Brunner And Suddarth’s Medical Surgical Nursing 12th Edition by Suzanne C. Smeltzer – Test Bank

Description

Brunner And Suddarth’s Medical Surgical Nursing 12th Edition by Suzanne C. Smeltzer – Test Bank

 Sample Questions

Instant Download With Answers

 

 

 

 

Chapter: Chapter 02: Community-Based Nursing Practice

 

 

 

 

Multiple Choice

 

 

 

 

1. A community health nurse has scheduled a hypertension clinic. This service would be an example of which type of health care?
2. A) Tertiary prevention
3. B) Secondary prevention
4. C) Primary prevention
5. D) Disease prevention

 

 

2. The nursing instructor is preparing her students for their home-care rotation. She discusses the patients that they are likely to care for in the home. Which of the following are the most frequent users of home care services?
3. A) Disabled patients
4. B) Chronically ill patients
5. C) Terminally ill patients
6. D) Elderly patients

 

3. Patients’ lifestyles in the home may vary greatly from the nurse’s own beliefs. To work successfully with the patient, what must the nurse do?
4. A) Ask for another assignment if there is a conflict of interest
5. B) Ask the patient to come to the agency to receive treatment
6. C) Convey respect for the patient’s beliefs
7. D) Adapt the patient’s home to a hospital-like environment

 

 

4. Infection control is important in every setting where nursing care is provided. In the home setting, how will the nurse best implement infection control?
5. A) Cleanse the hands before and after giving direct patient care
6. B) Remove the patient’s wound dressings from the home
7. C) Dispose of patient’s syringes in the patient’s garbage
8. D) Disinfect all work areas in the patient’s home

 

 

 

 

5. Your patient is ready to be discharged from the hospital. When should your patient’s discharge planning begin?
6. A) The day prior to discharge
7. B) The day of estimated discharge
8. C) The day the patient is admitted
9. D) Once the nurse determines care needs

 

 

 

6. During the initial visit to a patient’s home, what information is it important to provide to the patient and family?
7. A) Available community resources to meet their needs
8. B) Information on other patients in the area with similar health care needs
9. C) The nurse’s home address and phone number
10. D) Dates and times of all scheduled home care visits

 

 

7. The home health nurse receives a referral from the hospital for a patient who needs a home visit. After reading the referral, what would be the first action the nurse should take?
8. A) Identify community services to initiate for the patient
9. B) Obtain a physician’s order for the visit
10. C) Call the patient to obtain permission to visit
11. D) Schedule a home health aide to visit the patient

 

 

8. Why is it important for the nurse to inform the health care agency of her daily schedule?
9. A) Allows the agency to keep track for payment of the nurse
10. B) Supports suggested safety precautions for the nurse when making a home care visit
11. C) Allows easy accessibility of the nurse for changes in assignments
12. D) Allows the patient to cancel appointments with minimal inconvenience

 

 

 

 

9. There are specific guidelines and regulations for documentation related to home care that the nurse must consider and follow. For those patients with Medicaid, what is most important for the nurse to document to assure reimbursement for services?
10. A) The medical diagnosis and supplies needed to care for the patient
11. B) Directions to the patient’s home
12. C) Quality of nursing care needed
13. D) The patient’s homebound status and the need for skilled professional nursing care

 

 

 

 

10. Your patient has had a total knee replacement and will need to walk with crutches for 6 weeks. He is being discharged home with a referral for home health care. What will the home care nurse need to assess during her initial assessment?
11. A) Assistance of neighbors
12. B) Previous health status
13. C) Costs of the visits
14. D) Home environment

 

 

 

11. A nurse who has an advanced degree in primary care for a pediatric population is employed in a health clinic. In what role is this nurse functioning?
12. A) Nurse practitioner
13. B) Case cocoordinator
14. C) Clinical nurse specialist
15. D) Clinic supervisor

 

 

 

12. A nurse working in a large meat-packaging plant sees patients for work-related issues. What is the role of the nurse?
13. A) Occupational health nurse
14. B) Staff nurse
15. C) Nurse clinician
16. D) Nurse educator

 

 

13. A school nurse is concerned about a fourth grade student with cystic fibrosis. The nurse is aware that children with health problems are at major risk for what?
14. A) Sports injuries
15. B) Attention disorders
16. C) Experiencing school-related stress due to a desire to overachieve
17. D) Underachieving or failing in school

 

 

14. Which patients seek health care late in the course of their disease process and deteriorate more quickly than other patients?
15. A) Homeless
16. B) Immigrants
17. C) Elderly
18. D) Adolescents

 

 

Multiple Selection

 

 

