Ch 1 med surg test bank
questionsand answers
1. The public health nurse is presenting a health promotion class to a group of new mothers.
How should the nurse best define health?
A) Health is being disease free.
B) Health is having fulfillment in all domains of life.
C) Health is having psychological and physiological harmony.
D) Health is being connected in body, mind, and spirit. - Ans - Ans: D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a
state of complete physical, mental, and social well-being and not merely the absence of
disease and infirmity. The other answers are incorrect because they are not congruent with
the WHO definition of health.
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a
nurse. What is one characteristic the nurse would cite as necessary to possess to be an
effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism - Ans - Ans: A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing
care must be culturally competent, appropriate, and sensitive to cultural differences. Team-
focused nursing and strict adherence to routine are not characteristics needed to be an
effective nurse. The ability to handle criticism is important, but to a lesser degree than
cultural competence.
3. With increases in longevity, people have had to become more knowledgeable about their
health and the professional health care that they receive. One outcome of this phenomenon
,is the development of organized self-care education programs. Which of the following do
these programs prioritize?
A) Adequate prenatal care
B) Government advocacy and lobbying
C) Judicious use of online communities
D) Management of illness - Ans - Ans: D
Feedback:
Organized self-care education programs emphasize health promotion, disease prevention,
management of illness, self-care, and judicious use of the professional health care system.
Prenatal care, lobbying, and Internet activities are secondary.
4. The home health nurse is assisting a patient and his family in planning the patients return
to work after surgery and the development of postsurgical complications. The nurse is
preparing a plan of care that addresses the patients multifaceted needs. To which level of
Maslows hierarchy of basic needs does the patients need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization - Ans - Ans: D
Feedback:
Maslows highest level of human needs is self-actualization, which includes self-fulfillment,
desire to know and understand, and aesth
5. The view that health and illness are not static states but that they exist on a continuum is
central to professional health care systems. When planning care, this view aids the nurse in
appreciating which of the following?
A) Care should focus primarily on the treatment of disease.
B) A persons state of health is ever-changing.
C) A person can transition from health to illness rapidly.
D) Care should focus on the patients compliance with interventions - Ans - Ans: B
Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being
neither completely healthy nor completely ill. Instead, a persons state of health is ever-
changing and has the potential to range from high-level wellness to extremely poor health
and imminent death. The other answers are incorrect because patient care should not focus
, just on the treatment of disease. Rapid declines in health and compliance with treatment are
not key to this view of health.
6. A group of nursing students are participating in a community health clinic. When
providing care in this context, what should the students teach participants about disease
prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health - Ans - Ans: D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-care.
Health is seen
as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do
not teach
that disease prevention is best achieved through attending self-help groups, by reducing
stress, or by
being an active participant in the community, though each of these activities is consistent
with a healthy
lifestyle.
7. A nurse on a medical-surgical unit has asked to represent the unit on the hospitals quality
committee. When describing quality improvement programs to nursing colleagues and
members of other health
disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems. - Ans - Ans: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality among
them is a
focus on the processes that are used to provide care. Consequences, a focus on incidents,
and
questionsand answers
1. The public health nurse is presenting a health promotion class to a group of new mothers.
How should the nurse best define health?
A) Health is being disease free.
B) Health is having fulfillment in all domains of life.
C) Health is having psychological and physiological harmony.
D) Health is being connected in body, mind, and spirit. - Ans - Ans: D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a
state of complete physical, mental, and social well-being and not merely the absence of
disease and infirmity. The other answers are incorrect because they are not congruent with
the WHO definition of health.
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a
nurse. What is one characteristic the nurse would cite as necessary to possess to be an
effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism - Ans - Ans: A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing
care must be culturally competent, appropriate, and sensitive to cultural differences. Team-
focused nursing and strict adherence to routine are not characteristics needed to be an
effective nurse. The ability to handle criticism is important, but to a lesser degree than
cultural competence.
3. With increases in longevity, people have had to become more knowledgeable about their
health and the professional health care that they receive. One outcome of this phenomenon
,is the development of organized self-care education programs. Which of the following do
these programs prioritize?
A) Adequate prenatal care
B) Government advocacy and lobbying
C) Judicious use of online communities
D) Management of illness - Ans - Ans: D
Feedback:
Organized self-care education programs emphasize health promotion, disease prevention,
management of illness, self-care, and judicious use of the professional health care system.
Prenatal care, lobbying, and Internet activities are secondary.
4. The home health nurse is assisting a patient and his family in planning the patients return
to work after surgery and the development of postsurgical complications. The nurse is
preparing a plan of care that addresses the patients multifaceted needs. To which level of
Maslows hierarchy of basic needs does the patients need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization - Ans - Ans: D
Feedback:
Maslows highest level of human needs is self-actualization, which includes self-fulfillment,
desire to know and understand, and aesth
5. The view that health and illness are not static states but that they exist on a continuum is
central to professional health care systems. When planning care, this view aids the nurse in
appreciating which of the following?
A) Care should focus primarily on the treatment of disease.
B) A persons state of health is ever-changing.
C) A person can transition from health to illness rapidly.
D) Care should focus on the patients compliance with interventions - Ans - Ans: B
Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being
neither completely healthy nor completely ill. Instead, a persons state of health is ever-
changing and has the potential to range from high-level wellness to extremely poor health
and imminent death. The other answers are incorrect because patient care should not focus
, just on the treatment of disease. Rapid declines in health and compliance with treatment are
not key to this view of health.
6. A group of nursing students are participating in a community health clinic. When
providing care in this context, what should the students teach participants about disease
prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health - Ans - Ans: D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-care.
Health is seen
as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do
not teach
that disease prevention is best achieved through attending self-help groups, by reducing
stress, or by
being an active participant in the community, though each of these activities is consistent
with a healthy
lifestyle.
7. A nurse on a medical-surgical unit has asked to represent the unit on the hospitals quality
committee. When describing quality improvement programs to nursing colleagues and
members of other health
disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems. - Ans - Ans: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality among
them is a
focus on the processes that are used to provide care. Consequences, a focus on incidents,
and
