Brunner Suddarths Textbook of Medical surgical Nursing test bank p PDF

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exam questions for students. Brunner Suddarths Textbook of Medical surgical Nursing test bank p...

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TableofContents 1 TableofContents 3 Chapter01:HealthCareDeliveryandEvidence-BasedNursingPractice 22 Chapter02:Community-BasedNursingPractice 41 Chapter03:CriticalThinking,EthicalDecisionMakingandtheNursingProcess Chapter04:HealthEducationandPromotion 64 Chapter05:AdultHealthandNutritionalAssessment 83 Chapter06:IndividualandFamilyHomeostasis,Stress,andAdaptation 104 Chapter07:OverviewofTransculturalNursing 124 Chapter08:OverviewofGeneticsandGenomicsinNursing 144 Chapter09:ChronicIllnessandDisability 164 Chapter10:PrinciplesandPracticesofRehabilitation 183 Chapter11:HealthCareoftheOlderAdult 220 Chapter12:PainManagement 240 Chapter13:FluidandElectrolytes:BalanceandDisturbance 260 Chapter14:ShockandMultipleOrganDysfunctionSyndrome 280 Chapter15:ManagementofPatientswithOncologicDisorders 300 Chapter16:End-of-LifeCare 319 Chapter17:PreoperativeNursingManagement 338 Chapter18:IntraoperativeNursingManagement 357 Chapter19:PostoperativeNursingManagement 376 Chapter20:AssessmentofRespiratoryFunction 396 Chapter21:RespiratoryCareModalities 415 Chapter22:ManagementofPatientsWithUpperRespiratoryTractDisorders 434 Chapter23:ManagementofPatientswithChestandLowerRespiratoryTractDisorders 453 Chapter24:ManagementofPatientsWithChronicPulmonaryDisease 472 Chapter25:AssessmentofCardiovascularFunction 490 Chapter26:ManagementofPatientsWithDysrhythmiasandConductionProblems 508 526 Chapter27:ManagementofPatientsWithCoronaryVascularDisorders Chapter28:ManagementofPatientsWithStructural,Infectious,andInflammatoryCardiac 545 Disorders 564 Chapter29:ManagementofPatientsWithComplicationsfromHeartDisease Chapter30:AssessmentandManagementofPatientsWithVascularDisordersand 582 ProblemsofPeripheralCirculation 601 Chapter31:AssessmentandManagementofPatientsWithHypertension 620 Chapter32:AssessmentofHematologicFunctionandTreatmentModalities 638 Chapter33:ManagementofPatientsWithNonmalignantHematologicDisorders 656 Chapter34:ManagementofPatientsWithHematologicNeoplasms 674 Chapter35:AssessmentofImmuneFunction 692 Chapter36:ManagementofPatientsWithImmuneDeficiencyDisorders 710 Chapter37:AssessmentandManagementofPatientsWithAllergicDisorders 728 Chapter38:AssessmentandManagementofPatientsWithRheumaticDisorders 746 Chapter39:AssessmentofMusculoskeletalFunction 764 Chapter40:MusculoskeletalCareModalities 782 Chapter41:ManagementofPatientsWithMusculoskeletalDisorders 800 Chapter42:ManagementofPatientsWithMusculoskeletalTrauma 819 Chapter43:AssessmentofDigestiveandGastrointestinalFunction 837 Chapter44:DigestiveandGastrointestinalTreatmentModalities 855 Chapter45:ManagementofPatientswithOralandEsophagealDisorders 874 Chapter46:ManagementofPatientswithGastricandDuodenalDisorders 893 Chapter47:ManagementofPatientsWithIntestinalandRectalDisorders

