INTRODUCTORY
MEDICAL SURGICAL v
NURSING 12TH EDITION
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TIMBY SMITHTEST
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BANK LATEST REVISED
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UPDATE2023/2024 v
Page 1v
,1. CHAPTER 1 v
Managed care organizations are insurers that carefully plan and closely supervise the
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distribution of healthcare services. What is one of the goals of managed care?
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A) Preventing illness through screening and promotion of health activities v v v v v v v v
B) Improving training of healthcare professionals v v v v
C) Eliminating health disparities between segments of the population v v v v v v v
D) Providing hospice or home hospice care v v v v v
Ans: A
v v
Feedback:
Preventing illness through screening and promotion of health activities is one of the goals of
v v v v v v v v v v v v v v
managed care. Improved training of healthcare professionals is the priority for international
v v v v v v v v v v v v
health and not the goal of managed care. Eliminating health disparities between the
v v v v v v v v v v v v v
segments of population is a goal of Healthy People 2020. Providing hospiceor home hospice
v v v v v v v v v v v v v v v
care is only for terminally ill clients.
v v v v v v v
2. In an effort to cut costs, hospitals have instituted many changes. Which of these
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cost-cutting factors is most likely to jeopardize the quality of care?
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A) Using unlicensed assistive personnel v v v
B) Increasing numbers of clients in hospitals v v v v v
C) Not devoting enough time to the client v v v v v v
D) The rise of medical care costs in healthcare systems v v v v v v v v
Ans: A
v v
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
v v v v v v v v v v v
registered nurses once provided. Many are concerned that the use of unlicensed assistive
v v v v v v v v v v v v v
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals, not
v v v v v v v v v v v v v v
devoting enough time to the client, or the rise of medical costs are less likely to jeopardize
v v v v v v v v v v v v v v v v v
the quality of care.
v v v v
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
v v v v v v v v v v v v v v v
walking group to raise money for the homeless in his area. Which of the following has
v v v v v v v v v v v v v v v v
contributed to him being viewed as “healthy”?
v v v v v v v
A) The client is married and is moving on. v v v v v v v
B) The client is experiencing high quality of life within the limits of the physical
v v v v v v v v v v v v v
condition.
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C) The client is facing various states of health and illness.
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D) The client is physiologically and psychologically stable.
v v v v v v
Ans: B
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Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
v v v v v v v v v v
stability, and self-expression. Clients with chronic illness can achieve a high level of
v v v v v v v v v v v v v
wellness and experience high quality of life. Marriage is an aspect of quality of life butdoes
v v v v v v v v v v v v v v v v v
not define the quality of the client's life. All clients experience various states of health and
v v v v v v v v v v v v v v v v
illness.
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Page 2 v
,4. A 17-year-old client is having protected sex one to two times a week in a monogamous
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relationship. What is the client participating in?
v v v v v v v
A) Health promotion v
B) Health maintenance v
C) Illness prevention v
D) Wellness
Ans: B
v v
Feedback:
v
Protecting one's current level of health by practicing safe sex to prevent illness is an example
v v v v v v v v v v v v v v v
of a health maintenance activity. Health promotion strategies are used to enhance health,
v v v v v v v v v v v v v
such as eating a diet high in fiber. Illness prevention includes identifying risk factors such as
v v v v v v v v v v v v v v v v
hypertension. Wellness is the balance of total well-being.
v v v v v v v v
5. A client complaining of bloody urine has scheduled an appointment with a family
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practitioner. What type of care is the client receiving?
v v v v v v v v v
A) Tertiary
B) Secondary
C) Skilled nursing care v v
D) Primary
Ans: D
v v
Feedback:
v
The first provider that clients contact about a health need provides primary care; this person
v v v v v v v v v v v v v v
is typically a family practitioner or nurse practitioner. Secondary care includesreferrals to
v v v v v v v v v v v v v
facilities for additional testing. Tertiary care focuses on more complex medical and surgical
v v v v v v v v v v v v v
intervention. Skilled nursing care occurs in facilities or units thatoffer prolonged health
v v v v v v v v v v v v v
maintenance or rehabilitative services.
