TEST BANK
Focus On Adult Health: Medical-Surgical
Nursing 3rd Edition
, Focus On Adult Health: Medical-Surgical Nursing 3rd Edition By Linda Honan Test BankTable Of
Contents:
Chapter 1 The Nurse’s Role In Adult Health Nursing
Chapter 2 Health Education And Health Promotion
Chapter 3 Chronic Illness And End-Of-Life Care
Chapter 4 Fluid And Electrolyte And Acid–Base Imbalances
Chapter 5 Perioperative Nursing
Chapter 6 Cancer Care
Chapter 7 Pain Management
Chapter 8 Nursing Assessment: Respiratory Function
Chapter 9 Nursing Management: Patients With Upper Respiratory Tract Disorders
Chapter 10 Nursing Management: Patients With Chest And Lower Respiratory Tract Disorders
Chapter 11 Nursing Management Of Patients Diagnosed With Chronic Obstructive Pulmonary
Disease And Asthma
Chapter 12 Nursing Assessment: Cardiovascular And Circulatory Function
Chapter 13 Nursing Management: Patients With Hypertension
Chapter 14 Nursing Management: Patients With Coronary Vascular Disorders
Chapter 15 Nursing Management: Patients With Complications From Heart Disease
Chapter 16 Nursing Management: Patients With Structural, Inflammatory And InfectiousCardiac
Disorders
Chapter 17 Nursing Management: Patients With Arrhythmias And Conduction Problems
Chapter 18 Nursing Management: Patients With Vascular Disorders And Problems Of Peripheral
Circulation
Chapter 19 Nursing Assessment: Hematologic Function
Chapter 20 Nursing Management: Patients With Hematologic Disorders
Chapter 21 Nursing Assessment: Digestive, Gastrointestinal, And Metabolic Function
Chapter 22 Nursing Management: Patients With Oral And Esophageal Disorders And Patients
Receiving Gastrointestinal Intubation, Enteral, And Parenteral Nutrition
Chapter 23 Nursing Management: Patients With Gastric And Duodenal Disorders
Chapter 24 Nursing Management: Patients With Intestinal And Rectal Disorders
Chapter 25 Nursing Management: Patients With Hepatic And Biliary Disorders
Chapter 26 Nursing Assessment: Renal And Urinary Tract Function
Chapter 27 Nursing Management: Patients With Renal Disorders
Chapter 28 Nursing Management: Patients With Urinary Disorders
Chapter 29 Nursing Assessment: Endocrine Function
Chapter 30 Nursing Management: Diabetes Mellitus
Chapter 31 Nursing Management: Patients With Endocrine Disorders
Chapter 32 Nursing Assessment: Female And Male Reproductive Function
,Chapter 33 Nursing Management: Patients With Breast And Female Reproductive Disorders
Chapter 34 Nursing Management: Patients With Male Reproductive Disorders
Chapter 35 Nursing Management: Patients With Sexually Transmitted Infections
Chapter 36 Nursing Assessment: Immune Function
Chapter 37 Nursing Management: Patients With Immunodeficiency, Hiv Infection, And Aids
Chapter 38 Nursing Management: Patients With Allergic Disorders
Chapter 39 Nursing Management: Patients With Rheumatic Disorders
Chapter 40 Nursing Assessment: Musculoskeletal Function
Chapter 41 Nursing Management: Patients With Musculoskeletal Disorders
Chapter 42 Nursing Management: Patients With Musculoskeletal Trauma
Chapter 43 Nursing Assessment: Neurologic Function
Chapter 44 Nursing Management: Patients With Oncologic Disorders Of The Brain And SpinalCord
Chapter 45 Nursing Management: Patients With Neurologic Trauma
Chapter 46 Nursing Management: Patients With Neurologic Disorders
Chapter 47 Nursing Management: Patients With Cerebrovascular Disorders
Chapter 48 Nursing Assessment: Sensorineural Function
Chapter 49 Nursing Management: Patients With Eye And Vision Disorders
Chapter 50 Nursing Management: Patients With Hearing And Balance Disorders
Chapter 51 Nursing Assessment: Integumentary Function
Chapter 52 Nursing Management: Patients With Dermatologic Problems
Chapter 53 Nursing Management: Patients With Burn Injury
Chapter 54 Nursing Management: Shock And Multisystem Failure
Chapter 55 Nursing Management: Critical Care
Chapter 56 Nursing Management: Emergencies And Disasters
,CHAPTER 1: The Nurse’s Role In Adult Health Nursing
MULTIPLE CHOICE
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within
easy reach.the nurse is focusing on which nursing theorist who realized the importance of
the environment for care?