 

 

15. What changes in the health care system have created an increased need for nurses to practice in community-based settings? (Mark all that apply.)
16. A) Tighter insurance regulations
17. B) Younger population
18. C) Increased rural population
19. D) Changes in federal legislation
20. E) Decreasing hospital revenues

 

 

 

Multiple Choice

 

 

 

 

16. Nurses are now working in ambulatory health clinics, hospice settings, and homeless shelters and clinics. What has influenced this increase in practice settings for nurses?
17. A) Population shift to more rural areas
18. B) Shift of health care delivery into the community
19. C) Advent of primary care clinics
20. D) Increased use of rehabilitation hospitals

 

 

17. What is the focus of community-based nursing?
18. A) Community health
19. B) Maintaining and improving the health of the community
20. C) Promoting and maintaining the health of individuals and families
21. D) Family health

 

 

 

 

18. You are the community-based nurse who acts as case-manager for a small town about 60 miles from a major health care center. What is the most important factor of community-based nursing you should be knowledgeable about?
19. A) Eligibility requirements for services
20. B) Community resources available to patients
21. C) Transportation costs to the medical center
22. D) Possible charges for any services provided

 

19. A new community-based nurse is looking for community resources for one of her clients. Where would be the best place to look?
20. A) Hospital directories
21. B) Telephone book
22. C) Community directories
23. D) Church directories

 

 

 

Multiple Selection

 

 

 

 

20. You are a community-based care manager in a community that does not have a resource directory available. One of your goals is to compile such a directory. What would be important to include in this directory? (Mark all that apply.)
21. A) Nearby medical facilities
22. B) List of social service workers in the community
23. C) Eligibility requirements for services
24. D) Commonly used resources
25. E) Costs of services

 

 

 

Multiple Choice

 

 

 

 

21. You are assessing a new patient and his home environment. What is a responsibility that you, as a community-based nurse, have at this initial visit?
22. A) Encourage the patient and his family to use local stores to support their community.
23. B) Encourage the patient and his family to contact their church as a resource.
24. C) Encourage the patient and his family to use the Internet to find local resources.
25. D) Encourage the patient and his family to contact appropriate community resources.

 

 

 

22. What type of health care is most likely to be available in both community and hospital-based settings?
23. A) Dieticians
24. B) Ambulatory health care
25. C) Physical therapy
26. D) Hospice care

 

 

 

23. Every home health agency, based on the principle of due diligence, must inform its employees of what?
24. A) At-risk working environments
25. B) OSHA requirements
26. C) Available training for personal safety
27. D) Policies and procedures about clinical safety

 

 

 

24. A home health nurse is making a visit to a new patient. During the visit, the patient’s husband arrives home in an intoxicated condition. He speaks to both you and the patient in an abusive and threatening manner. What should you do?
25. A) Ignore the husband and focus on the patient
26. B) Return to your agency and notify your supervisor
27. C) Call the police from your cell phone
28. D) Remove the patient from the home

 

 

25. You have been notified by your agency of a new patient in your community. The agency tells you that this patient resides in a high-crime area. What is the most important request you should make of the agency?
26. A) A cell phone
27. B) Directions to the home
28. C) Someone to accompany you on the visit
29. D) Someone to wait in the car while you make your visit

 

 

 

26. What level of care do home health nurses often focus on?
27. A) Preventative care
28. B) Primary prevention
29. C) Secondary prevention
30. D) Tertiary prevention

 

 

27. You are admitting two new patients to your home health care service. These patients live within two blocks of each other, and both homes are in a high-crime area. What is recommended for your personal safety?
28. A) Drive a car that is hard to break into.
29. B) Keep your purse close to you at all times.
30. C) Don’t leave anything in the car that might be stolen.
31. D) Do not wear expensive jewelry.

 

 

Multiple Selection

 

 

 

 

28. In two days you are scheduled to discharge a patient home status post left hip replacement. You have initiated a home health referral and you have met with a team of people who have been involved with this patient’s discharge planning. Who would be appropriate people to be on the discharge planning team? (Mark all that apply.)
29. A) Home health nurse
30. B) Physical therapist
31. C) Patient’s pastor
32. D) Social service worker
33. E) Meal-on-Wheels provider

 

 

 

 

29. Which type of agencies provides documented home health care services? (Mark all that apply.)
30. A) Unofficial neighborhood groups
31. B) Private businesses
32. C) Proprietary chains
33. D) Off-duty neighborhood nurses
34. E) Hospital-based agencies

 

 

 

 

Multiple Choice

 

 

 

 

