MEDICAL and SURGICAL behavior.
The WHO definition does not allow for any
NURSING variations in the degrees of wellness and
illness.
Smeltzer and Bare/
Brunner and Suddarth 3. Which of the following statements defines
culture?
Answers are the first ones after the questions The learned patterns of behavior,
beliefs, and values that can be
attributed to a particular group of
1. According to Maslow, which of the people.
following categories of needs represents the Included among characteristics that
most basic? distinguish cultural groups are manner of
dress, values, artifacts, and health beliefs
Physiologic needs and practices.
Physiologic needs must be met before an
individual is able to move toward A group of people distinguished by
psychological health and well-being. genetically transmitted material.
A group of people distinguished by
Self-actualization genetically transmitted material describes
Self-actualization is the highest level of need the term race.
Safety and security needs The status of belonging to a particular region
Safety and security needs, while lower level, by origin, birth, or naturalization.
are not essential to physiologic survival. The status of belonging to a particular region
by origin, birth, or naturalization describes
Belongingness the term nationality.
Belongingness and affection needs are not
essential to physiologic survival. The classification of a group based upon
certain distinctive characteristics.
The classification of a group based upon
2. Which of the following statements reflects certain distinctive characteristics describes
the World Health Organization’s definition of the term ethnicity.
health?
A state of complete physical, mental, 4. The reason that case management has
and social well-being and not merely the gained such prominence in health care can
absence of disease and infirmity. be traced to
Such a definition, however, does not allow for
any variations in the degrees of wellness or decreased cost of care associated with
illness. inpatient stay.
The reasons case management has gained
A condition of homeostatis and adaptation. such prominence can be traced to the
The WHO definition addresses physical, decreased cost of care associated with
mental, and social dimensions of being. decreased length of hospital stay, coupled
with rapid and frequent inter-unit transfers
An individual’s location along a wellness-- from specialty to standard care units.
illness continuum.
The concept of a health--illness continuum increased length of hospital stay.
allows for a greater range in describing a In general, length of hospital stay has
person’s health than the definition provided decreased over the past 5 years.
by the WHO.
discharge from specialty care units to home.
A fluid, ever-changing balance reflected In general, patients are transferred from
through physical, mental, and social specialty care units to standard care units at
least 24 hours prior to discharge.
limited availability for inter-unit hospital
transfers.
,In general, patients in acute care hospitals rehabilitation and restoring maximum health
undergo frequent inter-unit transfers from function, is a goal for home care nurses.
specialty to standard care units.
promoting the health of populations.
Promoting the health of populations is a focus
5. A preferred provider organization is of community/public health nursing.
described as a
minimizing the progress of disease.
business arrangement between Minimizing the progress of disease is a focus
hospitals and physicians. of community/public health nursing.
PPO’s usually contract to provide health care
to subscribers, usually businesses, for a maintaining the health of populations.
negotiated fee that often is discounted. Maintaining the health of populations is a
focus of community/public health nursing.
prepaid group health practice system.
A prepaid group health practice system is
termed a health maintenance organization. 8. In the United States, nurses performing
invasive procedures need to be up-to-date
limited insurance program. with their immunizations, particularly
Insurance is a cost payment system of
shared risk, not a health care delivery hepatitis B.
system. Hepatitis B is transmitted through contact
with infected blood or plasma.
health care savings account program.
A health care savings account program is an hepatitis E.
incentive program to consumers, not a health Hepatitis E is found mainly in
care delivery system. underdeveloped countries with substandard
sanitation and water quality.
6. Which of the following categories identifies hepatitis A.
the focus of community/public health nursing hepatitis A is transmitted through the oral
practice? route from the feces and saliva of an infected
person.
Promoting and maintaining the health
of populations and preventing and hepatitis C.
minimizing the progress of disease At present, immunization against hepatitis C
Although nursing interventions used by is not available.
public health nurses might involve
individuals, families, or small groups, the
central focus remains promoting health and 9. At what time during a patient’s hospital
preventing disease in the entire community. stay does discharge planning begin?
Rehabilitation and restorative services Admission
Rehabilitation and restorative services are To prepare for early discharge and the
the focus of extended care facilities and possible need for follow-up in the home,
home care nursing. discharge planning begins with the patient’s
admission.
Adaptation of hospital care to the home
environment Twenty-four hours prior to discharge
Adaptation of hospital care to the home Discharge planning requires identification of
environment is the focus of home nursing. patient needs and anticipatory guidance and
is not relegated to a specific time for
Hospice care delivery beginning.
Hospice care delivery refers to the delivery of
services to the terminally ill. The shift prior to discharge
Discharge planning requires communication
with and cooperation of the patient, family,
7. A major goal for home care nurses is and health care team and is not relegated to
a specific time for beginning.
restoring maximum health function.