1. Florence nightingale
2. sister callista roy
3. dorothea orem
4. martha rogers
Ans: 1
Florence nightingales theory focused on the environment for care. Sister callista roys model is
based in systems theory and an individual’s ability to adapt. Dorothea orems model is the self-
care deficit theory. Martha rogers model is the science of unitary human beings.
Points:1dif: apply
Reference: emergence of contemporary nursing in the united states
2. the nurse is instructing a client on self-administration of insulin so that the client will not
needa health care provider to do this activity. The nurse is implementing which of the
following aspects of virginia hendersons theory of nursing?
1. A caring relationship
2. helping the client achieve independence from the nurses’ assistance as quickly as possible
3. integration of objective and subjective data
4. application of critical
thinking
Ans: 2
,Virginia hendersons theory of nursing is to help people achieve health or a peaceful death so
thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
relationship, integration of objective and subjective data, and application of critical thinking are
included in the american nurses associations essential features of professional nursing.
Points:1dif: analyze
Reference: emergence of contemporary nursing in the united states
A. client tells the nurse that he has an hmo for his health insurance. The nurse
understands thatthe purpose of this type of health plan is to:
1. Ensure payment is made to medicare for services rendered.
2. maximize the utilization of health care resources.
3. efficiently manage costs while providing quality care.
4. focus on the illness when providing care.
Ans: 3
Health maintenance organizations (hmos) were created to efficiently manage health care costs
while providing quality care. An hmo is a type of managed care plan with the goal of providing
wellness care and not focusing on the illness during the provision of care. Hmos do not ensure
payment is made to medicare for services rendered. Hmos also do not maximize the utilization
of health care resources but rather uses financial incentives to decrease care costs.
Points: 1 dif: understand reference: cost of care
4.A client tells the nurse that he does not have a primary care physician but rather
makes an appointment with a doctor who specializes in the area in which he is
experiencing a problem.the nurse realizes this client is at risk for which of the
following?
1. fragmented care
2. overpayment of services
4. Finding an appropriate general practitioner
, 3. inability to sustain health
4. Finding an appropriate general practitioner
Ans: 1
In the 1980s, the close and trusting relationship between an individual and the individual’s
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
finding an appropriate general practitioner.
Points:1dif: analyzerefroviders of care
5. the nurse is attending a master’s degree program in efforts to be educationally
prepared toserve as a hospital leader. The nurse realizes that this educational
preparation will:
1. Hinder the nurses’ ability to work with physicians.
2. be viewed as not supporting the profession of nursing by other nurses.
3. ensure the nurse is biased towards clinician’s interests.
prepare the nurse to serve as strong clinical support with the ability to integrate business and
4. Caring.
Ans: 4
The nurse is attending an educational program to serve as a hospital leader. This education will
prepare the nurse to serve as strong clinical support with the ability to integrate business and
caring. This education will not hinder the nurse’s ability to work with physicians. This education
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
the nurse is not biased towards clinician’s interests.
Points: 1 dif: analyze reference: clinical systems leadership
6. a client tells the nurse that all hospitals care about is doing the minimum for a client
regardlessof the outcome. Which of the following should the nurse respond to this
client?
1. it does feel like that sometimes.
3. The doctors will get paid regardless of the clients’ outcomes.
,Answ
2. Health insurance companies have caused this problem.
3. the doctors will get paid regardless of the clients’ outcomes.
, there are quality programs in place to make sure clients receive the best quality of care regardl
4. Of the cost.
Ans: 4
In response to concerns about safety and quality of care voiced by clients and providers, total
quality management and continuous quality improvement programs were initiated. These
programs ensure society that cost management is not compromising safety or quality. This is
what the nurse should respond to the client. The other choices do not address the clients
concernsnor do they explain quality management programs.
Points: 1 dif: apply reference: quality measure shift
7. the nurse is providing care at a time that is the most beneficial to the client. The
nurse is implementing which of the following joint commission dimensions of quality
performance?
