Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
Test Bank
Timby's Introductory Medical-Surgical
Nursing, 13th Edition by Loretta A Donnelly-
Moreno
1
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
Chapter 1: Concepts and Trends in Health Care
MULTIPLE CHOICE
1. Managed care organizations are insurers that carefully plan and closely supervise the distribution of
healthcare services. What is one of the goals of managed care?
a. Preventing illness through screening and promotion of health activities
b. Improving training of healthcare professionals
c. Eliminating health disparities between segments of the population
d. Providing hospice or home hospice care
ANS: A
Rationale: Preventing illness through screening and promotion of health activities is one of the goals of
managed care. Improved training of healthcare professionals is the priority for international health and
not the goal of managed care. Eliminating health disparities between the segments of population is a
goal of Healthy People 2030. Providing hospice or home hospice care is only for terminally ill clients.
REF: p. 6, Managed Care NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
2. In an effort to cut costs, hospitals have instituted many changes. Which of these cost-cutting factors is
most likely to jeopardize the quality of care?
a. Using unlicensed assistive personnel
b. Increasing numbers of clients in hospitals
c. Not devoting enough time to the client
d. The rise of medical care costs in healthcare systems
ANS: A
Rationale: Hospitals are using unlicensed assistive personnel to perform some duties practical and
registered nurses once provided. Many are concerned that the use of unlicensed assistive personnel
will jeopardize the quality of care. Increasing numbers of clients in hospitals, not devoting enough
time to the client, or the rise of medical costs are less likely to jeopardize the quality of care.
REF: p. 7, Effects of Cost-Driven Changes
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Remember
3. Since losing a leg years ago, the client and their spouse have formed a community walking group to
raise money for the homeless in their area. Which of the following has contributed to the client being
viewed as "healthy"?
a. The client is married and is moving on.
b. The client is experiencing high quality of life within the limits of the physical condition.
c. The client is facing various states of health and illness.
d. The client is physiologically and psychologically stable.
ANS: B
Rationale: Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
stability, and self-expression. Clients with chronic illness can achieve a high level of wellness and
experience high quality of life. Marriage is an aspect that contributes to quality of life but does not by
itself define the quality of the client's life. All clients experience various states of health and illness.
REF: pp. 2-3, The Health–Illness Continuum
NAT: Client Needs: Psychosocial Integrity
2
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
4. A 17-year-old client is having protected sex one to two times a week in a monogamous relationship.
What is the client participating in?
a. Health promotion
b. Health maintenance
c. Illness prevention
d. Wellness
ANS: B
Rationale: Protecting one's current level of health by practicing safe sex to prevent illness is an
example of a health maintenance activity. Health promotion strategies are used to enhance health, such
as eating a diet high in fiber. Illness prevention includes identifying risk factors such as hypertension.
Wellness is the balance of total well- being.
REF: p. 3, Health Maintenance and Promotion
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
5. A client complaining of bloody urine has scheduled an appointment with a family practitioner. What
type of care is the client receiving?
a. Tertiary
b. Secondary
c. Skilled nursing care
d. Primary
ANS: D
Rationale: The first provider that clients contact about a health need provides primary care; this person
is typically a family practitioner or nurse practitioner. Secondary care includes referrals to facilities for
additional testing. Tertiary care focuWseWs W
on.mTorB
eScoM
mp.leWx S
medical and surgical intervention. Skilled
nursing care occurs in facilities or units that offer prolonged health maintenance or rehabilitative
services.
REF: p. 3, The Health Care Delivery System
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
6. The hospital is having a problem with healthcare-associated infections. A committee has been
established to study the problem and make recommendations. The nurse working on the committee
knows that this work addresses what?
a. Inpatient quality indicators
b. Prevention quality indicators
c. National Patient Safety Goals
d. Patient safety indicators
ANS: C
Rationale: The Joint Commission has established National Patient Safety Goals that are updated
annually. These safety goals have changed how patients are identified and prevent adverse effects.
Some of the 2016 goals include reducing the risk of healthcare-associated infections. Patient safety
indicators reflect the quality of care in hospitals but focus on potentially avoidable complications.
