Test Bank Brunner and Suddarths Medical
Surgical Nursing 14th Edition Hinkle
Chapter 01: Health Care Delivery and Evidence-Based
Nursing Practice
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
Feedback:
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
Feedback:
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.
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
Feedback:
, 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 patients return to work after surgery and the
development of postsurgical complications. The nurse is preparing a
plan of care that addresses the patients multifaceted needs. To which
level of Maslows hierarchy of basic needs does the patients
need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
Ans: D
Feedback:
Maslows highest level of human needs is self-actualization, which includes
self-fulfillment, desire to knowand 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) Careshould focus primarily on the treatment of disease.
B) A persons state of health is ever-changing.
C) A person can transition from health to illness rapidly.
D) Careshould focus on the patients compliance with interventions.
Ans: B
Feedback:
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 persons 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
Feedback:
, Today, increasing emphasis is placed on health, health promotion,
wellness, and self-care. Health is seen as resulting from a
lifestyle oriented toward wellness. Nurses in community health clinics do
not teach that disease prevention is best achieved through attending
self-help groups, by reducing stress, or by being an active
participant in the community, though each of these activities is
consistent with a healthy lifestyle.
7. A nurse on a medical-surgical unit has asked to represent
the unit on the hospitals quality committee. When describing
quality improvement programs to nursing colleagues and members of
other health disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care
professionals actions.
B) These programs focus on the processes used to provide
care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems.
Ans: B
Feedback:
Numerousmodels seek to improve the quality of health care delivery.
A commonality among them is a focus on the processes that
are used to provide care. Consequences, a focus on incidents,
and justification for health care costs are not universal characteristics of
quality improvement efforts.
8. Nurses in acute care settings must work with other health care team
members to maintain quality care while facing pressures to
care for patients who are hospitalized for shorter periods of time
than in the past. To ensure positive health outcomes when patients
return to their homes, what action should the nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives
Ans: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in
the community care for patients who need high-technology acute
care services as well as long-term care in the home. This is
dependenton effective discharge planning to a greater degree
than continuing education, communication with insurers, or promotion
of health literacy.
9. You are admitting a patient to your medical unit after the
patient has been transferred from the emergency department. What is
your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient
Ans: A
Feedback:
Among the nurses important functions in health care delivery,
identifying the patients immediate needs and working in concert
with the patient to address them is most important. The other
, nursing functions are important, but they are not the most important
functions.
10. A nurse on a postsurgical unit is providing care based on a
clinical pathway. When performing assessments and interventions with the
aid of a pathway, the nurse should prioritize what goal?
A) Helping the patient to achieve specific outcomes
B) Balancing risks and benefits of interventions
C) Documenting the patients response to therapy
D) Staying accountable to the interdisciplinary team
Ans: A
Feedback:
Pathways are an EBP tool that is used primarily to move
patients toward predetermined outcomes. Documentation, accountability, and balancing
risks and benefits are appropriate, but helping the patient achieve outcomes
is paramount.
11. Staff nurses in an ICU setting have noticed that their patients required
lower and fewer doses of analgesia when noise levels on the unit
were consciously reduced. They informed an advanced practice
RN of this and asked the APRN to quantify the effects of
noise on the pain levels of hospitalized patients. How does this
demonstrate a role of the APRN?
A) Involving patients in their care while hospitalized
B) Contributing to the scientific basis of nursing practice
C) Critiquing the quality of patient care
D) Explaining medical studies to patients and RNs
Ans: B
Feedback:
Research is within the purview of the APRN. The activity described
does not exemplify explaining studies to RNs, critiquing care, or
involving patients in their care.
12. Nurses now have the option to practice in a variety of settings
and one of the fastest growing venues of practice for the
nurse in todays health care environment is home health care. What is
the main basis for
the growth in this health care setting?
A) Chronic nursing shortage
B) Western focus on treatment of disease
C) Nurses preferences for day shifts instead of evening or night
shifts
D) Discharge of patients who are more critically ill
Ans: D
Feedback:
With shorter hospital stays and increased use of outpatient health
care services, more nursing care is provided in the home and
community setting. The other answers are incorrect because they are
not the basis for the growth in nursing care delivered in
the home setting.
13. Nurses have different educational backgrounds and function under
many titles in their practice setting. If a nurse practicing in an
oncology clinic had the goal of improving patient outcomes
and nursing care by influencing the patient, the nurse, and the health
care system, what would most accurately describe this nurses title?
