Medical-Surgical Nursing in Canada
4th Edition Lewi Test Bank mahal kita
hahahah Questions with Correct
Answers
The nurse is caring for a client with type 2 diabetes who has been hospitalized with
severe hyperglycemia. Which of the following topics will be most important to include in
discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells b. Function of the
liver in formation of glycogen and gluconeogenesis c. Impact of the client's family history
on likelihood of developing diabetes d. Symptoms indicating that the client should
contact the health care provider - ANSWERSANS: D
One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The
client needs instruction on recognition of symptoms of hyperglycemia and appropriate
actions to take if these symptoms occur. The other information also may be included in
client teaching, but is not as essential in the client's self-management of the illness.
Which of the following diseases has the highest proportion of chronic illness deaths in
Canada? - ANSWERSCardiovascular disease( Cardiovascular diseases (37%) were
responsible for the highest proportion of global deaths in 2012, followed by cancers
(27%), chronic respiratory diseases (8%), and diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been hospitalized with
severe hyperglycemia. Which of the following topics will be most important to include in
discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client's family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider -
ANSWERSANS: D One of the tasks for clients with chronic illnesses is to prevent and
manage a crisis. The client needs instruction on recognition of symptoms of
hyperglycemia and appropriate actions to take if these symptoms occur. The other
information also may be included in client teaching, but is not as essential in the client's
self-management of the illness.
Which of the following factors has a major impact on the development of chronic
illness?
a. Poverty
b. Social stability
,c. Urban dwelling
d. High school diploma - ANSWERSANS: A Poverty and socioeconomic disadvantage
are recognized to have a major impact on the development of chronic illness. Social
stability, urban living, and having a high school education are not factors contributing to
the development of chronic illness.
Which of the following is an example of Multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis - ANSWERSANS: D Multimorbidity
is the simultaneous occurrence of several chronic medical conditions, which may or
may not be related to each other, in the same person. Pneumonia, urinary tract
infection, and appendicitis are all acute conditions.
Which of the following statements is true related to nonmodifiable risk factors for chronic
illness?
a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance - ANSWERSANS: A Nonmodifiable risk
factors cannot be changed. Requiring intervention in order to change, altering, and
changed with perseverance all indicate that change is possible.
Average life expectancy in Canada is 65 years. True or False? - ANSWERSFalse
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - ANSWERSANS: C 80 years The life expectancy in Canada is estimated to
be 80 years, specifically in 2010, it was 78.5 years for males and 82.7 years for
females.
Which of the following types of cancers has a genetic predisposition to its occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles - ANSWERSANS: B BREAST Genetic testing can also show an inherited
predisposition to several different types of cancer, including breast and ovarian cancer,
melanoma, and colon cancer.
8. Which of the following models view disability as directly caused by disease or
trauma?
a. Social
b. Nursing
,c. Medical
d. Collaborative - ANSWERSANS: C Medical The medical model views disability as
directly caused by disease, trauma, or another health condition. Disability, from the
medical model perspective, necessitates medical care provided in the form of individual
treatment by providers to "correct" the problem with the individual. The social model of
disability, conversely, sees disability as a socially created problem and not an inherent
attribute of an individual.
9. Which of the following client statements reflect an outcome expectancy statement?
a. "I am not able to exercise."
b. "Exercise helps people lose weight."
c. "Exercise is too hard on my arthritis."
d. "Dietary restrictions work better than exercise to lose weight." - ANSWERSANS:
letter B An outcome expectancy is the individual's belief that a specific behaviour will
lead to certain outcomes. For example, the client who tells the nurse that exercising
helps people to lose weight is voicing an outcome expectancy
10. What is the most influential source of self-efficacy?
a. Mastery
b. Affective states
c. Verbal persuasion
d. Vicarious experience - ANSWERSANS: A Mastery Four primary influences shape an
individual's self-efficacy beliefs: mastery; vicarious experience; verbal persuasion and
other social influences; and physiological and affective states that help us judge our
capability and our vulnerability to dysfunction. Mastery reflects a belief about whether or
not "we have what it takes to succeed" and is considered the most influential source of
self-efficacy.
11. Which of the following is a characteristic of health-related hardiness known as
"challenge"? a. Confidence to appraise a health stressor
b. Ability to modify responses to health stressors
c. Viewing a health stressor as an opportunity for growth
d. Optimal psychosocial adaptation to a health stressor - ANSWERSANS: C Challenge
is the anticipation of change. The person with health-related hardiness, when
confronted with a health stressor, possesses sufficient self-mastery and confidence to
appraise and modify responses appropriately (control) and cognitively reappraises the
health stressor so it is viewed as stimulating and beneficial or an opportunity for growth
(challenge).
