Test Bank Focus on Adult Health Medical bvbv bvbv bvbv bvbv bvbv bvbv
SurgicalNursing 2nd Edition Honan
bvbv b
v bvbv bvbv bvbv b v b v
Chapter 1 The nurse’s Role in Adult Health Nursing
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
MULTIPLE CHOICE bvbv
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv easy reach.The nurse is focusing on which nursing theorist who realized the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv importance of the environment for care? bvbv bvbv bvbv bvbv bvbv
1. Florence Nightingale bvbv
2. Sister Callista Roy bvbv bvbv
3. Dorothea Orem bvbv
4. Martha Rogers bvbv
ANS: 1 bvbv
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
is based in systems theory and an individual’s ability to adapt. Dorothea Orems model is
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
the self- care deficit theory. Martha Rogers model is the science of unitary human beings.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
PTS:1DIF: Apply bvbv
REF: Emergence of Contemporary Nursing in the United States
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2. The nurse is instructing a client on self-administration of insulin so that the client will
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
not needa health care provider to do this activity. The nurse is implementing which
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
of the following aspects of Virginia Hendersons theory of nursing?
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
1. A caring relationship
bvbv bvbv
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
3. Integration of objective and subjective data bvbv bvbv bvbv bvbv bvbv
4. Application of critical thinking bvbv bvbv bvbv
bvbv ANS: 2 bvbv
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
so thatthey can be independent from the nurses’ assistance as quickly as possible. A
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
caring relationship, integration of objective and subjective data, and application of critical
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
thinking are included in the American Nurses Associations essential features of professional
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
nursing.
bvbv
PTS:1DIF: Analyze bvbv
REF: Emergence of Contemporary Nursing in the United States
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
A. client tells the nurse that he has an HMO for his health insurance. The nurse
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
understands thatthe purpose of this type of health plan is to:
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
1. ensure payment is made to Medicare for services rendered.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2. maximize the utilization of health care resources. bvbv bvbv bvbv bvbv bvbv bvbv
3. efficiently manage costs while providing quality care. bvbv bvbv bvbv bvbv bvbv bvbv
4. focus on the illness when providing care.
bvbv bvbv bvbv bvbv bvbv bvbv
ANS: 3 bvbv
Health maintenance organizations (HMOs) were created to efficiently manage health care
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
costs while providing quality care. An HMO is a type of managed care plan with the goal
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
of providing wellness care and not focusing on the illness during the provision of care.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
HMOs do not ensure payment is made to Medicare for services rendered. HMOs also do
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
not maximize the utilization of health care resources but rather uses financial incentives to
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
decrease care costs.
bvbv bvbv bvbv
PTS: 1 DIF: Understand REF: Cost of Care
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
4.A client tells the nurse that he does not have a primary care physician but rather
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
makes an appointment with a doctor who specializes in the area in which he is
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
experiencing a problem.The nurse realizes this client is at risk for which of the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
following?
bvbv
1. Fragmented care bvbv
2. Overpayment of services bvbv bvbv
3. Inability to sustain health bvbv bvbv bvbv
4. Finding an appropriate general practitioner bvbv bvbv bvbv bvbv
,ANS: 1 bvbv
In the 1980s, the close and trusting relationship between an individual and the individual’s
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
physician waned and was replaced by acquaintances with specialists based upon particular
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
healthcare problems. These episodes of care cause fragmentation of care. The client who
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
finding an appropriate general practitioner.
bvbv bvbv bvbv bvbv bvbv
PTS:1DIF: AnalyzeREFroviders of Care bvbv bvbv bvbv
5. The nurse is attending a master’s degree program in efforts to be educationally
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv prepared toserve as a hospital leader. The nurse realizes that this educational
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv preparation will: bvbv
1. hinder the nurses’ ability to work with physicians.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2. be viewed as not supporting the profession of nursing by other nurses.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
3. ensure the nurse is biased towards clinician’s interests.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
prepare the nurse to serve as strong clinical support with the ability to integrate business and
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
4. caring.
