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CANADIAN TEXTBOOK OF MEDICAL-SURGICAL
NURSING 4TH EDITION BY
MOHAMED EL HUSSEIN; JOSEPH OSUJI
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, TABLE OF CONTENTS
Chapter 1 Health Care Delivery and Nursing Practice
Chapter 2 Community-Based Nursing Practice
Chapter 3 Critical Thinking, Ethical Decision Making, and the Nursing Process
Chapter 4 Health Education and Health Promotion
Chapter 5 Adult Health and Nutritional Assessment
Chapter 6 Delegation
Chapter 7 Spirituality in Nursing Practice
Chapter 8 Perspectives in Transcultural Nursing
Chapter 9 Homeostasis, Stress, and Adaptation
Chapter 10 Individual and Family Considerations Related to Illness
Chapter 11 Genetics and Genomics Perspectives in Nursing
Chapter 12 Chronic Illness and Disabilities
Chapter 13 Principles and Practices of Rehabilitation
Chapter 14 Health Care of the Older Adult
Chapter 15 Hospice, Palliative, and End-of-Life Care
Chapter 16 Pain Management
Chapter 17 Fluid and Electrolytes: Balance and Disturbance
Chapter 18 Shock and Multiple Organ Dysfunction Syndrome
Chapter 19 Preoperative Nursing Management
Chapter 20 Intraoperative Nursing Management
Chapter 21 Postoperative Nursing Management
Chapter 22 Assessment of Respiratory Function
Chapter 23 Management of Patients With Upper Respiratory Tract Disorders
Chapter 24 Management of Patients With Chest and Lower Respiratory Tract Disorders
Chapter 25 Management of Patients With Chronic Pulmonary Disease
Chapter 26 Respiratory Care Modalities
Chapter 27 Assessment of Cardiovascular Function
Chapter 28 Management of Patient With Dysrhythmias and Conduction Problems
Chapter 29 Management of Patients With Coronary Vascular Disorders
Chapter 30 Management of Patients With Structural, Infections, and Inflammatory Cardiac Disorders
Chapter 31 Management of Patients With Complications From Heart Disease
Chapter 32 Assessment and Management of Patients With Vascular Disorders and Peripheral Circulation rns
Chapter 33 Assessment and Management of Patients With Hypertension
Chapter 34 Assessment of Digestive and Gastrointestinal Function
Chapter 35 Management of Patients With Oral and Esophageal Disorders
Chapter 36 Gastrointestinal Intubation and Special Nutritional Modalities
Chapter 37 Management of Patients With Gastric and Duodenal Disorders
Chapter 38 Management of Patients With Intestinal and Rectal Disorders
Chapter 39 Assessment and Management of Patients With Hepatic Disorders
Chapter 40 Assessment and Management of Patients With Biliary Disorders
,Chapter 41 Assessment and Management of Patients With Diabetes Mellitus
Chapter 42 Assessment and Management of Patients With Obesity
Chapter 43 Assessment and Management of Patients With Endocrine Disorders
Chapter 44 Assessment of Renal and Urinary Tract Function
Chapter 45 Management of Patients With Kidney Disorders
Chapter 46 Management of Patients With Urinary Disorders
Chapter 47 Assessment and Management of Female Physiologic Processes
Chapter 48 Management of Patients With Female Reproductive Disorders
Chapter 49 Management of Patients With Breast Disorders
Chapter 50 Assessment and Management of Problems Related to Male Reproductive Disorders
Chapter 51 Assessment of Immune Function
Chapter 52 Management of Patients With Immune Deficiency Disorders
Chapter 53 Assessment and Management of Patients With Allergic Disorders
Chapter 54 Assessment and Management of Patients With Hematologic Disorders
Chapter 55 Management of Patients With Infectious Diseases
Chapter 56 Assessment and Management of Patients With Rheumatic Disorders
Chapter 57 Assessment of Integumentary Function
Chapter 58 Management of Patients With Dermatologic Conditions
Chapter 59 Management of Patients With Burn Injury
Chapter 60 Assessment and Management of Patients With Eye and Vision Disorders
Chapter 61 Assessment and Management of Patients With Hearing and Balance Disorders
Chapter 62 Assessment of Neurologic Function
Chapter 63 Management of Patients With Neurologic Dysfunction
Chapter 64 Management of Patients With Cerebrovascular Disorders
Chapter 65 Management of Patients With Neurologic Trauma
Chapter 66 Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies
Chapter 67 Management of Patients With Oncologic or Degenerative Disorders
Chapter 68 Oncology: Nursing Management in Cancer Care
Chapter 69 Assessment of Musculoskeletal Function
Chapter 70 Musculoskeletal Care Modalities
Chapter 71 Management of Patients With Musculoskeletal Disorders
Chapter 72 Management of Patients With Musculoskeletal Trauma
Chapter 73 Emergency Nursing
Chapter 74 Terrorism, Mass Casualty, and Disaster Nursing
,Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
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.
ANSWER: D
Rationale:
The World Health Organization (WHO) defines health in the preamble to its constitution as a state of
complete physical, mental, and social well-being and not merely the absence of disease and infirmity.
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
ANSWER: A
Rationale:
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
ANSWER: D
Rationale:
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.
4. The home health nurse is assisting a patient and his family in planning the patients 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 Maslows hierarchy of basic needs does the
patients need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
ANSWER: D
Rationale:
Maslows 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 PATIENTS compliance with interventions.
ANSWER: B
Rationale:
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 persons 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 compliance with treatment are not key to this view of health.
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.
ANSWER: D
Rationale:
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 hospitals 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.