Brunner and Suddarth’s Textbook of Medical-Surgical Nursing is said to be the Board of Nursing’s main source of questions for the local boards.Here are 500 questions straight from the CD. The
to each question is the
FIRST word/phrase/statement after each question,followed by its rationale.
The next three statements after the answers are WRONG options.1. According to Maslow, which of the following categories of needs represents the most basic?
Answer: Physiologic needsPhysiologic needs must be met before an individual is able to move toward psychological health and well-being.
Wrong Choice: Self-actualizationSelf-actualization is the highest level of needWrong Choice: Safety and security needsSafety and security needs, while lower level, are not essential to physiologic survival.Wrong Choice: BelongingnessBelongingness and affection needs are not essential to physiologic survival.2. Which of the following statements reflects the World Health Organization’s definition of health?
Answer: A state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.Such a definition, however, does not allow for any variations in the degrees of wellness or illness.
Wrong Choice: A condition of homeostatis and adaptation.The WHO definition addresses physical, mental, and social dimensions of being.Wrong Choice: An individual’s location along a wellness--illness continuum.The concept of a health--illness continuum allows for a greater range in describing a person’s health than the definition provided by the WHO.Wrong Choice: A fluid, ever-changing balance reflected through physical, mental, and social behavior.The WHO definition does not allow for any variations in the degrees of wellness and illness.3. Which of the following statements defines culture?
Answer: The learned patterns of behavior, beliefs, and values that can be attributed to a particular group of people.Included among characteristics that distinguish cultural groups are manner of dress, values, artifacts, and health beliefs and practices.
Wrong Choice: A group of people distinguished by genetically transmitted material.A group of people distinguished by genetically transmitted material describes the term race.Wrong Choice: The status of belonging to a particular region by origin, birth, or naturalization.The status of belonging to a particular region by origin, birth, or naturalization describes the term nationality.Wrong Choice: The classification of a group based upon certain distinctive characteristics.The classification of a group based upon certain distinctive characteristics describes the term ethnicity.4. The reason that case management has gained such prominence in health care can be traced to
Answer: decreased cost of care associated with inpatient stay.The reasons case management has gained such prominence can be traced to the decreased cost of care associated with decreased length of hospital stay, coupled with rapid and frequent inter-unit transfers from specialty to standard care units.
Wrong Choice: increased length of hospital stay.In general, length of hospital stay has decreased over the past 5 years.Wrong Choice: discharge from specialty care units to home.In general, patients are transferred from specialty care units to standard care units at least 24 hours prior to discharge.Wrong Choice: limited availability for inter-unit hospital transfers.In general, patients in acute care hospitals undergo frequent inter-unit transfers from specialty to standard care units.5. A preferred provider organization is described as a
Answer: business arrangement between hospitals and physicians.PPO’s usually contract to provide health care to subscribers, usually businesses, for a negotiated fee that often is discounted.
prepaid group health practice system.A prepaid group health practice system is termed a health maintenance organization.limited insurance program.Insurance is a cost payment system of shared risk, not a health care delivery system.health care savings account program.A health care savings account program is an incentive program to consumers, not a health care delivery system.6. Which of the following categories identifies the focus of community/public health nursing practice?
Answer: Promoting and maintaining the health of populations and preventing and minimizing the progress of diseaseAlthough nursing interventions used by public health nurses might involve individuals, families, or small groups, the central focus remainspromoting health and preventing disease in the entire community.
Rehabilitation and restorative servicesRehabilitation and restorative services are the focus of extended care facilities and home care nursing.Adaptation of hospital care to the home environmentAdaptation of hospital care to the home environment is the focus of home nursing.Hospice care deliveryHospice care delivery refers to the delivery of services to the terminally ill.