Lewis’s Medical-Surgical Nursing in Canada 4th , 5thEdition by
Jane Tyerman Test Bank
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 -
ANSWER: ANS: 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? -
ANSWER: Cardiovascular 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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? - ANSWER: False
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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." - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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? - ANSWER: False 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: B
The client's osteoarthritis is a chronic problem that will require planning for long-term interventions
such as physical therapy and nutrition counselling. The other clients have acute problems that are not
likely to require long-term management.
17. "Set in motion and continue the trajectory projection and scheme" is a goal of management in
which of the following trajectory phases?
a. Pretrajectory
b. Onset
c. Comeback
d. Downward - ANSWER: ANS: C
Jane Tyerman Test Bank
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 -
ANSWER: ANS: 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? -
ANSWER: Cardiovascular 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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? - ANSWER: False
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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." - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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? - ANSWER: False 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: 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 - ANSWER: ANS: B
The client's osteoarthritis is a chronic problem that will require planning for long-term interventions
such as physical therapy and nutrition counselling. The other clients have acute problems that are not
likely to require long-term management.
17. "Set in motion and continue the trajectory projection and scheme" is a goal of management in
which of the following trajectory phases?
a. Pretrajectory
b. Onset
c. Comeback
d. Downward - ANSWER: ANS: C
