Medical-Surgical Nursing in Canada 4th
Edition Lewi
The nurse is caring for a client with type 2 diabetes who has been
hospitalized
severe with
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
liver of the of glycogen and gluconeogenesis c. Impact of the client's
in formation
family
on historyof developing diabetes d. Symptoms indicating that the
likelihood
client should
contact the health care provider correct answers
ANS:of
One D the tasks for clients with chronic illnesses is to prevent and manage a
crisis. needs
client The instruction on recognition of symptoms of hyperglycemia and
appropriate
actions to take if these symptoms occur. The other information also may be
included
client in
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
Canada? in answers Cardiovascular disease( Cardiovascular
correct
diseases
were (37%) for the highest proportion of global deaths in 2012,
responsible
followed(27%),
cancers by chronic respiratory diseases (8%), and
diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been
hospitalized
severe with
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
b. cells of the liver in formation of glycogen and
Function
gluconeogenesis
c. Impact of the client's family history on likelihood of
developing
d. Symptoms diabetes
indicating that the client should contact the health care
provider ANS:
answers correct
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 and appropriate actions to take if these symptoms occur.
hyperglycemia
The other also may be included in client teaching, but is not as essential in
information
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
c.
stability
Urban
dwelling
d. High school diploma correct answers 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
contributing
not factors 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 correct
answers 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,
tract urinary
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 correct answers 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? correct
answers False
6. What is the average life expectancy in
Canada?
a. 60
years
b. 70
years
c. 80
years
d. 90 years correct answers ANS: C 80 years The life expectancy in
Canada is to be 80 years, specifically in 2010, it was 78.5 years for
estimated
males
years forand 82.7
females.
Which of the following types of cancers has a genetic predisposition to its
a.
occurrence?
Lung
b.
Breast
c.
Cervix
d. Testicles correct answers ANS: B BREAST Genetic testing can also
show an predisposition to several different types of cancer, including breast
inherited
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.
c.
Nursing
Medical
d. Collaborative correct answers ANS: C Medical The medical model views
disabilitycaused
directly as by disease, trauma, or another health condition.
Disability,
medical from perspective,
model the 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." correct
answers
letter B AnANS:
outcome expectancy is the individual's belief that a specific
behaviour
lead will outcomes. For example, the client who tells the nurse that
to certain
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 correct answers ANS: A Mastery Four primary
influences
shape an individual's self-efficacy beliefs: mastery; vicarious
experience;and
persuasion verbal
other social influences; and physiological and affective
states
us that
judge ourhelp
capability and our vulnerability to dysfunction. Mastery
reflects
about a beliefor not "we have what it takes to succeed" and is
whether
consideredsource
influential the most
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 correct
answers ANS:
Challenge C anticipation of change. The person with health-related
is the
hardiness, when
confronted with a health stressor, possesses sufficient self-mastery and
confidence
appraise andtomodify responses appropriately (control) and cognitively
reappraises
health theso it is viewed as stimulating and beneficial or an
stressor
opportunity for growth
(challenge
).
12. Which of the following characteristics is true related to chronic
illness?
onset b.a. Abruptsingle cause c. Short latency period d. Noninfectious
Usually
origin correct
answers ANS: D Chronic (or noncommunicable) illnesses are typically
characterized
having as
an uncertain etiology, multiple risk factors, long latency, prolonged
duration,
a and origin and can be associated with impairments or
noninfectious
functional
Abrupt disability.
onset, usually a single cause and cure most likely are
characteristic of acute
illnes
s
Do clients with chronic illness want the health care system to provide
them limitedon ways to cope with their symptoms? True or FALSE? correct
information
answers
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 correct
answerswith
Clients ANS: C
chronic illness want the health care system to provide them
with ways
adjust to
to disease consequences such as uncertainty, fear and
depression,sleep
loneliness, anger, 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 correct answers ANS: A social ( The social model of
disability,
conversely, sees disability as a socially created problem and not an inherent
attribute
an of (Barnes, 2012). The social model perspective calls for a political
individual
response,
because the problem is created by an unaccommodating physical
environment
about brought
by attitudes and other features of the social
environment.)
According to the World Health Organization's ICF Bio-Psycho-Social Model,
which
the of
following factors is an environmental contextual
factor?
a. Social
background
b. Behaviour
pattern
c. Social
attitudes
d. Coping style correct answers ANS: C Contextual factors are composed l
of externa
environmental factors (e.g., social attitudes, architectural characteristics,
and legal
social and
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 past and current experience, overall behaviour pattern, character,
profession,
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
term for long-
nursing
a. 22-year-old with appendicitis who has had an emergency
management?
appendectomy
b. 56-year-old with bilateral knee osteoarthritis who
weighs
c. 159 kgwith cholecystitis who has had a laparoscopic
34-year-old
cholecystectomy
d. 62-year-old with acute sinusitis who will require antibiotic therapy for 5
days correct
answers ANS: B The client's osteoarthritis is a chronic problem that will
require
for planning
long-term interventions such as physical therapy and nutrition
counselling.
clients have The
acute other
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?
