--
TEST BANK Brunner & Suddarth's Textbook of
-- -- -- -- -- -- --
Medical-Surgical Nursing 14th Edition Author(s) Janice
-- -- -- -- -- --
L Hinkle, Kerry H. Cheever (All Chapters) NEW!!!
-- -- -- -- -- -- --
1. The--public--health--nurse--is--presenting--a--health--promotion--class--to--a--group--of--
new--mothers.--How--should--the--nurse--best--define--health?
A) Health--is--being--disease--free.
B) Health--is--having--fulfillment--in--all--domains--of--life.
C) Health--is--having--psychological--and--physiological--harmony.
D) Health--is--being--connected--in--body,--mind,--and--
spirit.--Ans:- - D
Feedback:
The--World--Health--Organization--(WHO)--defines--health--in--the--preamble--to--its--
constitution--as--a--ìstate--of--complete--physical,--mental,--and--social--well-being--and--not--
merely--the--absence--of--disease--and--infirmity.î--The--other--answers--are--incorrect--because--
they--are--not--congruent--with--the--WHO--definition--of--health.
2. A--nurse--is--speaking--to--a--group--of--prospective--nursing--students--about--what--it--is--like--to--
be--a--nurse.--What--is--one--characteristic--the--nurse--would--cite--as--necessary--to--possess--to--
be--an--effective--nurse?
A) Sensitivity--to--cultural--differences
B) Team-focused--approach--to--problem-solving
C) Strict--adherence--to--routine
D) Ability--to--face--criticism-
-Ans:- - A
Feedback:
To--promote--an--effective--nurse-patient--relationship--and--positive--outcomes--of--care,--
nursing--care--must--be--culturally--competent,--appropriate,--and--sensitive--to--cultural--
differences.--Team-focused--nursing--and--strict--adherence--to--routine--are--not--
characteristics--needed--to--be--an--effective--nurse.--The--ability--to--handle--criticism--is--
important,--but--to--a--lesser--degree--than--cultural--competence.
3. With--increases--in--longevity,--people--have--had--to--become--more--knowledgeable--about--
their--health--and--the--professional--health--care--that--they--receive.--One--outcome--of--this--
phenomenon--is--the--development--of--organized--self-care--education--programs.--Which--
of--the--following--do--these--programs--prioritize?
A) Adequate--prenatal--care
B) Government--advocacy--and--lobbying
C) Judicious--use--of--online--communities
D) Management--of--illness-
-Ans:- - D
Feedback:
Organized--self-care--education--programs--emphasize--health--promotion,--disease--
prevention,--management--of--illness,--self-care,--and--judicious--use--of--the--professional--
health--care--system.--Prenatal--care,--lobbying,--and--Internet--activities--are--secondary.
Page--1
,--
4. The--home--health--nurse--is--assisting--a--patient--and--his--family--in--planning--the--patient's-
-return--to--work--after--surgery--and--the--development--of--postsurgical--complications.--
The--nurse--is--preparing--a--plan--of--care--that--addresses--the--patient's--multifaceted--
needs.--To--which--level--of--Maslow's--hierarchy--of--basic--needs--does--the--patient's--need--
for--self---fulfillment--relate?
A) Physiologic
B) Transcendence
C) Love--and--belonging
D) Self-actualization-
-Ans:- - D
Feedback:
Maslow's--highest--level--of--human--needs--is--self-actualization,--which--includes--self---
fulfillment,--desire--to--know--and--understand,--and--aesthetic--needs.--The--other--answers--are--
incorrect--because--self-fulfillment--does--not--relate--directly--to--them.
5. The--view--that--health--and--illness--are--not--static--states--but--that--they--exist--on--a--
continuum--is--central--to--professional--health--care--systems.--When--planning--care,--this--
view--aids--the--nurse--in--appreciating--which--of--the--following?
A) Care--should--focus--primarily--on--the--treatment--of--disease.
B) A--person's--state--of--health--is--ever-changing.
C) A--person--can--transition--from--health--to--illness--rapidly.
