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Test Bank for Medical Surgical Nursing all chapters / all pages
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,2. Ahnursehishspeakinghtohahgrouphofhprospectivehnursinghstudentshabouthwhathithishlikehtohbehahnurse.hWhathishonehcharacteristichthehnursehwouldhcitehashnecessaryhtohpossesshtohbeh
anheffectivehnurse?
A) Sensitivityhtohculturalhdifferences
B) Team-focusedhapproachhtohproblem-solving
C) Stricthadherencehtohroutine
D) Abilityhtohfacehcriticismh-
hAns:hAhFeedback:
Tohpromotehanheffectivehnurse-
patienthrelationshiphandhpositivehoutcomeshofhcare,hnursinghcarehmusthbehculturallyhcomp
etent,happropriate,handhsensitivehtohculturalhdifferences.hTeam-
focusedhnursinghandhstricthadherencehtohroutineharehnothcharacteristicshneededhtohbehanh
effectivehnurse.hThehabilityhtohhandlehcriticismhishimportant,hbuthtohahlesserhdegreehthanhcu
lturalhcompetence.
1. Thehpublichhealthhnursehishpresentinghahhealthhpromotionhclasshtohahgrouphofhnewh
mothers.hHowhshouldhthehnursehbesthdefinehhealth?
A) Healthhishbeinghdiseasehfree.
B) Healthhishhavinghfulfillmenthinhallhdomainshofhlife.
C) Healthhishhavinghpsychologicalhandhphysiologicalhharmony.
D) Healthhishbeinghconnectedhinhbody,hmind,handhspirit.h-
hAns:hDhFeedback:
ThehWorldhHealthhOrganizationh(WHO)hdefineshhealthhinhthehpreamblehtohitshconstitutionha
shahstatehofhcompletehphysical,hmental,handhsocialhwell-
beinghandhnothmerelyhthehabsencehofhdiseasehandhinfirmity.hThehotherhanswersharehincorre
cthbecausehtheyharehnothcongruenthwithhthehWHOhdefinitionhofhhealth.
3. Withhincreaseshinhlongevity,hpeoplehhavehhadhtohbecomehmorehknowledgeablehaboutht
heirhhealthhandhthehprofessionalhhealthhcarehthaththeyhreceive.hOnehoutcomehofhthishphe
nomenonhishthehdevelopmenthofhorganizedhself-
careheducationhprograms.hWhichhofhthehfollowinghdohthesehprogramshprioritize?
A) Adequatehprenatalhcare
B) Governmenthadvocacyhandhlobbying
C) Judicioushusehofhonlinehcommunities
D) Managementhofhillnessh-
hAns:hDhFeedback:
Organizedhself-
careheducationhprogramshemphasizehhealthhpromotion,hdiseasehprevention,hmanageme
nthofhillness,hself-
care,handhjudicioushusehofhthehprofessionalhhealthhcarehsystem.hPrenatalhcare,hlobbying,h
andhInternethactivitiesharehsecondary.
4. Thehhomehhealthhnursehishassistinghahpatienthandhhishfamilyhinhplanninghthehpatientshr
eturnhtohworkhafterhsurgeryhandhthehdevelopmenthofhpostsurgicalhcomplications.hThehnu
rsehishpreparinghahplanhofhcarehthathaddresseshthehpatientshmultifacetedhneeds.hTohwhic
hhlevelhofhMaslowshhierarchyhofhbasichneedshdoeshthehpatientshneedhforhself-
hfulfillmenthrelate?
A) Physiologic
,B) Transcendence
C) Lovehandhbelonging
D) Self-actualizationh-
hAns:hDhFeedback:
Maslowshhighesthlevelhofhhumanhneedshishself-actualization,hwhichhincludeshself-
hfulfillment,hdesirehtohknowhandhunderstand,handhaesth
5. Thehviewhthathhealthhandhillnessharehnothstatichstateshbuththaththeyhexisthonhahcontinuum
hishcentralhtohprofessionalhhealthhcarehsystems.hWhenhplanninghcare,hthishviewhaidshthehnu
rsehinhappreciatinghwhichhofhthehfollowing?
A) Carehshouldhfocushprimarilyhonhthehtreatmenthofhdisease.
B) Ahpersonshstatehofhhealthhishever-changing.
C) Ahpersonhcanhtransitionhfromhhealthhtohillnesshrapidly.
D) Carehshouldhfocushonhthehpatientshcompliancehwithhinterventionsh-
hAns:hBhFeedback:
Byhviewinghhealthhandhillnesshonhahcontinuum,hithishpossiblehtohconsiderhahpersonhashbeingh
neitherhcompletelyhhealthyhnorhcompletelyhill.hInstead,hahpersonshstatehofhhealthhishever-
changinghandhhashthehpotentialhtohrangehfromhhigh-
levelhwellnesshtohextremelyhpoorhhealthhandhimminenthdeath.hThehotherhanswersharehincor
recthbecausehpatienthcarehshouldhnothfocushjusthonhthehtreatmenthofhdisease.hRapidhdeclin
eshinhhealthhandhcompliancehwithhtreatmentharehnothkeyhtohthishviewhofhhealth.