12. Which of the following characteristics is true related to chronic illness? a. Abrupt
onset b. Usually single cause c. Short latency period d. Noninfectious origin -
ANSWERSANS: D Chronic (or noncommunicable) illnesses are typically characterized
as having an uncertain etiology, multiple risk factors, long latency, prolonged duration,
and a noninfectious origin and can be associated with impairments or functional
disability. Abrupt onset, usually a single cause and cure most likely are characteristic of
acute illness
, Do clients with chronic illness want the health care system to provide them limited
information on ways to cope with their symptoms? True or FALSE? - ANSWERSFalse
yarn shunga
Clients with chronic illness want the health care system to provide them with which of
the following?
a. Less information
b. Less travel time
c. Ways to adjust to disease consequences
d. Limited information on ways to cope with their symptoms - ANSWERSANS: C Clients
with chronic illness want the health care system to provide them with ways to adjust to
disease consequences such as uncertainty, fear and depression, anger, loneliness,
sleep disorders, memory loss, exercise needs, nocturia, sexual dysfunction, and stress.
They did not identify wanting less information, less travel time, or limited information on
coping strategies but they do also want shorter wait times.
14. Which of the following models calls for a political response to disability?
a. Social
b. Medical
c. Activist
d. Collaborative - ANSWERSANS: A social ( The social model of disability, conversely,
sees disability as a socially created problem and not an inherent attribute of an
individual (Barnes, 2012). The social model perspective calls for a political response,
because the problem is created by an unaccommodating physical environment brought
about by attitudes and other features of the social environment.)
According to the World Health Organization's ICF Bio-Psycho-Social Model, which of
the following factors is an environmental contextual factor?
a. Social background
b. Behaviour pattern
c. Social attitudes
d. Coping style - ANSWERSANS: C Contextual factors are composed of external
environmental factors (e.g., social attitudes, architectural characteristics, and legal and
social structures, as well as climate, terrain, and so forth). The other choices represent
internal personal factors (e.g., gender, age, coping styles, social background, education,
profession, past and current experience, overall behaviour pattern, character, and other
factors that influence how disability is experienced by the individual).
16. Which of these clients assigned to the nurse is most likely to need planning for long-
term nursing management?
a. 22-year-old with appendicitis who has had an emergency appendectomy
b. 56-year-old with bilateral knee osteoarthritis who weighs 159 kg
c. 34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
d. 62-year-old with acute sinusitis who will require antibiotic therapy for 5 days -
ANSWERSANS: B The client's osteoarthritis is a chronic problem that will require
4th Edition Lewi Test Bank mahal kita
hahahah Questions with Correct
Answers
The nurse is caring for a client with type 2 diabetes who has been hospitalized with
severe hyperglycemia. Which of the following topics will be most important to include in
discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells b. Function of the
liver in formation of glycogen and gluconeogenesis c. Impact of the client's family history
on likelihood of developing diabetes d. Symptoms indicating that the client should
contact the health care provider - ANSWERSANS: D
One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The
client needs instruction on recognition of symptoms of hyperglycemia and appropriate
actions to take if these symptoms occur. The other information also may be included in
client teaching, but is not as essential in the client's self-management of the illness.
Which of the following diseases has the highest proportion of chronic illness deaths in
Canada? - ANSWERSCardiovascular disease( Cardiovascular diseases (37%) were
responsible for the highest proportion of global deaths in 2012, followed by cancers
(27%), chronic respiratory diseases (8%), and diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been hospitalized with
severe hyperglycemia. Which of the following topics will be most important to include in
discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client's family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider -
ANSWERSANS: D One of the tasks for clients with chronic illnesses is to prevent and
manage a crisis. The client needs instruction on recognition of symptoms of
hyperglycemia and appropriate actions to take if these symptoms occur. The other
information also may be included in client teaching, but is not as essential in the client's
self-management of the illness.
Which of the following factors has a major impact on the development of chronic
illness?
a. Poverty
b. Social stability
,c. Urban dwelling
d. High school diploma - ANSWERSANS: A Poverty and socioeconomic disadvantage
are recognized to have a major impact on the development of chronic illness. Social
stability, urban living, and having a high school education are not factors contributing to
the development of chronic illness.
Which of the following is an example of Multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis - ANSWERSANS: D Multimorbidity
is the simultaneous occurrence of several chronic medical conditions, which may or
may not be related to each other, in the same person. Pneumonia, urinary tract
infection, and appendicitis are all acute conditions.
Which of the following statements is true related to nonmodifiable risk factors for chronic
illness?
a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance - ANSWERSANS: A Nonmodifiable risk
factors cannot be changed. Requiring intervention in order to change, altering, and
changed with perseverance all indicate that change is possible.
Average life expectancy in Canada is 65 years. True or False? - ANSWERSFalse
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - ANSWERSANS: C 80 years The life expectancy in Canada is estimated to
be 80 years, specifically in 2010, it was 78.5 years for males and 82.7 years for
females.
