Healthcare Delivery and Nursing Practice: Test Bank

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Brunner: Medical-Surgical Nursing, 11th Edition

Test Bank
Chapter 1: Health Care Delivery and Nursing Practice

Multiple Choice

1. The school nurse teaching a health promotion class to high-school students informs the group that health may be defined as: A) Being disease free
B) Having fulfilling relationships
C) Having a clean drinking source and nutritious food
D) Being connected in body, mind, and spirit

Ans: D
Chapter: 1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 1
Patient Needs: B-1
Feedback: The World Health Organization defines health as a “state of complete physical, mental, and social well being.”

2. Which of the following desirable characteristics would an effective nurse possess? A) Sensitivity to cultural differences
B) Team-focused nursing approach
C) Strict adherence to routine
D) One set cultural practice

Ans: A
Chapter: 1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 5
Patient Needs: C-2
Feedback: Effective nursing care must be culturally competent, appropriate, and sensitive to cultural differences.

3. What type of health problem is the nurse most likely to see in the health care system? A) Poor prenatal care
B) Lack of information
C) Immobility
D) Chronic disease

Ans: D
Chapter: 1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Patient Needs: D-4
Feedback: The decline in the birth rate and the increase in lifespan have resulted in a growing- older adult population. This population is living longer due to a variety of factors. This longevity contributes to the increase in chronic diseases.

4. The nurse is assisting a patient in planning to return to work after an extensive illness. The patient's need for self-fulfillment fits in which level of Maslow's Hierarchy of basic needs? A) Physiologic

B) Safety and security
C) Love and belonging
D) Self-actualization

Ans: D
Chapter: 1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Patient Needs: C-1
Feedback: Self-actualization, which is among the highest-level needs according to Maslow's Hierarchy, may be reached through self-fulfillment, desire to know and understand, and aesthetic needs.

5. Viewing health and illness on a continuum assists the nurse in understanding that: A) Care should focus on the treatment of disease.
B) A person's state of health is ever-changing.
C) A person does not have varying degrees of illness.
D) Care should focus on the patient's response to medications.

Ans: B
Chapter: 1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Caring
Objective: 1
Patient Needs: B-1
Feedback: 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 person's state of health is ever-changing and has the potential to range from high-level wellness to extremely poor health and imminent death.

6. The nurse working in a community health clinic teaches that disease prevention is best achieved through: A) Attending self-help groups
B) Yearly physicals
C) Community social events
D) Behaviors that promote health

Ans: D
Chapter: 1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 1
Patient Needs: B-2
Feedback: Health is seen as a lifestyle that is oriented toward wellness. The lifestyle is accomplished through health-promoting behaviors.

7. A nurse on a medical-surgical unit has been asked to become a member of the hospital's Continuous Quality Improvement (CQI) committee. In preparing to serve on this committee, the nurse learns that CQI programs: A) Establish accountability on...
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