Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank Complete All Chapters

Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank Complete All Chapters. A nurse is leading a community health clinic. What should the nurse emphasize in order to promote 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. 7. A nurse on a medical-surgical unit has asked to represent the unit on the hospital's quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, mc/tteesrtistic should the nurse cite? A) These programs establish consequences for health care professionals' actions. B) These programs emphasize the need for a/tc esttice. C) These programs identify specific incidents related to quality. D) These programs seek to justify health care costs and systems. 8. Nurses in acute care settings must work with other health care team members to maintain quality care while facing pressures to care for clients who are hospitalized for shorter periods of time than in the past. To ensure mth /tesotutcomes when clients return to their homes, what action should the nurse prioritize? A) Promotion of health literacy during hospitalization B) Close communication with primary providers C) Thorough and evidence-based discharge planning D) Participation in continuing education initiatives 9. The nurse is admitting a client to the medical unit after the client has been transferred from the emergency department. What is the nurse's priority action at this time? A) Identifying the immediate needs of the client B) Checking the admitting physician's prescriptions C) Obtaining a baseline set of vital signs D) Allowing the family to be with the client 10. A nurse practicing in an oncology clinic has the goal of improving client outcomes and nursing care by influencing the client, the nurse, and the health care system. What is this nurse's most likely role? A) Nursing care expert B) Clinical nurse specialist C) Nurse manager D) Staff nurse Page 2 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 11. Nursing continues to recognize and participate in collaboration with other health care disciplines to meet the complex needs of the client. Which of the following is the best example of a collaborative practice model? A) The nurse and the physician jointly making mo/ntess.t B) The nurse accompanying the physician on rounds. C) The nurse making a referral on behalf of the client. D) The nurse attending an appointment with the client. 12. A hospice nurse is caring for a client who is dying of lymphoma. According to Maslow hierarchy of needs, what dimension of care should the n/tseisdt er primary in importance when caring for a dying client? A) Spiritual B) Social C) Physiologic D) Emotional 13. A nurse is planning a medical client's care with consideration of Maslow hierarchy of needs. Within this framework of understanding, what should the nurse prioritize? A) Allowing the family to see a newly admitted client B) Ambulating the client in the hallway C) Administering pain medication D) Teaching the client to self-administer insulin safely 14. A medical-surgical nurse is aware of the scope of practice as defined in the jurisdiction where the nurse provides care. When exploring the fo/terstthe scope of practice, the nurse should consult: A) codes of ethics. B) a code of nursing conduct. C) the nurse practice act in the nurse's jurisdiction. D) client preferences and norms within the profession. 15. Nursing has adapted to meet both the expectations and the changing health needs of populations. What is one factor that has impacted the need for certified nurse practitioners (CNPs)? A) The increased need for primary providers B) The need to improve client diagnostic services C) The need to promote institutional excellence D) The need to decrease the number of medical errors s/uterset quality care Page 3 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 16. Professional nursing expands and grows because of factors driven by the changing needs of health care consumers. Which of the following is a factor that nurses should reflect in the planning and provision of health care? A) Decreased access to health care information by s/test B) Gradual increases in the cultural unity of the population C) Increasing mean and median age of the population D) Decreasing consumer expectations related to healthacbairbre .coomu/ttecsot mes 17. A public health nurse has been commissioned to draft a health promotion program that meets the health care needs and expectations of the m./tWesthat factor is most likely to influence the nurse's choice of interventions? A) Management of chronic conditions and disability B) Increasing need for self-care among a younger C) A shifting focus to disease management D) An increasing focus on acute conditions and rehabilitation 18. A registered nurse will be collaborating with a certified nurse practitioner (CNP). Which of the following activities should the nurse expect the CNP to perform? Select all that apply. A) Educating clients and family members B) Coordinating care with other disciplines C) Using direct provision of interventions D) Educating registered nurses and practical nurses E) Coordinating payment plans for clients 19. There are central characteristics of nursing practice that are applicable across the wide variety of contexts in which nurses practice. A nurse can best demonstrate these principles by performing which of the following actions? A) Teaching the public about the role of nursing B) Taking action to control the costs of health care C) Ensuring that all of their actions exemplify caring D) Making sure to carry adequate liability insurance 20. A nurse has accepted a position as a clinical nurse leader (CNL). In this role, the nurse should prioritize which of the following activities? A) Acting as a spokesperson for the nursing profession B) Generating and disseminating new nursing knowledge C) Diagnosing and treating health problems that have c/tteasbtle course D) Helping clients to navigate the health care system Page 4 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 21. With the changing population of health care consumers, it has become necessary for nurses to work more closely with other nurses, as when acute care nurses collaborate with public health and home health nurses. What nursing function has increased in importance because of this phenomenon? A) Prescribing medication B) Performing discharge planning C) Promoting family involvement D) Forming collegial relationships 22. Over the past several decades, nursing roles have ways. Which of the following factors has provided the strongest impetus for this change? A) The need to decrease the cost of health care B) The need to improve the quality of nursing C) The need to increase the number of nursing jobs available D) The need to increase the public perception of nursing 23. Advanced practice nursing roles have grown in number and in visibility in recent years. What characteristic sets these nurses apart from the registered nurse? A) Collaboration with other health care providers B) Education that goes beyond that of the RN C) Advanced documentation skills D) Ability to provide care in the surgical context 24. CNPs are educated as specialists in areas such as family care, pediatrics, or geriatrics. In