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Lewis's Medical Surgical Nursing in Canada
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Lewis's Medical Surgical Nursing in Canada
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Lewis's Medical Surgical Nursing in Canada
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Test Bank For Lewis's Medical Surgical Nursing in Canada 5th Edition by Tyerman, Cobbett, All Chapters 1 - 72 Complete, Verified Latest Edition ISBN: 9780323791564
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Test Bank For Lewis's Medical Surgical Nursing in Canada 5th Edition by Tyerman, Cobbett ISBN: 9780323791564, All 72 Chapters Covered, Verified Latest Edition
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Test Bank For Lewis's Medical Surgical Nursing inCanada 5th Edition by Tyerman, Cobbett
The nurse is caring for a client with type 2 diabetes who has been hospitalized with
severe hyperglycemia. Which of the following topics will be most important to
include in discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells b. Function of
the liver in formation of glycogen and gluconeogenesis c. Impact of the client's family
history on likelihood of developing diabetes d. Symptoms indicating that the client
should contact the health care provider - ANSWER: ANS: D
One of the tasks for clients with chronic illnesses is to prevent and manage a crisis.
The client needs instruction on recognition of symptoms of hyperglycemia and
appropriate actions to take if these symptoms occur. The other information also may
be included in client teaching, but is not as essential in the client's self-management
of the illness.
Which of the following diseases has the highest proportion of chronic illness deaths
in Canada? - ANSWER: Cardiovascular disease( Cardiovascular diseases (37%) were
responsible for the highest proportion of global deaths in 2012, followed by cancers
(27%), chronic respiratory diseases (8%), and diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been hospitalized with
severe hyperglycemia. Which of the following topics will be most important to
include in discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client's family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider -
ANSWER: ANS: D One of the tasks for clients with chronic illnesses is to prevent and
manage a crisis. The client needs instruction on recognition of symptoms of
hyperglycemia and appropriate actions to take if these symptoms occur. The other
information also may be included in client teaching, but is not as essential in the
client's self-management of the illness.
Which of the following factors has a major impact on the development of chronic
illness?
a. Poverty
b. Social stability
c. Urban dwelling
d. High school diploma - ANSWER: ANS: A Poverty and socioeconomic disadvantage
are recognized to have a major impact on the development of chronic illness. Social
stability, urban living, and having a high school education are not factors contributing
to the development of chronic illness.
,Which of the following is an example of Multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis - ANSWER: ANS: D
Multimorbidity is the simultaneous occurrence of several chronic medical conditions,
which may or may not be related to each other, in the same person. Pneumonia,
urinary tract infection, and appendicitis are all acute conditions.
Which of the following statements is true related to nonmodifiable risk factors for
chronic illness?
a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance - ANSWER: ANS: A Nonmodifiable risk
factors cannot be changed. Requiring intervention in order to change, altering, and
changed with perseverance all indicate that change is possible.
Average life expectancy in Canada is 65 years. True or False? - ANSWER: False
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - ANSWER: ANS: C 80 years The life expectancy in Canada is estimated to
be 80 years, specifically in 2010, it was 78.5 years for males and 82.7 years for
females.
Which of the following types of cancers has a genetic predisposition to its
occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles - ANSWER: ANS: B BREAST Genetic testing can also show an inherited
predisposition to several different types of cancer, including breast and ovarian
cancer, melanoma, and colon cancer.
8. Which of the following models view disability as directly caused by disease or
trauma?
a. Social
b. Nursing
c. Medical
d. Collaborative - ANSWER: ANS: C Medical The medical model views disability as
directly caused by disease, trauma, or another health condition. Disability, from the
medical model perspective, necessitates medical care provided in the form of
individual treatment by providers to "correct" the problem with the individual. The
,social model of disability, conversely, sees disability as a socially created problem
and not an inherent attribute of an individual.
