, Test Bank Focus on Adult Health Medical Surgical N l8 l8 l8 l8 l8 l8 l8 l8l8
ursing 2nd Edition Honan l8 l8 l8 l 8
Chapter 1 The nurse’s Role in Adult Health Nursing
l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
reach.The nurse is focusing on which nursing theorist who realized the importance of the
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
environment for care? l8 l8
1. Florence Nightingale l8
2. Sister Callista Roy l8 l8
3. Dorothea Orem l8
4. Martha Rogers l8
ANS: 1 l8
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
- care deficit theory. Martha Rogers model is the science of unitary human beings.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS:1DIF: Apply l8
REF: Emergence of Contemporary Nursing in the United States
l8 l8 l8 l8 l8 l8 l8 l8
2. The nurse is instructing a client on self-
l8 l8 l8 l8 l8 l8 l8
administration of insulin so that the client will not needa health care provider to do this ac
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
tivity. The nurse is implementing which of the following aspects of Virginia Hendersons th
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
eory of nursing?
l8 l8
1. A caring relationship
l8 l8
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
3. Integration of objective and subjective data l8 l8 l8 l8 l8
4. Application of critical thinking l8 l8 l8 l8
ANS: 2 l8
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so t
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
hatthey can be independent from the nurses’ assistance as quickly as possible. A caring relatio
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nship, integration of objective and subjective data, and application of critical thinking are includ
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed in the American Nurses Associations essential features of professional nursing.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS:1DIF: Analyze l8
REF: Emergence of Contemporary Nursing in the United States
l8 l8 l8 l8 l8 l8 l8 l8
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
thatthe purpose of this type of health plan is to:
8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. ensure payment is made to Medicare for services rendered.
l8 l8 l8 l8 l8 l8 l8 l8
2. maximize the utilization of health care resources. l8 l8 l8 l8 l8 l8
3. efficiently manage costs while providing quality care. l8 l8 l8 l8 l8 l8
4. focus on the illness when providing care.
l8 l8 l8 l8 l8 l8
ANS: 3 l8
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
while providing quality care. An HMO is a type of managed care plan with the goal of providing
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
payment is made to Medicare for services rendered. HMOs also do not maximize the utilizatio
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
n of health care resources but rather uses financial incentives to decrease care costs.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS: 1 DIF: Understand REF: Cost of Care
l8 l8 l8 l8 l8 l8 l8
4.A client tells the nurse that he does not have a primary care physician but rather makes
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
an appointment with a doctor who specializes in the area in which he is experiencing a p
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
roblem.The nurse realizes this client is at risk for which of the following?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. Fragmented care l8
2. Overpayment of services l8 l8
3. Inability to sustain health l8 l8 l8
4. Finding an appropriate general practitioner l8 l8 l8 l8
, ANS: 1 l8
In the 1980s, the close and trusting relationship between an individual and the individual’s phy
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
sician waned and was replaced by acquaintances with specialists based upon particular healthc
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
are problems. These episodes of care cause fragmentation of care. The client who utilizes speci
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
alists is not at risk for overpayment of services, the inability to sustain health, or finding an appr
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
opriate general practitioner. l8 l8
PTS:1DIF: AnalyzeREFroviders of Care l8 l8 l8
5. The nurse is attending a master’s degree program in efforts to be educationally prepar
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed toserve as a hospital leader. The nurse realizes that this educational preparation will:
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. hinder the nurses’ ability to work with physicians.
l8 l8 l8 l8 l8 l8 l8
2. be viewed as not supporting the profession of nursing by other nurses.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
3. ensure the nurse is biased towards clinician’s interests.
l8 l8 l8 l8 l8 l8 l8
prepare the nurse to serve as strong clinical support with the ability to integrate business and
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
4. caring.
ANS: 4 l8
The nurse is attending an educational program to serve as a hospital leader. This education will
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
prepare the nurse to serve as strong clinical support with the ability to integrate business and
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
caring. This education will not hinder the nurse’s ability to work with physicians. This education
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
the nurse is not biased towards clinician’s interests.
