Adult Nursing (NUR 105) Med Surg test questions Chapter 01: Health Care Delivery and EvidenceBased 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

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.

4. 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?

a. Physiologic

b. Transcendence

c. Love and belonging

d. Self-actualization

Ans: D

Feedback: 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 selffulfillment does not relate directly to them.