1. Safety
2. timeliness
3. efficiency
4. availability
Ans: 2
The dimension of timeliness means the degree in which interventions are provided at the most
beneficial time to the client. Safety means the degree in which the risk of an intervention and
riskto the environment are reduced for both client and health care provider. Efficiency means
the degree in which care has the desired effect with a minimum of effort, waste, or expense.
Availability means the degree in which appropriate interventions are available to meet the
clients’needs.
Points:1dif:
Analyze
reference:box 1-1 joint commission dimensions of quality performance
1. Using a needleless device when providing intravenous medications
,8. the nurse is providing care while adhering to safety as a joint commission dimension of
quality performance. Which of the following did the nurse provide to the client?
1. using a needleless device when providing intravenous medications
, 2. keeping the side rails of the bed in the down position after providing a pain medication to a clie
3. having the client sit in a wheelchair with the wheels in the unlocked position
4. placing cloth towels over a spill in the room of an ambulatory
client ANS: 1
The dimension of safety means the degree in which the risk of an intervention and risk to
theenvironment are reduced for both client and health care provider. The nurse who uses
a needleless device when providing intravenous medications is adhering to this
dimension.
Keeping the side rails in the down position is not a safe practice. Having a client sit in a
wheelchair with the wheels unlocked is not a safe practice. Placing cloth towels over a spill in
the room of an ambulatory client is not a safe practice.
Points:1dif: analyze
Reference:box 1-1 joint commission dimensions of quality performance
9. the nurse is planning and providing care while adhering to the american nurses
association definition of professional nursing. Which of the following does the nurse
include when implementing client care?
1. Follows the nanda nursing diagnoses process
2. integrates objective and subjective data
3. respects cultural diversity of peers
4. acknowledges the experience and training of
physicians ANS: 2
The american nurses association acknowledges six essential features of professional nursing.
These include: 1) a caring relationship, 2) attention to the full range of human health and illness
experiences, 3) integrates objective and subjective data, 4) applies scientific knowledge and
critical thinking, 5) advances nursing knowledge through scholarly inquiry, and 6) promotes
social justice. The nurse integrating objective and subjective data is implementing one of the six
essential features of professional nursing. The other choices are not essential features of
professional nursing.
Points:1dif: analyze
Focus On Adult Health: Medical-Surgical
Nursing 3rd Edition
, Focus On Adult Health: Medical-Surgical Nursing 3rd Edition By Linda Honan Test BankTable Of
Contents:
Chapter 1 The Nurse’s Role In Adult Health Nursing
Chapter 2 Health Education And Health Promotion
Chapter 3 Chronic Illness And End-Of-Life Care
Chapter 4 Fluid And Electrolyte And Acid–Base Imbalances
Chapter 5 Perioperative Nursing
Chapter 6 Cancer Care
Chapter 7 Pain Management
Chapter 8 Nursing Assessment: Respiratory Function
Chapter 9 Nursing Management: Patients With Upper Respiratory Tract Disorders
Chapter 10 Nursing Management: Patients With Chest And Lower Respiratory Tract Disorders
Chapter 11 Nursing Management Of Patients Diagnosed With Chronic Obstructive Pulmonary
Disease And Asthma
Chapter 12 Nursing Assessment: Cardiovascular And Circulatory Function
Chapter 13 Nursing Management: Patients With Hypertension
Chapter 14 Nursing Management: Patients With Coronary Vascular Disorders
Chapter 15 Nursing Management: Patients With Complications From Heart Disease
Chapter 16 Nursing Management: Patients With Structural, Inflammatory And InfectiousCardiac
Disorders
Chapter 17 Nursing Management: Patients With Arrhythmias And Conduction Problems
Chapter 18 Nursing Management: Patients With Vascular Disorders And Problems Of Peripheral
Circulation
Chapter 19 Nursing Assessment: Hematologic Function
Chapter 20 Nursing Management: Patients With Hematologic Disorders
Chapter 21 Nursing Assessment: Digestive, Gastrointestinal, And Metabolic Function
Chapter 22 Nursing Management: Patients With Oral And Esophageal Disorders And Patients
Receiving Gastrointestinal Intubation, Enteral, And Parenteral Nutrition
Chapter 23 Nursing Management: Patients With Gastric And Duodenal Disorders
Chapter 24 Nursing Management: Patients With Intestinal And Rectal Disorders
Chapter 25 Nursing Management: Patients With Hepatic And Biliary Disorders