A) Nursing care expert
Surgical Nursing 14th Edition Hinkle
Chapter 01: Health Care Delivery and Evidence-Based
Nursing Practice
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
Feedback:
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
Feedback:
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.
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
Feedback:
, 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 patients return to work after surgery and the
development of postsurgical complications. The nurse is preparing a
plan of care that addresses the patients multifaceted needs. To which
level of Maslows hierarchy of basic needs does the patients
need for self-fulfillment relate?
A) Physiologic
B) Transcendence
C) Love and belonging
D) Self-actualization
Ans: D
Feedback:
Maslows highest level of human needs is self-actualization, which includes
self-fulfillment, desire to knowand 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) Careshould focus primarily on the treatment of disease.
B) A persons state of health is ever-changing.
C) A person can transition from health to illness rapidly.
D) Careshould focus on the patients compliance with interventions.
Ans: B
Feedback:
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 persons 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
Feedback:
, Today, increasing emphasis is placed on health, health promotion,
wellness, and self-care. Health is seen as resulting from a
lifestyle oriented toward wellness. Nurses in community health clinics do
not teach that disease prevention is best achieved through attending
self-help groups, by reducing stress, or by being an active
participant in the community, though each of these activities is
consistent with a healthy lifestyle.
7. A nurse on a medical-surgical unit has asked to represent
the unit on the hospitals quality committee. When describing
quality improvement programs to nursing colleagues and members of
other health disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care
professionals actions.
B) These programs focus on the processes used to provide
care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems.
Ans: B
Feedback:
Numerousmodels seek to improve the quality of health care delivery.
A commonality among them is a focus on the processes that
are used to provide care. Consequences, a focus on incidents,
and justification for health care costs are not universal characteristics of
quality improvement efforts.
8. Nurses in acute care settings must work with other health care team
members to maintain quality care while facing pressures to
care for patients who are hospitalized for shorter periods of time
than in the past. To ensure positive health outcomes when patients
return to their homes, what action should the nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives
Ans: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in
the community care for patients who need high-technology acute
care services as well as long-term care in the home. This is
dependenton effective discharge planning to a greater degree
than continuing education, communication with insurers, or promotion
of health literacy.
9. You are admitting a patient to your medical unit after the
patient has been transferred from the emergency department. What is
your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient
Ans: A
Feedback:
Among the nurses important functions in health care delivery,
identifying the patients immediate needs and working in concert
with the patient to address them is most important. The other
, nursing functions are important, but they are not the most important
functions.
10. A nurse on a postsurgical unit is providing care based on a
clinical pathway. When performing assessments and interventions with the
aid of a pathway, the nurse should prioritize what goal?
A) Helping the patient to achieve specific outcomes
B) Balancing risks and benefits of interventions
C) Documenting the patients response to therapy
D) Staying accountable to the interdisciplinary team
Ans: A
Feedback:
Pathways are an EBP tool that is used primarily to move
patients toward predetermined outcomes. Documentation, accountability, and balancing
risks and benefits are appropriate, but helping the patient achieve outcomes
is paramount.
11. Staff nurses in an ICU setting have noticed that their patients required
lower and fewer doses of analgesia when noise levels on the unit
were consciously reduced. They informed an advanced practice
RN of this and asked the APRN to quantify the effects of
noise on the pain levels of hospitalized patients. How does this
demonstrate a role of the APRN?
A) Involving patients in their care while hospitalized
B) Contributing to the scientific basis of nursing practice
C) Critiquing the quality of patient care
D) Explaining medical studies to patients and RNs
Ans: B
Feedback:
Research is within the purview of the APRN. The activity described
does not exemplify explaining studies to RNs, critiquing care, or
involving patients in their care.
12. Nurses now have the option to practice in a variety of settings
and one of the fastest growing venues of practice for the
nurse in todays health care environment is home health care. What is
the main basis for
the growth in this health care setting?
A) Chronic nursing shortage
B) Western focus on treatment of disease
C) Nurses preferences for day shifts instead of evening or night
shifts
D) Discharge of patients who are more critically ill
Ans: D
Feedback:
With shorter hospital stays and increased use of outpatient health
care services, more nursing care is provided in the home and
community setting. The other answers are incorrect because they are
not the basis for the growth in nursing care delivered in
the home setting.
13. Nurses have different educational backgrounds and function under
many titles in their practice setting. If a nurse practicing in an
oncology clinic had the goal of improving patient outcomes
and nursing care by influencing the patient, the nurse, and the health
care system, what would most accurately describe this nurses title?
A) Nursing care expert
