(Test Bank) Focus On Adult Health Medical Surgical Nursing

Honan, 2

Nursing

Test Bank

2nd Edition

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Test Bank for Focus On Adult Health Medical Surgical Nursing, The downloadable file consists of 382 pages, and the total size of the file is 1.91 MB. Purchase now only for highly discounted price.

Author(s): Honan

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Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 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) Being disease free or having existing diseases stabilized B) The state of having fulfillment in all domains of life C) Possessing psychological and physiologic harmony D) The state of being connected in body, mind, and spirit 2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What characteristic should the nurse cite as necessary to possess to be an effective nurse? A) Sensit ivity to cultural differences B) Ability to problem -solve independently C) Strict adherence to routine D) Ability to face criticism without being affected by it 3. The nurse has been asked to speak to members of a self -cabairrbe.ceodmu/tecsattion program. What topic should the nurse most likely address? A) Adequate prenatal care B) Government advocacy and lobbying C) Judicious use of online communities D) Management of illness 4. The home health nurse is assisting a client and his family in planning the client's return to work after surgery and the development of postsurgical complications. The nurse is preparing a plan of care that addresses the client's multifa abcierbt.ecodmn/teesetds. To which level of Maslow hierarchy of basic needs does the client's need for self -fulfillment relate? A) Physiologic B) Transcendence C) Love and belonging D) Self -actualization 5. The view that health and illness ar e 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 understanding what fact? A) Care should focus primarily on the treatment of dise aabisrbe..com/test B) A p erson's state of health is ever -changing. C) A person can transition from health to illness rapidly. D) Care should focus on the client's compliance with in atbeirrbv.ceonmt/i teosnt s. Page 1 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 6. A nurse is leading a community health clinic. What should the nurse emphasize in order to promote 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. 7. A nurse on a medical -surgical unit has asked to represent the unit on the hospital's quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, wha atbcirhb.acroamc/tteesrtistic should the nurse cite? A) These programs establish consequences for health care professionals' actions. B) These programs emphasize the need for evidence -baabsierbd.copmra/tc esttice. C) These programs identify specific incidents related to quality. D) These programs seek to just ify health care costs and systems. 8. Nurses in acute care settings must work with other health care team members to maintain quality care while facing pressures to care for clients who are hospitalized for shorter periods of time than in the past. To ensure positiv aebirhb.ecaol mth /tesotutcomes when clients return to their homes, what action should the nurse prioritize? A) Promotion of health literacy during hospitalization B) Close communication with prima ry providers C) Thorough and evidence -based discharge planning D) Participation in continuing education initiatives 9. The nurse is admitting a client to the medical unit after the client has been transferred from the emergenc y department. What is the nurse's priority action at this time? A) Identifying the immediate needs of the client B) Checking the admitting physician's prescriptions C) Obtaining a baseline set of vital signs D) Allowing the family to be with the client 10. A nurse practicing in an oncology clinic has the goal of improving client outcomes and nursing care by influencing the client, the nurse, and the health care system. What is this nurse's most likely role? A) Nursing care expe rt B) Clinical nurse specialist C) Nurse manager D) Staff nurse Page 2 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 11. Nursing continues to recognize and participate in collaboration with other health care disciplines to meet the complex needs of the client. Which of the following is the best example of a collaborative practice model? A) The nurse and the physician joi ntly making clinical adbeirbc.icsoimo/ntess.t B) The nurse accompanying the physician on rounds. C) The nurse making a referral on behalf of the client. D) The nurse attending an appointment with the client. 12. A hospice nurse is caring for a client who is dying of lymphoma. According to Maslow hierarchy of needs, what dimension of care should the nu arbsireb.ccoomn/tseisdt er primary in importance when caring for a dying client? A) Spiritual B) Social C) Physiologic D) Emotional 13. A nurse is planning a medical client's care with consideration of Maslow hierarchy of needs. Within this framework of understanding, what should the nurse prioritize? A) Allowing the family to see a newly admitted client B) Ambulating the client in the hallway C) Administering pain medication D) Teaching the client to self -administer insulin safely 14. A medical -surgical nurse is aware of the scope of practice as defined in the jurisdiction where the nurse p rovides care. When exploring the legal abbiarbs.icsomfo/terstthe scope of practice, the nurse should consult: A) codes of ethics. B) a code of nursing conduct. C) the nurse practice act in the nurse's jurisdiction. D) client preferences and norms within the profession. 