Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition by Janice Hinkle | 9781975161033 | | Chapter 1-68 | Complete Questions and Answers A+

, Chapter 1: Health Care Delivery and Evidence-Based Nursing
Practice

1. The public health nurse is presenting a health promotion class to a group of
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new mothers. How should the nurse best define health?
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A) Health is being disease free. gh gh gh gh


B) Health is having fulfillment in all domains of life.
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C) Health is having psychological and physiological harmony.
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D) Health is being connected in body, mind, and gh gh gh gh gh gh gh


spirit. Ans: D
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Feedback:
The World Health Organization (WHO) defines health in the preamble to its
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constitution as a ìstate of complete physical, mental, and social well-being and
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not merely the absence of disease and infirmity.î The other answers are incorrect
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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
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to be a nurse. What is one characteristic the nurse would cite as necessary to
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possess to be an effective nurse?
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A) Sensitivity to cultural differences gh gh gh


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


C) Strict adherence to routine gh gh gh


D) Ability to face criticism gh gh gh


Ans: A
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Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care,
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nursing care must be culturally competent, appropriate, and sensitive to cultural
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differences. Team-focused nursing and strict adherence to routine are not
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characteristics needed to be an effective nurse. The ability to handle criticism is
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important, but to a lesser degree than cultural competence.
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3. With increases in longevity, people have had to become more knowledgeable
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about their health and the professional health care that they receive. One
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outcome of this phenomenon is the development of organized self-care education
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programs. Which of the following do these programs prioritize?
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A) Adequate prenatal care gh gh


B) Government advocacy and lobbying gh gh gh


C) Judicious use of online communities gh gh gh gh


D) Management of illness gh gh


Ans: D
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Feedback:
Organized self-care education programs emphasize health promotion, disease
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prevention, management of illness, self-care, and judicious use of the professional
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health care system. Prenatal care, lobbying, and Internet activities are secondary.
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,4. The home health nurse is assisting a patient and his family in planning the
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patient's return to work after surgery and the development of postsurgical
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complications. The nurse is preparing a plan of care that addresses the
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patient's multifaceted needs. To which level of Maslow's hierarchy of basic
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needs does the patient's need for self- fulfillment relate?
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A) Physiologic
B) Transcendence
C) Love and belonging gh gh


D) Self-actualization
Ans: D
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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
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are 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
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continuum is central to professional health care systems. When planning care,
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this view aids the nurse in appreciating which of the following?
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A) Care should focus primarily on the treatment of disease.
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B) A person's state of health is ever-changing.
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C) A person can transition from health to illness rapidly.
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D) Care should focus on the patient's compliance with
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interventions. Ans: B
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Feedback:
By viewing health and illness on a continuum, it is possible to consider a person
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as being neither completely healthy nor completely ill. Instead, a person's state of
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health is ever-changing and has the potential to range from high-level wellness to
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extremely poor health and imminent death. The other answers are incorrect
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because patient care should not focus just on the treatment of disease. Rapid
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declines in health and ìcomplianceî with treatment are not key to this view of
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health.
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, 6. A group of nursing students are participating in a community health clinic. When
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ghproviding care in this context, what should the students teach participants about
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ghdisease prevention? gh


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
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health. Ans: D
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Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and
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ghself- care. Health is seen as resulting from a lifestyle oriented toward wellness.
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ghNurses in community health clinics do not teach that disease prevention is best
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achieved through attending self-help groups, by reducing stress, or by being an
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ghactive participant in the community, though each of these activities is consistent
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ghwith a healthy lifestyle.
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7. A nurse on a medical-surgical unit has asked to represent the unit on the
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ghhospital's quality committee. When describing quality improvement programs
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ghto nursing colleagues and members of other health disciplines, what
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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.
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C) These programs identify specific incidents related to quality.
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D) These programs seek to justify health care costs and
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systems. Ans: B
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Feedback:
Numerous models seek to improve the quality of health care delivery. A
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ghcommonality among them is a focus on the processes that are used to provide
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ghcare. Consequences, a focus on incidents, and justification for health care costs
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ghare not universal characteristics of quality improvement efforts.
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