Brunner & Suddarth 11th Edition Medical

Surgical Nursing Test Bank

Chapter 1- Health Care Delivery and Nursing
Practice

A)
B)
C)
D)

1.The school nurse teaching a health promotion class to high-school students informs the
group that health may be defined as:
Being disease free
Having fulfilling relationships
Having a clean drinking source and nutritious food
Being connected in body, mind, and spirit

A)
B)

2.Which of the following desirable characteristics would an effective nurse possess?

Sensitivity to cultural differences
C) Strict adherence to routine
Team-focused nursing approach
D) One set cultural practice

A)
B)

3.What type of health problem is the nurse most likely to see in the health care system?
Poor prenatal care
C) Immobility
Lack of information
D) Chronic disease

A)
B)

4.The nurse is assisting a patient in planning to return to work after an extensive illness.
The patient's need for self-fulfillment fits in which level of Maslow's Hierarchy of basic
needs?
Physiologic
C) Love and belonging
Safety and security
D) Self-actualization

A)
B)
C)
D)

5.Viewing health and illness on a continuum assists the nurse in understanding that:
Care should focus on the treatment of disease.
A person's state of health is ever-changing.
A person does not have varying degrees of illness.
Care should focus on the patient's response to medications.

A)
B)

6.The nurse working in a community health clinic teaches that disease prevention is best
achieved through:
Attending self-help groups
C) Community social events
Yearly physicals
D) Behaviors that promote health

A)
B)
C)
D)

7.A nurse on a medical-surgical unit has been asked to become a member of the hospital's
Continuous Quality Improvement (CQI) committee. In preparing to serve on this
committee, the nurse learns that CQI programs:
Establish accountability on the part of health care professionals
Focus on the process used to provide care
Identify incidents rather than processes
Justify health care costs
1

Brunner & Suddarth 11th Edition Medical

Surgical Nursing Test Bank
Chapter 1- Health Care Delivery and Nursing
Practice

A)
B)
C)
D)

8.Managed health care has led to significant changes in the health care delivery system.
What effect has managed health care had on the hospital's patient population?
Patients are in the hospital for a longer period of time.
Pre-negotiated payment rates have remained unchanged.
Patients with high home care needs are being discharged into the community.
Use of ambulatory care has decreased.

A)
B)
C)
D)

9.The Patient's Bill of Rights includes the patient's right to privacy. When might the nurse
break this right?
When the patient has threatened to harm himself or herself
When the patient has been diagnosed with a terminal disease
If a family member has called to inquire about the patient's condition
There are no circumstances when this rule may be broken.

A)
B)
C)
D)

10.In order for the nurse to implement the interventions in a clinical pathway, what first must
be done?
Interventions must have a signed physician's order.
The nurse manager must review the plan.
The unit must approve the document.
The nurse must sign the document prior to initiating.

A)
B)
C)
D)

11.A nurse researcher is conducting a study about the effects of noise on hospitalized
patients' pain levels. The primary purpose of nursing research is to:
Involve patients in their care while hospitalized
Contribute to the scientific base of nursing practice
Draw conclusions about the quality of patient care
Explain ongoing medical studies to patients

A)
B)
C)
D)

12.Home health care is becoming one of the largest practice areas for nurses. What has
contributed to this change?
Chronic nursing shortage
Focus on treatment of disease
Nurses prefer working during the day instead of evening or night shifts
More critically ill patients being discharged to home from the hospital

13.A nurse is practicing in an oncology clinic and her role includes clinical practice,
education, management, consultation, and research. Which of the following would most
accurately describe this nurse's title?
A) Midwife B) Clinical nurse specialist C) Nurse manager D) Staff nurse

Page 2

Brunner & Suddarth 11th Edition Medical

Surgical Nursing Test Bank
Chapter 1- Health Care Delivery and Nursing
Practice

A)
B)
C)
D)

14.Nursing continues to recognize the importance of collaboration with other health care
disciplines to meet the complex needs of the patient. Which of the following would be an
example of a collaborative practice model?
The nurse and the physician discussing and jointly making clinical decisions
The nurse accompanying the physician on rounds
The nurse making a referral on behalf of the patient
The nurse attending an appointment with the patient

15.According to Maslow's Hierarchy of needs, which dimension of care is considered

primary in importance when caring for a dying patient?
A) Spiritual B) Social C) Physiologic D) Emotional

A)
B)
C)
D)

16.When prioritizing a patient's care plan based on Maslow's Hierarchy of needs, the nurse's
first priority would be:
Allowing the family to see a newly admitted patient
Ambulating the patient in the hallway
Administering pain medication
Teaching the patient to self-administer insulin

Page 3

Brunner & Suddarth 11th Edition Medical

Surgical Nursing Test Bank
Chapter 1- Health Care Delivery and Nursing
Practice
Answer Key
1.D
2.A
3.D
4.D
5.B
6.D
7.B
8.C
9.A
10.A
11.B
12.D
13.B
14.A
15.C
16.C

Page 4