening or night shifts
D. The discharge of patients who are more critically ill
Correct With shorter hospital stays and increased use of outpatient health care services, more nursing car
Feedback community setting. The other answers are incorrect because they are not the basis for the growth
home setting.
Incorrect With shorter hospital stays and increased use of outpatient health care services, more nursing car
Feedback community setting. The other answers are incorrect because they are not the basis for the growth
home setting.



Multiple Choice 1 points

Question Nurses have different educational backgrounds and function under many titles in their practice setting. I
oncology clinic and her role included clinical practice, education, management, consultation, and research, what w
nurse's title?
Answer A. Midwife
B. Clinical nurse specialist
C. Nurse manager
D. Staff nurse

, Multiple Choice 1 points

Question A hospice nurse is caring for a patient dying of lung cancer. According to Maslow's hierarchy of needs, w
consider primary in importance when caring for a dying patient?
Answer A. Spiritual
B. Social
C. Physiologic
D. Emotional
Correct Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging
Feedback self-respect; and self-actualization, which includes self-fulfillment, desire to know and understand, an
hierarchy of needs is a useful framework that can be applied to the various nursing models for asses
limitations, and need for nursing interventions. The other answers are incorrect because they are not
caring for a dying patient.
Incorrect Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging
Feedback self-respect; and self-actualization, which includes self-fulfillment, desire to know and understand, an
hierarchy of needs is a useful framework that can be applied to the various nursing models for asses
limitations, and need for nursing interventions. The other answers are incorrect because they are not
caring for a dying patient.



Multiple Choice 1 points

Question Based on Maslow's hierarchy of needs, when prioritizing a patient's plan of care, what would be the nurs
Answer A. Allowing the family to see a newly admitted patient
B. Ambulating the patient in the hallway
C. Administering pain medication
D. Teaching the patient to self-administer insulin
Correct In Maslow's hierarchy of needs, pain relief addresses the patient's basic physiologic need. Activity, su
Feedback level need above the physiologic need. Allowing the patient to see his family addresses a higher leve
belonging. Teaching the patient is also a higher level need related to the desire to know and understa
time, as the basic physiologic need of pain control must be addressed before the patient can address
Incorrect In Maslow's hierarchy of needs, pain relief addresses the patient's basic physiologic need. Activity, su
Feedback level need above the physiologic need. Allowing the patient to see his family addresses a higher leve
belonging. Teaching the patient is also a higher level need related to the desire to know and understa
time, as the basic physiologic need of pain control must be addressed before the patient can address



Multiple Choice 1 points

Question As nurses, it is our responsibility to comply with the code of ethics set forth by the ANA and the Internati
also have a responsibility to carry out our role as described in the
Answer A. practice act set forth by the National Council of Nursing.
B. Code of Ethics adopted by the National League for Nursing.
C. ANA's Social Policy Statement.
D. ANA's White Paper on Nursing.
Correct Nurses have a responsibility to carry out their role as described in the Social Policy Statement to com
Feedback the state in which they practice and to comply with the Code of Ethics for Nurses as spelled out by th
International Council of Nurses (International Council of Nurses [ICN], 2006). The other answers are
nursing is not included in the practice act or the ANA's white paper; and the code of ethics was not w
Incorrect Nurses have a responsibility to carry out their role as described in the Social Policy Statement to com
Feedback the state in which they practice and to comply with the Code of Ethics for Nurses as spelled out by th
International Council of Nurses (International Council of Nurses [ICN], 2006). The other answers are
nursing is not included in the practice act or the ANA's white paper; and the code of ethics was not w



Multiple Choice 1 points

Question Nursing is, by necessity, a flexible profession. It has adapted to meet both the expectations and the cha
population. What is one factor that has impacted the need for an expanded nursing role?
Answer A. The need to decrease the cost of health care

B. The need to improve patient diagnostic services

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