D) Care--should--focus--on--the--patient's--compliance--with--interventions.-
-Ans:- - B
Feedback:
By--viewing--health--and--illness--on--a--continuum,--it--is--possible--to--consider--a--person--as--
being--neither--completely--healthy--nor--completely--ill.--Instead,--a--person's--state--of--health--
is--ever-changing--and--has--the--potential--to--range--from--high-level--wellness--to--extremely--
poor--health--and--imminent--death.--The--other--answers--are--incorrect--because--patient--care--
should--not--focus--just--on--the--treatment--of--disease.--Rapid--declines--in--health--and--
ìcomplianceî--with--treatment--are--not--key--to--this--view--of--health.
Page--2
,--
6. A--group--of--nursing--students--are--participating--in--a--community--health--clinic.--When--
providing--care--in--this--context,--what--should--the--students--teach--participants--about--
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.--Ans:- - D
Feedback:
Today,--increasing--emphasis--is--placed--on--health,--health--promotion,--wellness,--and--self---
care.--Health--is--seen--as--resulting--from--a--lifestyle--oriented--toward--wellness.--Nurses--in--
community--health--clinics--do--not--teach--that--disease--prevention--is--best--achieved--through--
attending--self-help--groups,--by--reducing--stress,--or--by--being--an--active--participant--in--the--
community,--though--each--of--these--activities--is--consistent--with--a--healthy--lifestyle.
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,--what--characteristic--
should--the--nurse--cite?
A) These--programs--establish--consequences--for--health--care--professionals'--actions.
B) These--programs--focus--on--the--processes--used--to--provide--care.
C) These--programs--identify--specific--incidents--related--to--quality.
D) These--programs--seek--to--justify--health--care--costs--and--
systems.--Ans:- - B
Feedback:
Numerous--models--seek--to--improve--the--quality--of--health--care--delivery.--A--commonality--
among--them--is--a--focus--on--the--processes--that--are--used--to--provide--care.--Consequences,--a--
focus--on--incidents,--and--justification--for--health--care--costs--are--not--universal--
characteristics--of--quality--improvement--efforts.
Page--3
, --
8. Nurses--in--acute--care--settings--must--work--with--other--health--care--team--members--to--
maintain--quality--care--while--facing--pressures--to--care--for--patients--who--are--
hospitalized--for--shorter--periods--of--time--than--in--the--past.--To--ensure--positive--health--
outcomes--when--patients--return--to--their--homes,--what--action--should--the--nurse--
prioritize?
A) Promotion--of--health--literacy--during--hospitalization
B) Close--communication--with--insurers
C) Thorough--and--evidence-based--discharge--planning
D) Participation--in--continuing--education--initiatives-
-Ans:- - C
Feedback:
Following--discharges--that--occur--after--increasingly--short--hospital--stays,--nurses--in--the--
community--care--for--patients--who--need--high-technology--acute--care--services--as--well--
as--long-term--care--in--the--home.--This--is--dependent--on--effective--discharge--planning--to--
a--greater--degree--than--continuing--education,--communication--with--insurers,--or--
promotion--of--health--literacy.
9. You--are--admitting--a--patient--to--your--medical--unit--after--the--patient--has--been--
transferred--from--the--emergency--department.--What--is--your--priority--nursing--action--at--
this--time?
A) Identifying--the--immediate--needs--of--the--patient
B) Checking--the--admitting--physician's--orders
C) Obtaining--a--baseline--set--of--vital--signs
D) Allowing--the--family--to--be--with--the--patient-
-Ans:- - A
Feedback:
Among--the--nurse's--important--functions--in--health--care--delivery,--identifying--the--patient's--
immediate--needs--and--working--in--concert--with--the--patient--to--address--them--is--most--
important.--The--other--nursing--functions--are--important,--but--they--are--not--the--most--
important--functions.
10. A--nurse--on--a--postsurgical--unit--is--providing--care--based--on--a--clinical--pathway.--When--
performing--assessments--and--interventions--with--the--aid--of--a--pathway,--the--nurse--
should--prioritize--what--goal?
A) Helping--the--patient--to--achieve--specific--outcomes
B) Balancing--risks--and--benefits--of--interventions
C) Documenting--the--patient's--response--to--therapy
D) Staying--accountable--to--the--interdisciplinary--team-
-Ans:- - A
Feedback:
Pathways--are--an--EBP--tool--that--is--used--primarily--to--move--patients--toward--predetermined--
outcomes.--Documentation,--accountability,--and--balancing--risks--and--benefits--are--
appropriate,--but--helping--the--patient--achieve--outcomes--is--paramount.