15. Nursing has adapted to meet both the expectations and the changing health needs of populations. What is one factor that has impacted the need for certified nurse practitioners (CNPs)? A) The increased need for primary providers B) The need to improve client diagnostic services C) The need to promote institutional excellence D) The need to decrease the number of medical errors a abnirdb.econms/uterset quality care Page 3 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 16. Professional nursing expands and grows because of factors driven by the changing needs of health care consumers. Which of the following is a factor that nurses should reflect in the planning and provision of health care? A) Decreased access to health care information by indi avbiidrbu.caolms/test B) Gradual increases in the cultural unity of the population C) Increasing mean and median age of the popu lation D) Decreasing consumer expectations related to health acbairbre .coomu/ttecsot mes 17. A public health nurse has been commissioned to draft a health promotion program that meets the health care needs and expectations of the comm abuirbn.ictoym./tWesthat factor is most likely to influence the nurse's choice of interventions? A) Management of chronic conditions and disability B) Increasing need for self -care among a younger popu albairtbi.oconm/test C) A shifting focus to disease management D) An increasing focus on acute conditions and rehabilitation 18. A registered nurse will be collaborating with a certified nurse practitioner (CNP). Which of the following activities should the nurse expect the CNP to perform? Select all th at apply. A) Educating clients and family members B) Coordinating care with other disciplines C) Using direct provision of interventions D) Educating registered nurses and practical nurses E) Coordinating payment plans for clients 19. There are central characteristics of nursing practice that are applicable across the wide variety of contexts in which nurses practice. A nurse can best demonstrate these principles by performing which of the following actions? A) T eaching the public about the role of nursing B) Taking action to control the costs of health care C) Ensuring that all of their actions exemplify caring D) Making sure to carry adequate liability insurance 20. A nurse has acce pted a position as a clinical nurse leader (CNL). In this role, the nurse should prioritize which of the following activities? A) Acting as a spokesperson for the nursing profession B) Generating and disseminating new nursing knowledge C) Di agnosing and treating health problems that have a abpirrbe.cdoimc/tteasbtle course D) Helping clients to navigate the health care system Page 4 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 21. With the changing population of health care consumers, it has become necessary for nurses to work more closely with other nurses, as when acute care nurses collaborate with public health and home health nurses. What nursing function has increased in importance because of this phenomenon? A) Prescribing medication B) Performing discharge planning C) Promoting family involvement D) Forming collegial relationships 22. Over the past several decades, nursing roles have change adbirabn.cdome/xtepstanded in many ways. Which of the following factors has provided the strongest impetus for this change? A) The need to decrease the cost of health care B) The need to improve the quality of nursing educatio anbirb.com/test C) The need to increase the number of nursing jobs available D) The need to increase the public perception of nursing 23. Advanced practice nursing roles have grown in number and in visibility in recent years. What characteristic sets these nu rses apart from the registered nurse? A) Collaboration with other health care providers B) Education that goes beyond that of the RN C) Advanced documentation skills D) Ability to provide care in the surgical context 24. CNPs are educated as specialists in areas such as family care, pediatrics, or geriatrics. In most jurisdictions, what right do CNPs have that RNs do abnirobt.cpomo/stessetss? A) Perform health interventions independently B) Make referrals to members of other health disciplines C) Prescribe medications D) Perform surgery independently 25. A nurse is aware that an increasing emphasis is being pla acbeirbd.coomn/theestalth, health promotion, wellness, and self -care. Which of the following acti vities would best demonstrate the principles of health promotion? A) A discharge planning initiative between acute care and community care nurses B) Collaboration between several schools of nursing in abairnb.u cormb/atenstarea C) Creation of a smoking prev ention program undertaken in a middle school D) Establishment of a website where clients can check emergency department wait-times Page 5 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank Answer Key 1. D 2. A 3. D 4. D 5. B 6. D 7. B 8. C 9. A 10. B 11. A 12. C 13. C 14. C 15. A 16. C 17. A 18. A, B, C 19. C 20. D 21. B 22. A 23. B 24. C 25. C Page 6 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 1. A nurse has b een working with a client whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years the client has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion inte rventions. Who is ultimately responsible f aobrirbm.caomin/tteasitning and promoting this client's health? A) The medical nurse B) The community health nurse who has also worked w abiitrhb.ctohme/tecsltient C) The client's primary care provider D) The client 2. An elderly female client has come to the clinic for a scheduled follow -up appointment. The nurse learns from the client's daughter that the client is not following the instructions she received upon discharge from the hospit aablirlba.csotmm/teosnt th. What is the most likely factor causing the client not to adhere to her therapeutic regimen? A) Ethnic background of health care provider B) Costs of the prescribed regimen C) Presence of a learning disability D) Personality of the primary pr ovider 3. A gerontologic nurse has observed that clients often fail to adhere to their therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving woun d care? A) Demonstrate a dressing change and allow the client atboirbp.croamc/tti ecste. B) Provide a detailed pamphlet on a dressing change. C) Verbally instruct the client how to change a dressing and check for comprehension. D) Delegate the