9. Which of the following client statements reflect an outcome expectancy
statement?
a. "I am not able to exercise."
b. "Exercise helps people lose weight."
c. "Exercise is too hard on my arthritis."
d. "Dietary restrictions work better than exercise to lose weight." - ANSWER: ANS:
letter B An outcome expectancy is the individual's belief that a specific behaviour will
lead to certain outcomes. For example, the client who tells the nurse that exercising
helps people to lose weight is voicing an outcome expectancy
10. What is the most influential source of self-efficacy?
a. Mastery
b. Affective states
c. Verbal persuasion
d. Vicarious experience - ANSWER: ANS: A Mastery Four primary influences shape an
individual's self-efficacy beliefs: mastery; vicarious experience; verbal persuasion and
other social influences; and physiological and affective states that help us judge our
capability and our vulnerability to dysfunction. Mastery reflects a belief about
whether or not "we have what it takes to succeed" and is considered the most
influential source of self-efficacy.
11. Which of the following is a characteristic of health-related hardiness known as
"challenge"? a. Confidence to appraise a health stressor
b. Ability to modify responses to health stressors
c. Viewing a health stressor as an opportunity for growth
d. Optimal psychosocial adaptation to a health stressor - ANSWER: ANS: C Challenge
is the anticipation of change. The person with health-related hardiness, when
confronted with a health stressor, possesses sufficient self-mastery and confidence
to appraise and modify responses appropriately (control) and cognitively reappraises
the health stressor so it is viewed as stimulating and beneficial or an opportunity for
growth (challenge).
12. Which of the following characteristics is true related to chronic illness? a. Abrupt
onset b. Usually single cause c. Short latency period d. Noninfectious origin -
ANSWER: ANS: D Chronic (or noncommunicable) illnesses are typically characterized
as having an uncertain etiology, multiple risk factors, long latency, prolonged
duration, and a noninfectious origin and can be associated with impairments or
functional disability. Abrupt onset, usually a single cause and cure most likely are
characteristic of acute illness
Do clients with chronic illness want the health care system to provide them limited
information on ways to cope with their symptoms? True or FALSE? - ANSWER: False
yarn shunga
, Clients with chronic illness want the health care system to provide them with which
of the following?
a. Less information
b. Less travel time
c. Ways to adjust to disease consequences
d. Limited information on ways to cope with their symptoms - ANSWER: ANS: C
Clients with chronic illness want the health care system to provide them with ways
to adjust to disease consequences such as uncertainty, fear and depression, anger,
loneliness, sleep disorders, memory loss, exercise needs, nocturia, sexual
dysfunction, and stress. They did not identify wanting less information, less travel
time, or limited information on coping strategies but they do also want shorter wait
times.
14. Which of the following models calls for a political response to disability?
a. Social
b. Medical
c. Activist
d. Collaborative - ANSWER: ANS: A social ( The social model of disability, conversely,
sees disability as a socially created problem and not an inherent attribute of an
individual (Barnes, 2012). The social model perspective calls for a political response,
because the problem is created by an unaccommodating physical environment
brought about by attitudes and other features of the social environment.)
According to the World Health Organization's ICF Bio-Psycho-Social Model, which of
the following factors is an environmental contextual factor?
a. Social background
b. Behaviour pattern
c. Social attitudes
d. Coping style - ANSWER: ANS: C Contextual factors are composed of external
environmental factors (e.g., social attitudes, architectural characteristics, and legal
and social structures, as well as climate, terrain, and so forth). The other choices
represent internal personal factors (e.g., gender, age, coping styles, social
background, education, profession, past and current experience, overall behaviour
pattern, character, and other factors that influence how disability is experienced by
the individual).
16. Which of these clients assigned to the nurse is most likely to need planning for
long-term nursing management?
a. 22-year-old with appendicitis who has had an emergency appendectomy
b. 56-year-old with bilateral knee osteoarthritis who weighs 159 kg
c. 34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
d. 62-year-old with acute sinusitis who will require antibiotic therapy for 5 days -
ANSWER: ANS: B The client's osteoarthritis is a chronic problem that will require
planning for long-term interventions such as physical therapy and nutrition
counselling. The other clients have acute problems that are not likely to require long-
term management.
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