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3
Test Bank - Brunner & Suddarth's Textbook ofMedical Surgical Nursing 14e (Hinkle 2017)
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Chapter 01: Health Care Delivery and Evidence-Based Nursing Practicer/d r/d r/d r/d r/d r/d r/d r/d
1. The public health nurse is presenting a health promotion class to a group of new mothers. How should the
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nurse best define health?
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A) Healthis being disease free. r/d r/d r/d r/d
B) Healthishaving fulfillment inall domains oflife. r/d r/d r/d r/d r/d r/d r/d r/d
C) Healthishavingpsychologicalandphysiologicalharmony. r/d r/d r/d r/d r/d r/d
D) Healthis beingconnected in body, mind, and spirit. r/d r/d r/d r/d r/d r/d r/d r/d
Ans: D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a state of
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complete physical, mental, and social well-being and not merely the absence of disease and infirmity. The
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otheranswers areincorrect becausetheyare notcongruentwiththe 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 nurse. What is
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onecharacteristic the nurse wouldcite as necessaryto possessto be an effective nurse?
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A) Sensitivitytocultural differences r/d r/d r/d
B) Team-focused approach to problem-solving r / d r / d r / d
C) Strictadherence toroutine r/d r/d r/d
D) Ability tofacecriticism r/d r/d r/d
Ans: A
Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care must be
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culturally competent, appropriate, and sensitive to cultural differences. Team-focused nursing and strict
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adherence to routine are not characteristics needed to be an effective nurse. The ability to handle criticism
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is important, but to a lesser degree than culturalcompetence.
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3. With increases in longevity, people have had to become more knowledgeable about their health and the
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professional health care that they receive. One outcome of this phenomenon is the development of
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organized self-care education programs. Which of the following do these programs prioritize?
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,COMPLETE TEST BANK FOR BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH
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4
Test Bank - Brunner & Suddarth's Textbook of Medical Surgical Nursing 14e (Hinkle 2017)
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A) Adequateprenatal care r/d r/d
B) Governmentadvocacyandlobbying r/d r/d
C) Judicious useof online communities r/d r/d r/d r/d
D) Management of illness r / d r / d
Ans: D
Feedback:
Organized self-care education programs emphasize health promotion, disease prevention, management of
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illness, self-care, and judicious use of the professional health care system. Prenatal care, lobbying, and Internet
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activities are secondary.
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4. Thehomehealthnurseisassistingapatientandhisfamilyinplanningthepatientsreturntoworkafter surgery
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andthedevelopment ofpostsurgical complications.Thenurseispreparing aplanofcarethat addresses the
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patients multifaceted needs. To which level of Maslows hierarchy of basic needs does the patients need for
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self-fulfillment relate?
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A) Physiologic
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B) Transcendence
C) Love andbelonging r /d
D) Self-actualization
Ans: D
Feedback:
Maslows highest level of human needs is self-actualization, which includes self-fulfillment, desire to
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know and understand, and aesthetic needs. The other answers are incorrect because self-fulfillment does not
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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 central to
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professional health care systems. When planning care, this view aids the nurse in appreciating which of the
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following?
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A) Careshould focusprimarily onthetreatment ofdisease.r/d r/d r/d r/d r/d r/d r/d r/d
B) Apersons stateof healthis ever-changing.
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, COMPLETE TEST BANK FOR BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH
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5
Test Bank - Brunner & Suddarth's Textbook of Medical Surgical Nursing 14e (Hinkle 2017)
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C) Aperson cantransitionfrom healthto illnessrapidly.
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D) Careshould focusonthepatients compliancewithinterventions.
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Ans: B
Feedback:
By viewing health and illness on a continuum, it is possible to consider a person as being neither
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completely healthy nor completely ill. Instead, a persons state of health is ever-changing and has the potential
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to range from high-level wellness to extremely poor health and imminent death. The other answersare
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incorrect becausepatientcareshould notfocus justonthetreatment ofdisease.Rapid declines in health and
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compliance with 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 providing care in this
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context, what should the students teach participants about diseaseprevention?
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A) Itisbestachievedthrough attending self-helpgroups.
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B) Itisbestachieved byreducing psychologicalstress.
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C) Itis best achieved bybeing anactive participantin thecommunity.
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D) Itisbest achieved byexhibiting behaviors that promotehealth.
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Ans: D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is seen as
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resultingfromalifestyle orientedtowardwellness. Nurses incommunityhealthclinics donotteach that
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disease prevention is best achieved through attending self-help groups, by reducing stress, or by being an
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active participant in the 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 hospitals quality committee. When
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describing quality improvement programs to nursing colleagues and members of other health disciplines,
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what characteristic should the nurse cite?
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A) These programs establish consequences for health care professionalsactions. r / d r / d r / d r / d r / d r / d r / d r/d
B) These programs focus on the processes used to provide care. r /d r /d r /d r/d r /d r /d r /d r/d r /d
C) These programs identify specific incidents related to quality. r/d r /d r/d r /d r /d r/d r /d
D) Theseprograms seektojustifyhealth care costsandsystems. r/d r/d r/d r/d r/d r/d r/d r/d r/d
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