ANS: 4 bvbv
The nurse is attending an educational program to serve as a hospital leader. This education
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
will prepare the nurse to serve as strong clinical support with the ability to integrate
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
business and caring. This education will not hinder the nurse’s ability to work with
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
physicians. This education will not be viewed as unsupportive to the profession of nursing.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
The education will ensure that the nurse is not biased towards clinician’s interests.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
6. A client tells the nurse that all hospitals care about is doing the minimum for a
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv client regardlessof the outcome. Which of the following should the nurse respond to
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv this client?
bvbv
1. It does feel like that sometimes.
bvbv bvbv bvbv bvbv bvbv
2. Health insurance companies have caused this problem.
bvbv bvbv bvbv bvbv bvbv bvbv
3. The doctors will get paid regardless of the clients’ outcomes.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
, There are quality programs in place to make sure clients receive the best quality of care regardle
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
4. of the cost. bvbv bvbv
ANS: 4 bvbv
In response to concerns about safety and quality of care voiced by clients and providers,
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
total quality management and continuous quality improvement programs were initiated.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
These programs ensure society that cost management is not compromising safety or
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
quality. This is what the nurse should respond to the client. The other choices do not
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
address the clients concernsnor do they explain quality management programs.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
PTS: 1 DIF: Apply REF: Quality Measure Shift
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
7. The nurse is providing care at a time that is the most beneficial to the client. The
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
nurse is implementing which of the following Joint Commission Dimensions of Quality
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Performance?
bvbv
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS: 2 bvbv
The dimension of timeliness means the degree in which interventions are provided at the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
most beneficial time to the client. Safety means the degree in which the risk of an
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
intervention and riskto the environment are reduced for both client and health care
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
provider. Efficiency means the degree in which care has the desired effect with a
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
minimum of effort, waste, or expense.
bvbv bvbv bvbv bvbv bvbv bvbv
Availability means the degree in which appropriate interventions are available to meet the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
clients’needs.
bvbv
PTS:1DIF: Analyze bvbv
REF:Box 1-1 Joint Commission Dimensions of Quality Performance
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
8. The nurse is providing care while adhering to safety as a Joint Commission Dimension
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv of Quality Performance. Which of the following did the nurse provide to the client?
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
1. Using a needleless device when providing intravenous medications
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
SurgicalNursing 2nd Edition Honan
bvbv b
v bvbv bvbv bvbv b v b v
Chapter 1 The nurse’s Role in Adult Health Nursing
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
MULTIPLE CHOICE bvbv
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv easy reach.The nurse is focusing on which nursing theorist who realized the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv importance of the environment for care? bvbv bvbv bvbv bvbv bvbv
1. Florence Nightingale bvbv
2. Sister Callista Roy bvbv bvbv
3. Dorothea Orem bvbv
4. Martha Rogers bvbv
ANS: 1 bvbv
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
is based in systems theory and an individual’s ability to adapt. Dorothea Orems model is
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
the self- care deficit theory. Martha Rogers model is the science of unitary human beings.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
PTS:1DIF: Apply bvbv
REF: Emergence of Contemporary Nursing in the United States
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2. The nurse is instructing a client on self-administration of insulin so that the client will
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
not needa health care provider to do this activity. The nurse is implementing which
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
of the following aspects of Virginia Hendersons theory of nursing?
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
1. A caring relationship
bvbv bvbv
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
3. Integration of objective and subjective data bvbv bvbv bvbv bvbv bvbv
4. Application of critical thinking bvbv bvbv bvbv
bvbv ANS: 2 bvbv
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
so thatthey can be independent from the nurses’ assistance as quickly as possible. A
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
caring relationship, integration of objective and subjective data, and application of critical
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
thinking are included in the American Nurses Associations essential features of professional
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
nursing.
bvbv
PTS:1DIF: Analyze bvbv
REF: Emergence of Contemporary Nursing in the United States
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
A. client tells the nurse that he has an HMO for his health insurance. The nurse
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
understands thatthe purpose of this type of health plan is to:
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
1. ensure payment is made to Medicare for services rendered.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2. maximize the utilization of health care resources. bvbv bvbv bvbv bvbv bvbv bvbv
3. efficiently manage costs while providing quality care. bvbv bvbv bvbv bvbv bvbv bvbv
4. focus on the illness when providing care.
