Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
13th Edition
MULTIPLE CHOICE
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.
ANS: D
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
ANS: A
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.
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,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
ANS: D
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
patient's 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 Maslow's hierarchy of basic
needs does the patient's need for self- fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
ANS: D
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, Maslow's 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 patient's compliance with interventions.
ANS: B
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
person's 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.
ANS: D
Today, increasing emphasis is placed on health, health promotion, wellness, and
self- care. Health is seen as resulting from a lifestyle oriented toward wellness.
3|Page
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
13th Edition
MULTIPLE CHOICE
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.
ANS: D
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
ANS: A
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.
1|Page
,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
ANS: D
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
patient's 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 Maslow's hierarchy of basic
needs does the patient's need for self- fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
ANS: D
2|Page
, Maslow's 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 patient's compliance with interventions.
ANS: B
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
person's 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.
ANS: D
Today, increasing emphasis is placed on health, health promotion, wellness, and
self- care. Health is seen as resulting from a lifestyle oriented toward wellness.
3|Page
