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