Test Bank for Medical-Surgical Nursing: Focus on Clinical Judgment 3rd Edition by Linda Honan | Complete Chapters 1-55 | Questions with Verified Answers & Rationales

h




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

,Chapterh1hThehnurse’shRolehinhAdulthHealthhNursing

MULTIPLEhCHOICE
1.Thehnursehensureshthathahclientshbedspacehishneathandhcleanhwithhthehcallhlighthwithinheasyhreach.
Thehnursehishfocusinghonhwhichhnursinghtheoristhwhohrealizedhthehimportancehofhthehenvironment
forhcare?

1. FlorencehNightingale


2. SisterhCallistahRoy

3. DorotheahOrem


4. MarthahRogers

ANS:h1
FlorencehNightingaleshtheoryhfocusedhonhthehenvironmenthforhcare.hSisterhCallistahRoyshmodelhis
basedhinhsystemshtheoryhandhanhindividualshabilityhtohadapt.hDorotheahOremshmodelhishthehself-
carehdeficiththeory.hMarthahRogershmodelhishthehsciencehofhunitaryhhumanhbeings.
PTS:1DIF:Apply
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
2.Thehnursehishinstructinghahclienthonhself-administrationhofhinsulinhsohthaththehclienthwillhnothneed
ahhealthhcarehproviderhtohdohthishactivity.hThehnursehishimplementinghwhichhofhthehfollowing
aspectshofhVirginiahHendersonshtheoryhofhnursing?

1. Ahcaringhrelationship

2. Helpinghthehclienthachievehindependencehfromhthehnurseshassistancehashquicklyhashpossible

3. Integrationhofhobjectivehandhsubjectivehdata


4. Applicationhofhcriticalhthinking

ANS:h2

,h




VirginiahHendersonshtheoryhofhnursinghishtohhelphpeoplehachievehhealthhorhahpeacefulhdeathhsohthat
theyhcanhbehindependenthfromhthehnurseshassistancehashquicklyhashpossible.hAhcaringhrelationship,
integrationhofhobjectivehandhsubjectivehdata,handhapplicationhofhcriticalhthinkingharehincludedhin
thehAmericanhNurseshAssociationshessentialhfeatureshofhprofessionalhnursing.
PTS:1DIF:Analyze
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
A.h clienthtellshthehnursehthathhehhashanhHMOhforhhishhealthhinsurance.hThehnursehunderstandshthat
thehpurposehofhthishtypehofhhealthhplanhishto:

1. ensurehpaymenthishmadehtohMedicarehforhserviceshrendered.


2. maximizehthehutilizationhofhhealthhcarehresources.

3. efficientlyhmanagehcostshwhilehprovidinghqualityhcare.

4. focushonhthehillnesshwhenhprovidinghcare.

ANS:h3
Healthhmaintenancehorganizationsh(HMOs)hwerehcreatedhtohefficientlyhmanagehhealthhcarehcosts
whilehprovidinghqualityhcare.hAnhHMOhishahtypehofhmanagedhcarehplanhwithhthehgoalhofhproviding
wellnesshcarehandhnothfocusinghonhthehillnesshduringhthehprovisionhofhcare.hHMOshdohnothensure
paymenthishmadehtohMedicarehforhserviceshrendered.hHMOshalsohdohnothmaximizehthehutilization
ofhhealthhcarehresourceshbuthratherhuseshfinancialhincentiveshtohdecreasehcarehcosts.
PTS:h1hDIF:hUnderstandhREF:hCosthofhCare
4.Ahclienthtellshthehnursehthathhehdoeshnothhavehahprimaryhcarehphysicianhbuthratherhmakeshan
appointmenthwithhahdoctorhwhohspecializeshinhthehareahinhwhichhhehishexperiencinghahproblem.
Thehnursehrealizeshthishclienthishathriskhforhwhichhofhthehfollowing?

1. Fragmentedhcare

2. Overpaymenthofhservices

3. Inabilityhtohsustainhhealth


4. Findinghanhappropriatehgeneralhpractitioner

,h




ANS:h1
Inhtheh1980s,hthehclosehandhtrustinghrelationshiphbetweenhanhindividualhandhthehindividuals
physicianhwanedhandhwashreplacedhbyhacquaintanceshwithhspecialistshbasedhuponhparticularhhealth
carehproblems.hThesehepisodeshofhcarehcausehfragmentationhofhcare.hThehclienthwhohutilizes
specialistshishnothathriskhforhoverpaymenthofhservices,hthehinabilityhtohsustainhhealth,horhfindinghan
appropriatehgeneralhpractitioner.
PTS:1DIF:AnalyzeREFrovidershofhCare
5.Thehnursehishattendinghahmastershdegreehprogramhinheffortshtohbeheducationallyhpreparedhto
servehashahhospitalhleader.hThehnursehrealizeshthaththisheducationalhpreparationhwill:

1. hinderhthehnurseshabilityhtohworkhwithhphysicians.


2. behviewedhashnothsupportinghthehprofessionhofhnursinghbyhotherhnurses.

3. ensurehthehnursehishbiasedhtowardshclinicianshinterests.


preparehthehnursehtohservehashstronghclinicalhsupporthwithhthehabilityhtohintegratehbusinesshand
4. caring.

ANS:h4
Thehnursehishattendinghanheducationalhprogramhtohservehashahhospitalhleader.hThisheducationhwill
preparehthehnursehtohservehashstronghclinicalhsupporthwithhthehabilityhtohintegratehbusinesshand
caring.hThisheducationhwillhnothhinderhthehnurseshabilityhtohworkhwithhphysicians.hThisheducation
willhnothbehviewedhashunsupportivehtohthehprofessionhofhnursing.hTheheducationhwillhensurehthat
thehnursehishnothbiasedhtowardshclinicianshinterests.
PTS:h1hDIF:hAnalyzehREF:hClinicalhSystemshLeadership
6.Ahclienthtellshthehnursehthathallhhospitalshcarehabouthishdoinghthehminimumhforhahclienthregardless
ofhthehoutcome.hWhichhofhthehfollowinghshouldhthehnursehrespondhtohthishclient?

1. Ithdoeshfeelhlikehthathsometimes.

2. Healthhinsurancehcompanieshhavehcausedhthishproblem.


3. Thehdoctorshwillhgethpaidhregardlesshofhthehclientshoutcomes.