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