Which of the following types of cancers has a genetic predisposition to its occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles - ANSWERSANS: B BREAST Genetic testing can also show an inherited
predisposition to several different types of cancer, including breast and ovarian cancer,
melanoma, and colon cancer.
8. Which of the following models view disability as directly caused by disease or
trauma?
a. Social
b. Nursing
,c. Medical
d. Collaborative - ANSWERSANS: C Medical The medical model views disability as
directly caused by disease, trauma, or another health condition. Disability, from the
medical model perspective, necessitates medical care provided in the form of individual
treatment by providers to "correct" the problem with the individual. The social model of
disability, conversely, sees disability as a socially created problem and not an inherent
attribute of an individual.
9. Which of the following client statements reflect an outcome expectancy statement?
a. "I am not able to exercise."
b. "Exercise helps people lose weight."
c. "Exercise is too hard on my arthritis."
d. "Dietary restrictions work better than exercise to lose weight." - ANSWERSANS:
letter B An outcome expectancy is the individual's belief that a specific behaviour will
lead to certain outcomes. For example, the client who tells the nurse that exercising
helps people to lose weight is voicing an outcome expectancy
10. What is the most influential source of self-efficacy?
a. Mastery
b. Affective states
c. Verbal persuasion
d. Vicarious experience - ANSWERSANS: A Mastery Four primary influences shape an
individual's self-efficacy beliefs: mastery; vicarious experience; verbal persuasion and
other social influences; and physiological and affective states that help us judge our
capability and our vulnerability to dysfunction. Mastery reflects a belief about whether or
not "we have what it takes to succeed" and is considered the most influential source of
self-efficacy.
11. Which of the following is a characteristic of health-related hardiness known as
"challenge"? a. Confidence to appraise a health stressor
b. Ability to modify responses to health stressors
c. Viewing a health stressor as an opportunity for growth
d. Optimal psychosocial adaptation to a health stressor - ANSWERSANS: C Challenge
is the anticipation of change. The person with health-related hardiness, when
confronted with a health stressor, possesses sufficient self-mastery and confidence to
appraise and modify responses appropriately (control) and cognitively reappraises the
health stressor so it is viewed as stimulating and beneficial or an opportunity for growth
(challenge).
12. Which of the following characteristics is true related to chronic illness? a. Abrupt
onset b. Usually single cause c. Short latency period d. Noninfectious origin -
ANSWERSANS: D Chronic (or noncommunicable) illnesses are typically characterized
as having an uncertain etiology, multiple risk factors, long latency, prolonged duration,
and a noninfectious origin and can be associated with impairments or functional
disability. Abrupt onset, usually a single cause and cure most likely are characteristic of
acute illness
, Do clients with chronic illness want the health care system to provide them limited
information on ways to cope with their symptoms? True or FALSE? - ANSWERSFalse
yarn shunga
Clients with chronic illness want the health care system to provide them with which of
the following?
a. Less information
b. Less travel time
c. Ways to adjust to disease consequences
d. Limited information on ways to cope with their symptoms - ANSWERSANS: C Clients
with chronic illness want the health care system to provide them with ways to adjust to
disease consequences such as uncertainty, fear and depression, anger, loneliness,
sleep disorders, memory loss, exercise needs, nocturia, sexual dysfunction, and stress.
They did not identify wanting less information, less travel time, or limited information on
coping strategies but they do also want shorter wait times.
14. Which of the following models calls for a political response to disability?
a. Social
b. Medical
c. Activist
d. Collaborative - ANSWERSANS: A social ( The social model of disability, conversely,
sees disability as a socially created problem and not an inherent attribute of an
individual (Barnes, 2012). The social model perspective calls for a political response,
because the problem is created by an unaccommodating physical environment brought
about by attitudes and other features of the social environment.)
According to the World Health Organization's ICF Bio-Psycho-Social Model, which of
the following factors is an environmental contextual factor?
a. Social background
b. Behaviour pattern
c. Social attitudes
d. Coping style - ANSWERSANS: C Contextual factors are composed of external
environmental factors (e.g., social attitudes, architectural characteristics, and legal and
social structures, as well as climate, terrain, and so forth). The other choices represent
internal personal factors (e.g., gender, age, coping styles, social background, education,
profession, past and current experience, overall behaviour pattern, character, and other
factors that influence how disability is experienced by the individual).
16. Which of these clients assigned to the nurse is most likely to need planning for long-
term nursing management?
a. 22-year-old with appendicitis who has had an emergency appendectomy
b. 56-year-old with bilateral knee osteoarthritis who weighs 159 kg
c. 34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
d. 62-year-old with acute sinusitis who will require antibiotic therapy for 5 days -
ANSWERSANS: B The client's osteoarthritis is a chronic problem that will require
