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