, Test Bank Focus on Adult Health Medical Surgical N
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ursing 2nd Edition Honan e0 e0 e0 e 0
Chapter 1 The nurse’s Role in Adult Health Nursing
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MULTIPLE CHOICE e0
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 importance
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of the environment for care?
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1. Florence Nightingale e0
2. Sister Callista Roy
e0 e0
3. Dorothea Orem e0
4. Martha Rogers e0
ANS: 1 e0
Florence Nightingales theory focused on the environment for care. Sister Callista Roys mode
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l is based in systems theory and an individual’s ability to adapt. Dorothea Orems model is t
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he self- care deficit theory. Martha Rogers model is the science of unitary human beings.
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PTS:1DIF: Apply e0
REF: Emergence of Contemporary Nursing in the United States
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2. The nurse is instructing a client on self-
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administration of insulin so that the client will not needa health care provider to do thi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s activity. The nurse is implementing which of the following aspects of Virginia Henders
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ons 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 e0 e0 e0 e0 e0
4. Application of critical thinkin e0 e0 e0
g ANS: 2
e0 e0
,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 r
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elationship, integration of objective and subjective data, and application of critical thinking ar
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e included in the American Nurses Associations essential features of professional nursing.
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PTS:1DIF: Analyze e0
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 understa
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nds 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 e0
Health maintenance organizations (HMOs) were created to efficiently manage health care co
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sts while providing quality care. An HMO is a type of managed care plan with the goal of pr
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
oviding wellness care and not focusing on the illness during the provision of care. HMOs do
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
not ensure payment is made to Medicare for services rendered. HMOs also do not maximiz
0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e the utilization of health care resources but rather uses financial incentives to decrease car
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e 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 ma
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kes an appointment with a doctor who specializes in the area in which he is experien
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cing a problem.The nurse realizes this client is at risk for which of the following?
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1. Fragmented care e0
2. Overpayment of services e0 e0
3. Inability to sustain health e0 e0 e0
4. Finding an appropriate general practitioner
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, ANS: 1 e0
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 particular
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healthcare problems. These episodes of care cause fragmentation of care. The client who ut
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ilizes specialists is not at risk for overpayment of services, the inability to sustain health, or fi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nding 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 prep
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ared toserve as a hospital leader. The nurse realizes that this educational preparation w
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ill:
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.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
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 e0
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 busine
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ss and caring. This education will not hinder the nurse’s ability to work with physicians. This
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
education will not be viewed as unsupportive to the profession of nursing. The education wi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ll ensure that the nurse is not biased towards clinician’s interests.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
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 clie
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nt regardlessof the outcome. Which of the following should the nurse respond to this c
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lient?
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.
e0 e0 e0 e0 e0 e0 e0 e0 e0
e0 e0 e0 e0 e0 e0 e0 e0e0
ursing 2nd Edition Honan e0 e0 e0 e 0
Chapter 1 The nurse’s Role in Adult Health Nursing
e0 e0 e0 e0 e0 e0 e0 e0
MULTIPLE CHOICE e0
1. Thenurse ensures that a client’s beds pace is neat and clean with the call light within
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
easy reach.The nurse is focusing on which nursing theorist who realized the importance
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
of the environment for care?
0 e0 e0 e0 e0
1. Florence Nightingale e0
2. Sister Callista Roy
e0 e0
3. Dorothea Orem e0
4. Martha Rogers e0
ANS: 1 e0
Florence Nightingales theory focused on the environment for care. Sister Callista Roys mode
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
l is based in systems theory and an individual’s ability to adapt. Dorothea Orems model is t
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
he self- care deficit theory. Martha Rogers model is the science of unitary human beings.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS:1DIF: Apply e0
REF: Emergence of Contemporary Nursing in the United States
e0 e0 e0 e0 e0 e0 e0 e0
2. The nurse is instructing a client on self-
e0 e0 e0 e0 e0 e0 e0
administration of insulin so that the client will not needa health care provider to do thi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s activity. The nurse is implementing which of the following aspects of Virginia Henders
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ons theory of nursing?
