Introductory Medical-Surgical Nursing 12th Edition Test Bank

38 Caring for Clients With Cerebrovascular Disorders
Headache
Transient Ischemic Attacks
Cerebrovascular Accident (Stroke)
Cerebral Aneurysms
39 Caring for Clients With Head and Spinal Cord Trauma
Head Injuries
Spinal Cord Injuries
Spinal Nerve Root Compression
40 Caring for Clients With Neurologic Deficits
Phases of a Neurologic Deficit
Psychosocial Issues and Home Management
UNIT 10 Caring for Clients With Sensory Disorders
41 Introduction to the Sensory System
The Eyes
The Ears
42 Caring for Clients With Eye Disorders
Impaired Vision
Infectious and Inflammatory Eye Disorders
Age-Related Macular Degeneration
Glaucoma
Cataracts
Retinal Detachment
Enucleation
43 Caring for Clients With Ear Disorders
Hearing Impairment
Disorders of the External Ear
Disorders of the Middle Ear
Disorders of the Inner Ear
UNIT 11 Caring for Clients With Gastrointestinal Disorders
44 Introduction to the Gastrointestinal System and Accessory Structures
Anatomy and Physiology
Assessment
45 Caring for Clients With Disorders of the Upper Gastrointestinal Tract
Disorders That Affect Eating
Disorders of the Esophagus
Gastric Disorders
46 Caring for Clients With Disorders of the Lower Gastrointestinal Tract
Altered Bowel Elimination
Inflammatory Bowel Disease
Ulcerative Colitis
Acute Abdominal Inflammatory Disorders
Intestinal Obstruction
Diverticular Disorders
Abdominal Hernia
Cancers of the Colon and Rectum
Anorectal Disorders
47 Caring for Clients With Disorders of the Liver, Gallbladder, or Pancreas
Disorders of the Liver
Disorders of the Gallbladder
Disorders of the Pancreas
48 Caring for Clients With Ostomies
Ileostomy
Colostomy
UNIT 12 Caring for Clients With Endocrine Disorders
49 Introduction to the Endocrine System
Anatomy and Physiology
Assessment
Nursing Management
50 Caring for Clients With Disorders of the Endocrine System
Disorders of the Pituitary Gland
Disorders of the Thyroid Gland
Disorders of the Parathyroid Glands
Disorders of the Adrenal Glands
51 Caring for Clients With Diabetes Mellitus
Diabetes Mellitus
Acute Complications of Diabetes Mellitus
Chronic Complications of Diabetes Mellitus
UNIT 13 Caring for Clients With Breast and Reproductive Disorders
52 Introduction to the Female and Male Reproductive Systems
The Female Reproductive System
The Breasts
The Male Reproductive System
53 Caring for Clients With Disorders of the Female Reproductive System
Disorders of Menstruation
Menopause
Infectious and Inflammatory Disorders
Structural Abnormalities
Tumors of the Female Reproductive System
54 Caring for Clients With Breast Disorders
Infectious and Inflammatory Breast Disorders
Benign Breast Lesions
Malignant Breast Disorders
Cosmetic Breast Procedures
55 Caring for Clients With Disorders of the Male Reproductive System
Structural Abnormalities
Infectious and Inflammatory Conditions
Erection Disorders
Benign Prostatic Hyperplasia
Malignancies of the Male Reproductive System
Elective Sterilization
56 Caring for Clients With Sexually Transmitted Infections
Epidemiology
Common Sexually Transmitted Infections
Other Sexually Transmitted Infections
UNIT 14 Caring for Clients With Urinary and Renal Disorders
57 Introduction to the Urinary System
Anatomy and Physiology
Assessment
58 Caring for Clients With Disorders of the Kidneys and Ureters
Infectious and Inflammatory Disorders of the Kidney
Congenital Kidney Disorders: Polycystic Kidney Disease
Obstructive Disorders
Kidney Failure
Dialysis
59 Caring for Clients With Disorders of the Bladder and Urethra
Voiding Dysfunction
Infectious and Inflammatory Disorders
Obstructive Disorders
Bladder Cancer
Trauma
UNIT 15 Caring for Clients With Musculoskeletal Disorders
60 Introduction to the Musculoskeletal System
Anatomy and Physiology
Assessment
Nursing Management
61 Caring for Clients Requiring Orthopedic Treatment
Casts
Splints and Braces
Reducing Fractures
Orthopedic Surgery
62 Caring for Clients With Traumatic Musculoskeletal Injuries
Strains, Contusions, and Sprains
Dislocations
Specific Injuries to Upper and Lower Extremities
Fractures
63 Caring for Clients With Orthopedic and Connective Tissue Disorders
Inflammatory Disorders
Musculoskeletal Infectious Disorders
Structural Disorders
Bone Tumors
UNIT 16 Caring for Clients With Integumentary Disorders
64 Introduction to the Integumentary System
Anatomy And Physiology
Assessment
Medical and Surgical Treatment of Skin Disorders
65 Caring for Clients With Skin, Hair, and Nail Disorders
Skin Disorders
Body Ornamentation
Scalp and Hair Disorders
Nail Disorders
66 Caring for Clients With Burns
Burn Statistics
Burn Injuries
UNIT 17 Caring for Clients With Psychobiologic Disorders
67 Interaction of Body and Mind
The Brain and Psychobiologic Function
Psychobiologic Illness
The Brain and Psychosomatic Function
Psychosomatic Illnesses
Psychobiologic Intervention: The Placebo Effect
68 Caring for Clients With Anxiety Disorders
Anxiety and Fear
Anxiety Disorders
69 Caring for Clients With Mood Disorders
The Mood Continuum and Mood Disorders
Major Depression
Suicidality
Seasonal Affective Disorder
Bipolar Disorder
