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S ur gi cal Nursing 14e (Hinkle 2017)
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book of Medical
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Surgical Nursing 14th Edition Hinkle
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Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
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1. Theupublicuhealthunurseuisupresentinguauhealthupromotionuclassutouaugroupuofunewumothers.uHowushoulduth
eunurseubestudefineuhealth?
A) Healthu isu beingudiseaseu free.
B) Healthu isu havingu fulfillmentu inu allu domainsu ofu life.
C) Healthu isu havingu psychologicalu andu physiologicalu harmony.
D) Healthu isu beingu connectedu inu body,u mind,u andu spirit.
Ans: D
Feedback:
TheuWorlduHealthuOrganizationu(WHO)udefinesuhealthuinutheupreambleutouitsuconstitutionuasuaustateuofuco
mpleteuphysical,umental,uandusocialuwell-
beinguandunotumerelyutheuabsenceuofudiseaseuanduinfirmity.uTheuotheruanswersuareuincorrectubecauseutheyu
areunotucongruentuwithutheuWHOudefinitionuofuhealth.
2. Aunurseuisuspeakingutouaugroupuofuprospectiveunursingustudentsuaboutuwhatuituisulikeutoubeuaunurse.uWhatuisu on
eucharacteristicutheunurseuwoulduciteuasunecessaryutoupossessutoubeuanueffectiveunurse?
A) Sensitivityu tou culturalu differences
B) Team-focusedu approachu tou problem-solving
C) Strictu adherenceu tou routine
D) Abilityu tou faceu criticism
Ans: A
Feedback:
Toupromoteuanueffectiveunurse-
patienturelationshipuandupositiveuoutcomesuofucare,unursingucareumustubeuculturallyucompetent,uappropriate,ua
ndusensitiveutouculturaludifferences.uTeam-
focusedunursinguandustrictuadherenceu tou routineu areu notu characteristicsu neededu tou beu anu effectiveu nurse.u T
heu abilityu tou handleucriticismuisuimportant,ubututouaulesserudegreeuthanuculturalucompetence.
3. Withuincreasesuinulongevity,upeopleuhaveuhadutoubecomeumoreuknowledgeableuaboututheiruhealthuandutheupr
ofessionaluhealthucareuthatutheyureceive.uOneuoutcomeuofuthisuphenomenonuisutheudevelopmentuofuorganized
uself-careueducationuprograms.uWhichuofutheufollowingudoutheseuprogramsuprioritize?
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A) Adequateu prenatalu care
B) Governmentu advocacyu andu lobbying
C) Judiciousu useu ofu onlineu communities
D) Managementu ofu illness
Ans: D
Feedback:
Organizedu self-
careu educationu programsu emphasizeu healthu promotion,u diseaseu prevention,u managementuofuillness,uself-
care,uandujudiciousuuseuofutheuprofessionaluhealthucareusystem.uPrenatalucare,ulobbying,uanduInternetuactivitie
suareusecondary.
4. Theuhomeuhealthunurseuisuassistinguaupatientuanduhisufamilyuinuplanningutheupatientsureturnutouworkuafterusur
geryuandutheudevelopmentuofupostsurgicalucomplications.uTheunurseuisupreparinguauplanuofucareuthatuaddress
esutheupatientsumultifaceteduneeds.uTouwhichuleveluofuMaslowsuhierarchyuofubasicuneedsudoesutheupatientsun
eeduforuself-fulfillmenturelate?
A) Physiologic
B) Transcendence
C) Loveu andu belonging
D) Self-actualization
Ans: D
Feedback:
Maslowsuhighestuleveluofuhumanuneedsuisuself-actualization,uwhichuincludesuself-
fulfillment,udesireutou knowuanduunderstand,uanduaestheticuneeds.uTheuotheruanswersuareuincorrectubecaus
euself-fulfillmentudoesunoturelateudirectlyutouthem.
5. Theuviewuthatuhealthuanduillnessuareunotustaticustatesubututhatutheyuexistuonuaucontinuumuisucentralutouprofessi
onaluhealthucareusystems.uWhenuplanningucare,uthisuviewuaidsutheunurseuinuappreciatinguwhichuofutheufollow
ing?
A) Careu shouldu focusu primarilyu onu theu treatmentu ofu disease.
B) Au personsu stateu ofu healthu isu ever-changing.
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S ur gi cal Nursing 14e (Hinkle 2017t)book of Medical
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C) Au personu canu transitionu fromu healthu tou illnessu rapidly.
D) Careu shouldu focusu onu theu patientsu complianceu withu interventions.
Ans: B
Feedback:
Byuviewinguhealthuanduillnessuonuaucontinuum,uituisupossibleutouconsideruaupersonuasubeinguneitherucomplet
elyuhealthyunorucompletelyuill.uInstead,uaupersonsustateuofuhealthuisuever-
changinguanduhasutheupotentialutourangeufromuhigh-
leveluwellnessutouextremelyupooruhealthuanduimminentudeath.uTheuotheruanswersuareuincorrectubecauseupat
ientucareushouldunotufocusujustuonutheutreatmentuofudisease.uRapidudeclinesuinuhealthuanducomplianceuwithu
treatmentuareunotukeyutouthisuviewuofuhealth.
6. Augroupuofunursingustudentsuareuparticipatinguinuaucommunityuhealthuclinic.uWhenuprovidingucareuinuthisuco
ntext,uwhatushouldutheustudentsuteachuparticipantsuaboutudiseaseuprevention?
A) Itu isu bestu achievedu throughu attendingu self-helpu groups.
B) Itu isu bestu achievedu byu reducingu psychologicalu stress.
C) Itu isu bestu achievedu byu beinguanu activeu participantu inu theu community.
D) Itu isu bestu achievedu byu exhibitingu behaviorsu thatu promoteu health.
Ans: D
Feedback:
Today,uincreasinguemphasisuisuplaceduonuhealth,uhealthupromotion,uwellness,uanduself-
care.uHealthuisuseenu asu resultingu fromu au lifestyleu orientedu towardu wellness.u Nursesu inu communityu healthu
clinicsu dou notu teachuthatu diseaseu preventionu isu bestu achievedu throughu attendingu self-
helpu groups,u byu reducingu stress,u oru byubeinguanuactiveuparticipantuinutheucommunity,uthoughueachuofutheseu
activitiesuisuconsistentuwithuauhealthyulifestyle.
7. Aunurseuonuaumedical-
surgicaluunituhasuaskedutourepresentutheuunituonutheuhospitalsuqualityucommittee.uWhenudescribinguquality
uimprovementuprogramsutounursingucolleaguesuandumembersuofuotheruhealthudisciplines,uwhatucharacteris
ticushouldutheunurseucite?
A) Theseu programsu establishu consequencesu foru healthu careu professionalsu actions.
B) Theseu programsu focusu onu theu processesu usedu tou provideu care.
C) Theseu programsu identifyu specificu incidentsu relatedu tou quality.
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