Lemone Study guide
LeMone/Burke/Bauldoff, Medical-Surgical Nursing 5th Edition Test Bank
Chapter 2
Question 1
Type: MCSA
When planning holistic care for a patient admitted with heart failure, which of the following should the nurse include?
1. spiritual needs
2. measure intake and output
3. daily weights
4. ambulate with assistance
Correct Answer: 1
Rationale 1: Holistic health care is based upon the concept of wellness. When planning holistic care for a patient, the nurse needs to consider physical needs in addition to psychosocial, cultural, spiritual, and intellectual needs.
Rationale 2: Measuring intake and output meets the patient’s physical needs and would not include holistic needs.
Rationale 3: Daily weights focuses solely on the patient’s physical needs and would not include holistic needs.
Rationale 4: Ambulating with assistance focuses solely on the patient’s physical needs and would not include holistic needs.
Global Rationale: Holistic health care is based upon the concept of wellness. When planning holistic care for a patient, the nurse needs to consider physical needs in addition to psychosocial, cultural, spiritual, and intellectual needs. Measuring intake and output, daily weights, and ambulating with assistance focus solely on the patient’s physical needs and would not include holistic needs.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1. Define health, incorporating the health-illness continuum and the concept of high-level wellness. Question 2
Type: MCSA
A patient tells the nurse that he has been fortunate since he has never experienced any major illnesses and has enjoyed good health without much effort. The nurse realizes this patient is defining “good health” as being which of the following?
1. the absence of disease
2. effortless
3. fortunate
4. an integrated method of functioning
Correct Answer: 1
Rationale 1:
Chapter 2
Question 1
Type: MCSA
When planning holistic care for a patient admitted with heart failure, which of the following should the nurse include?
1. spiritual needs
2. measure intake and output
3. daily weights
4. ambulate with assistance
Correct Answer: 1
Rationale 1: Holistic health care is based upon the concept of wellness. When planning holistic care for a patient, the nurse needs to consider physical needs in addition to psychosocial, cultural, spiritual, and intellectual needs.
Rationale 2: Measuring intake and output meets the patient’s physical needs and would not include holistic needs.
Rationale 3: Daily weights focuses solely on the patient’s physical needs and would not include holistic needs.
Rationale 4: Ambulating with assistance focuses solely on the patient’s physical needs and would not include holistic needs.
Global Rationale: Holistic health care is based upon the concept of wellness. When planning holistic care for a patient, the nurse needs to consider physical needs in addition to psychosocial, cultural, spiritual, and intellectual needs. Measuring intake and output, daily weights, and ambulating with assistance focus solely on the patient’s physical needs and would not include holistic needs.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1. Define health, incorporating the health-illness continuum and the concept of high-level wellness. Question 2
Type: MCSA
A patient tells the nurse that he has been fortunate since he has never experienced any major illnesses and has enjoyed good health without much effort. The nurse realizes this patient is defining “good health” as being which of the following?
1. the absence of disease
2. effortless
3. fortunate
4. an integrated method of functioning
Correct Answer: 1
Rationale 1: