WellVElaboratedVAnswersV&VQuestions
ChapterV1VTheVnurse’sVRoleVinVAdultVHealthVNursingV
MULTIPLEVCHOICE
1. TheVnurseVensuresVthatVaVclient’sVbedsVpaceVisVneatVandVcleanVwithVtheVcallVlightVwi
thinVeasyVreach.VTheVnurseVisVfocusingVonVwhichVnursingVtheoristVwhoVrealizedVtheVi
mportanceVofVtheVenvironmentVforVcare?
1. FlorenceVNightingale
2. SisterVCallistaVRoy
3. DorotheaVOrem
4. MarthaVRogers
ANS:V1
FlorenceVNightingalesVtheoryVfocusedVonVtheVenvironmentVforVcare.VSisterVCallistaVRoysVm
odelVisVbasedVinVsystemsVtheoryVandVanVindividual’sVabilityVtoVadapt.VDorotheaVOremsVmo
delVisVtheVself-
VcareVdeficitVtheory.VMarthaVRogersVmodelVisVtheVscienceVofVunitaryVhumanVbeings.
PTS:1DIF:VApply
REF:VEmergenceVofVContemporaryVNursingVinVtheVUnitedVStates
2. TheVnurseVisVinstructingVaVclientVonVself-
administrationVofVinsulinVsoVthatVtheVclientVwillVnotVneedVaVhealthVcareVproviderVtoVd
oVthisVactivity.VTheVnurseVisVimplementingVwhichVofVtheVfollowingVaspectsVofVVirgin
iaVHendersonsVtheoryVofVnursing?
1. AVcaringVrelationship
2. HelpingVtheVclientVachieveVindependenceVfromVtheVnurses’VassistanceVasVquicklyVasVpossible
3. IntegrationVofVobjectiveVandVsubjectiveVdata
4. ApplicationVofVcritic
alVthinkingANS:V2
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,3. VirginiaVHendersonsVtheoryVofVnursingVisVtoVhelpVpeopleVachieveVhealthVorVaVpeacefulVdeathVsoVthatVth
eyVcanVbeVindependentVfromVtheVnurses’VassistanceVasVquicklyVasVpossible.VAVcaringVrelationship,Vinteg
rationVofVobjectiveVandVsubjectiveVdata,VandVapplicationVofVcriticalVthinkingVareincludedVinVtheVAmeric
anVNursesVAssociationsVessentialVfeaturesVofVprofessionalVnursing.
PTS:1DIF:VAnalyze
REF:VEmergenceVofVContemporaryVNursingVinVtheVUnitedVStates
A. clientVtellsVtheVnurseVthatVheVhasVanVHMOVforVhisVhealthVinsurance.VTheVnurseVund
erstandsVthatVtheVpurposeVofVthisVtypeVofVhealthVplanVisVto:
1. ensureVpaymentVisVmadeVtoVMedicareVforVservicesVrendered.
2. maximizeVtheVutilizationVofVhealthVcareVresources.
3. efficientlyVmanageVcostsVwhileVprovidingVqualityVcare.
4. focusVonVtheVillnessVwhenVprovidingVcare.
ANS:V3
HealthVmaintenanceVorganizationsV(HMOs)VwereVcreatedVtoVefficientlyVmanageVhealthVcare
VcostsVwhileVprovidingVqualityVcare.VAnVHMOVisVaVtypeVofVmanagedVcareVplanVwithVtheVg
oalVofVprovidingVwellnessVcareVandVnotVfocusingVonVtheVillnessVduringVtheVprovisionVofVca
re.VHMOsVdoVnotVensureVpaymentVisVmadeVtoVMedicareVforVservicesVrendered.VHMOsVals
oVdoVnotVmaximizeVtheVutilizationVofVhealthVcareVresourcesVbutVratherVusesVfinancialVincen
tivesVtoVdecreaseVcareVcosts.
PTS:V1VDIF:VUnderstandVREF:VCostVofVCare
4.A clientVtellsVtheVnurseVthatVheVdoesVnotVhaveVaVprimaryVcareVphysicianVbutVratherV
makesanVappointmentVwithVaVdoctorVwhoVspecializesVinVtheVareaVinVwhichVheVisVexp
eriencingVaVproblem.VTheVnurseVrealizesVthisVclientVisVatVriskVforVwhichVofVtheVfollo
wing?
1. FragmentedVcare
2. OverpaymentVofVservices
3. InabilityVtoVsustainVhealth
4. FindingVanVappropriateVgeneralVpractitioner
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, ANS:V1
InVtheV1980s,VtheVcloseVandVtrustingVrelationshipVbetweenVanVindividualVandVtheVindividual
’sVphysicianVwanedVandVwasVreplacedVbyVacquaintancesVwithVspecialistsVbasedVuponVpartic
ularVhealthcareVproblems.VTheseVepisodesVofVcareVcauseVfragmentationVofVcare.VTheVclientV
whoVutilizesVspecialistsVisVnotVatVriskVforVoverpaymentVofVservices,VtheVinabilityVtoVsustain
Vhealth,VorfindingVanVappropriateVgeneralVpractitioner.
PTS:1DIF:VAnalyzeVREFVProvidersVofVCare
5. TheVnurseVisVattendingVaVmaster’sVdegreeVprogramVinVeffortsVtoVbeVeducationallyVp
reparedVtoserveVasVaVhospitalVleader.VTheVnurseVrealizesVthatVthisVeducationalVprepar
ationwill:
1. hinderVtheVnurses’VabilityVtoVworkVwithVphysicians.
2. beVviewedVasVnotVsupportingVtheVprofessionVofVnursingVbyVotherVnurses.
3. ensureVtheVnurseVisVbiasedVtowardsVclinician’sVinterests.
prepareVtheVnurseVtoVserveVasVstrongVclinicalVsupportVwithVtheVabilityVtoVintegrateVbusinessVand
4. caring.
ANS:V4
TheVnurseVisVattendingVanVeducationalVprogramVtoVserveVasVaVhospitalVleader.VThisVeducati
onVwillVprepareVtheVnurseVtoVserveVasVstrongVclinicalVsupportVwithVtheVabilityVtoVintegrateV
businessVandVcaring.VThisVeducationVwillVnotVhinderVtheVnurse’sVabilityVtoVworkVwithVphysi
cians.VThisVeducationVwillVnotVbeVviewedVasVunsupportiveVtoVtheVprofessionVofVnursing.VT
heVeducationVwillVensureVthatVtheVnurseVisVnotVbiasedVtowardsVclinician’sVinterests.
PTS:V1VDIF:VAnalyzeVREF:VClinicalVSystemsVLeadership
6. AVclientVtellsVtheVnurseVthatVallVhospitalsVcareVaboutVisVdoingVtheVminimumVforVa
VclientVregardlessVofVtheVoutcome.VWhichVofVtheVfollowingVshouldVtheVnurseVrespond
VtoVthisVclient?
1. ItVdoesVfeelVlikeVthatVsometimes.
2. HealthVinsuranceVcompaniesVhaveVcausedVthisVproblem.
3. TheVdoctorsVwillVgetVpaidVregardlessVofVtheVclients’Voutcomes.
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