Prevention indicators identify hospital admissions that could be avoided through high-quality
outpatient care. Inpatient indicators reflect quality of care inside the hospital.
REF: p. 8, Measures of Quality of Care
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
3
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Apply
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is the client
receiving?
a. Secondary
b. Tertiary
c. Rehabilitation
d. Primary
ANS: B
Rationale: Hospitals where specialized technology is available provide tertiary care. Primary care is
the initial contact that a client has, such as an appointment with a family practitioner. Secondary care
includes referrals for additional testing. Rehabilitation is aimed at restoring a people to their fullest
abilities.
REF: p. 3, The Health Care Delivery System
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
8. The Healthy People 2030 initiative targets the improvement of health for all. In addition to eliminating
health disparities, what are the broad goals of this plan?
a. Increasing technological innovations
b. Preventing treatable problems
c. Applying a systematic approach to health improvement
d. Increasing the quality and length of a healthy life
ANS: D
Rationale: Two broad goals of the Healthy People 2030 initiative are to increase quality and years of
healthy life and eliminate health disparities. Healthy People 2030 initiatives will help with treatable
problems but will not prevent probleWmWs.WT.heTinB
itiS
atiM
ve.dW
oeS
s not apply a systematic approach to health
improvement or increase technological innovations.
REF: p. 8, Future Trends and Goals for Health Care
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
9. What method for financing healthcare is based on the ability to keep clients healthy and out of the
hospital through periodic screening, health education, and preventive services?
a. Managed care
b. Preferred provider organization
c. Health maintenance organization
d. Point-of-service organization
ANS: C
Rationale: Health maintenance organizations strive to keep their costs low and members out of the
hospital through periodic screenings, health education, and preventive services. Managed care
organizations are insurers who carefully plan and closely supervise the distribution of healthcare
services. Preferred provider organizations are a community network of providers who are willing to
discount their fees for service in exchange for a steady stream of referral customers. Point-of-service
organizations involve a network of providers; clients select a primary care physician within the group
who then serves as the gatekeeper for other healthcare services
REF: p. 6, Health Maintenance Organizations
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Understand
4
Test Bank
Timby's Introductory Medical-Surgical
Nursing, 13th Edition by Loretta A Donnelly-
Moreno
1
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
Chapter 1: Concepts and Trends in Health Care
MULTIPLE CHOICE
1. Managed care organizations are insurers that carefully plan and closely supervise the distribution of
healthcare services. What is one of the goals of managed care?
a. Preventing illness through screening and promotion of health activities
b. Improving training of healthcare professionals
c. Eliminating health disparities between segments of the population
d. Providing hospice or home hospice care
ANS: A
Rationale: Preventing illness through screening and promotion of health activities is one of the goals of
managed care. Improved training of healthcare professionals is the priority for international health and
not the goal of managed care. Eliminating health disparities between the segments of population is a
goal of Healthy People 2030. Providing hospice or home hospice care is only for terminally ill clients.
REF: p. 6, Managed Care NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
2. In an effort to cut costs, hospitals have instituted many changes. Which of these cost-cutting factors is
most likely to jeopardize the quality of care?
a. Using unlicensed assistive personnel
b. Increasing numbers of clients in hospitals
c. Not devoting enough time to the client
d. The rise of medical care costs in healthcare systems
ANS: A
Rationale: Hospitals are using unlicensed assistive personnel to perform some duties practical and
registered nurses once provided. Many are concerned that the use of unlicensed assistive personnel
will jeopardize the quality of care. Increasing numbers of clients in hospitals, not devoting enough
time to the client, or the rise of medical costs are less likely to jeopardize the quality of care.
REF: p. 7, Effects of Cost-Driven Changes
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Remember
3. Since losing a leg years ago, the client and their spouse have formed a community walking group to
raise money for the homeless in their area. Which of the following has contributed to the client being
viewed as "healthy"?
a. The client is married and is moving on.
b. The client is experiencing high quality of life within the limits of the physical condition.
c. The client is facing various states of health and illness.
d. The client is physiologically and psychologically stable.