70 Caring for Clients With Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder and Compulsive Overeating
71 Caring for Clients With Chemical Dependence
Substance Abuse and Chemical Dependence
72 Caring for Clients With Dementia and Thought Disorders
Delirium and Dementia
Alzheimer’s Disease
Schizophrenia
Appendix A Commonly Used Abbreviations and Acronyms
Glossary
Index

1. CHAPTER 1
Managed care organizations are insurers that carefully plan and closely supervise the
distribution of healthcare services. What is one of the goals of managed care?
A) Preventing illness through screening and promotion of health activities
B) Improving training of healthcare professionals
C) Eliminating health disparities between segments of the population
D) Providing hospice or home hospice care
Ans: A
Feedback:
Preventing illness through screening and promotion of health activities is one of the
goals of managed care. Improved training of healthcare professionals is the priority for
international health and not the goal of managed care. Eliminating health disparities
between the segments of population is a goal of Healthy People 2020. Providing hospice
or home hospice care is only for terminally ill clients.
2. In an effort to cut costs, hospitals have instituted many changes. Which of these
cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in healthcare systems
Ans: A
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
registered nurses once provided. Many are concerned that the use of unlicensed assistive
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals,
not devoting enough time to the client, or the rise of medical costs are less likely to
jeopardize the quality of care.
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
walking group to raise money for the homeless in his area. Which of the following has
contributed to him being viewed as “healthy”?
A) The client is married and is moving on.
B) The client is experiencing high quality of life within the limits of the physical
condition.
C) The client is facing various states of health and illness.
D) The client is physiologically and psychologically stable.
Ans: B
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
stability, and self-expression. Clients with chronic illness can achieve a high level of
wellness and experience high quality of life. Marriage is an aspect of quality of life but
does not define the quality of the client’s life. All clients experience various states of
health and illness.
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4. A 17-year-old client is having protected sex one to two times a week in a monogamous
relationship. What is the client participating in?
A) Health promotion
B) Health maintenance
C) Illness prevention
D) Wellness
Ans: B
Feedback:
Protecting one’s current level of health by practicing safe sex to prevent illness is an
example of a health maintenance activity. Health promotion strategies are used to
enhance health, such as eating a diet high in fiber. Illness prevention includes
identifying risk factors such as hypertension. Wellness is the balance of total well-being.
5. A client complaining of bloody urine has scheduled an appointment with a family
practitioner. What type of care is the client receiving?
A) Tertiary
B) Secondary
C) Skilled nursing care
D) Primary
Ans: D
Feedback:
The first provider that clients contact about a health need provides primary care; this
person is typically a family practitioner or nurse practitioner. Secondary care includes
referrals to facilities for additional testing. Tertiary care focuses on more complex
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
offer prolonged health maintenance or rehabilitative services.
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6. The hospital is having a problem with healthcare-associated infections. A committee has
been established to study the problem and make recommendations. The nurse working
on the committee knows that this work addresses what?
A) Inpatient quality indicators
B) Prevention quality indicators
C) National Patient Safety Goals
D) Patient safety indicators
Ans: C
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
annually. These safety goals have changed how patients are identified and prevent
adverse effects. Some of the 2012 goals include reducing the risk of
healthcare-associated infections. Patient safety indicators reflect the quality of care in
hospitals but focus on potentially avoidable complications. Prevention indicators
identify hospital admissions that could be avoided through high-quality outpatient care.
Inpatient indicators reflect quality of care inside the hospital.
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is
the client receiving?
A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
Feedback:
Hospitals where specialized technology is available provide tertiary care. Primary care
is the initial contact that a client has, such as an appointment with a family practitioner.
Secondary care includes referrals for additional testing. Rehabilitation is aimed at
restoring a person to his or her fullest ability.