bvbv bvbv bvbv bvbv bvbv bvbv
ANS: 3 bvbv
Health maintenance organizations (HMOs) were created to efficiently manage health care
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
costs while providing quality care. An HMO is a type of managed care plan with the goal
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
of providing wellness care and not focusing on the illness during the provision of care.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
HMOs do not ensure payment is made to Medicare for services rendered. HMOs also do
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
not maximize the utilization of health care resources but rather uses financial incentives to
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
decrease care costs.
bvbv bvbv bvbv
PTS: 1 DIF: Understand REF: Cost of Care
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
4.A client tells the nurse that he does not have a primary care physician but rather
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
makes an appointment with a doctor who specializes in the area in which he is
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
experiencing a problem.The nurse realizes this client is at risk for which of the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
following?
bvbv
1. Fragmented care bvbv
2. Overpayment of services bvbv bvbv
3. Inability to sustain health bvbv bvbv bvbv
4. Finding an appropriate general practitioner bvbv bvbv bvbv bvbv
,ANS: 1 bvbv
In the 1980s, the close and trusting relationship between an individual and the individual’s
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
physician waned and was replaced by acquaintances with specialists based upon particular
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
healthcare problems. These episodes of care cause fragmentation of care. The client who
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
finding an appropriate general practitioner.
bvbv bvbv bvbv bvbv bvbv
PTS:1DIF: AnalyzeREFroviders of Care bvbv bvbv bvbv
5. The nurse is attending a master’s degree program in efforts to be educationally
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv prepared toserve as a hospital leader. The nurse realizes that this educational
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv preparation will: bvbv
1. hinder the nurses’ ability to work with physicians.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2. be viewed as not supporting the profession of nursing by other nurses.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
3. ensure the nurse is biased towards clinician’s interests.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
prepare the nurse to serve as strong clinical support with the ability to integrate business and
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
4. caring.
ANS: 4 bvbv
The nurse is attending an educational program to serve as a hospital leader. This education
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
will prepare the nurse to serve as strong clinical support with the ability to integrate
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
business and caring. This education will not hinder the nurse’s ability to work with
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
physicians. This education will not be viewed as unsupportive to the profession of nursing.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
The education will ensure that the nurse is not biased towards clinician’s interests.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
6. A client tells the nurse that all hospitals care about is doing the minimum for a
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv client regardlessof the outcome. Which of the following should the nurse respond to
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv this client?
bvbv
1. It does feel like that sometimes.
bvbv bvbv bvbv bvbv bvbv
2. Health insurance companies have caused this problem.
bvbv bvbv bvbv bvbv bvbv bvbv
3. The doctors will get paid regardless of the clients’ outcomes.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
, There are quality programs in place to make sure clients receive the best quality of care regardle
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
4. of the cost. bvbv bvbv
ANS: 4 bvbv
In response to concerns about safety and quality of care voiced by clients and providers,
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
total quality management and continuous quality improvement programs were initiated.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
These programs ensure society that cost management is not compromising safety or
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
quality. This is what the nurse should respond to the client. The other choices do not
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
address the clients concernsnor do they explain quality management programs.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
PTS: 1 DIF: Apply REF: Quality Measure Shift
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
7. The nurse is providing care at a time that is the most beneficial to the client. The
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
nurse is implementing which of the following Joint Commission Dimensions of Quality
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Performance?
bvbv
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS: 2 bvbv
The dimension of timeliness means the degree in which interventions are provided at the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
most beneficial time to the client. Safety means the degree in which the risk of an
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
intervention and riskto the environment are reduced for both client and health care
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
provider. Efficiency means the degree in which care has the desired effect with a
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
minimum of effort, waste, or expense.
bvbv bvbv bvbv bvbv bvbv bvbv
Availability means the degree in which appropriate interventions are available to meet the
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
clients’needs.
bvbv
PTS:1DIF: Analyze bvbv
REF:Box 1-1 Joint Commission Dimensions of Quality Performance
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
8. The nurse is providing care while adhering to safety as a Joint Commission Dimension
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
bvbv of Quality Performance. Which of the following did the nurse provide to the client?
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
1. Using a needleless device when providing intravenous medications
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
