BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 3
Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
n n n n n n n n
1. Thenpublicnhealthnnursenisnpresentingnanhealthnpromotionnclassntonangroupnofnnewnmothers.nHownshouldnt
hennursenbestndefinenhealth?
A) Healthnisnbeingndiseasenfree.
B) Healthnisnhavingnfulfillmentninnallndomainsnofnlife.
C) Healthnisnhavingnpsychologicalnandnphysiologicalnharmony.
D) Healthnisnbeingnconnectedninnbody,nmind,nandnspirit.
Ans: D
Feedback:
ThenWorldnHealthnOrganizationn(WHO)ndefinesnhealthninnthenpreamblentonitsnconstitutionnasnanstatenofn
completenphysical,nmental,nandnsocialnwell-
beingnandnnotnmerelynthenabsencenofndiseasenandninfirmity.nThenothernanswersnarenincorrectnbecausenthe
ynarennotncongruentnwithnthenWHOndefinitionnofnhealth.
2. Annursenisnspeakingntonangroupnofnprospectivennursingnstudentsnaboutnwhatnitnisnlikentonbenannurse.nWhatnisn
onencharacteristicnthennursenwouldncitenasnnecessaryntonpossessntonbenanneffectivennurse?
A) Sensitivityntonculturalndifferences
B) Team-focusedn approachn ton problem-solving
C) Strictnadherencentonroutine
D) Abilityntonfacencriticism
Ans: A
Feedback:
Tonpromotenanneffectivennurse-
patientnrelationshipnandnpositivenoutcomesnofncare,nnursingncarenmustnbenculturallyncompetent,nappropriate,n
andnsensitiventonculturalndifferences.nTeam-
focusednnursingnandnstrictnadherencentonroutinenarennotncharacteristicsnneededntonbenanneffectivennurse.nThe
nabilitynton handlen criticismnisnimportant,nbutntonanlesserndegreenthannculturalncompetence.
3. Withnincreasesninnlongevity,npeoplenhavenhadntonbecomenmorenknowledgeablenaboutntheirnhealthnandnthen
professionalnhealthncarenthatntheynreceive.nOnenoutcomenofnthisnphenomenonnisnthendevelopmentnofnor
ganizednself-careneducationnprograms.nWhichnofnthenfollowingndonthesenprogramsnprioritize?
NURSINGTB.COM
, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 4
A) Adequatenprenatalncare
B) Governmentn advocacyn andn lobbying
C) Judiciousn usen ofn onlinen communities
D) Managementnofnillness
Ans: D
Feedback:
Organizednself-
careneducationnprogramsnemphasizenhealthnpromotion,ndiseasenprevention,nmanagementnofnillness,nself-
care,nandnjudiciousnusenofnthenprofessionalnhealthncarensystem.nPrenatalncare,nlobbying,nandnInternetnactivit
iesnarensecondary.
4. Thenhomenhealthnnursenisnassistingnanpatientnandnhisnfamilyninnplanningnthenpatientsnreturnntonworknafterns
urgerynandnthendevelopmentnofnpostsurgicalncomplications.nThennursenisnpreparingnanplannofncarenthatna
ddressesnthenpatientsnmultifacetednneeds.nTonwhichnlevelnofnMaslowsnhierarchynofnbasicnneedsndoesnthenp
atientsnneednfornself-fulfillmentnrelate?
A) Physiologic
B) Transcendence
C) Lovenandnbelonging
D) Self-actualization
Ans: D
Feedback:
Maslowsnhighestnlevelnofnhumannneedsnisnself-actualization,nwhichnincludesnself-
fulfillment,ndesirentonknownandnunderstand,nandnaestheticnneeds.nThenothernanswersnarenincorrectnbecausense
lf-fulfillmentndoesnnotnrelatendirectlyntonthem.
5. Thenviewnthatnhealthnandnillnessnarennotnstaticnstatesnbutnthatntheynexistnonnancontinuumnisncentralntonpr
ofessionalnhealthncarensystems.nWhennplanningncare,nthisnviewnaidsnthennurseninnappreciatingnwhichnofnth
enfollowing?
A) Carenshouldnfocusnprimarilynonnthentreatmentnofndisease.
B) Anpersonsnstatenofnhealthnisnever-changing.
NURSINGTB.COM
, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 5
C) Anpersonncanntransitionnfromnhealthntonillnessnrapidly.
D) Carenshouldnfocusnonnthenpatientsncompliancenwithninterventions.
