TEST BANK
Canadian Fundamentals of Nursing
Patricia A. Potter, Anne Griffin Perry, Patricia A. Stockert, Amy Hall, Barbara J. Astle & Wendy Duggleby
6th Edition
,Table of Contents
Chapter 01 Health and Wellness 2
Chapter 02 The Canadian Health Care Delivery System 11
Chapter 03 The Development of Nursing in Canada 19
Chapter 04 Community Health Nursing Practice 25
Chapter 05 Theoretical Foundations of Nursing Practice 34
Chapter 06 Evidence-Informed Practice 40
Chapter 07 Nursing Values and Ethics 48
Chapter 08 Legal Implications in Nursing Practice 56
Chapter 09 Global Health 67
Chapter 10 Indigenous Health 75
Chapter 11 Nursing Leadership, Management, and Collaborative Practice 83
Chapter 12 Critical Thinking in Nursing Practice 91
Chapter 13 Nursing Assessment, Diagnosis, and Planning 99
Chapter 14 Implementing and Evaluating Nursing Care 110
Chapter 15 Documenting and Reporting 121
Chapter 16 Nursing Informatics and Canadian Nursing Practice 135
Chapter 17 Communication and Relational Practice 142
Chapter 18 Patient-Centred Care Interprofessional Collaborative Practice 154
Chapter 19 Family Nursing 161
Chapter 20 Patient Education 175
Chapter 21 Developmental Theories 187
Chapter 22 Conception Through Adolescence 196
Chapter 23 Young to Middle Adulthood 206
Chapter 24 Older Persons 215
Chapter 25 The Experience of Loss, Death, and Grief 226
Chapter 26 Self-Concept 236
Chapter 27 Sexuality 244
Chapter 28 Spirituality in Health and Health Care 253
Chapter 29 Stress and Adaptation 261
Chapter 30 Vital Signs 269
Chapter 31 Pain Assessment and Management 286
Chapter 32 Health Assessment and Physical Examination 302
Chapter 33 Infection Control 317
Chapter 34 Medication Administration 335
Chapter 35 Complementary and Alternative Approaches in Health Care 350
Chapter 36 Activity and Exercise 358
Chapter 37 Quality and Patient Safety 370
Chapter 38 Hygiene 382
,Chapter 39 Cardiopulmonary Functioning and Oxygenation 401
Chapter 40 Fluid, Electrolyte, and Acid–Base Balances 417
Chapter 41 Sleep 433
Chapter 42 Nutrition 441
Chapter 43 Urinary Elimination 457
Chapter 44 Bowel Elimination 472
Chapter 45 Mobility and Immobility 485
Chapter 46 Skin Integrity and Wound Care 503
Chapter 47 Sensory Alterations 523
Chapter 48 Care of Surgical Patients 534
,______________________________________________________________________________________________
Test Bank - Canadian Fundamentals of Nursing, 6e (Potter, Perry, 2019)
Chapter 01: Health and Wellness
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
MULTIPLE CHOICE
1. The nurse is using the population health promotion model to develop actions for
improving health. After asking, “On what should we take action?”; “How should we take
action?”; and “Why should we take action?” the nurse will ask which of the following
questions?
a. “With whom should we act?”
b. “When should we take action?”
c. “Which government should take action?”
d. “Where should we first act?”
ANS: A
The next question to ask when using the population health model approach is “With whom
should we act?” The other choices are not questions included in this model.
DIF: Apply REF: 13 (Figure 1-5)
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. The principle “Health promotion is multisectoral” means which of the following?
a. Relationships between individual, social, and environmental factors must be
recognized.
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must
be recognized.
c. In order to change unhealthy living and working conditions, areas other than health
must also be involved.
d. Health promotion uses knowledge from disciplines such as social, economic,
political, environmental, medical, and nursing sciences, as well as from first-hand
experience.
ANS: C
The statement “Health promotion is multisectoral” is the principle explained by the
necessity to involve areas other than health in order to change unhealthy living and
working conditions.
DIF: Understand REF: 11
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Planning MSC: NCLEX: Health Promotion and Maintenance
3. According to the World Health Organization, what is the best description of “health”?
a. Simply the absence of disease.
b. Involving the total person and environment.
c. Strictly personal in nature.
d. Status of pathological state.