e0 e0 e0
1. A caring relationship
e0 e0
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
3. Integration of objective and subjective data e0 e0 e0 e0 e0
4. Application of critical thinkin e0 e0 e0
g ANS: 2
e0 e0
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death s
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
o thatthey can be independent from the nurses’ assistance as quickly as possible. A caring r
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
elationship, integration of objective and subjective data, and application of critical thinking ar
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e included in the American Nurses Associations essential features of professional nursing.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS:1DIF: Analyze e0
REF: Emergence of Contemporary Nursing in the United States
e0 e0 e0 e0 e0 e0 e0 e0
A. client tells the nurse that he has an HMO for his health insurance. The nurse understa
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nds thatthe purpose of this type of health plan is to:
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
1. ensure payment is made to Medicare for services rendered.
e0 e0 e0 e0 e0 e0 e0 e0
2. maximize the utilization of health care resources.
e0 e0 e0 e0 e0 e0
3. efficiently manage costs while providing quality care.
e0 e0 e0 e0 e0 e0
4. focus on the illness when providing care.
e0 e0 e0 e0 e0 e0
ANS: 3 e0
Health maintenance organizations (HMOs) were created to efficiently manage health care co
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
sts while providing quality care. An HMO is a type of managed care plan with the goal of pr
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
oviding wellness care and not focusing on the illness during the provision of care. HMOs do
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
not ensure payment is made to Medicare for services rendered. HMOs also do not maximiz
0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e the utilization of health care resources but rather uses financial incentives to decrease car
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e costs.
e0
PTS: 1 DIF: Understand REF: Cost of Care
e0 e0 e0 e0 e0 e0 e0
4.A client tells the nurse that he does not have a primary care physician but rather ma
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
kes an appointment with a doctor who specializes in the area in which he is experien
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
cing a problem.The nurse realizes this client is at risk for which of the following?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
1. Fragmented care e0
2. Overpayment of services e0 e0
3. Inability to sustain health e0 e0 e0
4. Finding an appropriate general practitioner
e0 e0 e0 e0
, ANS: 1 e0
In the 1980s, the close and trusting relationship between an individual and the individual’s
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
physician waned and was replaced by acquaintances with specialists based upon particular
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
healthcare problems. These episodes of care cause fragmentation of care. The client who ut
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ilizes specialists is not at risk for overpayment of services, the inability to sustain health, or fi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nding an appropriate general practitioner.
e0 e0 e0 e0
PTS:1DIF: AnalyzeREFroviders of Care
e0 e0 e0
5. The nurse is attending a master’s degree program in efforts to be educationally prep
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ared toserve as a hospital leader. The nurse realizes that this educational preparation w
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ill:
1. hinder the nurses’ ability to work with physicians.
e0 e0 e0 e0 e0 e0 e0
2. be viewed as not supporting the profession of nursing by other nurses.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
3. ensure the nurse is biased towards clinician’s interests.
e0 e0 e0 e0 e0 e0 e0
prepare the nurse to serve as strong clinical support with the ability to integrate business and
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
4. caring.
ANS: 4 e0
The nurse is attending an educational program to serve as a hospital leader. This education
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
will prepare the nurse to serve as strong clinical support with the ability to integrate busine
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ss and caring. This education will not hinder the nurse’s ability to work with physicians. This
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
education will not be viewed as unsupportive to the profession of nursing. The education wi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ll ensure that the nurse is not biased towards clinician’s interests.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
e0 e0 e0 e0 e0 e0 e0
6. A client tells the nurse that all hospitals care about is doing the minimum for a clie
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nt regardlessof the outcome. Which of the following should the nurse respond to this c
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
lient?
1. It does feel like that sometimes.
e0 e0 e0 e0 e0
2. Health insurance companies have caused this problem.
e0 e0 e0 e0 e0 e0
3. The doctors will get paid regardless of the clients’ outcomes.
e0 e0 e0 e0 e0 e0 e0 e0 e0