Page--4
TEST BANK Brunner & Suddarth's Textbook of
-- -- -- -- -- -- --
Medical-Surgical Nursing 14th Edition Author(s) Janice
-- -- -- -- -- --
L Hinkle, Kerry H. Cheever (All Chapters) NEW!!!
-- -- -- -- -- -- --
1. The--public--health--nurse--is--presenting--a--health--promotion--class--to--a--group--of--
new--mothers.--How--should--the--nurse--best--define--health?
A) Health--is--being--disease--free.
B) Health--is--having--fulfillment--in--all--domains--of--life.
C) Health--is--having--psychological--and--physiological--harmony.
D) Health--is--being--connected--in--body,--mind,--and--
spirit.--Ans:- - D
Feedback:
The--World--Health--Organization--(WHO)--defines--health--in--the--preamble--to--its--
constitution--as--a--ìstate--of--complete--physical,--mental,--and--social--well-being--and--not--
merely--the--absence--of--disease--and--infirmity.î--The--other--answers--are--incorrect--because--
they--are--not--congruent--with--the--WHO--definition--of--health.
2. A--nurse--is--speaking--to--a--group--of--prospective--nursing--students--about--what--it--is--like--to--
be--a--nurse.--What--is--one--characteristic--the--nurse--would--cite--as--necessary--to--possess--to--
be--an--effective--nurse?
A) Sensitivity--to--cultural--differences
B) Team-focused--approach--to--problem-solving
C) Strict--adherence--to--routine
D) Ability--to--face--criticism-
-Ans:- - A
Feedback:
To--promote--an--effective--nurse-patient--relationship--and--positive--outcomes--of--care,--
nursing--care--must--be--culturally--competent,--appropriate,--and--sensitive--to--cultural--
differences.--Team-focused--nursing--and--strict--adherence--to--routine--are--not--
characteristics--needed--to--be--an--effective--nurse.--The--ability--to--handle--criticism--is--
important,--but--to--a--lesser--degree--than--cultural--competence.
3. With--increases--in--longevity,--people--have--had--to--become--more--knowledgeable--about--
their--health--and--the--professional--health--care--that--they--receive.--One--outcome--of--this--
phenomenon--is--the--development--of--organized--self-care--education--programs.--Which--
of--the--following--do--these--programs--prioritize?
A) Adequate--prenatal--care
B) Government--advocacy--and--lobbying
C) Judicious--use--of--online--communities
D) Management--of--illness-
-Ans:- - D
Feedback:
Organized--self-care--education--programs--emphasize--health--promotion,--disease--
prevention,--management--of--illness,--self-care,--and--judicious--use--of--the--professional--
health--care--system.--Prenatal--care,--lobbying,--and--Internet--activities--are--secondary.
Page--1
,--
4. The--home--health--nurse--is--assisting--a--patient--and--his--family--in--planning--the--patient's-
-return--to--work--after--surgery--and--the--development--of--postsurgical--complications.--
The--nurse--is--preparing--a--plan--of--care--that--addresses--the--patient's--multifaceted--
needs.--To--which--level--of--Maslow's--hierarchy--of--basic--needs--does--the--patient's--need--
for--self---fulfillment--relate?
A) Physiologic
B) Transcendence
C) Love--and--belonging
D) Self-actualization-
-Ans:- - D
Feedback:
Maslow's--highest--level--of--human--needs--is--self-actualization,--which--includes--self---
fulfillment,--desire--to--know--and--understand,--and--aesthetic--needs.--The--other--answers--are--
incorrect--because--self-fulfillment--does--not--relate--directly--to--them.
5. The--view--that--health--and--illness--are--not--static--states--but--that--they--exist--on--a--
continuum--is--central--to--professional--health--care--systems.--When--planning--care,--this--
view--aids--the--nurse--in--appreciating--which--of--the--following?
A) Care--should--focus--primarily--on--the--treatment--of--disease.
B) A--person's--state--of--health--is--ever-changing.
C) A--person--can--transition--from--health--to--illness--rapidly.