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911 Chapter48:AssessmentandManagementofPatientswithObesity 921 Chapter49:AssessmentandManagementofPatientswithHepaticDisorders 940 Chapter50:AssessmentandManagementofPatientswithBiliaryDisorders 959 Chapter51:AssessmentandManagementofPatientswithDiabetes 978 Chapter52:AssessmentandManagementofPatientswithEndocrineDisorders 996 Chapter53:AssessmentofKidneyandUrinaryFunction 1015 Chapter54:ManagementofPatientswithKidneyDisorders 1034 Chapter55:ManagementofPatientswithUrinaryDisorders Chapter56:AssessmentandManagementofPatientsWithFemalePhysiologicProcesses 1054 1072 Chapter57:ManagementofPatientswithFemaleReproductiveDisorders 1091 Chapter58:AssessmentandManagementofPatientswithBreastDisorders Chapter59:AssessmentandManagementofPatientsWithMaleReproductiveDisorders 1110 1129 Chapter60:AssessmentofIntegumentaryFunction 1147 Chapter61:ManagementsofPatientswithDermatologicProblems 1165 Chapter62:ManagementsofPatientswithBurnInjury Chapter63:AssessmentandManagementofPatientswithEyeandVisionDisorders 1184 Chapter64:AssessmentandManagementofPatientswithHearingandBalanceDisorders 1203 1221 Chapter65:AssessmentofNeurologicFunction 1239 Chapter66:ManagementofPatientswithNeurologicDysfunction 1257 Chapter67:ManagementofPatientswithCerebrovascularDisorders 1276 Chapter68:ManagementofPatientswithNeurologicTrauma Chapter69:ManagementofPatientswithNeurologicInfections,AutoimmuneDisorders, 1294 andNeuropathies Chapter70:ManagementofPatientsWithOncologicorDegenerativeNeurologicDisorders 1312 1331 Chapter71:ManagementofPatientsWithInfectiousDiseases 1349 Chapter72:EmergencyNursing 1367 Chapter73:Terrorism,MassCasualty,andDisasterNursing

Chapter01:HealthCareDeliveryandEvidence-BasedNursingPractice  1.

Thepublichealthnurseispresentingahealthpromotionclasstoagroupofnewmothers.Howshould thenursebestdefinehealth?

A)

Healthisbeingdiseasefree.

B)

Healthishavingfulfillmentinalldomainsoflife.

C)

Healthishavingpsychologicalandphysiologicalharmony.

D)

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?

A)

Sensitivitytoculturaldifferences

B)

Team-focusedapproachtoproblem-solving

C)

Strictadherencetoroutine

D)

Abilitytofacecriticism

Ans:

A 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.

3.

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?

A)

Adequateprenatalcare

B)

Governmentadvocacyandlobbying

C)

Judicioususeofonlinecommunities

D)

Managementofillness

Ans:

D

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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. Thehomehealthnurseisassistingapatientandhisfamilyinplanningthepatientsreturntoworkafter surgeryandthedevelopmentofpostsurgicalcomplications.Thenurseispreparingaplanofcarethat addressesthepatientsmultifacetedneeds.TowhichlevelofMaslowshierarchyofbasicneedsdoesthe patientsneedforself-fulfillmentrelate? Physiologic

B)

Transcendence

C)

Loveandbelonging

D)

Self-actualization

Ans:

D

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Feedback:

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Maslowshighestlevelofhumanneedsisself-actualization,whichincludesself-fulfillment,desireto knowandunderstand,andaestheticneeds.Theotheranswersareincorrectbecauseself-fulfillmentdoes notrelatedirectlytothem. 5.

Theviewthathealthandillnessarenotstaticstatesbutthattheyexistonacontinuumiscentralto professionalhealthcaresystems.Whenplanningcare,thisviewaidsthenurseinappreciatingwhichof thefollowing?

A)

Careshouldfocusprimarilyonthetreatmentofdisease.

B)

Apersonsstateofhealthisever-changing.

C)

Apersoncantransitionfromhealthtoillnessrapidly.

D)

Careshouldfocusonthepatientscompliancewithinterventions.

Ans:

B 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personsstateofhealthisever-changingandhasthe potentialtorangefromhigh-levelwellnesstoextremelypoorhealthandimminentdeath.Theother answersareincorrectbecausepatientcareshouldnotfocusjustonthetreatmentofdisease.Rapid declinesinhealthandcompliancewithtreatmentarenotkeytothisviewofhealth.