Ans: B
Feedback:
Bynviewingnhealthnandnillnessnonnancontinuum,nitnisnpossiblentonconsidernanpersonnasnbeingnneitherncomple
telynhealthynnorncompletelynill.nInstead,nanpersonsnstatenofnhealthnisnever-
changingnandnhasnthenpotentialntonrangenfromnhigh-
levelnwellnessntonextremelynpoornhealthnandnimminentndeath.nThenothernanswersnarenincorrectnbecausenpati
entncarenshouldnnotnfocusnjustnonnthentreatmentnofndisease.nRapidndeclinesninnhealthnandncompliancenwithntr
eatmentnarennotnkeyntonthisnviewnofnhealth.
6. Angroupnofnnursingnstudentsnarenparticipatingninnancommunitynhealthnclinic.nWhennprovidingncareninnthisn
context,nwhatnshouldnthenstudentsnteachnparticipantsnaboutndiseasenprevention?
A) Itnisnbestnachievednthroughnattendingnself-helpngroups.
B) Itnisnbestnachievednbynreducingnpsychologicalnstress.
C) Itnisnbestnachievednbynbeingnannactivenparticipantninnthencommunity.
D) Itnisnbestnachievednbynexhibitingnbehaviorsnthatnpromotenhealth.
Ans: D
Feedback:
Today,nincreasingnemphasisnisnplacednonnhealth,nhealthnpromotion,nwellness,nandnself-
care.nHealthnisnseennasnresultingnfromnanlifestylenorientedntowardnwellness.nNursesninncommunitynhealthn
clinicsndonnotnteachnthatndiseasenpreventionnisnbestnachievednthroughnattendingnself-
helpngroups,nbynreducingnstress,nornbynbeingnannactivenparticipantninnthencommunity,nthoughneachnofnthese
nactivitiesnisnconsistentnwithnanhealthynlifestyle.
7. Annursenonnanmedical-
surgicalnunitnhasnaskedntonrepresentnthenunitnonnthenhospitalsnqualityncommittee.nWhenndescribingnquali
tynimprovementnprogramsntonnursingncolleaguesnandnmembersnofnothernhealthndisciplines,nwhatnchara
cteristicnshouldnthennursencite?
A) Thesenprogramsnestablishnconsequencesnfornhealthncarenprofessionalsnactions.
B) Thesenprogramsnfocusnonnthenprocessesnusedntonprovidencare.
C) Thesenprogramsnidentifynspecificnincidentsnrelatedntonquality.
D) Thesenprogramsnseekntonjustifynhealthncarencostsnandnsystems.
NURSINGTB.COM
, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 6
Ans: B
Feedback:
Numerousnmodelsnseekntonimproventhenqualitynofnhealthncarendelivery.nAncommonalitynamongnthemnisnanfoc
usnonnthenprocessesnthatnarenusedntonprovidencare.nConsequences,nanfocusnonnincidents,nandnjustificationnfo
rnhealthncarencostsnarennotnuniversalncharacteristicsnofnqualitynimprovementnefforts.
8. Nursesninnacutencarensettingsnmustnworknwithnothernhealthncarenteamnmembersntonmaintainnqualityncaren
whilenfacingnpressuresntoncarenfornpatientsnwhonarenhospitalizednfornshorternperiodsnofntimenthanninnthen
past.nTonensurenpositivenhealthnoutcomesnwhennpatientsnreturnntontheirnhomes,nwhatnactionnshouldnthen
nursenprioritize?
A) Promotionnofnhealthnliteracynduringnhospitalization
B) Closencommunicationnwithninsurers
C) Thoroughnandnevidence-basedndischargenplanning
D) Participationn inn continuingn educationn initiativesn
Ans: C
Feedback:
Followingndischargesnthatnoccurnafternincreasinglynshortnhospitalnstays,nnursesninnthencommunityncarenfornpa
tientsnwhonneednhigh-technologynacutencarenservicesnasnwellnasnlong-
termncareninnthenhome.nThisnisndependentnonneffectivendischargenplanningntonangreaterndegreenthanncontinuin
gneducation,ncommunicationnwithninsurers,nornpromotionnofnhealthnliteracy.
9. Younarenadmittingnanpatientntonyournmedicalnunitnafternthenpatientnhasnbeenntransferrednfromnthen
emergencyndepartment.nWhatnisnyournprioritynnursingnactionnatnthisntime?
A) Identifyingnthenimmediatenneedsnofnthenpatient
B) Checkingnthenadmittingnphysiciansnorders
C) Obtainingnanbaselinensetnofnvitalnsigns
D) Allowingnthenfamilyntonbenwithnthenpatientn
Ans: A
Feedback:
NURSINGTB.COM
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 3
Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
n n n n n n n n
1. Thenpublicnhealthnnursenisnpresentingnanhealthnpromotionnclassntonangroupnofnnewnmothers.nHownshouldnt
hennursenbestndefinenhealth?