v v v v
Page 3 v
, 6. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care isthe
v v v v v v v v v v v v v v v v
client receiving?
v v
A) Secondary
B) Tertiary
v
C) Rehabilitation
D) Primary
Ans: B
v v
Feedback:
v
Hospitals where specialized technology is available provide tertiary care. Primary care is the initial
v v v v v v v v v v v v v
contact that a client has, such as an appointment with a family practitioner.Secondary careincludes
v v v v v v v v v v v v v v v
referrals for additional testing. Rehabilitation is aimed at restoring a person to his or her fullest
v v v v v v v v v v v v v v v v
ability.
v
7. The hospital is having a problem with healthcare-associated infections. A committee has
v v v v v v v v v v v
been established to study the problem and make recommendations. The nurse working on
v v v v v v v v v v v v v
the committee knows that this work addresses what?
v v v v v v v v
A) Inpatient quality indicators v v
B) Prevention quality indicators v v
C) National Patient Safety Goals
v v v v
D) Patientsafety indicators v v
Ans: C
v v
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
v v v v v v v v v v v
annually. These safety goals have changed how patients are identified and prevent adverse
v v v v v v v v v v v v v
effects. Some of the 2012 goals include reducing the risk of
v v v v v v v v v v v
healthcare-associated infections. Patient safety indicators reflect the quality of care in v v v v v v v v v v
hospitals but focus on potentially avoidable complications. Prevention indicators identify
v v v v v v v v v v
hospital admissions that could be avoided through high-quality outpatient care.Inpatient
v v v v v v v v v v v
indicators reflect quality of care inside the hospital.
v v v v v v v v
Page 4 v
MEDICAL SURGICAL v
NURSING 12TH EDITION
v v
TIMBY SMITHTEST
v v
BANK LATEST REVISED
v v
UPDATE2023/2024 v
Page 1v
,1. CHAPTER 1 v
Managed care organizations are insurers that carefully plan and closely supervise the
v v v v v v v v v v v
distribution of healthcare services. What is one of the goals of managed care?
v v v v v v v v v v v v v
A) Preventing illness through screening and promotion of health activities v v v v v v v v
B) Improving training of healthcare professionals v v v v
C) Eliminating health disparities between segments of the population v v v v v v v
D) Providing hospice or home hospice care v v v v v
Ans: A
v v
Feedback:
Preventing illness through screening and promotion of health activities is one of the goals of
v v v v v v v v v v v v v v
managed care. Improved training of healthcare professionals is the priority for international
v v v v v v v v v v v v
health and not the goal of managed care. Eliminating health disparities between the
v v v v v v v v v v v v v
segments of population is a goal of Healthy People 2020. Providing hospiceor home hospice
v v v v v v v v v v v v v v v
care is only for terminally ill clients.
v v v v v v v
2. In an effort to cut costs, hospitals have instituted many changes. Which of these
v v v v v v v v v v v v v
cost-cutting factors is most likely to jeopardize the quality of care?
v v v v v v v v v v v
A) Using unlicensed assistive personnel v v v
B) Increasing numbers of clients in hospitals v v v v v
C) Not devoting enough time to the client v v v v v v
D) The rise of medical care costs in healthcare systems v v v v v v v v
Ans: A
v v
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
v v v v v v v v v v v
registered nurses once provided. Many are concerned that the use of unlicensed assistive
v v v v v v v v v v v v v
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals, not
v v v v v v v v v v v v v v
devoting enough time to the client, or the rise of medical costs are less likely to jeopardize
v v v v v v v v v v v v v v v v v
the quality of care.
v v v v
3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
v v v v v v v v v v v v v v v
walking group to raise money for the homeless in his area. Which of the following has
v v v v v v v v v v v v v v v v
contributed to him being viewed as “healthy”?