Tertiary preventive nursing care, focusing on By the third hospital day
,Discharge planning may require involvement
of personnel and agencies in the planning deontological theory.
process and is not relegated to a specific day Deontological theory argues that moral
of hospital stay. standards exist independently of the ends or
consequences.
10. The leading health problems of adaptation theory.
elementary school children include Adaptation theory is not an ethics theory.
cancer.
The leading health problems of elementary 13. Which of the following ethical principles
school children are injuries, infections, refers to the duty to do good?
malnutrition, dental disease, and cancer.
Beneficence
alcohol and drug abuse. Beneficence is the duty to do good and the
Alcohol and drug abuse are leading health active promotion of benevolent acts.
problems for high school students.
Fidelity
mental and emotional problems. Fidelity refers to the duty to be faithful to
Mental and emotional problems are leading one's commitments.
health problems for high school students.
Veracity
homicide. Veracity is the obligation to tell the truth.
Homicide is a leading health problem for high
school children. Nonmaleficence
Nonmaleficence is the duty not to inflict, as
well as to prevent and remove, harm; it is
11. Which skill needed by the nurse to think more binding than beneficence.
critically involves identification of patient
problems indicated by data?
14. During which step of the nursing process
Analysis does the nurse analyze data related to the
Analysis is used to identify patient problems patient's health status?
indicated by data.
Assessment
Interpretation Analysis of data is included as part of the
Interpretation is used to determine the assessment.
significance of data that is gathered.
Implementation
Inferencing Implementation is the actualization of the
Inferences are used by the nurse to draw plan of care through nursing interventions.
conclusions.
Diagnosis
Explanation Diagnosis is the identification of patient
Explanation is the justification of actions or problems.
interventions used to address patient
problems and to help a patient move toward Evaluation
desired outcomes. Evaluation is the determination of the
patient's responses to the nursing
interventions and the extent to which the
12. The ethics theory that focuses on ends or outcomes have been achieved.
consequences of actions is the
utilitarian theory. 15. The basic difference between nursing
Utilitarian theory is based on the concept of diagnoses and collaborative problems is that
the greatest good for the greatest number.
nurses manage collaborative problems
formalist theory. using physician-prescribed
Formalist theory argues that moral standards interventions.
exist independently of the ends or Collaborative problems are physiologic
consequences. complications that nurses monitor to detect
, onset or changes and manage through the adherence to treatment to return to health.
use of physician-prescribed and nursing-
prescribed interventions to minimize the Children
complications of events. In general, the compliance of children
depends on the compliance of their parents.
collaborative problems can be managed by
independent nursing interventions. Middle-aged adults
Collaborative problems require both nursing Middle-aged adults, in general, have fewer
and physician-prescribed interventions. health problems, thus promoting adherence.
nursing diagnoses incorporate physician-
prescribed interventions. 18. Experiential readiness to learn refers to
Nursing diagnoses can be managed by the patient's
independent nursing interventions.
past history with education and life
nursing diagnoses incorporate physiologic experience.
complications that nurses monitor to detect Experiential readiness refers to past
change in status. experiences that influence a person's ability
Nursing diagnoses refer to actual or potential to learn.
health problems that can be managed by
independent nursing interventions. emotional status.
Emotional readiness refers to the patient's
acceptance of an existing illness or the threat
16. Health education of the patient by the of an illness and its influence on the ability to
nurse learn.
is an independent function of nursing acceptance of an existing illness.
practice. Emotional readiness refers to the patient's
Health education is an independent function acceptance of an existing illness or the threat
of nursing practice and is included in all state of an illness and its influence on the ability to
nurse practice acts. learn.
requires a physician's order. ability to focus attention.
Teaching, as a function of nursing, is included Physical readiness refers to the patient's
in all state nurse practice acts. ability to cope with physical problems and
focus attention upon learning.
must be approved by the physician.
Health education is a primary responsibility
of the nursing profession. 19. Asking the patient questions to
determine if the person understands the
must focus on wellness issues. health teaching provided would be included
Health education by the nurse focuses on during which step of the nursing process?
promoting, maintaining, and restoring health;
preventing illness; and assisting people to Evaluation
adapt to the residual effects of illness. Evaluation includes observing the person,
asking questions, and comparing the
patient's behavioral responses with the
17. Nonadherence to therapeutic regimens is expected outcomes.
a significant problem for which of the
following age groups? Assessment
Assessment includes determining the
Adults 65 and over patient's readiness regarding learning.
Elderly people frequently have one or more
chronic illnesses that are managed with Planning and goals
numerous medications and complicated by Planning includes identification of teaching
periodic acute episodes, making adherence strategies and writing the teaching plan.
difficult.
Implementation
Teenagers Implementation is the step during which the
Problems of teenagers, generally, are time teaching plan is put into action.
limited and specific, and require promoting
The WHO definition does not allow for any
NURSING variations in the degrees of wellness and
illness.