ANS: B
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1|Page
,______________________________________________________________________________________________
Test Bank - Canadian Fundamentals of Nursing, 6e (Potter, Perry, 2019)
WHO defines health as “. . .the extent to which an individual or group is able, on the one
hand, to realize aspirations and satisfy needs; and, on the other hand, to change or cope
with the environment. Health is, therefore, seen as a resource for everyday life, not the
objective of living; it is a positive concept emphasizing social and personal resources, as
well as physical capacities.” Nurses’ attitudes toward health and illness should consider
the total person, as well as the environment in which the person lives. People free of
disease are not equally healthy. Views of health have broadened to include mental, social,
and spiritual well-being, as well as a focus on health at family and community levels.
Conditions of life, rather than pathological states, are what determine health.
DIF: Knowledge REF: 2
OBJ: Discuss ways that definitions of health have been conceptualized.
TOP: Evaluate MSC: NCLEX: Health Promotion and Maintenance
4. What priority strategy for health promotion in Canada is optional but seen as important to
incorporate in nursing education curricula?
a. Knowledge of disease prevention.
b. Strategies for health promotion.
c. Policy advocacy.
d. Concepts of determinants of health.
ANS: C
Increasingly, policy advocacy is incorporated into nursing role statements and nursing
education curricula. Nurses should think about policies that have contributed to health
problems, policies that would help alleviate health problems, and how nurses champion
public policies. Disease prevention, health promotion, and concepts of determinants of
health are integral parts of nursing curricula.
DIF: Understand REF: 11| 12
OBJ: Analyze how the nature and scope of nursing practice are influenced by different
conceptualizations of health and health determinants. TOP: Planning
MSC: NCLEX: Health Promotion and Maintenance
5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for
Health Promotion?
a. Education.
b. Social support.
c. Self-esteem.
d. Physical environment.
ANS: A
Education is one of the nine prerequisites for health that were identified in the Ottawa
Charter for Health Promotion. Lack of social support and low self-esteem were identified
as psychosocial risk factors by Labonte (1993). Dangerous physical environments were
identified as socioenvironmental risk factors by Labonte (1993).
DIF: Understand REF: 4
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of
health and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for
Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter. TOP: Planning
MSC: NCLEX: Health Promotion and Maintenance
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - Canadian Fundamentals of Nursing, 6e (Potter, Perry, 2019)
6. The determinant of health with the greatest effect on the health of Canadians is which of
the following?
a. Education.
b. Health services.
c. Social support networks.
d. Income and social status.
ANS: D
Income, income distribution, and social status constitute the greatest determinant of health
because they influence most other determinants. Some investigators suggest that literacy
and education are important influences on health status because they affect many other
health determinants. Approximately 25% of a population’s health status is attributed to the
quality of its health care services. Social support affects health, health behaviours, and
health care utilization but is not the greatest determinant of health.
DIF: Understand REF: 6
OBJ: Discuss key health determinants and their interrelationships and how they influence health.
TOP: Planning MSC: NCLEX: Health Promotion and Maintenance
7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at which
prevention level?
a. Primary prevention level.
b. Secondary prevention level.
c. Tertiary prevention level.
d. Health promotion level.
ANS: B
The secondary prevention level focuses on early detection of disease once pathogenesis
has occurred, so that prompt treatment can be initiated to halt disease and limit disability.
The primary prevention level focuses on health promotion, specific protection measures
such as immunizations, and the reduction of risk factors such as smoking. The tertiary
prevention level focuses on minimizing residual disability.
DIF: Apply REF: 11
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance
8. The nurse incorporates levels of prevention on the basis of patient needs and the type of
nursing care provided. Which of the following is an example of tertiary level preventive
caregiving?
a. Teaching a patient how to irrigate a new temporary colostomy.
b. Providing a lesson on hygiene for an elementary school class.
c. Informing a patient that immunizations for her infant are available through the
health department.
d. Arranging for a hospice nurse to visit with the family of a patient with cancer.
