Focus on Adult Health Medical-Surgical Nursing 2nd Ed Test Bank – Honan – 2025/2026

,FocusgongAdultgHealthgMedicalgSurgicalgNursingg2ndgEditiongHonangTestgBank

WellgElaboratedgAnswersg&gQuestions

Chapterg1gThegnurse’sgRolegingAdultgHealthgNursinggMU

LTIPLEgCHOICE
1. Thegnursegensuresgthatgagclient’sgbedsgpacegisgneatgandgcleangwithgthegcallglightgwithingea
sygreach.gThegnursegisgfocusinggongwhichgnursinggtheoristgwhogrealizedgthegimportancegofg
thegenvironmentgforgcare?

1. FlorencegNightingale

2. SistergCallistagRoy

3. DorotheagOrem

4. MarthagRogers

ANS:g1
FlorencegNightingalesgtheorygfocusedgongthegenvironmentgforgcare.gSistergCallistagRoysgmodelgi
sgbasedgingsystemsgtheorygandgangindividual’sgabilitygtogadapt.gDorotheagOremsgmodelgisgthegse
lf-gcaregdeficitgtheory.gMarthagRogersgmodelgisgthegsciencegofgunitaryghumangbeings.
PTS:1DIF:gApply
REF:gEmergencegofgContemporarygNursinggingthegUnitedgStates
2. Thegnursegisginstructinggagclientgongself-
administrationgofginsulingsogthatgthegclientgwillgnotgneedgaghealthgcaregprovidergtogdogthisga
ctivity.gThegnursegisgimplementinggwhichgofgthegfollowinggaspectsgofgVirginiagHenderson
sgtheorygofgnursing?

1. Agcaringgrelationship

2. Helpinggthegclientgachievegindependencegfromgthegnurses’gassistancegasgquicklygasgpossible

3. Integrationgofgobjectivegandgsubjectivegdata

4. Applicationgofgcritical

gthinkingANS:g2

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,3. VirginiagHendersonsgtheorygofgnursinggisgtoghelpgpeoplegachieveghealthgorgagpeacefulgdeathgsogthatgtheygcang
begindependentgfromgthegnurses’gassistancegasgquicklygasgpossible.gAgcaringgrelationship,gintegrationgofgobje
ctivegandgsubjectivegdata,gandgapplicationgofgcriticalgthinkinggareincludedgingthegAmericangNursesgAssociati
onsgessentialgfeaturesgofgprofessionalgnursing.
PTS:1DIF:gAnalyze
REF:gEmergencegofgContemporarygNursinggingthegUnitedgStates
A. clientgtellsgthegnursegthatgheghasgangHMOgforghisghealthginsurance.gThegnursegunderstan
dsgthatgthegpurposegofgthisgtypegofghealthgplangisgto:

1. ensuregpaymentgisgmadegtogMedicaregforgservicesgrendered.

2. maximizegthegutilizationgofghealthgcaregresources.

3. efficientlygmanagegcostsgwhilegprovidinggqualitygcare.

4. focusgongthegillnessgwhengprovidinggcare.

ANS:g3
Healthgmaintenancegorganizationsg(HMOs)gweregcreatedgtogefficientlygmanageghealthgcaregcosts
gwhilegprovidinggqualitygcare.gAngHMOgisgagtypegofgmanagedgcaregplangwithgtheggoalgofgprovidi
nggwellnessgcaregandgnotgfocusinggongthegillnessgduringgthegprovisiongofgcare.gHMOsgdognotgen
suregpaymentgisgmadegtogMedicaregforgservicesgrendered.gHMOsgalsogdognotgmaximizegthegutili
zationgofghealthgcaregresourcesgbutgrathergusesgfinancialgincentivesgtogdecreasegcaregcosts.
PTS:g1gDIF:gUnderstandgREF:gCostgofgCare
4.A clientgtellsgthegnursegthatghegdoesgnotghavegagprimarygcaregphysiciangbutgrathergmakesa
ngappointmentgwithgagdoctorgwhogspecializesgingthegareagingwhichghegisgexperiencinggagpr
oblem.gThegnursegrealizesgthisgclientgisgatgriskgforgwhichgofgthegfollowing?

1. Fragmentedgcare

2. Overpaymentgofgservices

3. Inabilitygtogsustainghealth

4. Findinggangappropriateggeneralgpractitioner




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, ANS:g1
Ingtheg1980s,gthegclosegandgtrustinggrelationshipgbetweengangindividualgandgthegindividual’sgphy
siciangwanedgandgwasgreplacedgbygacquaintancesgwithgspecialistsgbasedgupongparticularghealthc
aregproblems.gThesegepisodesgofgcaregcausegfragmentationgofgcare.gThegclientgwhogutilizesgspeci
alistsgisgnotgatgriskgforgoverpaymentgofgservices,gtheginabilitygtogsustainghealth,gorfindinggangapp
ropriateggeneralgpractitioner.
PTS:1DIF:gAnalyzegREFgProvidersgofgCare
5. Thegnursegisgattendinggagmaster’sgdegreegprogramgingeffortsgtogbegeducationallygprepare
dgtoservegasgaghospitalgleader.gThegnursegrealizesgthatgthisgeducationalgpreparationwill:

1. hindergthegnurses’gabilitygtogworkgwithgphysicians.

2. begviewedgasgnotgsupportinggthegprofessiongofgnursinggbygothergnurses.

3. ensuregthegnursegisgbiasedgtowardsgclinician’sginterests.

preparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgand
4. caring.

ANS:g4
Thegnursegisgattendinggangeducationalgprogramgtogservegasgaghospitalgleader.gThisgeducationgwil
lgpreparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgandg
caring.gThisgeducationgwillgnotghindergthegnurse’sgabilitygtogworkgwithgphysicians.gThisgeducatio
ngwillgnotgbegviewedgasgunsupportivegtogthegprofessiongofgnursing.gThegeducationgwillgensuregth
atgthegnursegisgnotgbiasedgtowardsgclinician’sginterests.
PTS:g1gDIF:gAnalyzegREF:gClinicalgSystemsgLeadership
6. Agclientgtellsgthegnursegthatgallghospitalsgcaregaboutgisgdoinggthegminimumgforgagclientg
regardlessgofgthegoutcome.gWhichgofgthegfollowinggshouldgthegnursegrespondgtogthisgclient
?

1. Itgdoesgfeelglikegthatgsometimes.

2. Healthginsurancegcompaniesghavegcausedgthisgproblem.

3. Thegdoctorsgwillggetgpaidgregardlessgofgthegclients’goutcomes.




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