30. Discharge planning begins with the patient’s admission to the hospital. What is involved in the discharge-planning process?
31. A) Identifying the patient’s needs
32. B) Making a social services referral
33. C) Getting physical therapy involved
34. D) Notifying the speech therapist of the discharge date

 

 

31. Within the public health system there has been an increased demand for medical, nursing, and social services. What is the basis for this increased demand?
32. A) A shift from hospital to community-based health care
33. B) The growing number of older adults in the United States
34. C) The rise in poverty in the United States
35. D) The decreasing revenues in health care

 

 

32. Nursing care, no matter where it is delivered, has many consistencies. One of these consistencies is the need for what?
33. A) Advanced education
34. B) Certification in a specialty
35. C) Cultural competence
36. D) Independent practice

 

 

 

33. Medicare finances many home health care expenses. What does this allow nurses to do?
34. A) Provide care without the oversight of a physician
35. B) Write necessary medication orders for the patient
36. C) Order physical, occupational, and speech therapy if needed
37. D) Manage and evaluate patient care for seriously ill patients

 

 

 

34. You are a school nurse who is concerned about an incoming kindergartner with muscular dystrophy. Why would you make a home visit before school starts?
35. A) To provide anticipatory guidance to the family
36. B) To measure the child’s wheelchair to make sure it fits through the school doors
37. C) To set up home teachers for the child
38. D) To provide follow-up care after the child’s clinic visit

 

 

Chapter: Chapter 04: Health Education and Health Promotion

 

 

 

 

Multiple Choice

 

 

 

 

1. Nurses in all venues have an obligation to provide health education to patients. Who is ultimately responsible for maintaining and promoting health?
2. A) Classroom teachers
3. B) Parents
4. C) Physicians
5. D) Patients

 

 

2. The elderly patient has come to the clinic for a follow-up appointment. The nurse learns from the patient’s daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What could be a factor in a patient not adhering to her therapeutic regimen?
3. A) Ethnic background of health care provider
4. B) Costs of prescribed regimen
5. C) Wellness state
6. D) Personality of the physician

 

 

 

3. Elderly people often do not adhere to a therapeutic regimen. This is a significant problem. What strategy is the best to assist the elderly in adhering to a therapeutic regimen?
4. A) Demonstrate a dressing change and allow the patient to practice.
5. B) Provide a pamphlet on a dressing change.
6. C) Verbally instruct the patient how to change a dressing.
7. D) Have a family member change the dressing.

 

 

4. A patient newly diagnosed with type 1 diabetes needs to learn how to give himself insulin. A nurse preparing to teach this patient how to administer an insulin injection must remember that one of the major variables that influences a patient’s readiness to learn is what?
5. A) Lifespan
6. B) Gender
7. C) Occupation
8. D) Culture

 

5. The nurse is planning to teach a 75-year-old patient about administering her medication. How can the nurse enhance the patient’s ability to learn?
6. A) Provide links to websites that contain information related to the medication
7. B) Exclude family members from the session
8. C) Use color-coded materials
9. D) Make the information relevant to the patient’s condition

 

 

 

6. All nursing diagnoses imply that teaching must be done. For which of the following nursing diagnoses would education of the patient be the highest priority?
7. A) Risk for impaired mobility related to joint pain
8. B) Incontinence related to surgical repair of bladder
9. C) Altered range of movement related to contractures
10. D) Risk for ineffective management of therapeutic regimen

 

7. The nursing instructor has given an assignment to a group of nurse practitioner students. They are to break into groups of four and complete a health-promotion teaching project and present a report back to their fellow students. What project is the best example of health-promotion teaching?
8. A) Demonstrating an injection technique to a patient for anticoagulant therapy
9. B) Explaining the side effects of a medication to an adult patient
10. C) Discussing the importance of preventing sexually transmitted disease to a group of 12th-grade students
11. D) Instructing an adolescent patient about safe food preparation

 

 

 

8. Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor is the most significant in health, longevity, and weight control?
9. A) Good nutrition
10. B) Stress reduction
11. C) Use of vitamins
12. D) Screening for health risks

 

9. The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What has most influenced the nurse to play this vital role?
10. A) Nurses are seen as nurturing.
11. B) Nurses have post-secondary education.
12. C) Nurses have a desire to help others.
13. D) Nurses have long-established credibility with consumers.

 

 

 

10. The nurse is teaching a local community group about the importance of disease prevention. Why is disease prevention necessary in health promotion?
11. A) Prevention is emphasized as the link between personal behavior and health.
12. B) The majority of deaths of Americans under age 60 aren’t related to preventable causes.
13. C) Health maintenance organizations now emphasize prevention as the main criterion of health care.
14. D) The external environment affects the outcome of most disease processes.