Chapter 26 Nursing Assessment: Renal And Urinary Tract Function
Chapter 27 Nursing Management: Patients With Renal Disorders
Chapter 28 Nursing Management: Patients With Urinary Disorders
Chapter 29 Nursing Assessment: Endocrine Function
Chapter 30 Nursing Management: Diabetes Mellitus
Chapter 31 Nursing Management: Patients With Endocrine Disorders
Chapter 32 Nursing Assessment: Female And Male Reproductive Function
,Chapter 33 Nursing Management: Patients With Breast And Female Reproductive Disorders
Chapter 34 Nursing Management: Patients With Male Reproductive Disorders
Chapter 35 Nursing Management: Patients With Sexually Transmitted Infections
Chapter 36 Nursing Assessment: Immune Function
Chapter 37 Nursing Management: Patients With Immunodeficiency, Hiv Infection, And Aids
Chapter 38 Nursing Management: Patients With Allergic Disorders
Chapter 39 Nursing Management: Patients With Rheumatic Disorders
Chapter 40 Nursing Assessment: Musculoskeletal Function
Chapter 41 Nursing Management: Patients With Musculoskeletal Disorders
Chapter 42 Nursing Management: Patients With Musculoskeletal Trauma
Chapter 43 Nursing Assessment: Neurologic Function
Chapter 44 Nursing Management: Patients With Oncologic Disorders Of The Brain And SpinalCord
Chapter 45 Nursing Management: Patients With Neurologic Trauma
Chapter 46 Nursing Management: Patients With Neurologic Disorders
Chapter 47 Nursing Management: Patients With Cerebrovascular Disorders
Chapter 48 Nursing Assessment: Sensorineural Function
Chapter 49 Nursing Management: Patients With Eye And Vision Disorders
Chapter 50 Nursing Management: Patients With Hearing And Balance Disorders
Chapter 51 Nursing Assessment: Integumentary Function
Chapter 52 Nursing Management: Patients With Dermatologic Problems
Chapter 53 Nursing Management: Patients With Burn Injury
Chapter 54 Nursing Management: Shock And Multisystem Failure
Chapter 55 Nursing Management: Critical Care
Chapter 56 Nursing Management: Emergencies And Disasters
,CHAPTER 1: The Nurse’s Role In Adult Health Nursing
MULTIPLE CHOICE
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within
easy reach.the nurse is focusing on which nursing theorist who realized the importance of
the environment for care?
1. Florence nightingale
2. sister callista roy
3. dorothea orem
4. martha rogers
Ans: 1
Florence nightingales theory focused on the environment for care. Sister callista roys model is
based in systems theory and an individual’s ability to adapt. Dorothea orems model is the self-
care deficit theory. Martha rogers model is the science of unitary human beings.
Points:1dif: apply
Reference: emergence of contemporary nursing in the united states
2. the nurse is instructing a client on self-administration of insulin so that the client will not
needa health care provider to do this activity. The nurse is implementing which of the
following aspects of virginia hendersons theory of nursing?
1. A caring relationship
2. helping the client achieve independence from the nurses’ assistance as quickly as possible
3. integration of objective and subjective data
4. application of critical
thinking
Ans: 2
,Virginia hendersons theory of nursing is to help people achieve health or a peaceful death so
thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
relationship, integration of objective and subjective data, and application of critical thinking are
included in the american nurses associations essential features of professional nursing.
Points:1dif: analyze
Reference: emergence of contemporary nursing in the united states
A. client tells the nurse that he has an hmo for his health insurance. The nurse
understands thatthe purpose of this type of health plan is to:
1. Ensure payment is made to medicare for services rendered.
2. maximize the utilization of health care resources.
3. efficiently manage costs while providing quality care.
4. focus on the illness when providing care.
Ans: 3
Health maintenance organizations (hmos) were created to efficiently manage health care costs
while providing quality care. An hmo is a type of managed care plan with the goal of providing
wellness care and not focusing on the illness during the provision of care. Hmos do not ensure
payment is made to medicare for services rendered. Hmos also do not maximize the utilization
of health care resources but rather uses financial incentives to decrease care costs.
Points: 1 dif: understand reference: cost of care
4.A client tells the nurse that he does not have a primary care physician but rather
makes an appointment with a doctor who specializes in the area in which he is
experiencing a problem.the nurse realizes this client is at risk for which of the
following?