ANS: D
______________________________________________________________________________________________
3|Page
Canadian Fundamentals of Nursing
Patricia A. Potter, Anne Griffin Perry, Patricia A. Stockert, Amy Hall, Barbara J. Astle & Wendy Duggleby
6th Edition
,Table of Contents
Chapter 01 Health and Wellness 2
Chapter 02 The Canadian Health Care Delivery System 11
Chapter 03 The Development of Nursing in Canada 19
Chapter 04 Community Health Nursing Practice 25
Chapter 05 Theoretical Foundations of Nursing Practice 34
Chapter 06 Evidence-Informed Practice 40
Chapter 07 Nursing Values and Ethics 48
Chapter 08 Legal Implications in Nursing Practice 56
Chapter 09 Global Health 67
Chapter 10 Indigenous Health 75
Chapter 11 Nursing Leadership, Management, and Collaborative Practice 83
Chapter 12 Critical Thinking in Nursing Practice 91
Chapter 13 Nursing Assessment, Diagnosis, and Planning 99
Chapter 14 Implementing and Evaluating Nursing Care 110
Chapter 15 Documenting and Reporting 121
Chapter 16 Nursing Informatics and Canadian Nursing Practice 135
Chapter 17 Communication and Relational Practice 142
Chapter 18 Patient-Centred Care Interprofessional Collaborative Practice 154
Chapter 19 Family Nursing 161
Chapter 20 Patient Education 175
Chapter 21 Developmental Theories 187
Chapter 22 Conception Through Adolescence 196
Chapter 23 Young to Middle Adulthood 206
Chapter 24 Older Persons 215
Chapter 25 The Experience of Loss, Death, and Grief 226
Chapter 26 Self-Concept 236
Chapter 27 Sexuality 244
Chapter 28 Spirituality in Health and Health Care 253
Chapter 29 Stress and Adaptation 261
Chapter 30 Vital Signs 269
Chapter 31 Pain Assessment and Management 286
Chapter 32 Health Assessment and Physical Examination 302
Chapter 33 Infection Control 317
Chapter 34 Medication Administration 335
Chapter 35 Complementary and Alternative Approaches in Health Care 350
Chapter 36 Activity and Exercise 358
Chapter 37 Quality and Patient Safety 370
Chapter 38 Hygiene 382
,Chapter 39 Cardiopulmonary Functioning and Oxygenation 401
Chapter 40 Fluid, Electrolyte, and Acid–Base Balances 417
Chapter 41 Sleep 433
Chapter 42 Nutrition 441
Chapter 43 Urinary Elimination 457
Chapter 44 Bowel Elimination 472
Chapter 45 Mobility and Immobility 485
Chapter 46 Skin Integrity and Wound Care 503
Chapter 47 Sensory Alterations 523
Chapter 48 Care of Surgical Patients 534
,______________________________________________________________________________________________
Test Bank - Canadian Fundamentals of Nursing, 6e (Potter, Perry, 2019)
Chapter 01: Health and Wellness
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
MULTIPLE CHOICE
1. The nurse is using the population health promotion model to develop actions for
improving health. After asking, “On what should we take action?”; “How should we take
action?”; and “Why should we take action?” the nurse will ask which of the following
questions?
a. “With whom should we act?”
b. “When should we take action?”
c. “Which government should take action?”
d. “Where should we first act?”
ANS: A
The next question to ask when using the population health model approach is “With whom
should we act?” The other choices are not questions included in this model.
DIF: Apply REF: 13 (Figure 1-5)
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. The principle “Health promotion is multisectoral” means which of the following?
a. Relationships between individual, social, and environmental factors must be
recognized.
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must
be recognized.
c. In order to change unhealthy living and working conditions, areas other than health
must also be involved.
d. Health promotion uses knowledge from disciplines such as social, economic,
political, environmental, medical, and nursing sciences, as well as from first-hand
experience.
ANS: C
The statement “Health promotion is multisectoral” is the principle explained by the
necessity to involve areas other than health in order to change unhealthy living and
working conditions.
DIF: Understand REF: 11
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Planning MSC: NCLEX: Health Promotion and Maintenance
3. According to the World Health Organization, what is the best description of “health”?
a. Simply the absence of disease.
b. Involving the total person and environment.
c. Strictly personal in nature.
d. Status of pathological state.