6.

Agroupofnursingstudentsareparticipatinginacommunityhealthclinic.Whenprovidingcareinthis context,whatshouldthestudentsteachparticipantsaboutdiseaseprevention?

A)

Itisbestachievedthroughattendingself-helpgroups.

B)

Itisbestachievedbyreducingpsychologicalstress.

C)

Itisbestachievedbybeinganactiveparticipantinthecommunity.

D)

Itisbestachievedbyexhibitingbehaviorsthatpromotehealth.

Ans:

D Feedback: Today,increasingemphasisisplacedonhealth,healthpromotion,wellness,andself-care.Healthisseen asresultingfromalifestyleorientedtowardwellness.Nursesincommunityhealthclinicsdonotteach thatdiseasepreventionisbestachievedthroughattendingself-helpgroups,byreducingstress,orby beinganactiveparticipantinthecommunity,thougheachoftheseactivitiesisconsistentwithahealthy lifestyle.

7.

Anurseonamedical-surgicalunithasaskedtorepresenttheunitonthehospitalsqualitycommittee. Whendescribingqualityimprovementprogramstonursingcolleaguesandmembersofotherhealth disciplines,whatcharacteristicshouldthenursecite?

A)

Theseprogramsestablishconsequencesforhealthcareprofessionalsactions.

B)

Theseprogramsfocusontheprocessesusedtoprovidecare.

C)

Theseprogramsidentifyspecificincidentsrelatedtoquality.

D)

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?

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8.

Promotionofhealthliteracyduringhospitalization

B)

Closecommunicationwithinsurers

C)

Thoroughandevidence-baseddischargeplanning

D)

Participationincontinuingeducationinitiatives

Ans:

C Feedback:

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A)

Youareadmittingapatienttoyourmedicalunitafterthepatienthasbeentransferredfromthe emergencydepartment.Whatisyourprioritynursingactionatthistime?

B)

Identifyingtheimmediateneedsofthepatient Checkingtheadmittingphysiciansorders

D

A)

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9.

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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.

C)

Obtainingabaselinesetofvitalsigns

D)

Allowingthefamilytobewiththepatient

Ans:

A Feedback:

Amongthenursesimportantfunctionsinhealthcaredelivery,identifyingthepatients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. 10. Anurseonapostsurgicalunitisprovidingcarebasedonaclinicalpathway.Whenperforming assessmentsandinterventionswiththeaidofapathway,thenurseshouldprioritizewhatgoal? A)

Helpingthepatienttoachievespecificoutcomes

B)

Balancingrisksandbenefitsofinterventions

C)

Documentingthepatientsresponsetotherapy

D)

Stayingaccountabletotheinterdisciplinaryteam

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.

11. StaffnursesinanICUsettinghavenoticedthattheirpatientsrequiredlower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? A)

Involvingpatientsintheircarewhilehospitalized

B)

Contributingtothescientificbasisofnursingpractice

C)

Critiquingthequalityofpatientcare

D)

ExplainingmedicalstudiestopatientsandRNs

Ans:

B Feedback: ResearchiswithinthepurviewoftheAPRN.Theactivitydescribeddoesnotexemplifyexplaining studiestoRNs,critiquingcare,orinvolvingpatientsintheircare.

12. Nursesnowhavetheoptiontopracticeinavarietyofsettingsandoneofthefastestgrowingvenuesof practiceforthenurseintodayshealthcareenvironmentishomehealthcare.Whatisthemainbasisfor

thegrowthinthishealthcaresetting? Chronicnursingshortage

B)

Westernfocusontreatmentofdisease

C)

Nursespreferencesfordayshiftsinsteadofeveningornightshifts

D)

Dischargeofpatientswhoaremorecriticallyill

Ans:

D

St ud yL as t.c om

A)

Feedback:

Withshorterhospitalstaysandincreaseduseofoutpatienthealthcareservices,morenursingcareis providedinthehomeandcommunitysetting.Theotheranswersareincorrectbecausetheyarenotthe basisforthegrowthinnursingcaredeliveredinthehomesetting.

