Surgical Nursing 15th Edition
Author(s): Janice L Hinkle, Kerry H. Cheever
TEST BANK
Ⓒ2026
, Chapter 1: Health Care Delivery and Evidence-mu mu mu mu mu mu
Based Nursing Practice mu mu
1. The public health nurse is presenting a health promotion class to a group of ne
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w mothers. How should the nurse best define health?
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A) Health is being disease free. mu mu mu mu
B) Health is having fulfillment in all domains of life. mu mu mu mu mu mu mu mu
C) Health is having psychological and physiological harmony. mu mu mu mu mu mu
D) Health is being connected in body, mind, and spirit mu mu mu mu mu mu mu mu
. Ans: D
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Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitu
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tion as a ìstate of complete physical, mental, and social well-
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being and not merely the absence of disease and infirmity.î The other answers are inc
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orrect because they are not 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
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be a nurse. What is one characteristic the nurse would cite as necessary to possess to
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be an effective nurse?
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A) Sensitivity to cultural differences mu mu mu
B) Team-focused approach to problem-solving mu mu mu
C) Strict adherence to routine mu mu mu
D) Ability to face criticism mu mu mu
Ans: A
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Feedback:
To promote an effective nurse-
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patient relationship and positive outcomes of care, nursing care must be culturally co
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mpetent, appropriate, and sensitive to cultural differences. Team-
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focused nursing and strict adherence to routine are not characteristics needed to be an
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effective nurse. The ability to handle criticism is important, but to a lesser degree tha
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n 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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uphenomenon is the development of organized self- mu mu mu mu mu mu
care education programs. Which of the following do these programs prioritize?
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A) Adequate prenatal care mu mu
B) Government advocacy and lobbying mu mu mu
C) Judicious use of online communities mu mu mu mu
D) Management of illness mu mu
Ans: D
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Feedback:
Organized self- mu
care education programs emphasize health promotion, disease prevention, manageme
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nt of illness, self-
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care, and judicious use of the professional health care system. Prenatal care, lobbying
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, 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
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's return to work after surgery and the development of postsurgical complications.
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The nurse is preparing a plan of care that addresses the patient's multifaceted nee
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ds. To which level of Maslow's hierarchy of basic needs does the patient's need f
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or self- fulfillment relate?
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A) Physiologic
B) Transcendence
C) Love and belonging mu mu
D) Self-
actualization Ans: D mu m u
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 ar
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e 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 continuu
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m is central to professional health care systems. When planning care, this view aids
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the nurse in appreciating which of the following?
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A) Care should focus primarily on the treatment of disease.
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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 b
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eing neither completely healthy nor completely ill. Instead, a person's state of health i
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s ever-changing and has the potential to range from high-
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level wellness to extremely poor health and imminent death. The other answers are i
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ncorrect because patient care should not focus just on the treatment of disease. Rapid
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udeclines in health and ìcomplianceî 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 pr
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oviding care in this context, what should the students teach participants about disease
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prevention?
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 healt
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h. 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-
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help groups, by reducing stress, or by being an active participant in the community, t
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hough each of these activities is consistent with a healthy lifestyle.
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7. A nurse on a medical-
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surgical unit has asked to represent the unit on the hospital's quality committee.
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When describing quality improvement programs to nursing colleagues and mem
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bers of other health disciplines, what characteristic should the 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.
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C) These programs identify specific incidents related to quality.
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D) These programs seek to justify health care costs and system
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s. Ans: B
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Feedback:
Numerous models seek to improve the quality of health care delivery. A commonalit
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y among them is a focus on the processes that are used to provide care. Consequences
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, a focus on incidents, and justification for health care costs are not universal charact
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eristics of quality improvement efforts.
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