dressing chan ge to a trusted family me ambirbbe.cro.m/test 4. A 20 -year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate e adbuircba.ctoimo/nteaslt interventions and considering variables that will affect his learning, the nurse should prioritize what factor? A) Client's expected lifespan B) Client's gender C) Client's occupation D) Client's culture Page 1 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 5. The nurse is planning to teach a 75 -year-old client with coronary artery disease about administering her prescribed antiplatelet medication. How can th e nurse best enhance the client's ability to learn? A) Provide links to websites that contain evidence -base adbiribn.cfoomr/mtesattion. B) Exclude family members from the session to prevent distraction. C) Use color -coded materials that are succinct and engaging. D) Make the information directly relevant to the client' asbcirbo.n codmi/ttieosn t . 6. A group of nursing students have been asked to break into groups of four and complete a health -promotion te aching project and present a report atboirbth.ceomir/tfeestllow students. What project most clearly demonstrates the principles of health promotion teaching? A) Demonstrating an injection technique to a client for anticoagulant therapy B) Explaining the si de effects of a medication to an adu ablt irbc.clioemn/ttest C) Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students D) Instructing an adolescent client about safe and nutritious food preparation 7. The nursing profession and nurses as individuals have a responsibility to promote activities that foster well -being. What factor has most inf albuirebn.ccomed/tensturses' abilities to play this vital role? A) Nurses are seen as nurturing professionals. B) Nurses possess a baccalaureate degree as the entry to practice. C) Nurses possess an authentic desire to help others. D) Nurses have long -established credibility with the public. 8. The nurse is planning to teach tracheostomy care to a client who will be discharged home following a spinal cord injury. When preparing to teach, which component of the teaching plan should the nurse prioritize? A) Citing the evidence that underlies each of the teachi anbgirbp.coomin/ttesst B) Alleviating the client's guilt associated with not knowing appropriate self -care C) Determining the client's readiness to learn new information D) Including several nursing colleagues in the planning abpirrbo.ccoems/tsest 9. A public health nurse is preparing to hold a series of health promotion classes for middle -aged adults that will address a variety of topics. W abihrbi.cchoml/otecsat tion would best meet the learning needs of this population? A) A well -respecte d physician's office B) A large, local workplace C) The local hospital D) An ambulatory clinic Page 2 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 10. A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin? A) Adolescence B) School age C) Preschool D) Before birth 11. A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to a adbimrb.icnoims/tteesrthis bronchodilator by metered -dose inhaler. How should the nu rse best evaluate the teaching –learning process? A) Ask the boy specific questions about his medication a.birb.com/test B) Ask the boy whether he now understands how to use his inhaler. C) Directly observe the boy using his inhaler to give himself a dose. D) Assess the boy's respiratory health at the next scheduled visit. 12. A nurse has just come on duty and has received the end -of-shift report. One of the nurse's clients newly diagnosed with diabetes was admitt aebdirbw.coimth/tedsitabetic k etoacidosis. Which behavior best demonstrates this client's willingness to learn? A) The client requests a visit from the hospital's diabetic educator. B) The client sets aside a dessert brought in by a family member. C) The client wants a family member to meet with the adbiie rbt.iccoima/ntestto discuss meals. D) The client readily allows the nurse to measure his blood glucose level. 13. A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health? A) Health is the effort to systematically maximize well anbeirsbs.c.om/test B) Health is a state that is characterized by a lack of diseas e. C) Health is a condition that enables people to function at their optimal potential. D) Health is deliberate attempt to mitigate the effects o afbd irbi.sceoams/tee.st 14. An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potenti aablirbb.ecnomef/tietsst of the program, the nurse should consider that success depends most on participants': A) desire to expand knowledge. B) self -awareness. C) skills at time - and task -management. D) taking responsibility for themselves. Page 3 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 15. A public health nurse is assessing the nutritional awareness of a grou p of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness? A) The women demonstrate an understanding of the im apbiorbr.tcaonmc/te esot f a healthy diet. B) The women are able to describe the importance of vitamin supplements during pregnancy. C) The women can list the minerals nutrients that shou alb dirbb.ecocmo/tnesstumed daily. D) The women can interpret the nutrition facts listed on food packaging. 