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ADULT MEDICAL SURGICAL
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NURSING 2nd EDITION LINDA
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HONAN A COMPLETE GUIDE
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,Chapter i1 iThe inurse’s iRole iin iAdult iHealth iNursing
i MULTIPLE iCHOICE
1. The inurse iensures ithat ia iclient’s ibeds ipace iis ineat iand iclean iwith ithe icall ilight iwithin
ieasy ireach. iThe inurse iis ifocusing ion iwhich inursing itheorist iwho irealized ithe iimportance
iof ithe ienvironment ifor icare?
1. Florence iNightingale
2. Sister iCallista iRoy
3. Dorothea iOrem
4. Martha iRogers
ANS: i1
Florence iNightingales itheory ifocused ion ithe ienvironment ifor icare. iSister iCallista iRoys imodel
iis ibased iin isystems itheory iand ian iindividual’s iability ito iadapt. iDorothea iOrems imodel iis ithe
iself- icare ideficit itheory. iMartha iRogers imodel iis i the iscience iof iunitary ihuman ibeings.
PTS:1DIF: iApply
REF: iEmergence iof iContemporary iNursing iin ithe iUnited iStates
2. The inurse iis iinstructing ia iclient ion iself-administration iof iinsulin iso ithat ithe iclient iwill
not ineed ia ihealth icare iprovider ito ido ithis iactivity. iThe inurse iis iimplementing iwhich iof
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the ifollowing iaspects iof iVirginia iHendersons itheory iof inursing?
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1. A icaring irelationship
2. Helping ithe iclient iachieve iindependence ifrom ithe inurses’ iassistance ias iquickly ias ipossible
3. Integration iof iobjective iand isubjective idata
4. Application iof icritical
i thinkingANS: i2
,3. Virginia iHendersons itheory iof inursing iis ito ihelp ipeople iachieve ihealth ior ia ipeaceful ideath iso ithat ithey ican
ibe iindependent ifrom ithe inurses’ iassistance ias iquickly ias ipossible. iA icaring irelationship, iintegration iof
iobjective iand isubjective idata, iand iapplication iof icritical ithinking iareincluded iin ithe iAmerican iNurses
iAssociations iessential ifeatures iof iprofessional inursing.
PTS:1DIF: iAnalyze
REF: iEmergence iof iContemporary iNursing iin ithe iUnited iStates
A. client itells ithe inurse ithat ihe ihas ian iHMO ifor ihis ihealth iinsurance. iThe inurse
iunderstands ithat ithe ipurpose iof ithis itype iof ihealth iplan iis ito:
1. ensure ipayment iis imade ito iMedicare ifor iservices irendered.
2. maximize ithe iutilization iof ihealth icare iresources.
3. efficiently imanage icosts iwhile iproviding iquality icare.
4. focus ion ithe iillness iwhen iproviding icare.
ANS: i3
Health imaintenance iorganizations i(HMOs) iwere icreated ito iefficiently imanage ihealth icare
icosts iwhile iproviding iquality icare. iAn iHMO iis ia itype iof imanaged icare iplan iwith ithe igoal iof
iproviding iwellness icare iand inot ifocusing ion ithe iillness iduring ithe iprovision iof icare. iHMOs
ido inot iensure ipayment iis imade ito i Medicare ifor iservices irendered. iHMOs ialso ido inot
imaximize ithe iutilization iof ihealth icare iresources i but irather iuses ifinancial iincentives ito
idecrease icare icosts.
PTS: i1 iDIF: iUnderstand iREF: iCost iof iCare
4.A client itells ithe inurse ithat ihe idoes inot ihave ia iprimary icare iphysician ibut irather
imakesan iappointment iwith ia idoctor iwho ispecializes iin ithe iarea iin iwhich ihe iis
iexperiencing ia iproblem. iThe inurse irealizes ithis iclient iis iat irisk ifor iwhich iof ithe
ifollowing?
1. Fragmented icare
2. Overpayment iof iservices
3. Inability ito isustain ihealth
4. Finding ian iappropriate igeneral ipractitioner
, ANS: i1
In ithe i1980s, ithe iclose iand itrusting irelationship ibetween ian iindividual iand ithe iindividual’s
iphysician iwaned iand iwas ireplaced iby iacquaintances iwith i specialists ibased iupon iparticular
ihealthcare iproblems. iThese iepisodes iof icare icause ifragmentation iof icare. iThe iclient iwho
iutilizes ispecialists iis inot iat irisk ifor ioverpayment iof iservices, ithe iinability ito isustain ihealth,
iorfinding ian iappropriate igeneral ipractitioner.
PTS:1DIF: iAnalyze iREF iProviders iof iCare
5. The inurse iis iattending ia imaster’s idegree iprogram iin iefforts ito ibe ieducationally
iprepared itoserve ias ia ihospital ileader. iThe inurse irealizes ithat ithis ieducational
ipreparationwill:
1. hinder ithe inurses’ iability ito iwork iwith iphysicians.
2. be iviewed ias inot isupporting ithe iprofession iof inursing iby iother inurses.
3. ensure ithe inurse iis ibiased itowards iclinician’s iinterests.
prepare ithe inurse ito iserve ias istrong iclinical isupport iwith ithe iability ito iintegrate ibusiness iand
4. caring.
ANS: i4
The inurse iis iattending ian ieducational iprogram ito iserve ias ia ihospital ileader. iThis ieducation
iwill iprepare ithe inurse ito iserve ias i strong iclinical i support iwith ithe iability ito iintegrate ibusiness
iand icaring. iThis ieducation iwill inot ihinder ithe inurse’s iability ito iwork iwith iphysicians. iThis
ieducation iwill inot ibe iviewed ias iunsupportive ito ithe iprofession iof inursing. iThe ieducation iwill
iensure ithat ithe inurse iis inot ibiased itowards iclinician’s iinterests.
PTS: i1 iDIF: iAnalyze iREF: iClinical iSystems iLeadership
6. A iclient itells ithe inurse ithat iall ihospitals icare iabout iis idoing ithe iminimum ifor ia iclient
iregardless iof ithe ioutcome. iWhich iof ithe ifollowing ishould ithe inurse irespond ito ithis
iclient?
1. It idoes ifeel ilike ithat isometimes.
2. Health iinsurance icompanies ihave icaused ithis iproblem.
3. The idoctors iwill iget ipaid iregardless iof ithe iclients’ ioutcomes.