v v v v v v v
A) The client is married and is moving on. v v v v v v v
B) The client is experiencing high quality of life within the limits of the physical
v v v v v v v v v v v v v
condition.
v
C) The client is facing various states of health and illness.
v v v v v v v v v
D) The client is physiologically and psychologically stable.
v v v v v v
Ans: B
v v
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
v v v v v v v v v v
stability, and self-expression. Clients with chronic illness can achieve a high level of
v v v v v v v v v v v v v
wellness and experience high quality of life. Marriage is an aspect of quality of life butdoes
v v v v v v v v v v v v v v v v v
not define the quality of the client's life. All clients experience various states of health and
v v v v v v v v v v v v v v v v
illness.
v
Page 2 v
,4. A 17-year-old client is having protected sex one to two times a week in a monogamous
v v v v v v v v v v v v v v v
relationship. What is the client participating in?
v v v v v v v
A) Health promotion v
B) Health maintenance v
C) Illness prevention v
D) Wellness
Ans: B
v v
Feedback:
v
Protecting one's current level of health by practicing safe sex to prevent illness is an example
v v v v v v v v v v v v v v v
of a health maintenance activity. Health promotion strategies are used to enhance health,
v v v v v v v v v v v v v
such as eating a diet high in fiber. Illness prevention includes identifying risk factors such as
v v v v v v v v v v v v v v v v
hypertension. Wellness is the balance of total well-being.
v v v v v v v v
5. A client complaining of bloody urine has scheduled an appointment with a family
v v v v v v v v v v v v
practitioner. What type of care is the client receiving?
v v v v v v v v v
A) Tertiary
B) Secondary
C) Skilled nursing care v v
D) Primary
Ans: D
v v
Feedback:
v
The first provider that clients contact about a health need provides primary care; this person
v v v v v v v v v v v v v v
is typically a family practitioner or nurse practitioner. Secondary care includesreferrals to
v v v v v v v v v v v v v
facilities for additional testing. Tertiary care focuses on more complex medical and surgical
v v v v v v v v v v v v v
intervention. Skilled nursing care occurs in facilities or units thatoffer prolonged health
v v v v v v v v v v v v v
maintenance or rehabilitative services.
v v v v
Page 3 v
, 6. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care isthe
v v v v v v v v v v v v v v v v
client receiving?
v v
A) Secondary
B) Tertiary
v
C) Rehabilitation
D) Primary
Ans: B
v v
Feedback:
v
Hospitals where specialized technology is available provide tertiary care. Primary care is the initial
v v v v v v v v v v v v v
contact that a client has, such as an appointment with a family practitioner.Secondary careincludes
v v v v v v v v v v v v v v v
referrals for additional testing. Rehabilitation is aimed at restoring a person to his or her fullest
v v v v v v v v v v v v v v v v
ability.
v
7. The hospital is having a problem with healthcare-associated infections. A committee has
v v v v v v v v v v v
been established to study the problem and make recommendations. The nurse working on
v v v v v v v v v v v v v
the committee knows that this work addresses what?
v v v v v v v v
A) Inpatient quality indicators v v
B) Prevention quality indicators v v
C) National Patient Safety Goals
v v v v
D) Patientsafety indicators v v
Ans: C
v v
Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
v v v v v v v v v v v
annually. These safety goals have changed how patients are identified and prevent adverse
v v v v v v v v v v v v v
effects. Some of the 2012 goals include reducing the risk of
v v v v v v v v v v v
healthcare-associated infections. Patient safety indicators reflect the quality of care in v v v v v v v v v v
hospitals but focus on potentially avoidable complications. Prevention indicators identify
v v v v v v v v v v
hospital admissions that could be avoided through high-quality outpatient care.Inpatient
v v v v v v v v v v v
indicators reflect quality of care inside the hospital.
v v v v v v v v
Page 4 v