 

 

 

11. The nurse is preparing discharge teaching for a patient diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self-catheterize at home upon discharge. What teaching method is most effective for this patient?
12. A) A list of instructions written at a sixth-grade level
13. B) A short videotape providing useful information and demonstrations
14. C) An audio taped version of discharge instructions
15. D) A discussion and demonstration between the nurse and the patient

 

 

 

12. You are the nurse planning to teach tracheostomy care to one of your patients. What is the most important variable in patient teaching that you need to utilized?
13. A) Providing the most up-to-date information available
14. B) Alleviating the patient’s guilt associated with not knowing appropriate self-care
15. C) Determining the patient’s readiness to learn new information
16. D) Building on previous information

 

 

 

13. A public health nurse is preparing to hold a series of health-promotion classes on a variety of topics. Which site could be best used to hold a health-promotion education series for a group of middle-aged adults?
14. A) Physician’s office
15. B) The workplace
16. C) The hospital
17. D) The nurse’s clinic

 

 

 

14. Research has associated stress levels with infectious diseases. Which fact best supports the rationale for this statement?
15. A) Stress impairs sleep patterns.
16. B) Stress decreases the immune response.
17. C) Stress increases weight.
18. D) Stress decreases concentration.

 

 

 

15. Health promotion should continue across the lifespan. Therefore, it is important for the nurse to understand when to initiate health promotion. When in the lifespan should health promotion begin?
16. A) Adolescence
17. B) School age
18. C) Preschool
19. D) Before birth

 

 

 

16. A nurse has taught a patient with asthma how to administer his daily inhaler. How would the nurse evaluate the teaching-learning process?
17. A) Using teaching aides
18. B) Identifying teaching strategies
19. C) Directly observing the patient using his inhaler
20. D) Documenting the teaching session in the patient’s record

 

 

 

17. The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of health promotion?
18. A) Blood pressure clinic
19. B) Family planning clinic
20. C) Immunization clinic
21. D) Workplace health and safety seminar

 

 

 

 

18. You are the oncoming nurse, and you have just taken report on your patients for the shift. One of your patients is a patient who is newly diagnosed with diabetes. Which behavior shows this patient’s willingness to learn?
19. A) The patient requests a visit from the diabetic educator.
20. B) The patient declines a slice of pie at lunch.
21. C) The patient has a family member meet with the dietician to discuss meals.
22. D) The patient allows the nurse to take daily blood sugar.

 

 

 

 

19. A nurse is providing an educational event to a local group of citizens who are disabled. What would be important for the nurse to be aware of when planning this event?
20. A) The health-promotion needs of the group the nurse is speaking to
21. B) What each person’s disability is
22. C) Wellness needs of each individual
23. D) What the families want you to talk about

 

 

 

20. What is the definition of wellness?
21. A) Being without disease
22. B) A conscious and deliberate attempt to maximize one’s health
23. C) A desire to be without disease
24. D) Maximizing the state in which you live

 

 

 

21. A nursing instructor is working with a class of first-semester nursing students. The instructor explains the interrelatedness of health and wellness. What would be the best definition the nursing instructor could give of health?
22. A) Health is maximizing wellness.
23. B) Health is a lack of disease.
24. C) Health is a dynamic, ever-changing condition that enables people to function at an optimal potential at any given time.
25. D) Health is a reflection of wellness that involves a conscious and deliberate attempt to maximize one’s lack of disease state.

 

 

 

Multiple Selection

 

 

 

 

22. Research has shown that there is a relationship between health and physical fitness. What has research shown a regular exercise program can do? (Mark all that apply.)
23. A) Decrease cholesterol and low-density lipoprotein levels
24. B) Delay degenerative changes
25. C) Improve the senses
26. D) Improve overall muscle strength
27. E) Decrease endurance levels

 

 

 

Multiple Choice

 

 

 

 

23. A nursing instructor is talking about health promotion with a group of senior nursing students. What would the instructor tell the students is the key to successful health promotion?
24. A) Desire to learn
25. B) Self-awareness
26. C) Consciously practicing stress reduction
27. D) Taking responsibility for oneself

 

 

24. Nutritional awareness is one component of health promotion. What does nutritional awareness involve?
25. A) An understanding of the importance of a healthy diet
26. B) Being aware of the importance of vitamin supplements
27. C) Knowing what minerals are necessary to eat daily
28. D) Understanding what constitutes the recommended daily nutrients

 

 

 

 

25. Like the nursing process, what must be incorporated into the teaching-learning interaction for it to be successful?
26. A) Evaluation
27. B) Social and cultural patterns
28. C) Patient awareness
29. D) Measurable interventions

