d d d d d d d d d d
LeMoned&dBurke'sdMedical-
SurgicaldNursing,d7ed(Bauldoff/Gubrud/Carno)dChapterd2d HealthdanddIllnessdCared
ofdAdults
1) Thednursedisdcaringdfordadpatientdwithdheartdfailure.dWhatdshoulddthednursedincludedwhend
planningdholisticdcaredfordthisdpatient?
1. Spiritualdneeds
2. Measuringdintakedanddoutput
3. Dailydweights
4. Ambulatingdwithdassistance
dAnswer:d 1
Explanation:d 1.dHolisticdhealthcaredconsidersdalldaspectsdofdandindividuald(physical,dpsychosocial,dcult
ural,dspiritual,danddintellectual)dasdessentialdcomponentsdofdindividualizeddcare.
2. Measuringdintakedanddoutputdmeetsdthedpatient'sdphysicaldneedsdanddwoulddnotdaddressd
holisticdneeds.
3. Dailydweightsdfocusdsolelydondthedpatient'sdphysicaldneedsdanddwoulddnotdaddressdholisticd
needs.
4. Ambulatingdwithdassistancedfocusesdsolelydondthedpatient'sdphysicaldneedsdanddwoulddnotd
addressdholisticdneeds.
PagedRef:d25
CognitivedLevel:d Applying
ClientdNeedd&dSub:d PsychosocialdIntegrity:dReligiousdanddSpiritualdInfluencesdondHealthdStand
ards:d QSENdCompetencies:dI.A.1.dIntegratedunderstandingdofdmultipleddimensionsdofdpatient-
centereddcared|dAACNdEssentialsdCompetencies:dIX.3.dImplementdholistic,dpatient-
dcentereddcaredthatdreflectsdandunderstandingdofdhumandgrowthdandddevelopment,dpathophy
siology,dpharmacology,dmedicaldmanagementdanddnursingdmanagementdacrossdthedhealth-
illnessdcontinuum,dacrossdlifespan,danddindalldhealthcaredsettingsd|dNLNdCompetencies:dRelatio
nship-
CentereddCare;dKnowledge;dFactorsdthatdcontributedtodordthreatendhealthd|dNursing/Integrat
eddConcepts:dNursingdProcess:dPlanning
LearningdOutcome:d 2.1dDefinedhealthdanddthedhealth-
illnessdcontinuum,dandddiscussdfactorsdaffectingdthedhealthdofdindividuals,dfamilies,dcommunities,
danddspecialdpopulations.
MNLdLearningdOutcome:d 1.dConsiderdthedimpactdofdhealth,dwellness,dillness,danddinjurydtodpatien
tsdanddtheirdfamilies.
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d d d d d d d d d d
2) Adpatientdreportsdneverdexperiencingdmajordillnessesdanddhasdenjoyeddgooddhealthdwithoutd
muchdeffort.dHowdshoulddthednursedidentifydthisdpatient'sddefinitiondofdhealth?
1. Absencedofddisease
2. Effortless
3. Fortunate
4. Integrateddmethoddofdfunctioning
dAnswer:d 1
Explanation:d 1.dThedpatientdisddefiningdhealthdasdbeingdthedabsencedofddiseasedbecausedofdnotdexperi
encingdanydmajordillnessesdanddnotdexpendingdmuchdeffortdtoddodso.
2. Thednursedhasdnodwaydofdknowingdifdthedpatientdbelievesdhealthdisdeffortless.
3. Thednursedhasdnodwaydofdknowingdifdthedpatientdbelievesdhealthdisdfortunate.
4. Andintegrateddmethoddofdfunctioningdisdtheddefinitiondofdwellnessdwhichdthedpatientdisdnotd
describing.
PagedRef:d25
CognitivedLevel:d Analyzing
ClientdNeedd&dSub:d HealthdPromotiondanddMaintenance:dHealthdPromotion/DiseasedPreventiond
Standards:d QSENdCompetencies:dI.A.1.dIntegratedunderstandingdofdmultipleddimensionsdofdpatie
nt-centereddcared|dAACNdEssentialsdCompetencies:dIX.3.dImplementdholistic,dpatient-
dcentereddcaredthatdreflectsdandunderstandingdofdhumandgrowthdandddevelopment,dpathophysio
logy,dpharmacology,dmedicaldmanagement,danddnursingdmanagementdacrossdthedhealth-
illnessdcontinuum,dacrossdlifespan,danddindalldhealthcaredsettingsd|dNLNdCompetencies:dRelations
hip-
CentereddCare;dKnowledge;dFactorsdthatdcontributedtodordthreatendhealthd|dNursing/Integratedd
Concepts:dNursingdProcess:dAssessment
LearningdOutcome:d 2.1dDefinedhealthdanddthedhealth-
illnessdcontinuum,dandddiscussdfactorsdaffectingdthedhealthdofdindividuals,dfamilies,dcommunities,
danddspecialdpopulations.