1. fragmented care
2. overpayment of services
4. Finding an appropriate general practitioner
, 3. inability to sustain health
4. Finding an appropriate general practitioner
Ans: 1
In the 1980s, the close and trusting relationship between an individual and the individual’s
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
finding an appropriate general practitioner.
Points:1dif: analyzerefroviders of care
5. the nurse is attending a master’s degree program in efforts to be educationally
prepared toserve as a hospital leader. The nurse realizes that this educational
preparation will:
1. Hinder the nurses’ ability to work with physicians.
2. be viewed as not supporting the profession of nursing by other nurses.
3. ensure the nurse is biased towards clinician’s interests.
prepare the nurse to serve as strong clinical support with the ability to integrate business and
4. Caring.
Ans: 4
The nurse is attending an educational program to serve as a hospital leader. This education will
prepare the nurse to serve as strong clinical support with the ability to integrate business and
caring. This education will not hinder the nurse’s ability to work with physicians. This education
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
the nurse is not biased towards clinician’s interests.
Points: 1 dif: analyze reference: clinical systems leadership
6. a client tells the nurse that all hospitals care about is doing the minimum for a client
regardlessof the outcome. Which of the following should the nurse respond to this
client?
1. it does feel like that sometimes.
3. The doctors will get paid regardless of the clients’ outcomes.
,Answ
2. Health insurance companies have caused this problem.
3. the doctors will get paid regardless of the clients’ outcomes.
, there are quality programs in place to make sure clients receive the best quality of care regardl
4. Of the cost.
Ans: 4
In response to concerns about safety and quality of care voiced by clients and providers, total
quality management and continuous quality improvement programs were initiated. These
programs ensure society that cost management is not compromising safety or quality. This is
what the nurse should respond to the client. The other choices do not address the clients
concernsnor do they explain quality management programs.
Points: 1 dif: apply reference: quality measure shift
7. the nurse is providing care at a time that is the most beneficial to the client. The
nurse is implementing which of the following joint commission dimensions of quality
performance?
1. Safety
2. timeliness
3. efficiency
4. availability
Ans: 2
The dimension of timeliness means the degree in which interventions are provided at the most
beneficial time to the client. Safety means the degree in which the risk of an intervention and
riskto the environment are reduced for both client and health care provider. Efficiency means
the degree in which care has the desired effect with a minimum of effort, waste, or expense.
Availability means the degree in which appropriate interventions are available to meet the
clients’needs.
Points:1dif:
Analyze
reference:box 1-1 joint commission dimensions of quality performance
1. Using a needleless device when providing intravenous medications
,8. the nurse is providing care while adhering to safety as a joint commission dimension of
quality performance. Which of the following did the nurse provide to the client?
1. using a needleless device when providing intravenous medications
, 2. keeping the side rails of the bed in the down position after providing a pain medication to a clie
3. having the client sit in a wheelchair with the wheels in the unlocked position
4. placing cloth towels over a spill in the room of an ambulatory
client ANS: 1
The dimension of safety means the degree in which the risk of an intervention and risk to
theenvironment are reduced for both client and health care provider. The nurse who uses
a needleless device when providing intravenous medications is adhering to this
dimension.
Keeping the side rails in the down position is not a safe practice. Having a client sit in a
wheelchair with the wheels unlocked is not a safe practice. Placing cloth towels over a spill in
the room of an ambulatory client is not a safe practice.
Points:1dif: analyze
Reference:box 1-1 joint commission dimensions of quality performance
9. the nurse is planning and providing care while adhering to the american nurses
association definition of professional nursing. Which of the following does the nurse
include when implementing client care?
1. Follows the nanda nursing diagnoses process
2. integrates objective and subjective data
3. respects cultural diversity of peers
4. acknowledges the experience and training of
physicians ANS: 2
The american nurses association acknowledges six essential features of professional nursing.
These include: 1) a caring relationship, 2) attention to the full range of human health and illness
experiences, 3) integrates objective and subjective data, 4) applies scientific knowledge and
critical thinking, 5) advances nursing knowledge through scholarly inquiry, and 6) promotes
social justice. The nurse integrating objective and subjective data is implementing one of the six
essential features of professional nursing. The other choices are not essential features of
professional nursing.
Points:1dif: analyze