most jurisdictions, what right do CNPs have that RNs A) Perform health interventions independently B) Make referrals to members of other health disciplines C) Prescribe medications D) Perform surgery independently 25. A nurse is aware that an increasing emphasis is being promotion, wellness, and self-care. Which of the following activities would best demonstrate the principles of health promotion? A) A discharge planning initiative between acute care and community care nurses B) Collaboration between several schools of nursing inabairnb.u cormb/atenstarea C) Creation of a smoking prevention program undertaken in a middle school D) Establishment of a website where clients can check emergency department wait-times Page 5 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank Answer Key 1. D 2. A 3. D 4. D 5. B 6. D 7. B 8. C 9. A 10. B 11. A 12. C 13. C 14. C 15. A 16. C 17. A 18. A, B, C 19. C 20. D 21. B 22. A 23. B 24. C 25. C Page 6 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 1. A nurse has been working with a client whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years the client has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible n/tteasitning and promoting this client's health? A) The medical nurse B) The community health nurse who has also worked e/tecsltient C) The client's primary care provider D) The client 2. An elderly female client has come to the clinic for a scheduled follow-up appointment. The nurse learns from the client's daughter that the client is not following the instructions she received upon discharge from the m/teosnt th. What is the most likely factor causing the client not to adhere to her therapeutic regimen? A) Ethnic background of health care provider B) Costs of the prescribed regimen C) Presence of a learning disability D) Personality of the primary provider 3. A gerontologic nurse has observed that clients often fail to adhere to their therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care? A) Demonstrate a dressing change and allow the c/tti ecste. B) Provide a detailed pamphlet on a dressing change. C) Verbally instruct the client how to change a dressing and check for comprehension. D) Delegate the dressing change to a trusted family .m/test 4. A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate o/nteaslt interventions and considering variables that will affect his learning, the nurse should prioritize what factor? A) Client's expected lifespan B) Client's gender C) Client's occupation D) Client's culture Page 1 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 5. The nurse is planning to teach a 75-year-old client with coronary artery disease about administering her prescribed antiplatelet medication. How can the nurse best enhance the client's ability to learn? A) Provide links to websites that contain r/mtesattion. B) Exclude family members from the session to prevent distraction. C) Use color-coded materials that are succinct and engaging. D) Make the information directly relevant to the client'asbcirbo.n codmi/ttieosn t . 6. A group of nursing students have been asked to break into groups of four and complete a health-promotion teaching project and present a report r/tfeestllow students. What project most clearly demonstrates the principles of health promotion teaching? A) Demonstrating an injection technique to a client for anticoagulant therapy B) Explaining the side effects of a medication to an aduablt mn/ttest C) Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students D) Instructing an adolescent client about safe and nutritious food preparation 7. The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What factor has most d/tensturses' abilities to play this vital role? A) Nurses are seen as nurturing professionals. B) Nurses possess a baccalaureate degree as the entry to practice. C) Nurses possess an authentic desire to help others. D) Nurses have long-established credibility with the public. 8. The nurse is planning to teach tracheostomy care to a client who will be discharged home following a spinal cord injury. When preparing to teach, which component of the teaching plan should the nurse prioritize? A) Citing the evidence that underlies each of the n/ttesst B) Alleviating the client's guilt associated with not knowing appropriate self-care C) Determining the client's readiness to learn new information D) Including several nursing colleagues in the s/tsest 9. A public health nurse is preparing to hold a series of health promotion classes for middle-aged adults that will address a variety of topics. Wl/otecsat tion would best meet the learning needs of this population? A) A well-respected physician's office B) A large, local workplace C) The local hospital D) An ambulatory clinic Page 2 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 10. A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin? A) Adolescence B) School age C) Preschool D) Before birth 11. A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to ms/tteesrthis bronchodilator by metered-dose inhaler. How should the nurse best evaluate the teaching–learning process? A) Ask the boy specific questions about his B) Ask the boy whether he now understands how to use his inhaler. C) Directly observe the boy using his inhaler to give himself a dose. D) Assess the boy's respiratory health at the next scheduled visit. 12. A nurse has just come on duty and has received the end-of-shift report. One of the nurse's clients newly diagnosed with diabetes was h/tedsitabetic ketoacidosis. Which behavior best demonstrates this client's willingness to learn? A) The client requests a visit from the hospital's diabetic educator. B) The client sets aside a dessert brought in by a family member. C) The client wants a family member to meet with the adbiie ma/ntestto discuss meals. D) The client readily allows the nurse to measure his blood glucose level. 13. A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health? A) Health is the effort to systematically maximize B) Health is a state that is characterized by a lack of disease. C) Health is a condition that enables people to function at their optimal potential. D) Health is deliberate attempt to mitigate the effects oafbd ms/ 14. An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the ef/tietsst of the program, the nurse should consider that success depends most on participants': A) desire to expand knowledge. B) self-awareness. C) skills at time- and task-management. D) taking responsibility for themselves. Page 3 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 15. A public health nurse is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness? A) The women demonstrate an understanding of the mc/te esot f a healthy diet. B) The women are able to describe the importance of vitamin supplements during pregnancy. C) The women can list the minerals nutrients that shoualb o/tnesstumed daily. D) The women can interpret the nutrition facts listed on food packaging. 16. Positive client outcomes are the ultimate goal of nurse–calb ieirn nt/teersat ctions, regardless of the particular setting. Which of the following factors has the most direct influence on positive health outcomes? A) Client's age B) Client's ethnic heritage C) Health education D) Outcome evaluation