,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
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