Smeltzer and Bare/
Brunner and Suddarth 3. Which of the following statements defines
culture?
Answers are the first ones after the questions The learned patterns of behavior,
beliefs, and values that can be
attributed to a particular group of
1. According to Maslow, which of the people.
following categories of needs represents the Included among characteristics that
most basic? distinguish cultural groups are manner of
dress, values, artifacts, and health beliefs
Physiologic needs and practices.
Physiologic needs must be met before an
individual is able to move toward A group of people distinguished by
psychological health and well-being. genetically transmitted material.
A group of people distinguished by
Self-actualization genetically transmitted material describes
Self-actualization is the highest level of need the term race.
Safety and security needs The status of belonging to a particular region
Safety and security needs, while lower level, by origin, birth, or naturalization.
are not essential to physiologic survival. The status of belonging to a particular region
by origin, birth, or naturalization describes
Belongingness the term nationality.
Belongingness and affection needs are not
essential to physiologic survival. The classification of a group based upon
certain distinctive characteristics.
The classification of a group based upon
2. Which of the following statements reflects certain distinctive characteristics describes
the World Health Organization’s definition of the term ethnicity.
health?
A state of complete physical, mental, 4. The reason that case management has
and social well-being and not merely the gained such prominence in health care can
absence of disease and infirmity. be traced to
Such a definition, however, does not allow for
any variations in the degrees of wellness or decreased cost of care associated with
illness. inpatient stay.
The reasons case management has gained
A condition of homeostatis and adaptation. such prominence can be traced to the
The WHO definition addresses physical, decreased cost of care associated with
mental, and social dimensions of being. decreased length of hospital stay, coupled
with rapid and frequent inter-unit transfers
An individual’s location along a wellness-- from specialty to standard care units.
illness continuum.
The concept of a health--illness continuum increased length of hospital stay.
allows for a greater range in describing a In general, length of hospital stay has
person’s health than the definition provided decreased over the past 5 years.
by the WHO.
discharge from specialty care units to home.
A fluid, ever-changing balance reflected In general, patients are transferred from
through physical, mental, and social specialty care units to standard care units at
least 24 hours prior to discharge.
limited availability for inter-unit hospital
transfers.
,In general, patients in acute care hospitals rehabilitation and restoring maximum health
undergo frequent inter-unit transfers from function, is a goal for home care nurses.
specialty to standard care units.
promoting the health of populations.
Promoting the health of populations is a focus
5. A preferred provider organization is of community/public health nursing.
described as a
minimizing the progress of disease.
business arrangement between Minimizing the progress of disease is a focus
hospitals and physicians. of community/public health nursing.
PPO’s usually contract to provide health care
to subscribers, usually businesses, for a maintaining the health of populations.
negotiated fee that often is discounted. Maintaining the health of populations is a
focus of community/public health nursing.
prepaid group health practice system.
A prepaid group health practice system is
termed a health maintenance organization. 8. In the United States, nurses performing
invasive procedures need to be up-to-date
limited insurance program. with their immunizations, particularly
Insurance is a cost payment system of
shared risk, not a health care delivery hepatitis B.
system. Hepatitis B is transmitted through contact
with infected blood or plasma.
health care savings account program.
A health care savings account program is an hepatitis E.
incentive program to consumers, not a health Hepatitis E is found mainly in
care delivery system. underdeveloped countries with substandard
sanitation and water quality.
6. Which of the following categories identifies hepatitis A.
the focus of community/public health nursing hepatitis A is transmitted through the oral
practice? route from the feces and saliva of an infected
person.
Promoting and maintaining the health
of populations and preventing and hepatitis C.
minimizing the progress of disease At present, immunization against hepatitis C
Although nursing interventions used by is not available.
public health nurses might involve
individuals, families, or small groups, the
central focus remains promoting health and 9. At what time during a patient’s hospital
preventing disease in the entire community. stay does discharge planning begin?
Rehabilitation and restorative services Admission
Rehabilitation and restorative services are To prepare for early discharge and the
the focus of extended care facilities and possible need for follow-up in the home,
home care nursing. discharge planning begins with the patient’s
admission.
Adaptation of hospital care to the home
environment Twenty-four hours prior to discharge
Adaptation of hospital care to the home Discharge planning requires identification of
environment is the focus of home nursing. patient needs and anticipatory guidance and
is not relegated to a specific time for
Hospice care delivery beginning.
Hospice care delivery refers to the delivery of
services to the terminally ill. The shift prior to discharge
Discharge planning requires communication
with and cooperation of the patient, family,
7. A major goal for home care nurses is and health care team and is not relegated to
a specific time for beginning.
restoring maximum health function.
