Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14edition

BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 3



Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
n n n n n n n n




1. Thenpublicnhealthnnursenisnpresentingnanhealthnpromotionnclassntonangroupnofnnewnmothers.nHownshouldnt
hennursenbestndefinenhealth?


A) Healthnisnbeingndiseasenfree.


B) Healthnisnhavingnfulfillmentninnallndomainsnofnlife.


C) Healthnisnhavingnpsychologicalnandnphysiologicalnharmony.


D) Healthnisnbeingnconnectedninnbody,nmind,nandnspirit.


Ans: D


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ThenWorldnHealthnOrganizationn(WHO)ndefinesnhealthninnthenpreamblentonitsnconstitutionnasnanstatenofn
completenphysical,nmental,nandnsocialnwell-
beingnandnnotnmerelynthenabsencenofndiseasenandninfirmity.nThenothernanswersnarenincorrectnbecausenthe
ynarennotncongruentnwithnthenWHOndefinitionnofnhealth.


2. Annursenisnspeakingntonangroupnofnprospectivennursingnstudentsnaboutnwhatnitnisnlikentonbenannurse.nWhatnisn
onencharacteristicnthennursenwouldncitenasnnecessaryntonpossessntonbenanneffectivennurse?


A) Sensitivityntonculturalndifferences


B) Team-focusedn approachn ton problem-solving


C) Strictnadherencentonroutine


D) Abilityntonfacencriticism


Ans: A


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Tonpromotenanneffectivennurse-
patientnrelationshipnandnpositivenoutcomesnofncare,nnursingncarenmustnbenculturallyncompetent,nappropriate,n
andnsensitiventonculturalndifferences.nTeam-
focusednnursingnandnstrictnadherencentonroutinenarennotncharacteristicsnneededntonbenanneffectivennurse.nThe
nabilitynton handlen criticismnisnimportant,nbutntonanlesserndegreenthannculturalncompetence.



3. Withnincreasesninnlongevity,npeoplenhavenhadntonbecomenmorenknowledgeablenaboutntheirnhealthnandnthen
professionalnhealthncarenthatntheynreceive.nOnenoutcomenofnthisnphenomenonnisnthendevelopmentnofnor
ganizednself-careneducationnprograms.nWhichnofnthenfollowingndonthesenprogramsnprioritize?



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, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 4



A) Adequatenprenatalncare


B) Governmentn advocacyn andn lobbying


C) Judiciousn usen ofn onlinen communities


D) Managementnofnillness


Ans: D


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Organizednself-
careneducationnprogramsnemphasizenhealthnpromotion,ndiseasenprevention,nmanagementnofnillness,nself-
care,nandnjudiciousnusenofnthenprofessionalnhealthncarensystem.nPrenatalncare,nlobbying,nandnInternetnactivit
iesnarensecondary.


4. Thenhomenhealthnnursenisnassistingnanpatientnandnhisnfamilyninnplanningnthenpatientsnreturnntonworknafterns
urgerynandnthendevelopmentnofnpostsurgicalncomplications.nThennursenisnpreparingnanplannofncarenthatna
ddressesnthenpatientsnmultifacetednneeds.nTonwhichnlevelnofnMaslowsnhierarchynofnbasicnneedsndoesnthenp
atientsnneednfornself-fulfillmentnrelate?


A) Physiologic


B) Transcendence


C) Lovenandnbelonging


D) Self-actualization


Ans: D


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Maslowsnhighestnlevelnofnhumannneedsnisnself-actualization,nwhichnincludesnself-
fulfillment,ndesirentonknownandnunderstand,nandnaestheticnneeds.nThenothernanswersnarenincorrectnbecausense
lf-fulfillmentndoesnnotnrelatendirectlyntonthem.


5. Thenviewnthatnhealthnandnillnessnarennotnstaticnstatesnbutnthatntheynexistnonnancontinuumnisncentralntonpr
ofessionalnhealthncarensystems.nWhennplanningncare,nthisnviewnaidsnthennurseninnappreciatingnwhichnofnth
enfollowing?


A) Carenshouldnfocusnprimarilynonnthentreatmentnofndisease.


B) Anpersonsnstatenofnhealthnisnever-changing.




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, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 5



C) Anpersonncanntransitionnfromnhealthntonillnessnrapidly.


D) Carenshouldnfocusnonnthenpatientsncompliancenwithninterventions.


