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
MULTIPLE`CHOICE
1. The`nurse`ensures`that`a`client’s`beds`pace`is`neat`and`clean`with`the`call`light`within`easy`r
each.The`nurse`is`focusing`on`which`nursing`theorist`who`realized`the`importance`of`the`env
ironment`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.
PTS:1DIF:`Apply
REF:`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`acti
vity.`The`nurse`is`implementing`which`of`the`following`aspects`of`Virginia`Hendersons`theor
y`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`tha
tthey`can`be`independent`from`the`nurses’`assistance`as`quickly`as`possible.`A`caring`relationshi
p,`integration`of`objective`and`subjective`data,`and`application`of`critical`thinking`are`included`in`
the`American`Nurses`Associations`essential`features`of`professional`nursing.
PTS:1DIF:`Analyze
REF:`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`t
hatthe`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`w
ellness`care`and`not`focusing`on`the`illness`during`the`provision`of`care.`HMOs`do`not`ensure`pay
ment`is`made`to`Medicare`for`services`rendered.`HMOs`also`do`not`maximize`the`utilization`of`h
ealth`care`resources`but`rather`uses`financial`incentives`to`decrease`care`costs.
PTS:`1`DIF:`Understand`REF:`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`pro
blem.The`nurse`realizes`this`client`is`at`risk`for`which`of`the`following?
1. Fragmented`care
2. Overpayment`of`services
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`physi
cian`waned`and`was`replaced`by`acquaintances`with`specialists`based`upon`particular`healthcar
e`problems.`These`episodes`of`care`cause`fragmentation`of`care.`The`client`who`utilizes`specialis
ts`is`not`at`risk`for`overpayment`of`services,`the`inability`to`sustain`health,`or`finding`an`appropria
te`general`practitioner.
PTS: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`p
repare`the`nurse`to`serve`as`strong`clinical`support`with`the`ability`to`integrate`business`and`cari
ng.`This`education`will`not`hinder`the`nurse’s`ability`to`work`with`physicians.`This`education`will`n
ot`be`viewed`as`unsupportive`to`the`profession`of`nursing.`The`education`will`ensure`that`the`nu
rse`is`not`biased`towards`clinician’s`interests.
PTS:`1`DIF:`Analyze`REF:`Clinical`Systems`Leadership
6. A`client`tells`the`nurse`that`all`hospitals`care`about`is`doing`the`minimum`for`a`client`reg
ardlessof`the`outcome.`Which`of`the`following`should`the`nurse`respond`to`this`client?
1. It`does`feel`like`that`sometimes.
2. Health`insurance`companies`have`caused`this`problem.
3. The`doctors`will`get`paid`regardless`of`the`clients’`outcomes.
Judgment, 3rd Edition by Linda Honan
,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`r
each.The`nurse`is`focusing`on`which`nursing`theorist`who`realized`the`importance`of`the`env
ironment`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.
PTS:1DIF:`Apply
REF:`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`acti
vity.`The`nurse`is`implementing`which`of`the`following`aspects`of`Virginia`Hendersons`theor
y`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`tha
tthey`can`be`independent`from`the`nurses’`assistance`as`quickly`as`possible.`A`caring`relationshi
p,`integration`of`objective`and`subjective`data,`and`application`of`critical`thinking`are`included`in`
the`American`Nurses`Associations`essential`features`of`professional`nursing.
PTS:1DIF:`Analyze
REF:`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`t
hatthe`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`w
ellness`care`and`not`focusing`on`the`illness`during`the`provision`of`care.`HMOs`do`not`ensure`pay
ment`is`made`to`Medicare`for`services`rendered.`HMOs`also`do`not`maximize`the`utilization`of`h
ealth`care`resources`but`rather`uses`financial`incentives`to`decrease`care`costs.
PTS:`1`DIF:`Understand`REF:`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`pro
blem.The`nurse`realizes`this`client`is`at`risk`for`which`of`the`following?
1. Fragmented`care
2. Overpayment`of`services
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`physi
cian`waned`and`was`replaced`by`acquaintances`with`specialists`based`upon`particular`healthcar
e`problems.`These`episodes`of`care`cause`fragmentation`of`care.`The`client`who`utilizes`specialis
ts`is`not`at`risk`for`overpayment`of`services,`the`inability`to`sustain`health,`or`finding`an`appropria
te`general`practitioner.
PTS: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`p
repare`the`nurse`to`serve`as`strong`clinical`support`with`the`ability`to`integrate`business`and`cari
ng.`This`education`will`not`hinder`the`nurse’s`ability`to`work`with`physicians.`This`education`will`n
ot`be`viewed`as`unsupportive`to`the`profession`of`nursing.`The`education`will`ensure`that`the`nu
rse`is`not`biased`towards`clinician’s`interests.
PTS:`1`DIF:`Analyze`REF:`Clinical`Systems`Leadership
6. A`client`tells`the`nurse`that`all`hospitals`care`about`is`doing`the`minimum`for`a`client`reg
ardlessof`the`outcome.`Which`of`the`following`should`the`nurse`respond`to`this`client?
1. It`does`feel`like`that`sometimes.
2. Health`insurance`companies`have`caused`this`problem.
3. The`doctors`will`get`paid`regardless`of`the`clients’`outcomes.