MNLdLearningdOutcome:d 1.dConsiderdthedimpactdofdhealth,dwellness,dillness,danddinjurydtodpatien
tsdanddtheirdfamilies.
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d d d d d d d d d d
3) Duringdandassessment,dthednursedlearnsdthatdadpatientdhasdadgeneticdpredispositiondtodthedde
velopmentdofdseveralddiseasedprocesses.dWhichdillnessdshoulddthednursedrealizedisdassociateddwi
thdgeneticdmakeup?
1. Cancer
2. Hypertension
3. Osteoporosis
4. Myocardialdinfarction
Answer:d 1
Explanation:d 1.dChronicdillnessesdthatdaredassociateddwithdgeneticdmakeupdincludedsickledcellddise
ase,dhemophilia,ddiabetesdmellitus,danddcancer.
2. Hypertensiondisdassociateddwithdadculturaldgroup.
3. Osteoporosisdisdassociateddwithdadculturaldgroup.
4. Myocardialdinfarctiondisdassociateddwithdagedanddlifestyledfactors.d
PagedRef:d25
CognitivedLevel:d Analyzing
ClientdNeedd&dSub:d HealthdPromotiondanddMaintenance:dHealthdPromotion/DiseasedPreventiond
Standards:d QSENdCompetencies:dI.A.1.dIntegratedunderstandingdofdmultipleddimensionsdofdpatie
nt-
centereddcared|dAACNdEssentialsdCompetencies:dVII.2.dConductdadhealthdhistory,dincludingdenvir
onmentaldexposuredanddadfamilydhistorydthatdrecognizesdgeneticdrisks,dtodidentifydcurrentdanddfu
turedhealthdproblemsd|dNLNdCompetencies:dRelationship-
CentereddCare;dKnowledge;dFactorsdthatdcontributedtodordthreatendhealthd|dNursing/Integratedd
Concepts:dNursingdProcess:dAssessment
LearningdOutcome:d 2.1dDefinedhealthdanddthedhealth-
illnessdcontinuum,dandddiscussdfactorsdaffectingdthedhealthdofdindividuals,dfamilies,dcommunities,
danddspecialdpopulations.
MNLdLearningdOutcome:d 1.dConsiderdthedimpactdofdhealth,dwellness,dillness,danddinjurydtodpatien
tsdanddtheirdfamilies.
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d d d d d d d d d d
4) ThednursedisdassessingdadpatientdwhodisdadNativedAmerican.dFordwhichdhealthdproblemdshouldd
thednursedassessdthedpatient?
1. Diabetesdmellitus
2. Eyeddisorders
3. Hypertension
4. Osteoporosis
Answer:d 1
Explanation:d 1.dDiabetesdmellitusdisdamongdthedleadingdcausesdofdillnessdindNativedAmericans.dThi
sdisdwhatdthednursedshoulddincludedindthedassessmentdofdthisdpatient.
2. EyeddisordersdaredmoredcommondindChinesedAmericans.
3. HypertensiondisdmoredcommondindAfricandAmericans.
4. OsteoporosisdisdmoredcommondindCaucasiandwomendofdsmalldstaturedanddScandinaviand
heritage.
PagedRef:d26
CognitivedLevel:d Applying
ClientdNeedd&dSub:d HealthdPromotiondanddMaintenance:dHealthdPromotion/DiseasedPreventiond
Standards:d QSENdCompetencies:dI.A.1.dIntegratedunderstandingdofdmultipleddimensionsdofdpatie
nt-
centereddcared|dAACNdEssentialsdCompetencies:dVII.2.dConductdadhealthdhistory,dincludingdenvir
onmentaldexposuredanddadfamilydhistorydthatdrecognizesdgeneticdrisks,dtodidentifydcurrentdanddfu
turedhealthdproblemsd|dNLNdCompetencies:dRelationship-
CentereddCare;dKnowledge;dFactorsdthatdcontributedtodordthreatendhealthd|dNursing/Integratedd
Concepts:dNursingdProcess:dAssessment
LearningdOutcome:d 2.1dDefinedhealthdanddthedhealth-
illnessdcontinuum,dandddiscussdfactorsdaffectingdthedhealthdofdindividuals,dfamilies,dcommunities,
danddspecialdpopulations.
MNLdLearningdOutcome:d 1.dConsiderdthedimpactdofdhealth,dwellness,dillness,danddinjurydtodpatien
tsdanddtheirdfamilies.
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