6. Ahgrouphofhnursinghstudentsharehparticipatinghinhahcommunityhhealthhclinic.hWhenhprovid
inghcarehinhthishcontext,hwhathshouldhthehstudentshteachhparticipantshabouthdiseasehpreven
tion?
A) Ithishbesthachievedhthroughhattendinghself-helphgroups.
B) Ithishbesthachievedhbyhreducinghpsychologicalhstress.
C) Ithishbesthachievedhbyhbeinghanhactivehparticipanthinhthehcommunity.
D) Ithishbesthachievedhbyhexhibitinghbehaviorshthathpromotehhealthh-
hAns:hDhFeedback:
Today,hincreasinghemphasishishplacedhonhhealth,hhealthhpromotion,hwellness,handhself-
hcare.hHealthhishseen
ashresultinghfromhahlifestylehorientedhtowardhwellness.hNurseshinhcommunityhhealthhclinics
hdohnothteach
thathdiseasehpreventionhishbesthachievedhthroughhattendinghself-
helphgroups,hbyhreducinghstress,horhby
beinghanhactivehparticipanthinhthehcommunity,hthoughheachhofhthesehactivitieshishconsistent
hwithhahhealthy
lifestyle.
7. Ahnursehonhahmedical-
surgicalhunithhashaskedhtohrepresenththehunithonhthehhospitalshqualityhcommittee.hWhenh
describinghqualityhimprovementhprogramshtohnursinghcolleagueshandhmembershofhothe
rhhealth
disciplines,hwhathcharacteristichshouldhthehnursehcite?
A) Thesehprogramshestablishhconsequenceshforhhealthhcarehprofessionalshactions.
B) Thesehprogramshfocushonhthehprocesseshusedhtohprovidehcare.
, C) Thesehprogramshidentifyhspecifichincidentshrelatedhtohquality.
D) Thesehprogramshseekhtohjustifyhhealthhcarehcostshandhsystems.h-
hAns:hBhFeedback:
Numeroushmodelshseekhtohimprovehthehqualityhofhhealthhcarehdelivery.hAhcommonalityham
onghthemhisha
focushonhthehprocesseshthatharehusedhtohprovidehcare.hConsequences,hahfocushonhinciden
ts,hand
justificationhforhhealthhcarehcostsharehnothuniversalhcharacteristicshofhqualityhimprovementhef
forts.
8. Nurseshinhacutehcarehsettingshmusthworkhwithhotherhhealthhcarehteamhmembershtoh
maintainhqualityhcare
whilehfacinghpressureshtohcarehforhpatientshwhoharehhospitalizedhforhshorterhperiodshofhtim
ehthanhinhthe
past.hTohensurehpositivehhealthhoutcomeshwhenhpatientshreturnhtohtheirhhomes,hwhathactio
nhshouldhthe
nursehprioritize?
A) Promotionhofhhealthhliteracyhduringhhospitalization
B) Closehcommunicationhwithhinsurers
C) Thoroughhandhevidence-basedhdischargehplanning
D) Participationhinhcontinuingheducationhinitiativesh-
hAns:hChFeedback:
Followinghdischargeshthathoccurhafterhincreasinglyhshorthhospitalhstays,hnurseshinhthehcom
munityhcarehfor
patientshwhohneedhhigh-technologyhacutehcarehserviceshashwellhashlong-
termhcarehinhthehhome.hThishis
dependenthonheffectivehdischargehplanninghtohahgreaterhdegreehthanhcontinuingheducatio
n,hcommunication
withhinsurers,horhpromotionhofhhealthhliteracy.
9. Youharehadmittinghahpatienthtohyourhmedicalhunithafterhthehpatienthhashbeenhtransferredhf
romhthe
emergencyhdepartment.hWhathishyourhpriorityhnursinghactionhaththishtime?
A) Identifyinghthehimmediatehneedshofhthehpatient
B) Checkinghthehadmittinghphysicianshorders
C) Obtaininghahbaselinehsethofhvitalhsigns
D) Allowinghthehfamilyhtohbehwithhthehpatienth-hAns:hA
Feedback:hAmonghthehnurseshimportanthfunctionshinhhealthhcarehdelivery,hidentifyinghtheh
patientshimmediatehneedshandhworkinghinhconcerthwithhthehpatienthtohaddresshthemhishmo
sthimportant.hThehotherhnursinghfunctionsharehimportant,hbuththeyharehnoththehmosthimport
anthfunctions.
10. Ahnursehonhahpostsurgicalhunithishprovidinghcarehbasedhonhahclinicalhpathway.hWhenhp
erforming
assessmentshandhinterventionshwithhthehaidhofhahpathway,hthehnursehshouldhprioritizehwha
thgoal?
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