ANS: B
Rationale: Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
stability, and self-expression. Clients with chronic illness can achieve a high level of wellness and
experience high quality of life. Marriage is an aspect that contributes to quality of life but does not by
itself define the quality of the client's life. All clients experience various states of health and illness.
REF: pp. 2-3, The Health–Illness Continuum
NAT: Client Needs: Psychosocial Integrity
2
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
4. A 17-year-old client is having protected sex one to two times a week in a monogamous relationship.
What is the client participating in?
a. Health promotion
b. Health maintenance
c. Illness prevention
d. Wellness
ANS: B
Rationale: Protecting one's current level of health by practicing safe sex to prevent illness is an
example of a health maintenance activity. Health promotion strategies are used to enhance health, such
as eating a diet high in fiber. Illness prevention includes identifying risk factors such as hypertension.
Wellness is the balance of total well- being.
REF: p. 3, Health Maintenance and Promotion
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
5. A client complaining of bloody urine has scheduled an appointment with a family practitioner. What
type of care is the client receiving?
a. Tertiary
b. Secondary
c. Skilled nursing care
d. Primary
ANS: D
Rationale: The first provider that clients contact about a health need provides primary care; this person
is typically a family practitioner or nurse practitioner. Secondary care includes referrals to facilities for
additional testing. Tertiary care focuWseWs W
on.mTorB
eScoM
mp.leWx S
medical and surgical intervention. Skilled
nursing care occurs in facilities or units that offer prolonged health maintenance or rehabilitative
services.
REF: p. 3, The Health Care Delivery System
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
6. The hospital is having a problem with healthcare-associated infections. A committee has been
established to study the problem and make recommendations. The nurse working on the committee
knows that this work addresses what?
a. Inpatient quality indicators
b. Prevention quality indicators
c. National Patient Safety Goals
d. Patient safety indicators
ANS: C
Rationale: The Joint Commission has established National Patient Safety Goals that are updated
annually. These safety goals have changed how patients are identified and prevent adverse effects.
Some of the 2016 goals include reducing the risk of healthcare-associated infections. Patient safety
indicators reflect the quality of care in hospitals but focus on potentially avoidable complications.
Prevention indicators identify hospital admissions that could be avoided through high-quality
outpatient care. Inpatient indicators reflect quality of care inside the hospital.
REF: p. 8, Measures of Quality of Care
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
3
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Apply
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is the client
receiving?
a. Secondary
b. Tertiary
c. Rehabilitation
d. Primary
ANS: B
Rationale: Hospitals where specialized technology is available provide tertiary care. Primary care is
the initial contact that a client has, such as an appointment with a family practitioner. Secondary care
includes referrals for additional testing. Rehabilitation is aimed at restoring a people to their fullest
abilities.
REF: p. 3, The Health Care Delivery System
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
8. The Healthy People 2030 initiative targets the improvement of health for all. In addition to eliminating
health disparities, what are the broad goals of this plan?
a. Increasing technological innovations
b. Preventing treatable problems
c. Applying a systematic approach to health improvement
d. Increasing the quality and length of a healthy life
ANS: D
Rationale: Two broad goals of the Healthy People 2030 initiative are to increase quality and years of
healthy life and eliminate health disparities. Healthy People 2030 initiatives will help with treatable
problems but will not prevent probleWmWs.WT.heTinB
itiS
atiM
ve.dW
oeS
s not apply a systematic approach to health
improvement or increase technological innovations.
REF: p. 8, Future Trends and Goals for Health Care
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
9. What method for financing healthcare is based on the ability to keep clients healthy and out of the
hospital through periodic screening, health education, and preventive services?
a. Managed care
b. Preferred provider organization
c. Health maintenance organization
d. Point-of-service organization
ANS: C
Rationale: Health maintenance organizations strive to keep their costs low and members out of the
hospital through periodic screenings, health education, and preventive services. Managed care
organizations are insurers who carefully plan and closely supervise the distribution of healthcare
services. Preferred provider organizations are a community network of providers who are willing to
discount their fees for service in exchange for a steady stream of referral customers. Point-of-service
organizations involve a network of providers; clients select a primary care physician within the group
who then serves as the gatekeeper for other healthcare services
REF: p. 6, Health Maintenance Organizations
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Understand
4
