Brunner & Suddarth's Textbook of Medical-Surgical Nursing – 15th Edition by Janice L. Hinkle & Kerry H. Cheever | Complete Test Bank

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Brunner & Suddarth's Textbook of Medical-
Surgical Nursing 15th Edition
Author(s): Janice L Hinkle, Kerry H. Cheever
TEST BANK
Ⓒ2025

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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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Feedback:
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




Feedback:
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




Feedback:
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




Feedback:
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




Feedback:
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
Feedback:
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




Feedback:
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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