Test Bank - for Medical-Surgical Nursing Focus on Clinical Judgment Third Edition by LINDA F. HONAN, All Chapters 1-56 | Complete Guide A+

Test Bank Focus on Adult Health Medical Surgical ix ix ix ix ix ix ix ix




Nursing 2nd Edition Honan
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Chapter 1 The nurse’s Role in Adult Health Nursing
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MULTIPLE CHOICE ix




1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
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reach.The nurse is focusing on which nursing theorist who realized the importance of the
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environment for care?
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1. Florence Nightingale ix




2. Sister Callista Roy ix ix




3. Dorothea Orem ix




4. Martha Rogers ix




ANS: 1 ix




Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
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based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self-
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care deficit theory. Martha Rogers model is the science of unitary human beings.
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PTS:1DIF: Apply ix




REF: Emergence of Contemporary Nursing in theUnited States
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2. The nurse is instructing a client on self-administration of insulin so that the client will not
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needa health care provider to do this activity. The nurse is implementing which of the
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following aspects of Virginia Hendersons theory of nursing?
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1. A caring relationship
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2. Helpingthe client achieve independence from the nurses’ assistance as quickly as possible
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3. Integrationof objective and subjective data ix ix ix ix ix




4. Applicationofcriticalthinking ix ix ix




ANS: 2
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,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
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thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
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relationship, integrationof objective and subjective data, and application of critical thinking are
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included in the American Nurses Associations essential features of professional nursing.
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PTS:1DIF: Analyze ix




REF: Emergence of Contemporary Nursing in theUnited States
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A. client tells the nurse that he has an HMO for his health insurance. Thenurse understands
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thatthe purpose of this type of health plan is to:
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1. ensurepayment is made to Medicare for services rendered. ix ix ix ix ix ix ix ix




2. maximize the utilization of health care resources. ix ix ix ix ix ix




3. efficiently manage costs while providing quality care. ix ix ix ix ix ix




4. focus on the illness when providing care. ix ix ix ix ix ix




ANS: 3 ix




Health maintenance organizations (HMOs) were created to efficiently manage health care costs
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while providing quality care. An HMO is a type of managed care plan with the goal of providing
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wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
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payment is made to Medicare for services rendered. HMOs also do not maximize the utilization of
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health care resources but rather uses financial incentives to decrease care 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 makes an
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appointment with a doctor who specializes in the area in which he is experiencing a
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problem.The nurse realizes this client is at risk for which of the following?
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1. Fragmented care ix




2. Overpaymentof services ix ix




3. Inabilityto sustain health ix ix ix




4. Finding an appropriate general practitioner ix ix ix ix

,ANS: 1 ix




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 utilizes
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specialists is not at risk for overpayment of services, the inability to sustain health, or finding an
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appropriate general practitioner.
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PTS:1DIF: AnalyzeREFroviders of Care ix ix ix




5. The nurse is attending a master’s degree program in efforts to be educationally prepared
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toserve as a hospital leader. The nurserealizes that this educational preparation will:
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1. hinder the nurses’ ability to work with physicians. ix ix ix ix ix ix ix




2. be viewed as not supporting the profession of nursing by other nurses.
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3. ensurethe nurse is biased towards clinician’s interests. ix ix ix ix ix ix ix




preparethe nurse to serve as strong clinical support with the ability to integrate business and
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4. caring.

ANS: 4 ix




The nurse is attending an educational program to serve as a hospital leader. This education will
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prepare the nurse to serve as strong clinical support with the ability to integrate business and
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caring. This education will not hinder the nurse’s ability to work with physicians. This education will
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not be viewed as unsupportive to the profession of nursing. The education will ensure that the
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nurse is not biased towards clinician’s interests.
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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 client
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ix regardlessof the outcome. Which of the following should the nurse respond to this client? ix ix ix ix ix ix ix ix ix ix ix ix ix




1. It does feel like that sometimes.
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2. Health insurance companies havecaused thisproblem. ix ix ix ix ix ix




3. The doctors will get paid regardless of the clients’ outcomes.
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, There arequality programs in place to make sure clients receive the best quality of care regardless
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4. of the cost. ix ix




ANS: 4 ix




In response to concerns about safety and quality of care voiced by clients and providers, total
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quality management and continuous quality improvement programs were initiated. These
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programs ensure society that cost management is not compromising safety or quality. This is
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what the nurse should respond to the client. The other choices do not address the clients
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concernsnor do they explain quality management programs.
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PTS: 1 DIF: Apply REF: Quality Measure Shift
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7. The nurse is providing care at a time that is the most beneficial to the client. The nurse is
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implementing which of the following Joint Commission Dimensions of Quality Performance?
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1. Safety


2. Timeliness


3. Efficiency


4. Availability


ANS: 2 ix




The dimension of timeliness means the degree in which interventions are provided at the most
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beneficial time to the client. Safety means the degree in which the risk of an intervention and
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riskto the environment are reduced for both client and health care provider. Efficiency means the
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degree in which care has the desired effect with a minimum of effort, waste, or expense.
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Availability means the degree in which appropriate interventions areavailableto meet the
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clients’needs.
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PTS:1DIF: Analyze ix




REF:Box1-1 Joint Commission Dimensions of Quality Performance
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8. The nurse is providing care while adhering to safety as a Joint Commission Dimension of
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Quality Performance. Which of the following did the nurse provide to the client?
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1. Using aneedleless device when providing intravenous medications
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