8 l8 l8 l8 l8 l8 l8 l8
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
l8 l8 l8 l8 l8 l8 l8
6. A client tells the nurse that all hospitals care about is doing the minimum for a client r
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
egardlessof the outcome. Which of the following should the nurse respond to this client?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. It does feel like that sometimes.
l8 l8 l8 l8 l8
2. Health insurance companies have caused this problem.
l8 l8 l8 l8 l8 l8
3. The doctors will get paid regardless of the clients’ outcomes.
l8 l8 l8 l8 l8 l8 l8 l8 l8
ursing 2nd Edition Honan l8 l8 l8 l 8
Chapter 1 The nurse’s Role in Adult Health Nursing
l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
reach.The nurse is focusing on which nursing theorist who realized the importance of the
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
environment for care? l8 l8
1. Florence Nightingale l8
2. Sister Callista Roy l8 l8
3. Dorothea Orem l8
4. Martha Rogers l8
ANS: 1 l8
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
- care deficit theory. Martha Rogers model is the science of unitary human beings.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS:1DIF: Apply l8
REF: Emergence of Contemporary Nursing in the United States
l8 l8 l8 l8 l8 l8 l8 l8
2. The nurse is instructing a client on self-
l8 l8 l8 l8 l8 l8 l8
administration of insulin so that the client will not needa health care provider to do this ac
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
tivity. The nurse is implementing which of the following aspects of Virginia Hendersons th
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
eory of nursing?
l8 l8
1. A caring relationship
l8 l8
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
3. Integration of objective and subjective data l8 l8 l8 l8 l8
4. Application of critical thinking l8 l8 l8 l8
ANS: 2 l8
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so t
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
hatthey can be independent from the nurses’ assistance as quickly as possible. A caring relatio
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nship, integration of objective and subjective data, and application of critical thinking are includ
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed in the American Nurses Associations essential features of professional nursing.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS:1DIF: Analyze l8
REF: Emergence of Contemporary Nursing in the United States
l8 l8 l8 l8 l8 l8 l8 l8
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
thatthe purpose of this type of health plan is to:
8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. ensure payment is made to Medicare for services rendered.
l8 l8 l8 l8 l8 l8 l8 l8
2. maximize the utilization of health care resources. l8 l8 l8 l8 l8 l8
3. efficiently manage costs while providing quality care. l8 l8 l8 l8 l8 l8
4. focus on the illness when providing care.
l8 l8 l8 l8 l8 l8
ANS: 3 l8
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
while providing quality care. An HMO is a type of managed care plan with the goal of providing
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
payment is made to Medicare for services rendered. HMOs also do not maximize the utilizatio
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
n of health care resources but rather uses financial incentives to decrease care costs.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS: 1 DIF: Understand REF: Cost of Care
l8 l8 l8 l8 l8 l8 l8
4.A client tells the nurse that he does not have a primary care physician but rather makes
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
an appointment with a doctor who specializes in the area in which he is experiencing a p
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
roblem.The nurse realizes this client is at risk for which of the following?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. Fragmented care l8
2. Overpayment of services l8 l8
3. Inability to sustain health l8 l8 l8
4. Finding an appropriate general practitioner l8 l8 l8 l8
, ANS: 1 l8
In the 1980s, the close and trusting relationship between an individual and the individual’s phy
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
sician waned and was replaced by acquaintances with specialists based upon particular healthc
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
are problems. These episodes of care cause fragmentation of care. The client who utilizes speci
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
alists is not at risk for overpayment of services, the inability to sustain health, or finding an appr
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
opriate general practitioner. l8 l8
PTS:1DIF: AnalyzeREFroviders of Care l8 l8 l8
5. The nurse is attending a master’s degree program in efforts to be educationally prepar
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed toserve as a hospital leader. The nurse realizes that this educational preparation will:
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. hinder the nurses’ ability to work with physicians.
l8 l8 l8 l8 l8 l8 l8
2. be viewed as not supporting the profession of nursing by other nurses.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
3. ensure the nurse is biased towards clinician’s interests.
l8 l8 l8 l8 l8 l8 l8
prepare the nurse to serve as strong clinical support with the ability to integrate business and
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
4. caring.
ANS: 4 l8
The nurse is attending an educational program to serve as a hospital leader. This education will
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
prepare the nurse to serve as strong clinical support with the ability to integrate business and
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
caring. This education will not hinder the nurse’s ability to work with physicians. This education
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
the nurse is not biased towards clinician’s interests.
8 l8 l8 l8 l8 l8 l8 l8
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
l8 l8 l8 l8 l8 l8 l8
6. A client tells the nurse that all hospitals care about is doing the minimum for a client r
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
egardlessof the outcome. Which of the following should the nurse respond to this client?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
1. It does feel like that sometimes.
l8 l8 l8 l8 l8
2. Health insurance companies have caused this problem.
l8 l8 l8 l8 l8 l8
3. The doctors will get paid regardless of the clients’ outcomes.
l8 l8 l8 l8 l8 l8 l8 l8 l8