ANS: B
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Canadian Fundamentals of Nursing, 6e (Potter, Perry, 2019)
WHO defines health as “. . .the extent to which an individual or group is able, on the one
hand, to realize aspirations and satisfy needs; and, on the other hand, to change or cope
with the environment. Health is, therefore, seen as a resource for everyday life, not the
objective of living; it is a positive concept emphasizing social and personal resources, as
well as physical capacities.” Nurses’ attitudes toward health and illness should consider
the total person, as well as the environment in which the person lives. People free of
disease are not equally healthy. Views of health have broadened to include mental, social,
and spiritual well-being, as well as a focus on health at family and community levels.
Conditions of life, rather than pathological states, are what determine health.
DIF: Knowledge REF: 2
OBJ: Discuss ways that definitions of health have been conceptualized.
TOP: Evaluate MSC: NCLEX: Health Promotion and Maintenance
4. What priority strategy for health promotion in Canada is optional but seen as important to
incorporate in nursing education curricula?
a. Knowledge of disease prevention.
b. Strategies for health promotion.
c. Policy advocacy.
d. Concepts of determinants of health.
ANS: C
Increasingly, policy advocacy is incorporated into nursing role statements and nursing
education curricula. Nurses should think about policies that have contributed to health
problems, policies that would help alleviate health problems, and how nurses champion
public policies. Disease prevention, health promotion, and concepts of determinants of
health are integral parts of nursing curricula.
DIF: Understand REF: 11| 12
OBJ: Analyze how the nature and scope of nursing practice are influenced by different
conceptualizations of health and health determinants. TOP: Planning
MSC: NCLEX: Health Promotion and Maintenance
5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for
Health Promotion?
a. Education.
b. Social support.
c. Self-esteem.
d. Physical environment.
ANS: A
Education is one of the nine prerequisites for health that were identified in the Ottawa
Charter for Health Promotion. Lack of social support and low self-esteem were identified
as psychosocial risk factors by Labonte (1993). Dangerous physical environments were
identified as socioenvironmental risk factors by Labonte (1993).
DIF: Understand REF: 4
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of
health and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for
Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter. TOP: Planning
MSC: NCLEX: Health Promotion and Maintenance
______________________________________________________________________________________________
2|Page
, ______________________________________________________________________________________________
Test Bank - Canadian Fundamentals of Nursing, 6e (Potter, Perry, 2019)
6. The determinant of health with the greatest effect on the health of Canadians is which of
the following?
a. Education.
b. Health services.
c. Social support networks.
d. Income and social status.
ANS: D
Income, income distribution, and social status constitute the greatest determinant of health
because they influence most other determinants. Some investigators suggest that literacy
and education are important influences on health status because they affect many other
health determinants. Approximately 25% of a population’s health status is attributed to the
quality of its health care services. Social support affects health, health behaviours, and
health care utilization but is not the greatest determinant of health.
DIF: Understand REF: 6
OBJ: Discuss key health determinants and their interrelationships and how they influence health.
TOP: Planning MSC: NCLEX: Health Promotion and Maintenance
7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at which
prevention level?
a. Primary prevention level.
b. Secondary prevention level.
c. Tertiary prevention level.
d. Health promotion level.
ANS: B
The secondary prevention level focuses on early detection of disease once pathogenesis
has occurred, so that prompt treatment can be initiated to halt disease and limit disability.
The primary prevention level focuses on health promotion, specific protection measures
such as immunizations, and the reduction of risk factors such as smoking. The tertiary
prevention level focuses on minimizing residual disability.
DIF: Apply REF: 11
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance
8. The nurse incorporates levels of prevention on the basis of patient needs and the type of
nursing care provided. Which of the following is an example of tertiary level preventive
caregiving?
a. Teaching a patient how to irrigate a new temporary colostomy.
b. Providing a lesson on hygiene for an elementary school class.
c. Informing a patient that immunizations for her infant are available through the
health department.
d. Arranging for a hospice nurse to visit with the family of a patient with cancer.
ANS: D
______________________________________________________________________________________________
3|Page
