Test Bank For Medical-Surgical Nursing: Focus on Clinical Judgment 3rd Edition. By Linda Honan. All Chapters-1-55 Covered|| 100% Fully Verified Answers|| Latest Edition 2025

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Material




TEST BANK Medical-Surgical Nursing: Focus on Clinical Judgment
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3rd Edition by Honan
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Chapter 1-55 ss

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Material




Chapter 1 The nurse’s Role in Adult Health Nursing
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ss MULTIPLE CHOICE ss




1. The nurse ensures that a clients bedspace is neat and clean with the call light within easy reach.
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s s The nurse is focusing on which nursing theorist who realized the importance of the
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ss environment for care? ss ss




1. Florence Nightingale s s




2. Sister Callista Roy ss s s




3. Dorothea Orem s s




4. Martha Rogers s s




ANS: 1 ss




Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
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based in systems theory and an individuals ability to adapt. Dorothea Orems model is the self -
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care deficit theory. Martha Rogers model is the science of unitary human beings.
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PTS:1DIF:Apply
REF:Emergence of Contemporary Nursing in the United States ss ss ss ss ss ss ss




2. The nurse is instructing a client on self-administration of insulin so that the client will not
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ss need a health care provider to do this activity. The nurse is implementing which of the
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ss 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 s s s s s s s s s s




4. Application of critical thinking s s s s s s




ANS: 2 ss

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Material




Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so that
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they can be independent from the nurses assistance as quickly as possible. A caring relationship,
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integration of objective and subjective data, and application of critical thinking are included in
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the American Nurses Associations essential features of professional nursing.
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PTS:1DIF:Analyze
REF:Emergence of Contemporary Nursing in the United States ss ss ss ss ss ss ss




A. client tells the nurse that he has an HMO for his health insurance. The nurse understands that
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the 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. s s ss ss s s ss ss




3. efficiently manage costs while providing quality care. s s s s s s s s s s ss




4. focus on the illness when providing care.
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ANS: 3 ss




Health maintenance organizations (HMOs) were created to efficiently manage health care costs
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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. HMOs
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do not ensure payment is made to Medicare for services rendered. HMOs also do not
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maximize the utilization of health care resources but rather uses financial incentives to
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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 makes
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an appointment with a doctor who specializes in the area in which he is experiencing a
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problem. The nurse realizes this client is at risk for which of the following?
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1. Fragmented s s care

2. Overpayment s s of s s services


3. Inability to sustain health ss ss ss




4. Finding an s s s s appropriate s s general s s practitioner

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Material




ANS: 1 ss




In the 1980s, the close and trusting relationship between an individual and the individuals
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physician waned and was replaced by acquaintances with specialists based upon particular health
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s care problems. These episodes of care cause fragmentation of care. The client who utilizes
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specialists is not at risk for overpayment of services, the inability to sustain health, or
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finding an appropriate general practitioner.
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PTS:1DIF:AnalyzeREFroviders s s of s s Care
5. The nurse is attending a masters degree program in efforts to be educationally
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prepared to serve 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 clinicians 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 ss




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 nurses ability to work with physicians.
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This education will not be viewed as unsupportive to the profession of nursing. The
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education will ensure that the nurse is not biased towards clinicians interests.
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PTS: 1 DIF: Analyze REF:
ss s s s s s s s s Clinical Systems Leadership s s s s




6. A clienthtells the nurse that all hospitals care about is doing the minimum for a client
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regardless of the outcome. Which of the following should the nurse respond to 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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