D) Care--should--focus--on--the--patient's--compliance--with--interventions.-
-Ans:- - B
Feedback:
By--viewing--health--and--illness--on--a--continuum,--it--is--possible--to--consider--a--person--as--
being--neither--completely--healthy--nor--completely--ill.--Instead,--a--person's--state--of--health--
is--ever-changing--and--has--the--potential--to--range--from--high-level--wellness--to--extremely--
poor--health--and--imminent--death.--The--other--answers--are--incorrect--because--patient--care--
should--not--focus--just--on--the--treatment--of--disease.--Rapid--declines--in--health--and--
ìcomplianceî--with--treatment--are--not--key--to--this--view--of--health.
Page--2
,--
6. A--group--of--nursing--students--are--participating--in--a--community--health--clinic.--When--
providing--care--in--this--context,--what--should--the--students--teach--participants--about--
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.--Ans:- - D
Feedback:
Today,--increasing--emphasis--is--placed--on--health,--health--promotion,--wellness,--and--self---
care.--Health--is--seen--as--resulting--from--a--lifestyle--oriented--toward--wellness.--Nurses--in--
community--health--clinics--do--not--teach--that--disease--prevention--is--best--achieved--through--
attending--self-help--groups,--by--reducing--stress,--or--by--being--an--active--participant--in--the--
community,--though--each--of--these--activities--is--consistent--with--a--healthy--lifestyle.
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,--what--characteristic--
should--the--nurse--cite?
A) These--programs--establish--consequences--for--health--care--professionals'--actions.
B) These--programs--focus--on--the--processes--used--to--provide--care.
C) These--programs--identify--specific--incidents--related--to--quality.
D) These--programs--seek--to--justify--health--care--costs--and--
systems.--Ans:- - B
Feedback:
Numerous--models--seek--to--improve--the--quality--of--health--care--delivery.--A--commonality--
among--them--is--a--focus--on--the--processes--that--are--used--to--provide--care.--Consequences,--a--
focus--on--incidents,--and--justification--for--health--care--costs--are--not--universal--
characteristics--of--quality--improvement--efforts.
Page--3
, --
8. Nurses--in--acute--care--settings--must--work--with--other--health--care--team--members--to--
maintain--quality--care--while--facing--pressures--to--care--for--patients--who--are--
hospitalized--for--shorter--periods--of--time--than--in--the--past.--To--ensure--positive--health--
outcomes--when--patients--return--to--their--homes,--what--action--should--the--nurse--
prioritize?
A) Promotion--of--health--literacy--during--hospitalization
B) Close--communication--with--insurers
C) Thorough--and--evidence-based--discharge--planning
D) Participation--in--continuing--education--initiatives-
-Ans:- - C
Feedback:
Following--discharges--that--occur--after--increasingly--short--hospital--stays,--nurses--in--the--
community--care--for--patients--who--need--high-technology--acute--care--services--as--well--
as--long-term--care--in--the--home.--This--is--dependent--on--effective--discharge--planning--to--
a--greater--degree--than--continuing--education,--communication--with--insurers,--or--
promotion--of--health--literacy.
9. You--are--admitting--a--patient--to--your--medical--unit--after--the--patient--has--been--
transferred--from--the--emergency--department.--What--is--your--priority--nursing--action--at--
this--time?
A) Identifying--the--immediate--needs--of--the--patient
B) Checking--the--admitting--physician's--orders
C) Obtaining--a--baseline--set--of--vital--signs
D) Allowing--the--family--to--be--with--the--patient-
-Ans:- - A
Feedback:
Among--the--nurse's--important--functions--in--health--care--delivery,--identifying--the--patient's--
immediate--needs--and--working--in--concert--with--the--patient--to--address--them--is--most--
important.--The--other--nursing--functions--are--important,--but--they--are--not--the--most--
important--functions.
10. A--nurse--on--a--postsurgical--unit--is--providing--care--based--on--a--clinical--pathway.--When--
performing--assessments--and--interventions--with--the--aid--of--a--pathway,--the--nurse--
should--prioritize--what--goal?
A) Helping--the--patient--to--achieve--specific--outcomes
B) Balancing--risks--and--benefits--of--interventions
C) Documenting--the--patient's--response--to--therapy
D) Staying--accountable--to--the--interdisciplinary--team-
-Ans:- - A
Feedback:
Pathways--are--an--EBP--tool--that--is--used--primarily--to--move--patients--toward--predetermined--
outcomes.--Documentation,--accountability,--and--balancing--risks--and--benefits--are--
appropriate,--but--helping--the--patient--achieve--outcomes--is--paramount.
Page--4
