1. The definition of nursing has evolved over time. According to the Social Policy Statement (2003) of the
American Nurses Association (ANA), registered
... [Show More] nurses can and should:
CHAPTER 1
Health Care Delivery
and Nursing Practice
a. diagnose human responses to illness.
b. promote optimum levels of wellness.
c. prevent illness and maintain health.
d. do all of the above.
2. An underlying focus in any definition of nursing is the registered nurse’s responsibility to:
a. appraise and enhance an individual’s healthseeking
perspective.
b. coordinate a patient’s total health management
with all disciplines.
c. diagnose acute pathology.
d. treat acute clinical reactions to chronic illness.
3. A Jewish patient who adheres to the dietary laws of his faith is in traction and confined to bed. He needs
assistance with his evening meal of chicken, rice, beans, a roll, and a carton of milk. Choose the nursing
approach that is most representative of promoting wellness.
a. Nurse “A” removes items from the overbed
table to make room for the dinner tray.
b. Nurse “B” pushes the overbed table toward
the bed so that it will be within the patient’s
reach when the dinner tray arrives.
c. Nurse “C” asks a family member to assist the
patient with the tray and the overbed table
while the nurse straightens the area in an
attempt to provide a pleasant atmosphere for
eating.
d. Nurse “D” prepares the environment and the
overbed table and inspects the contents of the
dinner tray. The nurse asks the patient whether
he would like to make any substitutions in the
foods and fluids he has received.
4. Using the concept of the wellness–illness continuum, a nursing care plan for a chronically ill patient
would outline steps to:
a. educate the patient about every possible
complication associated with the specific
illness.
b. encourage positive health characteristics
within the limits of the specific illness.
c. limit all activities because of the progressive
deterioration associated with all chronic
illnesses.
d. recommend activity beyond the scope of
tolerance to prevent early deterioration.
10. Common features that characterize managed care include all of the following except:
2 CHAPTER 1 ■ Health Care Delivery and Nursing Practice
Copyright © 2010 Wolters Kluwer Health/Lippincott Williams & Wilkins.
Study Guide for Brunner and Suddarth’s Textbook of Medical-Surgical Nursing, 12th edition.
5. To be responsive to the changing health care needs of our society, registered nurses will need to:
a. focus their care on the traditional diseaseoriented
approach to patient care, because
hospitalized patients today are more acutely
ill than they were 10 years ago.
b. learn how to delegate discharge planning to
ancillary personnel so that registered nurses
can spend their time managing the “high
tech” equipment needed for patient care.
c. place increasing emphasis on wellness, health
promotion, and self-care, because the majority
of Americans today suffer from chronic
debilitative illness.
d. stress the curative aspects of illness, especially
the acute, infectious disease processes.
6. Continuous quality improvement (CQI) was mandated in health care organizations in 1992. This system
focuses on all of the following processes except:
a. analyzing similar clinical situations.
b. assessing the impact of financial decisions on
patient care delivery.
c. examining processes that affect patient care.
d. reviewing medication errors for individual
patients.
7. Quality assurance programs created in the 1980s required that hospitals be accountable for all of the
following except:
a. appropriateness of care related to established
standards.
b. cost of services.
c. staff–patient ratios for nursing care.
d. quality delivery of services.
8. The primary focus of the nurse advocacy role in managing a clinical pathway is:
a. continuity of care.
b. cost-containment practices.
c. effective utilization of services.
d. a patient’s progress toward desired outcomes.
9. Nursing practice in the home and community requires competence and experience in the techniques of:
a. decision making.
b. health teaching.
c. physical assessment.
d. all of the above.
a. fixed-price reimbursement.
b. mandatory precertification.
c. preferred provider choice.
d. prenegotiated payment rates. [Show Less]