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Medical Surgical Nursing Linton Matterson C
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8/31/24, 10:58 Medical Surgical Nursing LintonAM Medical-Surgical Matterson C Linton Test Bank
Nursing 7th Edition
Chapter 04: Health, Illness, Stress, and Coping
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. 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: pp. 41-42 OBJ: 1
TOP: Traditional View of Health and Illness
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control
2. 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: pp. 41-42 OBJ: 1
TOP: Current View of Health and Illness
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control
3. 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. 41 OBJ: 2
TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Safety and Infection Control
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, 8/31/24, 10:58 Medical Surgical Nursing Linton
AM Medical-Surgical Matterson C Linton Test Bank
Nursing 7th Edition
4. 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. 41 OBJ: 2
TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. 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
General adaptation syndrome is the physiologic response of the whole body to stress.
DIF: Cognitive Level: Knowledge REF: p. 43 OBJ: 4
TOP: Stress Response KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
6. What are the ability to solve problems and to maintain self-confidence and the willingness to
accept criticism incorporated in according to Maslow?
a.
Safety and security
b.
Self-esteem
c.
Self-actualization
d.
Love and belonging
ANS: C
Self-actualization is characterized by the ability to solve problems, the willingness to accept
suggestions and criticism from others, and the maintenance of broad interests and
communication skills.
DIF: Cognitive Level: Comprehension REF: p. 41 OBJ: 2
TOP: Maslow’s Basic Human Needs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. A patient returning from surgery complains of incisional pain that is now rated 7 in intensity
on the 1-to-10 pain scale. What should the nurse be aware that pain exemplifies?
a.
General adaptation syndrome
b.
Local adaptation syndrome
c.
Counter-current response
d.
Neuroendocrine response
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