Ans: B


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Bynviewingnhealthnandnillnessnonnancontinuum,nitnisnpossiblentonconsidernanpersonnasnbeingnneitherncomple
telynhealthynnorncompletelynill.nInstead,nanpersonsnstatenofnhealthnisnever-
changingnandnhasnthenpotentialntonrangenfromnhigh-
levelnwellnessntonextremelynpoornhealthnandnimminentndeath.nThenothernanswersnarenincorrectnbecausenpati
entncarenshouldnnotnfocusnjustnonnthentreatmentnofndisease.nRapidndeclinesninnhealthnandncompliancenwithntr
eatmentnarennotnkeyntonthisnviewnofnhealth.


6. Angroupnofnnursingnstudentsnarenparticipatingninnancommunitynhealthnclinic.nWhennprovidingncareninnthisn
context,nwhatnshouldnthenstudentsnteachnparticipantsnaboutndiseasenprevention?


A) Itnisnbestnachievednthroughnattendingnself-helpngroups.


B) Itnisnbestnachievednbynreducingnpsychologicalnstress.


C) Itnisnbestnachievednbynbeingnannactivenparticipantninnthencommunity.


D) Itnisnbestnachievednbynexhibitingnbehaviorsnthatnpromotenhealth.


Ans: D


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Today,nincreasingnemphasisnisnplacednonnhealth,nhealthnpromotion,nwellness,nandnself-
care.nHealthnisnseennasnresultingnfromnanlifestylenorientedntowardnwellness.nNursesninncommunitynhealthn
clinicsndonnotnteachnthatndiseasenpreventionnisnbestnachievednthroughnattendingnself-
helpngroups,nbynreducingnstress,nornbynbeingnannactivenparticipantninnthencommunity,nthoughneachnofnthese
nactivitiesnisnconsistentnwithnanhealthynlifestyle.




7. Annursenonnanmedical-
surgicalnunitnhasnaskedntonrepresentnthenunitnonnthenhospitalsnqualityncommittee.nWhenndescribingnquali
tynimprovementnprogramsntonnursingncolleaguesnandnmembersnofnothernhealthndisciplines,nwhatnchara
cteristicnshouldnthennursencite?


A) Thesenprogramsnestablishnconsequencesnfornhealthncarenprofessionalsnactions.


B) Thesenprogramsnfocusnonnthenprocessesnusedntonprovidencare.


C) Thesenprogramsnidentifynspecificnincidentsnrelatedntonquality.


D) Thesenprogramsnseekntonjustifynhealthncarencostsnandnsystems.


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, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 6




Ans: B


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Numerousnmodelsnseekntonimproventhenqualitynofnhealthncarendelivery.nAncommonalitynamongnthemnisnanfoc
usnonnthenprocessesnthatnarenusedntonprovidencare.nConsequences,nanfocusnonnincidents,nandnjustificationnfo
rnhealthncarencostsnarennotnuniversalncharacteristicsnofnqualitynimprovementnefforts.


8. Nursesninnacutencarensettingsnmustnworknwithnothernhealthncarenteamnmembersntonmaintainnqualityncaren
whilenfacingnpressuresntoncarenfornpatientsnwhonarenhospitalizednfornshorternperiodsnofntimenthanninnthen
past.nTonensurenpositivenhealthnoutcomesnwhennpatientsnreturnntontheirnhomes,nwhatnactionnshouldnthen
nursenprioritize?


A) Promotionnofnhealthnliteracynduringnhospitalization


B) Closencommunicationnwithninsurers


C) Thoroughnandnevidence-basedndischargenplanning


D) Participationn inn continuingn educationn initiativesn


Ans: C


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Followingndischargesnthatnoccurnafternincreasinglynshortnhospitalnstays,nnursesninnthencommunityncarenfornpa
tientsnwhonneednhigh-technologynacutencarenservicesnasnwellnasnlong-
termncareninnthenhome.nThisnisndependentnonneffectivendischargenplanningntonangreaterndegreenthanncontinuin
gneducation,ncommunicationnwithninsurers,nornpromotionnofnhealthnliteracy.


9. Younarenadmittingnanpatientntonyournmedicalnunitnafternthenpatientnhasnbeenntransferrednfromnthen
emergencyndepartment.nWhatnisnyournprioritynnursingnactionnatnthisntime?


A) Identifyingnthenimmediatenneedsnofnthenpatient


B) Checkingnthenadmittingnphysiciansnorders


C) Obtainingnanbaselinensetnofnvitalnsigns


D) Allowingnthenfamilyntonbenwithnthenpatientn


Ans: A


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