 

 

 

26. Positive patient outcomes are the goal of nurse-patient interactions. What is an influential factor directly related to positive patient-care outcomes?
27. A) Patient’s age
28. B) Ethnic heritage
29. C) Health education
30. D) Outcome evaluation

 

 

 

 

 

27. Part of health promotion in the adolescent population is health screening. What is the goal of health screening in this population?
28. A) To teach teenagers about health risks
29. B) To screen for potential health problems
30. C) To identify chronic health problems and their risks
31. D) To detect health problems at an early age so they can be treated at this time

 

 

28. Each generation has specific interests in health promotion. What type of health promotion programs do young adults actively seek?
29. A) Family planning
30. B) Risky behaviors
31. C) Physical fitness
32. D) Marriage classes

 

 

Multiple Selection

 

 

 

 

29. Middle-aged adults are part of an age group that is interested in health and health promotion. What suggestions do they respond to with enthusiasm? (Mark all that apply.)
30. A) How lifestyle practices can improve health
31. B) How to eat healthier
32. C) How exercise can improve your life
33. D) How to eat fast food and survive
34. E) Exercise for the aging

 

 

 

 

Multiple Choice

 

 

 

 

30. Despite chronic illnesses and disabilities, the elderly benefit most from what kind of activities?
31. A) Those that help them eat well
32. B) Those that help them maintain independence
33. C) Those that preserve their social interactions
34. D) Those that accomplish financial stability

 

 

 

31. Health promotion is as much a function of nursing as wound care is. As a health care professional, what is a responsibility of a nurse?
32. A) To promote activities that enhance the community
33. B) To encourage self-awareness
34. C) To promote activities that foster personal fulfillment
35. D) To influence social interactions

 

 

 

32. Health promotion is an integral part of health care. What is the purpose of health promotion?
33. A) To teach people how to act
34. B) To teach people how to grow
35. C) To change the environment in ways that enhance cultural expectations
36. D) To change the environment in ways that reduce risks

 

 

 

33. Health care professionals are involved in the promotion of health as much as in the treatment of disease. Health promotion has evolved as a part of health care for many reasons. Which of the following is one of them?
34. A) A changing definition of health
35. B) An awareness that wellness exists
36. C) An expanded definition of chronic illness
37. D) A belief that disease is preventable

 

 

 

34. What is one of the most important goals of patient education?
35. A) To encourage patients to exercise
36. B) To encourage patients to adhere to their therapeutic regimen
37. C) To teach nutritional awareness
38. D) To encourage a disease-free state

 

 

 

35. Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long period of time. What is one diagnosis where adherence rates are low?
36. A) MRSA
37. B) SARS
38. C) Multiple sclerosis
39. D) Beta hemolytic strep infection

 

 

Multiple Selection

 

 

 

 

36. You are the clinic nurse doing patient education with a teenager who was diagnosed 6 months ago with type 1 diabetes mellitus. This patient has been noncompliant with her treatment regimen. As the nurse, what variables do you need to assess to help this patient adhere to their treatment regimen? (Mark all that apply.)
37. A) Variables that affect the patients’ ability to obtain resources
38. B) Variables that affect the patients’ ability to stay in school
39. C) Variables that affect the patients’ ability to maintain healthy relationships
40. D) Variables that affect the patients’ ability to maintain a healthy social environment
41. E) Variables that affect the patients’ ability to adopt specific behaviors

 

 

 

 

Multiple Choice

 

 

 

 

37. Nurses doing patient education often use motivators for learning with patients who are struggling with behavioral changes necessary to adhere to a treatment regimen. What is one motivator the nurse might use with a young adult?
38. A) A learning contract
39. B) A star chart
40. C) A point system
41. D) A food-reward system

 

38. As the nurse working in a gerontology clinic, you know that some elderly people are noncompliant with therapeutic regimens because of chronic illnesses that require long-term treatment by several health care providers. What is the most important consideration when dealing with this segment of the elderly population?
39. A) Health care professionals must know all the medications the patient is taking.
40. B) Health care professionals must work together to provide coordinated care.
41. C) Health care professionals may negate the efforts of another health care provider.
42. D) Health care professionals must have documentation of their interactions with the patient.

 

 

 

39. The nursing process is an active process that requires a positive nurse-patient relationship. How is this most like the teaching–learning process?
40. A) Both processes involve people other than the nurse and the patient.
41. B) Both processes are static processes.
42. C) Both processes require the involvement of both parties to reach the desired outcome.
43. D) Both processes are based on current research.