BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL SURGICAL NURSING 15TH EDITION FULL COVERED

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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Ⓒ2022

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



Practice
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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. jj jj jj jj



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



C) Health is having psychological and physiological harmony. jj jj jj jj jj jj



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



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 jj jj jj



B) Team-focused approach to problem-solving jj jj jj



C) Strict adherence to routine jj jj jj



D) Abilityto face criticism j j j



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 jj jj



B) Government advocacy and lobbying jj jj jj



C) Judicious use of online communities jj jj jj jj



D) Managementofillness j j



Ans: D
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Feedback:
Organized self-care education programs emphasize health promotion, diseasejj jj jj jj jj jj jj



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 jj jj



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. jj jj jj jj jj jj jj jj



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



C) These programs identify specific incidents related to quality. jj jj jj jj jj jj jj



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



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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