16. Positive client outcomes are the ultimate goal of nurse –calb ieirn b.tcoimnt/teersat ctions, regardless of the particular setting. Which of the following factors has the most direct influence on positive health outcomes? A) Client's age B) Client's ethnic heritage C) Health education D) Outcome evaluation 17. A nurse recognizes that individuals of different ages have specific health promotion needs. When planning to promote health among young a adbuirlbt.sco, mw/thesatt subject is most likely to meet this demographic group's learning needs? A) Family planning B) Management of risky behaviors C) Physical fitness D) Relationship skills training 18. Middle -aged adults are part of an age group that is known to be interested in health and health promotion, and the nurse is planning health promotion activities accordingly. To what suggestions do members of this age group usually respond with enthusiasm? Select all that apply. A) How lifestyle prac tices can improve health B) How to eat healthier C) How exercise can improve your life D) Strategies for adhering to prescribed therapy E) Exercise for the aging Page 4 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 19. A community health nurse has been asked to participate in a health fair that is being sponsored by the local senior center. The nurse should select educational focuses in the knowledge that older adults benefit most from what kind of activities? A) Those that help them eat well B) Those that help them maintain independence C) Those that preserve their social interactions D) Those that promote financial stability 20. A nurse who provides care at the campus medical clinic of a large university focuses much effort on health promotion. What purpose of health abpirr bo.cmomo/tteisotn should guide the nurse's efforts? A) To teach people how to act within the limitations of their health B) To teach people how to grow in a holistic manner C) To change the environment in ways that enhance cultural expectations D) To influence people's behaviors in ways that reduce risks 21. An experienced nurse finds that she spends an increasing proportion of time on health promotion. Which of the following factors has most influenced the growing emphasis on health promotion? A) A changing definition of health B) An awareness that wellness exists C) An expanded definition of chronic illness D) A belief that disease is preventable 22. A nurse is working with a client who has recently receive abdirba.cdoi ma/gtenstosis of human immuno deficiency virus (HIV). When performing client education during discharge planning, what goal should the nurse prioritize? A) Encourage the client to exercise within his limitations. B) Encourage the client to adhere to his therapeutic reg aibmirbe.cno.m/test C) Appraise the client's level of nutritional awareness. D) Encourage a disease -free state. 23. The nurse is providing client education to a teenage girl who was diagnosed 6 months ago with type 1 diabetes. Her hemoglobin A1c results suggest she has not been adhering to her prescribed treatment regimen. What variables shou ab ldirbt.choemn/teusrtse assess to help this client better adhere to her treatment regimen? Select all that apply. A) Variables that affect the client's ability to o btain resources B) Variables that affect the client's ability to teach her afr biirebn.cdoms/atebso t ut diabetes C) Variables that affect the client's ability to cure her disease D) Variables that affect the client's ability to maintain a healthy social e nvironment E) Variables that affect the client's ability to adopt specific behaviors Page 5 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 24. The nurse working in a gerontology clini c recognizes that some elderly people do not adhere to therapeutic regimens because of chronic illnesses that require long -term treatment by several health care providers. What is the m aobisrbt.cimomp/toesrttant consideration when dealing with this segment of the population? A) Health care professionals must know all the dietary supplements the client is taking. B) Health care professionals must work together to provide coordinated care. C) Health care profession als may negate the efforts of another health care provider. D) Health care professionals must have a peer witness their interactions with the client. 25. An adult client will be receiving outpatient intravenous a anbtiribb.cioomti/ctesttherap y for the treatment of endocarditis. The nurse is preparing to perform health education to ensure the client's adherence to the course of treatment. What assessment should be the nurse's immediate priority? A) Client's understanding of the teaching plan B) Quality of the client's relationships C) Client's previous medical history D) Characteristics of the client's culture Page 6 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank Answer Key 1. D 2. B 3. A 4. D 5. D 6. C 7. D 8. C 9. B 10. D 11. C 12. A 13. C 14. D 15. A 16. C 17. A 18. A, B, C 19. B 20. D 21. A 22. B 23. A, D, E 24. B 25. D Page 7 Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank 1. The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adh ere to treatment. What is the most likely psychosocial purpose of this patient's strategy? A) The patient may be trying to protect loved ones from abitrhb.ecoemm/teosttional effects of the illness. B) The patient is being noncompliant in order to assert pow er over caregivers. C) The patient may be skeptical of the benefits of the W abeirs b.tceormn/tb esitomedical model of health. D) The patient thinks that treatment does not provide him comfort. 2. An adult oncology patient has a diagnosis of bladder cancer with metastasis and the patient has asked the nurse about the possibility of hospice care. Which principle is central to a hospice setting? A) The patient and family should be vi ewed as a single unit of care. B) Persistent symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary team should develop an individual plan of care. D) Terminally ill patients should die in the hospital wh enever possible. 3. The nurse is part of the health care team at an oncology center. A patient has been diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the bad news best be convey ed to the patient? A) Family should be given the prognosis first. B) The prognosis should be delivered with the patient at eye level. C) The physician should deliver the news to the patient alone. D) The appointment should be scheduled at th e end of athbierb.dcoamy/.test 4. A patient has just been told that her illness is terminal. The patient tearfully states, “I can't believe I am going to die. Why me?” What is your b abeirsbt.croems/pteosn t se? A) “I know how you are feeling.” B) “You have lived a long life.” C) “This must be very difficult for you.” D) “Life can be so unfair.” Page 1