A) Healthnisnbeingndiseasenfree.
B) Healthnisnhavingnfulfillmentninnallndomainsnofnlife.
C) Healthnisnhavingnpsychologicalnandnphysiologicalnharmony.
D) Healthnisnbeingnconnectedninnbody,nmind,nandnspirit.
Ans: D
Feedback:
ThenWorldnHealthnOrganizationn(WHO)ndefinesnhealthninnthenpreamblentonitsnconstitutionnasnanstatenofn
completenphysical,nmental,nandnsocialnwell-
beingnandnnotnmerelynthenabsencenofndiseasenandninfirmity.nThenothernanswersnarenincorrectnbecausenthe
ynarennotncongruentnwithnthenWHOndefinitionnofnhealth.
2. Annursenisnspeakingntonangroupnofnprospectivennursingnstudentsnaboutnwhatnitnisnlikentonbenannurse.nWhatnisn
onencharacteristicnthennursenwouldncitenasnnecessaryntonpossessntonbenanneffectivennurse?
A) Sensitivityntonculturalndifferences
B) Team-focusedn approachn ton problem-solving
C) Strictnadherencentonroutine
D) Abilityntonfacencriticism
Ans: A
Feedback:
Tonpromotenanneffectivennurse-
patientnrelationshipnandnpositivenoutcomesnofncare,nnursingncarenmustnbenculturallyncompetent,nappropriate,n
andnsensitiventonculturalndifferences.nTeam-
focusednnursingnandnstrictnadherencentonroutinenarennotncharacteristicsnneededntonbenanneffectivennurse.nThe
nabilitynton handlen criticismnisnimportant,nbutntonanlesserndegreenthannculturalncompetence.
3. Withnincreasesninnlongevity,npeoplenhavenhadntonbecomenmorenknowledgeablenaboutntheirnhealthnandnthen
professionalnhealthncarenthatntheynreceive.nOnenoutcomenofnthisnphenomenonnisnthendevelopmentnofnor
ganizednself-careneducationnprograms.nWhichnofnthenfollowingndonthesenprogramsnprioritize?
NURSINGTB.COM
, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 4
A) Adequatenprenatalncare
B) Governmentn advocacyn andn lobbying
C) Judiciousn usen ofn onlinen communities
D) Managementnofnillness
Ans: D
Feedback:
Organizednself-
careneducationnprogramsnemphasizenhealthnpromotion,ndiseasenprevention,nmanagementnofnillness,nself-
care,nandnjudiciousnusenofnthenprofessionalnhealthncarensystem.nPrenatalncare,nlobbying,nandnInternetnactivit
iesnarensecondary.
4. Thenhomenhealthnnursenisnassistingnanpatientnandnhisnfamilyninnplanningnthenpatientsnreturnntonworknafterns
urgerynandnthendevelopmentnofnpostsurgicalncomplications.nThennursenisnpreparingnanplannofncarenthatna
ddressesnthenpatientsnmultifacetednneeds.nTonwhichnlevelnofnMaslowsnhierarchynofnbasicnneedsndoesnthenp
atientsnneednfornself-fulfillmentnrelate?
A) Physiologic
B) Transcendence
C) Lovenandnbelonging
D) Self-actualization
Ans: D
Feedback:
Maslowsnhighestnlevelnofnhumannneedsnisnself-actualization,nwhichnincludesnself-
fulfillment,ndesirentonknownandnunderstand,nandnaestheticnneeds.nThenothernanswersnarenincorrectnbecausense
lf-fulfillmentndoesnnotnrelatendirectlyntonthem.
5. Thenviewnthatnhealthnandnillnessnarennotnstaticnstatesnbutnthatntheynexistnonnancontinuumnisncentralntonpr
ofessionalnhealthncarensystems.nWhennplanningncare,nthisnviewnaidsnthennurseninnappreciatingnwhichnofnth
enfollowing?
A) Carenshouldnfocusnprimarilynonnthentreatmentnofndisease.
B) Anpersonsnstatenofnhealthnisnever-changing.
NURSINGTB.COM
, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 5
C) Anpersonncanntransitionnfromnhealthntonillnessnrapidly.
D) Carenshouldnfocusnonnthenpatientsncompliancenwithninterventions.
