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