Introduction To Medical Surgical Nursing, 6th Edition by Linton – Test Bank

Introduction To Medical Surgical Nursing, 6th Edition by Linton – Test Bank

Chapter 08: Health and Illness
Linton: Introduction to Medical-Surgical Nursing, 6th Edition

MULTIPLE CHOICE

1. What is the basis for the health–illness continuum?
a. Prevention of acute illness
b. Individual response to health or illness
c. Promotion of health and wellness
d. Variation in degree of health or illness

ANS: D
Currently, health and illness are viewed as relative states along a continuum. Individuals are at neither absolute health nor absolute illness but are in an ever-changing state of being.

DIF: Cognitive Level: Comprehension REF: p. 91 OBJ: 1
TOP: Current View of Health-Illness Continuum
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control

2. What is the current concern of the health care system?
a. Treating illness
b. Preventing illness
c. Promoting optimal function in the chronically ill
d. Caring for patients with acute and chronic illness

ANS: B
Health promotion activities are directed toward maintaining or enhancing well-being as a protection against illness.

DIF: Cognitive Level: Knowledge REF: p. 95 OBJ: 5
TOP: Health Promotion KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control

3. What is the traditional view of health?
a. Promotes optimal function
b. Views health and illness as separate concepts
c. Defines health as an absence of illness
d. Emphasizes the prevention of disease

ANS: B
Traditionally, health and illness have been viewed as separate entities with a focus on the illness and not in attaining the highest quality of life possible when a cure is not possible.

DIF: Cognitive Level: Comprehension REF: p. 91 OBJ: 2
TOP: Traditional View of Health and Illness
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control

4. What is the current view of health?
a. Promotes the highest quality of life possible, both mentally and socially
b. Includes mental, physical, social, and emotional adaptation to the environment
c. Includes the basic physiologic needs and self-actualization
d. Relies on alternative therapies for the treatment and cure of diseases

ANS: B
A healthy person maintains stability and comfort by adapting physically, mentally, emotionally, and socially to internal and external events.

DIF: Cognitive Level: Comprehension REF: p. 91 OBJ: 2
TOP: Current View of Health and Illness
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control

5. During the initial gathering of data, a patient reveals a weight loss of 17 lb since the death of his spouse 5 weeks earlier. He says that he is not sleeping and has no appetite. What category of unmet needs should be considered by the nurse according to Maslow’s hierarchy of needs?
a. Physiologic
b. Safety and security
c. Love and belonging
d. Self-actualization

ANS: A
Physiologic needs include oxygen, fluids, and nutrition and must be met before the higher levels of needs are provided.

DIF: Cognitive Level: Application REF: p. 92 OBJ: 3
TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control

6. What is the major advantage of using Maslow’s hierarchy of needs when planning nursing care for patients?
a. Establishes a nursing diagnosis
b. Improves problem-solving techniques
c. Prioritizes patient care
d. Establishes priorities of care

ANS: C
Priorities for nursing care can be based on the level of human needs; physical needs take priority over security needs.

DIF: Cognitive Level: Comprehension REF: p. 92-93 OBJ: 3
TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

7. A nurse points out that a physiologic response to stress involves the total body. Which syndrome is this considered?
a. General adaptation
b. Local adaptation
c. Negative feedback
d. Total adaptation

ANS: A