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,FocusMonMAdultMHealthMMedicalMSurgicalMNursingM2ndMEditionMHonanMTestMBank

WellMElaboratedMAnswersM&MQuestions

ChapterM1MTheMnurse’sMRoleMinMAdultMHealthMNursi

ngMMULTIPLEMCHOICE
1. TheMnurseMensuresMthatMaMclient’sMbedsMpaceMisMneatMandMcleanMwithMtheMcallMligh
tMwithinMeasyMreach.MTheMnurseMisMfocusingMonMwhichMnursingMtheoristMwhoMrealize
dMtheMimportanceMofMtheMenvironmentMforMcare?

1. FlorenceMNightingale

2. SisterMCallistaMRoy

3. DorotheaMOrem

4. MarthaMRogers

ANS:M1
FlorenceMNightingalesMtheoryMfocusedMonMtheMenvironmentMforMcare.MSisterMCallistaMRoys
MmodelMisMbasedMinMsystemsMtheoryMandManMindividual’sMabilityMtoMadapt.MDorotheaMOre
msMmodelMisMtheMself-
McareMdeficitMtheory.MMarthaMRogersMmodelMisMtheMscienceMofMunitaryMhumanMbeings.

PTS:1DIF:MApply
REF:MEmergenceMofMContemporaryMNursingMinMtheMUnitedMStates
2. TheMnurseMisMinstructingMaMclientMonMself-
administrationMofMinsulinMsoMthatMtheMclientMwillMnotMneedMaMhealthMcareMproviderMt
oMdoMthisMactivity.MTheMnurseMisMimplementingMwhichMofMtheMfollowingMaspectsMof
MVirginiaMHendersonsMtheoryMofMnursing?


1. AMcaringMrelationship

2. HelpingMtheMclientMachieveMindependenceMfromMtheMnurses’MassistanceMasMquicklyMasMpossible

3. IntegrationMofMobjectiveMandMsubjectiveMdata

4. ApplicationMofMcritic

alMthinkingANS:M2

MedMC

,3. VirginiaMHendersonsMtheoryMofMnursingMisMtoMhelpMpeopleMachieveMhealthMorMaMpeacefulMdeathMsoMth
atMtheyMcanMbeMindependentMfromMtheMnurses’MassistanceMasMquicklyMasMpossible.MAMcaringMrelations
hip,MintegrationMofMobjectiveMandMsubjectiveMdata,MandMapplicationMofMcriticalMthinkingMareincludedMi
nMtheMAmericanMNursesMAssociationsMessentialMfeaturesMofMprofessionalMnursing.
PTS:1DIF:MAnalyze
REF:MEmergenceMofMContemporaryMNursingMinMtheMUnitedMStates
A. clientMtellsMtheMnurseMthatMheMhasManMHMOMforMhisMhealthMinsurance.MTheMnurse
MunderstandsMthatMtheMpurposeMofMthisMtypeMofMhealthMplanMisMto:


1. ensureMpaymentMisMmadeMtoMMedicareMforMservicesMrendered.

2. maximizeMtheMutilizationMofMhealthMcareMresources.

3. efficientlyMmanageMcostsMwhileMprovidingMqualityMcare.

4. focusMonMtheMillnessMwhenMprovidingMcare.

ANS:M3
HealthMmaintenanceMorganizationsM(HMOs)MwereMcreatedMtoMefficientlyMmanageMhealthMca
reMcostsMwhileMprovidingMqualityMcare.MAnMHMOMisMaMtypeMofMmanagedMcareMplanMwith
MtheMgoalMofMprovidingMwellnessMcareMandMnotMfocusingMonMtheMillnessMduringMtheMprovi
sionMofMcare.MHMOsMdoMnotMensureMpaymentMisMmadeMtoMMedicareMforMservicesMrendere
d.MHMOsMalsoMdoMnotMmaximizeMtheMutilizationMofMhealthMcareMresourcesMbutMratherMuse
sMfinancialMincentivesMtoMdecreaseMcareMcosts.
PTS:M1MDIF:MUnderstandMREF:MCostMofMCare
4.A clientMtellsMtheMnurseMthatMheMdoesMnotMhaveMaMprimaryMcareMphysicianMbutMrat
herMmakesanMappointmentMwithMaMdoctorMwhoMspecializesMinMtheMareaMinMwhichMhe
MisMexperiencingMaMproblem.MTheMnurseMrealizesMthisMclientMisMatMriskMforMwhichMo
fMtheMfollowing?

1. FragmentedMcare

2. OverpaymentMofMservices

3. InabilityMtoMsustainMhealth

4. FindingManMappropriateMgeneralMpractitioner




MedM

, ANS:M1
InMtheM1980s,MtheMcloseMandMtrustingMrelationshipMbetweenManMindividualMandMtheMindivi
dual’sMphysicianMwanedMandMwasMreplacedMbyMacquaintancesMwithMspecialistsMbasedMupon
MparticularMhealthcareMproblems.MTheseMepisodesMofMcareMcauseMfragmentationMofMcare.MT
heMclientMwhoMutilizesMspecialistsMisMnotMatMriskMforMoverpaymentMofMservices,MtheMinabil
ityMtoMsustainMhealth,MorfindingManMappropriateMgeneralMpractitioner.
PTS:1DIF:MAnalyzeMREFMProvidersMofMCare
5. TheMnurseMisMattendingMaMmaster’sMdegreeMprogramMinMeffortsMtoMbeMeducationall
yMpreparedMtoserveMasMaMhospitalMleader.MTheMnurseMrealizesMthatMthisMeducational
Mpreparationwill:


1. hinderMtheMnurses’MabilityMtoMworkMwithMphysicians.

2. beMviewedMasMnotMsupportingMtheMprofessionMofMnursingMbyMotherMnurses.

3. ensureMtheMnurseMisMbiasedMtowardsMclinician’sMinterests.

prepareMtheMnurseMtoMserveMasMstrongMclinicalMsupportMwithMtheMabilityMtoMintegrateMbusinessM
d
4. caring.

ANS:M4
TheMnurseMisMattendingManMeducationalMprogramMtoMserveMasMaMhospitalMleader.MThisMedu
cationMwillMprepareMtheMnurseMtoMserveMasMstrongMclinicalMsupportMwithMtheMabilityMtoMin
tegrateMbusinessMandMcaring.MThisMeducationMwillMnotMhinderMtheMnurse’sMabilityMtoMwork
MwithMphysicians.MThisMeducationMwillMnotMbeMviewedMasMunsupportiveMtoMtheMprofession
MofMnursing.MTheMeducationMwillMensureMthatMtheMnurseMisMnotMbiasedMtowardsMclinician’
sMinterests.
PTS:M1MDIF:MAnalyzeMREF:MClinicalMSystemsMLeadership
6. AMclientMtellsMtheMnurseMthatMallMhospitalsMcareMaboutMisMdoingMtheMminimumMf
orMaMclientMregardlessMofMtheMoutcome.MWhichMofMtheMfollowingMshouldMtheMnurse
MrespondMtoMthisMclient?


1. ItMdoesMfeelMlikeMthatMsometimes.

2. HealthMinsuranceMcompaniesMhaveMcausedMthisMproblem.

3. TheMdoctorsMwillMgetMpaidMregardlessMofMtheMclients’Moutcomes.




MedM

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