Chapter 1: Scope of Medical-Surgical Nursing
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MULTIPLE CHOICE

	1.	A current trend in American society that will impact future nursing practice is:
1.	More physicians graduating from medical schools	
2.	Increased need for child day care	
3.	Growth of the elderly population	
4.	Increased inpatient services	

ANS:	3	PTS:	1	DIF:	Category: No applicable category
TOP:	Nursing Process: Assessment	MSC:	Client Needs: Health Promotion and Maintenance

	2.	A major factor in rising health care costs is:
1.	High-technology health care	
2.	Workplace violence	
3.	Prevention care	
4.	Nursing salaries	

ANS:	1	PTS:	1	DIF:	Category: No applicable category
TOP:	Nursing Process: Analysis/Nursing Diagnosis	
MSC:	Client Needs: Health Promotion and Maintenance

	3.	Health care in industrialized countries other than the United States differs from U.S. health care in that other industrialized countries:
1.	Provide health insurance for everyone with a full-time job	
2.	Have more highly qualified physicians	
3.	Have healthier citizens	
4.	Guarantee basic health care to all	

ANS:	4	PTS:	1	DIF:	Category: No applicable category
TOP:	Nursing Process: Evaluation	MSC:	Client Needs: Health Promotion and Maintenance

	4.	One major factor in the current nursing shortage is:
1.	A growing pool of inactive nurses	
2.	Ineffective international recruitment	
3.	Elevated entrance standards in nursing programs	
4.	More women pursuing medical rather than nursing degrees	

ANS:	2	PTS:	1	DIF:	Category: No applicable category
TOP:	Nursing Process: Analysis/Nursing Diagnosis	
MSC:	Client Needs: Health Promotion and Maintenance

	5.	In an effort to reduce cost, health care delivery has shifted to which type of care?
1.	Emergent	
2.	Episodic–acute	
3.	Hospital-based	
4.	Community-based	

ANS:	4	PTS:	1	DIF:	Category: No applicable category
TOP:	Nursing Process: Implementation	MSC:	Client Needs: Health Promotion and Maintenance

	6.	The aspect of current hospital nursing practice that nurses most frequently express dissatisfaction with is:
1.	Decline in the caring aspect of nursing	
2.	Lack of autonomy in delivering nursing care	
3.	Increasing complexity of patient care	
4.	Rapid advances in technology	

ANS:	1	PTS:	1	DIF:	Category: No applicable category
TOP:	Nursing Process: Evaluation	MSC:	Client Needs: Psychosocial Integrity