pg. 1 Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing 15th Edition Chapter 1-68| Newest 2024 Complete Guide Rated A+ Chapter 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?
- Sensitivity to cultural differences
- Team-focused approach to problem-solving
- Strict adherence to routine
- Ability to face criticism
Ans: A
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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.
- 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
- Government advocacy and lobbying
- Judicious use of online communities
- 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.
- A nurse on a medical-surgical unit has asked to represent the unit on the
hospital’s quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, what characteristic should the nurse cite? 2 / 4
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- 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.
- These programs seek to justify health care costs and systems.
Ans: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality among them is a focus on the processes that are used to provide care. Consequences, a focus on incidents, and justification for health care costs are not universal characteristics of quality improvement efforts.
- Nurses in acute care settings must work with other health care team members to
maintain quality care while facing pressures to care for patients who are hospitalized for shorter periods of time than in the past. To ensure positive health outcomes when patients return to their homes, what action should the nurse prioritize?
- Promotion of health literacy during hospitalization
- Close communication with insurers
- Thorough and evidence-based discharge planning
- Participation in continuing education initiatives
Ans: C
Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the community care for patients who need high-technology acute care services as well as long-term care in the home. This is dependent on effective discharge planning to a greater degree than continuing education, communication with insurers, or promotion of health literacy.
- You are admitting a patient to your medical unit after the patient has been
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transferred from the emergency department. What is your priority nursing action at this time?
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- Identifying the immediate needs of the patient
- Checking the admitting physician’s orders
- Obtaining a baseline set of vital signs
- Allowing the family to be with the patient
Ans: A
Feedback:
Among the nurse’s important functions in health care delivery, identifying the patient’s immediate needs and working in concert with the patient to address them is most important. The other nursing functions are important, but they are not the most important functions.
- A nurse on a postsurgical unit is providing care based on a clinical pathway.
- Helping the patient to achieve specific outcomes
- Balancing risks and benefits of interventions
- Documenting the patient’s response to therapy
- Staying accountable to the interdisciplinary team
When performing assessments and interventions with the aid of a pathway, the nurse should prioritize what goal?
Ans: A
Feedback:
Pathways are an EBP tool that is used primarily to move patients toward predetermined outcomes.Documentation, accountability, and balancing risks and benefits are appropriate, but helping the patient achieve outcomes is paramount.
- Staff nurses in an ICU setting have noticed that their patients required lower
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and fewer doses of analgesia when noise levels on the unit were consciously reduced. They informed an advanced practice RN of this and asked the APRN to quantify the effects of noise on the pain levels of hospitalized patients. How does this demonstrate a role of the APRN?