Chapter 04: Health, Illness, Stress, and Coping Linton: Medical-Surgical Nursing, 7th Edition

1. What is the traditional view of health? a. Promotes optimal function. b. Views health and illness as separate concepts. c. Defines health as an absence of illness. d. Emphasizes the prevention of disease. ANS: B Traditionally, health and illness have been viewed as separate entities with a focus on the illness and not in attaining the highest quality of life possible when a cure is not possible. DIF: Cognitive Level: Comprehension REF: pp. 41-42 OBJ: 1 TOP: Traditional View of Health and Illness KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control 2. What is the current view of health? a. Promotes the highest quality of life possible, both mentally and socially. b. Includes mental, physical, social, and emotional adaptation to the environment. c. Includes the basic physiologic needs and self-actualization. d. Relies on alternative therapies for the treatment and cure of diseases. ANS: B A healthy person maintains stability and comfort by adapting physically, mentally, emotionally, and socially to internal and external events. DIF: Cognitive Level: Comprehension REF: pp. 41-42 OBJ: 1 TOP: Current View of Health and Illness KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control 3. During the initial gathering of data, a patient reveals a weight loss of 17 lb since the death of his spouse 5 weeks earlier. He says that he is not sleeping and has no appetite. What category of unmet needs should be considered by the nurse according to Maslow’s hierarchy of needs? a. Physiologic b. Safety and security c. Love and belonging d. Self-actualization ANS: A Physiologic needs include oxygen, fluids, and nutrition and must be met before the higher levels of needs are provided. DIF: Cognitive Level: Application REF: p. 41 OBJ: 2 TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control NURSINGTB.COM Medical-Surgical Nursing 7th Edition Linton Test Bank NU RS IN GT B.CO M 4. What is the major advantage of using Maslow’s hierarchy of needs when planning nursing care for patients? a. Establishes a nursing diagnosis. b. Improves problem-solving techniques. c. Prioritizes patient care. d. Establishes priorities of care. ANS: C Priorities for nursing care can be based on the level of human needs; physical needs take priority over security needs. DIF: Cognitive Level: Comprehension REF: p. 41 OBJ: 2 TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 5. A nurse points out that a physiologic response to stress involves the total body. Which syndrome is this considered? a. General adaptation b. Local adaptation c. Negative feedback d. Total adaptation ANS: A General adaptation syndrome is the physiologic response of the whole body to stress. DIF: Cognitiv