Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing – Janice L. Hinkle, Kerry H. Cheever | 15th Edition (Updated & Brand New) | Latest Edition | Full Exam Prep Resource

Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing 15th Edition
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Author(s): Janice L Hinkle, Kerry H. Cheever TEST
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BANK
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Ⓒ2022

, Chapter 1: Health Care Delivery and Evidence-Based Nursing
Practice

1. The public health nurse is presenting a health promotion class to a group of new
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mothers. How should the nurse best define health?
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A) Health is being disease free. Il` Il` Il` Il`




B) Health is having fulfillment in all domains of life. Il` Il` Il` Il` Il` Il` Il` Il`




C) Health is having psychological and physiological harmony. Il` Il` Il` Il` Il` Il`




D) Health is being connected in body, mind, and spirit. Il` Il` Il` Il` Il` Il` Il` Il`




Ans: D
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Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution
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as a ìstate of complete physical, mental, and social well-being and not merely the
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absence of disease and infirmity.î The other answers are incorrect because they are not
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congruent with the WHO definition of health.
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2. A nurse is speaking to a group of prospective nursing students about what it is like to be a
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nurse. What is one characteristic the nurse would cite as necessary to possess to be an
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effective nurse?
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A) Sensitivity to cultural differences Il` Il` Il`




B) Team-focused approach to problem-solving Il` Il` Il`




C) Strict adherence to routine Il` Il` Il`




D) Abilitytofacecriticism Il̀ Il̀ Il̀




Ans: A
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Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing
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care must be culturally competent, appropriate, and sensitive to cultural differences.
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Team-focused nursing and strict adherence to routine are not characteristics needed to be
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an effective nurse. The ability to handle criticism is important, but to a lesser degree than
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cultural competence.
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3. With increases in longevity, people have had to become more knowledgeable about
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their health and the professional health care that they receive. One outcome of this
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phenomenon is the development of organized self-care education programs. Which of
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the following do these programs prioritize?
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A) Adequate prenatal care Il` Il`




B) Government advocacy and lobbying Il` Il` Il`




C) Judicious use of online communities Il` Il` Il` Il`




D) Managementofillness Il̀ Il̀




Ans: D
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Feedback:
Organized self-care education programs emphasize health promotion, disease Il` Il` Il` Il` Il` Il` Il`




prevention, management of illness, self-care, and judicious use of the professional health
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care system. Prenatal care, lobbying, and Internet activities are secondary.
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,4. The home health nurse is assisting a patient and his family in planning the patient's
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return to work after surgery and the development of postsurgical complications. The
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nurse is preparing a plan of care that addresses the patient's multifaceted needs. To
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which level of Maslow's hierarchy of basic needs does the patient's need for self-
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fulfillment relate?
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A) Physiologic
B) Transcendence
C) Love and belonging Il` Il`




D) Self-actualization
Ans: D
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Feedback:
Maslow's highest level of human needs is self-actualization, which includes self-
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fulfillment, desire to know and understand, and aesthetic needs. The other answers are
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incorrect because self-fulfillment does not relate directly to them.
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5. The view that health and illness are not static states but that they exist on a continuum is
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central to professional health care systems. When planning care, this view aids the
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nurse in appreciating which of the following?
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A) Care should focus primarily on the treatment of disease. Il` Il` Il` I l` Il` Il` Il` Il`




B) A person's state of health is ever-changing.
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C) A person can transition from health to illness rapidly.
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D) Care should focus on the patient's compliance with interventions. Il` Il` Il` Il` Il` Il` Il` Il`




Ans: B
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Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being
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neither completely healthy nor completely ill. Instead, a person's state of health is ever-
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changing and has the potential to range from high-level wellness to extremely poor
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health and imminent death. The other answers are incorrect because patient care should
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not focus just on the treatment of disease. Rapid declines in health and ìcomplianceî with
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treatment are not key to this view of health.
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, 6. A group of nursing students are participating in a community health clinic. When
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providing care in this context, what should the students teach participants about disease
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prevention?
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A) It is best achieved through attending self-help groups.
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B) It is best achieved by reducing psychological stress.
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C) It is best achieved by being an active participant in the community.
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D) It is best achieved by exhibiting behaviors that promote health.
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Ans: D
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Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-
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care. Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in
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community health clinics do not teach that disease prevention is best achieved through
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attending self-help groups, by reducing stress, or by being an active participant in the
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community, though each of these activities is consistent with a healthy lifestyle.
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7. A nurse on a medical-surgical unit has asked to represent the unit on the hospital's
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quality committee. When describing quality improvement programs to nursing
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colleagues and members of other health disciplines, what characteristic should the
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nurse cite?
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A) These programs establish consequences for health care professionals' actions. Il` Il` Il` Il` Il` Il` Il` Il`




B) These programs focus on the processes used to provide care. Il` Il` Il` Il` Il` Il` Il` Il` Il`




C) These programs identify specific incidents related to quality. Il` Il` Il` Il` Il` Il` Il`




D) These programs seek to justify health care costs and systems. Il` Il` Il` Il` Il` Il` Il` Il` Il`




Ans: B
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Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality
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among them is a focus on the processes that are used to provide care. Consequences, a
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focus on incidents, and justification for health care costs are not universal characteristics
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of quality improvement efforts.
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