Edition Lewi
The nurse is caring for a client with type 2 diabetes who has been
hospitalized
severe with
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
liver of the of glycogen and gluconeogenesis c. Impact of the client's
in formation
family
on historyof developing diabetes d. Symptoms indicating that the
likelihood
client should
contact the health care provider correct answers
ANS:of
One D the tasks for clients with chronic illnesses is to prevent and manage a
crisis. needs
client The instruction on recognition of symptoms of hyperglycemia and
appropriate
actions to take if these symptoms occur. The other information also may be
included
client in
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
Canada? in answers Cardiovascular disease( Cardiovascular
correct
diseases
were (37%) for the highest proportion of global deaths in 2012,
responsible
followed(27%),
cancers by chronic respiratory diseases (8%), and
diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been
hospitalized
severe with
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
b. cells of the liver in formation of glycogen and
Function
gluconeogenesis
c. Impact of the client's family history on likelihood of
developing
d. Symptoms diabetes
indicating that the client should contact the health care
provider ANS:
answers correct
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 and appropriate actions to take if these symptoms occur.
hyperglycemia
The other also may be included in client teaching, but is not as essential in
information
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
c.
stability
Urban
dwelling
d. High school diploma correct answers 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
contributing
not factors 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 correct
answers 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,
tract urinary
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 correct answers 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? correct
answers False
6. What is the average life expectancy in
Canada?
a. 60
years
b. 70
years
c. 80
years
d. 90 years correct answers ANS: C 80 years The life expectancy in
Canada is to be 80 years, specifically in 2010, it was 78.5 years for
estimated
males
years forand 82.7
females.
Which of the following types of cancers has a genetic predisposition to its
a.
occurrence?
Lung
b.
Breast
c.
Cervix
d. Testicles correct answers ANS: B BREAST Genetic testing can also
show an predisposition to several different types of cancer, including breast
inherited
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.
c.
Nursing
Medical
d. Collaborative correct answers ANS: C Medical The medical model views
disabilitycaused
directly as by disease, trauma, or another health condition.
Disability,
medical from perspective,
model the 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." correct
answers
letter B AnANS:
outcome expectancy is the individual's belief that a specific
behaviour
lead will outcomes. For example, the client who tells the nurse that
to certain
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 correct answers ANS: A Mastery Four primary
influences
shape an individual's self-efficacy beliefs: mastery; vicarious
experience;and
persuasion verbal
other social influences; and physiological and affective
states
us that
judge ourhelp
capability and our vulnerability to dysfunction. Mastery
reflects
about a beliefor not "we have what it takes to succeed" and is
whether
consideredsource
influential the most
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 correct
answers ANS:
Challenge C anticipation of change. The person with health-related
is the
hardiness, when
confronted with a health stressor, possesses sufficient self-mastery and
confidence
appraise andtomodify responses appropriately (control) and cognitively
reappraises
health theso it is viewed as stimulating and beneficial or an
stressor
opportunity for growth
(challenge
).
12. Which of the following characteristics is true related to chronic
illness?
onset b.a. Abruptsingle cause c. Short latency period d. Noninfectious
Usually
origin correct
answers ANS: D Chronic (or noncommunicable) illnesses are typically
characterized
having as
an uncertain etiology, multiple risk factors, long latency, prolonged
duration,
a and origin and can be associated with impairments or
noninfectious
functional
Abrupt disability.
onset, usually a single cause and cure most likely are
characteristic of acute
illnes
s
Do clients with chronic illness want the health care system to provide
them limitedon ways to cope with their symptoms? True or FALSE? correct
information
answers
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 correct
answerswith
Clients ANS: C
chronic illness want the health care system to provide them
with ways
adjust to
to disease consequences such as uncertainty, fear and
depression,sleep
loneliness, anger, 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 correct answers ANS: A social ( The social model of
disability,
conversely, sees disability as a socially created problem and not an inherent
attribute
an of (Barnes, 2012). The social model perspective calls for a political
individual
response,
because the problem is created by an unaccommodating physical
environment
about brought
by attitudes and other features of the social
environment.)
According to the World Health Organization's ICF Bio-Psycho-Social Model,
which
the of
following factors is an environmental contextual
factor?
a. Social
background
b. Behaviour
pattern
c. Social
attitudes
d. Coping style correct answers ANS: C Contextual factors are composed l
of externa
environmental factors (e.g., social attitudes, architectural characteristics,
and legal
social and
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 past and current experience, overall behaviour pattern, character,
profession,
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
term for long-
nursing
a. 22-year-old with appendicitis who has had an emergency
management?
appendectomy
b. 56-year-old with bilateral knee osteoarthritis who
weighs
c. 159 kgwith cholecystitis who has had a laparoscopic
34-year-old
cholecystectomy
d. 62-year-old with acute sinusitis who will require antibiotic therapy for 5
days correct
answers ANS: B The client's osteoarthritis is a chronic problem that will
require
for planning
long-term interventions such as physical therapy and nutrition
counselling.
clients have The
acute other
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?
