TEST BANK
|
,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.
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
|need |a |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
thinkingANS: |2
|
,3. Virginia |Hendersons |theory |of |nursing |is |to |help |people |achieve |health |or |a |peaceful |death |so |that |they |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 |areincluded |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
|that |the |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.
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 |makesan
|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
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, |orfinding |an
|appropriate |general |practitioner.
PTS:1DIF: |Analyze |REF |Providers |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 |preparationwill:
|
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.
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
regardless |of |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.
|
,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.
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
|need |a |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
thinkingANS: |2
|
,3. Virginia |Hendersons |theory |of |nursing |is |to |help |people |achieve |health |or |a |peaceful |death |so |that |they |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 |areincluded |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
|that |the |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.
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 |makesan
|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
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, |orfinding |an
|appropriate |general |practitioner.
PTS:1DIF: |Analyze |REF |Providers |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 |preparationwill:
|
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.
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
regardless |of |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.