Ans: B
Feedback:
Bynviewingnhealthnandnillnessnonnancontinuum,nitnisnpossiblentonconsidernanpersonnasnbeingnneitherncomple
telynhealthynnorncompletelynill.nInstead,nanpersonsnstatenofnhealthnisnever-
changingnandnhasnthenpotentialntonrangenfromnhigh-
levelnwellnessntonextremelynpoornhealthnandnimminentndeath.nThenothernanswersnarenincorrectnbecausenpati
entncarenshouldnnotnfocusnjustnonnthentreatmentnofndisease.nRapidndeclinesninnhealthnandncompliancenwithntr
eatmentnarennotnkeyntonthisnviewnofnhealth.
6. Angroupnofnnursingnstudentsnarenparticipatingninnancommunitynhealthnclinic.nWhennprovidingncareninnthisn
context,nwhatnshouldnthenstudentsnteachnparticipantsnaboutndiseasenprevention?
A) Itnisnbestnachievednthroughnattendingnself-helpngroups.
B) Itnisnbestnachievednbynreducingnpsychologicalnstress.
C) Itnisnbestnachievednbynbeingnannactivenparticipantninnthencommunity.
D) Itnisnbestnachievednbynexhibitingnbehaviorsnthatnpromotenhealth.
Ans: D
Feedback:
Today,nincreasingnemphasisnisnplacednonnhealth,nhealthnpromotion,nwellness,nandnself-
care.nHealthnisnseennasnresultingnfromnanlifestylenorientedntowardnwellness.nNursesninncommunitynhealthn
clinicsndonnotnteachnthatndiseasenpreventionnisnbestnachievednthroughnattendingnself-
helpngroups,nbynreducingnstress,nornbynbeingnannactivenparticipantninnthencommunity,nthoughneachnofnthese
nactivitiesnisnconsistentnwithnanhealthynlifestyle.
7. Annursenonnanmedical-
surgicalnunitnhasnaskedntonrepresentnthenunitnonnthenhospitalsnqualityncommittee.nWhenndescribingnquali
tynimprovementnprogramsntonnursingncolleaguesnandnmembersnofnothernhealthndisciplines,nwhatnchara
cteristicnshouldnthennursencite?
A) Thesenprogramsnestablishnconsequencesnfornhealthncarenprofessionalsnactions.
B) Thesenprogramsnfocusnonnthenprocessesnusedntonprovidencare.
C) Thesenprogramsnidentifynspecificnincidentsnrelatedntonquality.
D) Thesenprogramsnseekntonjustifynhealthncarencostsnandnsystems.
NURSINGTB.COM
, BRUNNERnANDnSUDDARTHSnTEXTBOOKnOFnMEDICALnSURGICALnNURSINGn14THnEDITIONnHINKLEnTESTnBAN
K
TestnBankn-nBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursingn14en(Hinklen2017) 6
Ans: B
Feedback:
Numerousnmodelsnseekntonimproventhenqualitynofnhealthncarendelivery.nAncommonalitynamongnthemnisnanfoc
usnonnthenprocessesnthatnarenusedntonprovidencare.nConsequences,nanfocusnonnincidents,nandnjustificationnfo
rnhealthncarencostsnarennotnuniversalncharacteristicsnofnqualitynimprovementnefforts.
8. Nursesninnacutencarensettingsnmustnworknwithnothernhealthncarenteamnmembersntonmaintainnqualityncaren
whilenfacingnpressuresntoncarenfornpatientsnwhonarenhospitalizednfornshorternperiodsnofntimenthanninnthen
past.nTonensurenpositivenhealthnoutcomesnwhennpatientsnreturnntontheirnhomes,nwhatnactionnshouldnthen
nursenprioritize?
A) Promotionnofnhealthnliteracynduringnhospitalization
B) Closencommunicationnwithninsurers
C) Thoroughnandnevidence-basedndischargenplanning
D) Participationn inn continuingn educationn initiativesn
Ans: C
Feedback:
Followingndischargesnthatnoccurnafternincreasinglynshortnhospitalnstays,nnursesninnthencommunityncarenfornpa
tientsnwhonneednhigh-technologynacutencarenservicesnasnwellnasnlong-
termncareninnthenhome.nThisnisndependentnonneffectivendischargenplanningntonangreaterndegreenthanncontinuin
gneducation,ncommunicationnwithninsurers,nornpromotionnofnhealthnliteracy.
9. Younarenadmittingnanpatientntonyournmedicalnunitnafternthenpatientnhasnbeenntransferrednfromnthen
emergencyndepartment.nWhatnisnyournprioritynnursingnactionnatnthisntime?
A) Identifyingnthenimmediatenneedsnofnthenpatient
B) Checkingnthenadmittingnphysiciansnorders
C) Obtainingnanbaselinensetnofnvitalnsigns
D) Allowingnthenfamilyntonbenwithnthenpatientn
Ans: A
Feedback:
NURSINGTB.COM