Tertiary preventive nursing care, focusing on By the third hospital day
,Discharge planning may require involvement
of personnel and agencies in the planning deontological theory.
process and is not relegated to a specific day Deontological theory argues that moral
of hospital stay. standards exist independently of the ends or
consequences.
10. The leading health problems of adaptation theory.
elementary school children include Adaptation theory is not an ethics theory.
cancer.
The leading health problems of elementary 13. Which of the following ethical principles
school children are injuries, infections, refers to the duty to do good?
malnutrition, dental disease, and cancer.
Beneficence
alcohol and drug abuse. Beneficence is the duty to do good and the
Alcohol and drug abuse are leading health active promotion of benevolent acts.
problems for high school students.
Fidelity
mental and emotional problems. Fidelity refers to the duty to be faithful to
Mental and emotional problems are leading one's commitments.
health problems for high school students.
Veracity
homicide. Veracity is the obligation to tell the truth.
Homicide is a leading health problem for high
school children. Nonmaleficence
Nonmaleficence is the duty not to inflict, as
well as to prevent and remove, harm; it is
11. Which skill needed by the nurse to think more binding than beneficence.
critically involves identification of patient
problems indicated by data?
14. During which step of the nursing process
Analysis does the nurse analyze data related to the
Analysis is used to identify patient problems patient's health status?
indicated by data.
Assessment
Interpretation Analysis of data is included as part of the
Interpretation is used to determine the assessment.
significance of data that is gathered.
Implementation
Inferencing Implementation is the actualization of the
Inferences are used by the nurse to draw plan of care through nursing interventions.
conclusions.
Diagnosis
Explanation Diagnosis is the identification of patient
Explanation is the justification of actions or problems.
interventions used to address patient
problems and to help a patient move toward Evaluation
desired outcomes. Evaluation is the determination of the
patient's responses to the nursing
interventions and the extent to which the
12. The ethics theory that focuses on ends or outcomes have been achieved.
consequences of actions is the
utilitarian theory. 15. The basic difference between nursing
Utilitarian theory is based on the concept of diagnoses and collaborative problems is that
the greatest good for the greatest number.
nurses manage collaborative problems
formalist theory. using physician-prescribed
Formalist theory argues that moral standards interventions.
exist independently of the ends or Collaborative problems are physiologic
consequences. complications that nurses monitor to detect
, onset or changes and manage through the adherence to treatment to return to health.
use of physician-prescribed and nursing-
prescribed interventions to minimize the Children
complications of events. In general, the compliance of children
depends on the compliance of their parents.
collaborative problems can be managed by
independent nursing interventions. Middle-aged adults
Collaborative problems require both nursing Middle-aged adults, in general, have fewer
and physician-prescribed interventions. health problems, thus promoting adherence.
nursing diagnoses incorporate physician-
prescribed interventions. 18. Experiential readiness to learn refers to
Nursing diagnoses can be managed by the patient's
independent nursing interventions.
past history with education and life
nursing diagnoses incorporate physiologic experience.
complications that nurses monitor to detect Experiential readiness refers to past
change in status. experiences that influence a person's ability
Nursing diagnoses refer to actual or potential to learn.
health problems that can be managed by
independent nursing interventions. emotional status.
Emotional readiness refers to the patient's
acceptance of an existing illness or the threat
16. Health education of the patient by the of an illness and its influence on the ability to
nurse learn.
is an independent function of nursing acceptance of an existing illness.
practice. Emotional readiness refers to the patient's
Health education is an independent function acceptance of an existing illness or the threat
of nursing practice and is included in all state of an illness and its influence on the ability to
nurse practice acts. learn.
requires a physician's order. ability to focus attention.
Teaching, as a function of nursing, is included Physical readiness refers to the patient's
in all state nurse practice acts. ability to cope with physical problems and
focus attention upon learning.
must be approved by the physician.
Health education is a primary responsibility
of the nursing profession. 19. Asking the patient questions to
determine if the person understands the
must focus on wellness issues. health teaching provided would be included
Health education by the nurse focuses on during which step of the nursing process?
promoting, maintaining, and restoring health;
preventing illness; and assisting people to Evaluation
adapt to the residual effects of illness. Evaluation includes observing the person,
asking questions, and comparing the
patient's behavioral responses with the
17. Nonadherence to therapeutic regimens is expected outcomes.
a significant problem for which of the
following age groups? Assessment
Assessment includes determining the
Adults 65 and over patient's readiness regarding learning.
Elderly people frequently have one or more
chronic illnesses that are managed with Planning and goals
numerous medications and complicated by Planning includes identification of teaching
periodic acute episodes, making adherence strategies and writing the teaching plan.
difficult.
Implementation
Teenagers Implementation is the step during which the
Problems of teenagers, generally, are time teaching plan is put into action.
limited and specific, and require promoting
