Textbook of Medical-Surgical Nursing 15th
Edition Author newly generated
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?
Physiologic
Transcendence
Love and belonging
Self-actualization
Ans: D
Feedback:
Maslows highest level of human needs is self-actualization,
which includes self-fulfillment, desire to know and 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?
Care should focus primarily on the treatment of disease.
A persons state of health is ever-changing.
A person can transition from health to illness rapidly.
Care should focus on the patients compliance with interventions.
Ans: B
Feedback:
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,Test Bank For Brunner & Suddarth's
Textbook of Medical-Surgical Nursing 15th
Edition Author newly generated
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.
1. The public health nurse is presenting a health
promotion class to a group of new mothers. How should
the nurse best define health?
Health is being disease free.
Health is having fulfillment in all domains of life.
Health is having psychological and physiological
harmony.
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?
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,Test Bank For Brunner & Suddarth's
Textbook of Medical-Surgical Nursing 15th
Edition Author newly generated
Sensitivity to cultural differences
Team-focused approach to problem-solving
Strict adherence to routine
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?
Adequate prenatal care
Governmentadvocacy and lobbying
Judicious use of onlinecommunities
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.
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, Test Bank For Brunner & Suddarth's
Textbook of Medical-Surgical Nursing 15th
Edition Author newly generated
6. A group of nursing students are participatingin 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.
It is best achieved by reducing psychological stress.
It is best achieved by being an active participant in the
community.
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?
These programs establish consequences for health care
professionals actions.
These programs focus on the processes used to provide care.
These programs identify specific incidents related to quality.
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