Brunner & Suddarth's Textbook of Medical-
Surgical Nursing 15th Edition
Author(s): Janice L Hinkle, Kerry H. Cheever
TEST BANK
Ⓒ2025
,https://www.stuvia.com/
Chapter 1: Health Care Delivery and Evidence- st st st st st st
Based Nursing Practice st s t
1. Thepublichealthnurseispresentingahealthpromotionclasstoagroupofnew mother
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s.Howshouldthenursebestdefinehealth?
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A) Healthisbeingdiseasefree. st st st st
B) Healthishavingfulfillmentinalldomainsoflife. st st st st st st st st
C) Healthishavingpsychologicalandphysiologicalharmony. st st st st st st
D) Healthisbeingconnectedinbody,mind,andspirit. Ans st st st st st st st st s t
:D
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TheWorldHealthOrganization(WHO)defineshealthinthepreambletoits constitutionas
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aìstateofcompletephysical,mental,andsocialwell-
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beingandnot merelytheabsenceofdiseaseandinfirmity.îTheotheranswersareincorrectb
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ecause theyarenotcongruentwiththeWHOdefinitionofhealth. st st st st st st st st st st
2. Anurseisspeaking toagroup ofprospectivenursing students aboutwhat it isliketobe anurse.
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What isonecharacteristic thenursewouldciteasnecessary topossess tobe an effectivenurse?
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A) Sensitivitytoculturaldifferences st st st
B) Team-focusedapproachtoproblem-solving st st st
C) Strictadherencetoroutine st st st
D) Abilitytofacecriticism st st st s t
Ans: A sts t
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Topromoteaneffectivenurse- st st st st
patientrelationshipandpositiveoutcomesofcare, nursingcaremustbeculturallycompetent,a st st st st st st st st st st st st st
ppropriate,andsensitivetocultural differences.Team- st st st st s t st
focusednursingandstrictadherencetoroutinearenotcharacteristics neededtobeaneffective st st st st st st st st st s t st st st st st
nurse.Theabilitytohandlecriticismisimportant,buttoa lesserdegreethanculturalcompeten
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ce.
3. Withincreasesinlongevity,peoplehavehadtobecomemoreknowledgeableabout theirhea
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lthandtheprofessionalhealthcarethattheyreceive.Oneoutcomeofthis phenomenonisthe
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developmentoforganizedself- st st st
careeducationprograms.Whichof thefollowingdotheseprogramsprioritize?
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A) Adequateprenatalcare st st
B) Governmentadvocacyandlobbying st st st
C) Judicioususeofonlinecommunities st st st st
D) Managementofillness st st s t
Ans: D sts t
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Organizedself- st
careeducationprogramsemphasizehealthpromotion,disease prevention,managementof
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illness,self- st
care,andjudicioususeoftheprofessional healthcaresystem.Prenatalcare,lobbying,andIn
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ternetactivitiesaresecondary. st st st
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4. Thehomehealthnurseisassistingapatientandhisfamilyinplanningthepatient's returnto
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workaftersurgeryandthedevelopmentofpostsurgicalcomplications.The nurseisprepar
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ingaplanofcarethataddressesthepatient'smultifacetedneeds.To whichlevelofMaslow's
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hierarchyofbasic needsdoesthepatient'sneed forself- fulfillmentrelate? st st st st st st st st st s t st
A) Physiologic
B) Transcendence
C) Loveandbelonging st st
D) Self-
actualization Ans: D st sts t
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Maslow'shighestlevelofhumanneedsisself-actualization,whichincludesself- st st st st st st st st st st
s fulfillment,desiretoknowandunderstand,andaestheticneeds.Theotheranswersare incor
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rectbecauseself-fulfillmentdoesnotrelatedirectlytothem.
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5. Theviewthathealth andillnessarenotstaticstatesbutthattheyexistonacontinuum iscentral
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toprofessionalhealthcaresystems.Whenplanningcare,thisviewaidsthe nurseinappreciat
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ingwhichofthefollowing? st st st st
A) Careshouldfocusprimarilyonthetreatmentofdisease. st st st st st st st st
B) Aperson'sstateofhealthisever-changing. st st st st st st
C) Apersoncantransitionfromhealthtoillnessrapidly. st st st st st st st st
D) Careshouldfocusonthepatient'scompliancewithinterventions. Ans st st st st st st st st s t
:B sts t
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Byviewinghealthand illnessonacontinuum,itispossibletoconsideraperson as beingneither
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completelyhealthynorcompletelyill.Instead,aperson'sstateofhealthis ever- st st st st st st st st st st st s t
changingandhasthepotentialtorangefromhigh- st st st st st st st st
levelwellnesstoextremely poorhealthandimminentdeath.Theotheranswersareincorrectbe
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causepatientcare shouldnotfocusjustonthetreatmentofdisease.Rapiddeclines inhealthand
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ìcomplianceîwithtreatmentarenotkeytothisviewofhealth. st st st st st st st st st st
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6. Agroupofnursingstudentsareparticipatinginacommunityhealthclinic.When providingca
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reinthiscontext,whatshouldthestudentsteachparticipantsaboutdisease prevention?
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A) Itisbestachievedthroughattendingself-helpgroups. st st st st st st st
B) Itisbestachievedbyreducingpsychologicalstress. st st st st st st st
C) Itisbestachievedbybeinganactiveparticipantinthecommunity. st st st st st st st st st st st
D) Itisbestachievedbyexhibitingbehaviorsthatpromotehealth. Ans: st st st st st st st st st st sts t
D
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Today,increasingemphasisisplacedonhealth,healthpromotion,wellness,andself-
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scare.Healthisseenasresultingfromalifestyleorientedtowardwellness.Nursesin communi
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tyhealthclinicsdonotteachthatdiseasepreventionisbestachievedthrough attendingself-
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helpgroups,byreducingstress,orby beinganactiveparticipantinthe community,thougheac
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hoftheseactivitiesisconsistentwithahealthylifestyle.
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7. Anurseon amedical- st st st st
surgicalunit has askedtorepresenttheunitonthehospital's qualitycommittee.Whende st st st st st st st st st st s t st st st
scribingqualityimprovementprogramstonursing colleaguesandmembersofotherhea st st st st st st st st st st st
lthdisciplines,whatcharacteristicshouldthe nursecite?
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A) Theseprogramsestablishconsequencesforhealthcareprofessionals'actions. st st st st st st st st
B) Theseprograms focusontheprocesses usedtoprovidecare. st st st st st st st st st
C) Theseprogramsidentifyspecificincidentsrelatedtoquality. st st st st st st st
D) Theseprogramsseektojustifyhealthcarecostsandsystems. Ans st st st st st st st st st s t
:B sts t
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Numerousmodelsseektoimprovethequalityofhealthcaredelivery.Acommonality amongt st st st st st st st st st st st st s t st
hemisafocusontheprocessesthatareused toprovide care.Consequences, a focus onincident
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s,andjustificationforhealthcarecostsarenot universal characteristicsofqualityimproveme
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ntefforts. st
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