Nursingcareexpert

B)

Clinicalnursespecialist

C)

Nursemanager

D)

Staffnurse

Ans:

B

nl oa de d

A)

fro m

13. Nurseshavedifferenteducationalbackgroundsandfunctionundermanytitlesintheirpracticesetting.If anursepracticinginanoncologyclinichadthegoalofimprovingpatientoutcomesandnursingcareby influencingthepatient,thenurse,andthehealthcaresystem,whatwouldmostaccuratelydescribethis nursestitle?

ow

Feedback:

D

Clinicalnursespecialistsarepreparedasspecialistswhopracticewithinacircumscribedareaofcare (e.g.,cardiovascular,oncology).Theydefinetheirrolesashavingfivemajorcomponents:clinical practice,education,management,consultation,andresearch.Theotheranswersareincorrectbecause theyarenotthemostaccuratetitlesforthisnurse.

14. Nursingcontinuestorecognizeandparticipateincollaborationwithotherhealthcaredisciplinestomeet thecomplexneedsofthepatient.Whichofthefollowingisthebestexampleofacollaborativepractice model? A)

Thenurseandthephysicianjointlymakingclinicaldecisions.

B)

Thenurseaccompanyingthephysicianonrounds.

C)

Thenursemakingareferralonbehalfofthepatient.

D)

Thenurseattendinganappointmentwiththepatient.

Ans:

A Feedback: Thecollaborativemodel,oravariationofit,promotessharedparticipation,responsibility,and accountabilityinahealthcareenvironmentthatisstrivingtomeetthecomplexhealthcareneedsofthe public.Theotheranswersareincorrectbecausetheyarenotexamplesofacollaborativepracticemodel.

15. Ahospicenurseiscaringforapatientwhoisdyingoflymphoma.AccordingtoMaslowshierarchyof needs,whatdimensionofcareshouldthenurseconsiderprimaryinimportancewhencaringforadying patient? A)

Spiritual

B)

Social

C)

Physiologic

D)

Emotional

Ans:

C Feedback: Maslowrankedhumanneedsasfollows:physiologicneeds;safetyandsecurity;senseofbelongingand affection;esteemandself-respect;andself-actualization,whichincludesself-fulfillment,desiretoknow andunderstand,andaestheticneeds.Suchahierarchyofneedsisausefulframeworkthatcanbeapplied tothevariousnursingmodelsforassessmentofapatientsstrengths,limitations,andneedfornursing interventions.Theotheranswersareincorrectbecausetheyarenotofprimaryimportancewhencaring foradyingpatient,thougheachshouldcertainlybeaddressed.

16. AnurseisplanningamedicalpatientscarewithconsiderationofMaslowshierarchyofneeds.Within thisframeworkofunderstanding,whatwouldbethenursesfirstpriority? A)

Allowingthefamilytoseeanewlyadmittedpatient

B)

Ambulatingthepatientinthehallway

C)

Administeringpainmedication

D)

Teachingthepatienttoself-administerinsulinsafely

Ans:

C Feedback:

St ud yL as t.c om

InMaslowshierarchyofneeds,painreliefaddressesthepatientsbasicphysiologicneed.Activity,such asambulation,isahigherlevelneedabovethephysiologicneed.Allowingthepatienttoseefamily addressesahigherlevelneedrelatedtoloveandbelonging.Teachingthepatientisalsoahigherlevel needrelatedtothedesiretoknowandunderstandandisnotappropriateatthistime,asthebasic physiologicneedofpaincontrolmustbeaddressedbeforethepatientcanaddressthesehigherlevel needs. 17. Amedical-surgicalnurseisawareofthescopeofpracticeasdefinedinthestatewherethenurse providescare.Thisnurse...