h
TEST BANK Medical-Surgical Nursing: Focus on Clinical Judgment
3rd Edition by Honan
Chapter 1-55
,h
Table of contents:
h h
Chapterh1hThehnurse’shRolehinhAdulthHealthhNursing
Chapterh2hHealthhEducationhandhHealthhPromotion
Chapterh3hChronichIllnesshandhEnd-of-LifehCare
Chapterh4hFluidhandhElectrolytehandhAcid–BasehImbalances
Chapterh5hPerioperativehNursing
Chapterh6hCancerhCare
Chapterh7hPainhManagement
Chapterh8hNursinghAssessment:hRespiratoryhFunction
Chapterh9hNursinghManagement:hPatientshwithhUpperhRespiratoryhTracthDisorders
Chapterh10hNursinghManagement:hPatientshwithhChesthandhLowerhRespiratoryhTracthDisorders
Chapterh11hNursinghManagementhofhPatientshDiagnosedhwithhChronichObstructivehPulmonary
DiseasehandhAsthma
Chapterh12hNursinghAssessment:hCardiovascularhandhCirculatoryhFunction
Chapterh13hNursinghManagement:hPatientshwithhHypertension
Chapterh14hNursinghManagement:hPatientshwithhCoronaryhVascularhDisorders
Chapterh15hNursinghManagement:hPatientshwithhComplicationshfromhHearthDisease
Chapterh16hNursinghManagement:hPatientshwithhStructural,hInflammatoryhandhInfectious
CardiachDisorders
Chapterh17hNursinghManagement:hPatientshwithhArrhythmiashandhConductionhProblems
Chapterh18hNursinghManagement:hPatientshwithhVascularhDisordershandhProblemshof
PeripheralhCirculation
Chapterh19hNursinghAssessment:hHematologichFunction
Chapterh20hNursinghManagement:hPatientshwithhHematologichdisorders
Chapterh21hNursinghAssessment:hDigestive,hGastrointestinal,handhMetabolichFunction
Chapterh22hNursinghManagement:hPatientshwithhOralhandhEsophagealhDisordershandhPatients
,ReceivinghGastrointestinalhIntubation,hEnteral,handhParenteralhNutrition
Chapterh23hNursinghManagement:hPatientshwithhGastrichandhDuodenalhDisorders
Chapterh24hNursinghManagement:hPatientshwithhIntestinalhandhRectalhDisorders
Chapterh25hNursinghManagement:hPatientshwithhHepatichandhBiliaryhDisorders
Chapterh26hNursinghAssessment:hRenalhandhUrinaryhTracthFunction
Chapterh27hNursinghManagement:hPatientshwithhRenalhDisorders
Chapterh28hNursinghManagement:hPatientshwithhUrinaryhDisorders
Chapterh29hNursinghAssessment:hEndocrinehFunction
Chapterh30hNursinghManagement:hDiabeteshMellitus
Chapterh31hNursinghManagement:hPatientshwithhEndocrinehDisorders
Chapterh32hNursinghAssessment:hFemalehandhMalehReproductivehFunction
Chapterh33hNursinghManagement:hPatientshwithhBreasthandhFemalehReproductivehDisorders
Chapterh34hNursinghManagement:hPatientshwithhMalehReproductivehDisorders
Chapterh35hNursinghManagement:hPatientshwithhSexuallyhTransmittedhInfections
Chapterh36hNursinghAssessment:hImmunehFunction
Chapterh37hNursinghManagement:hPatientshwithhImmunodeficiency,hHIVhInfection,handhAIDS
Chapterh38hNursinghManagement:hPatientshwithhAllergichDisorders
h
Chapterh39hNursinghManagement:hPatientshwithhRheumatichDisorders
Chapterh40hNursinghAssessment:hMusculoskeletalhFunction
Chapterh41hNursinghManagement:hPatientshwithhMusculoskeletalhDisorders
Chapterh42hNursinghManagement:hPatientshwithhMusculoskeletalhTrauma
Chapterh43hNursinghAssessment:hNeurologichFunction
Chapterh44hNursinghManagement:hPatientshwithhOncologichDisordershofhthehBrainhandhSpinal
Cord
Chapterh45hNursinghManagement:hPatientshwithhNeurologichTrauma
,Chapterh46hNursinghManagement:hPatientshwithhNeurologichDisorders
Chapterh47hNursinghManagement:hPatientshwithhCerebrovascularhDisorders
Chapterh48hNursinghAssessment:hSensorineuralhFunction
Chapterh49hNursinghManagement:hPatientshwithhEyehandhVisionhDisorders
Chapterh50hNursinghManagement:hPatientshwithhHearinghandhBalancehDisorders
Chapterh51hNursinghAssessment:hIntegumentaryhFunction
Chapterh52hNursinghManagement:hPatientshwithhDermatologichProblems
Chapterh52hNursinghManagement:hPatientshwithhBurnhInjury
Chapterh53hNursinghManagement:hShockhandhMultisystemhFailure
Chapterh54hNursinghManagement:hCriticalhCare
Chapterh55hNursinghManagement:hEmergencieshandhDisasters
,Chapterh1hThehnurse’shRolehinhAdulthHealthhNursing
MULTIPLEhCHOICE
1.Thehnursehensureshthathahclientshbedspacehishneathandhcleanhwithhthehcallhlighthwithinheasyhreach.
Thehnursehishfocusinghonhwhichhnursinghtheoristhwhohrealizedhthehimportancehofhthehenvironment
forhcare?
1. FlorencehNightingale
2. SisterhCallistahRoy
3. DorotheahOrem
4. MarthahRogers
ANS:h1
FlorencehNightingaleshtheoryhfocusedhonhthehenvironmenthforhcare.hSisterhCallistahRoyshmodelhis
basedhinhsystemshtheoryhandhanhindividualshabilityhtohadapt.hDorotheahOremshmodelhishthehself-
carehdeficiththeory.hMarthahRogershmodelhishthehsciencehofhunitaryhhumanhbeings.
PTS:1DIF:Apply
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
2.Thehnursehishinstructinghahclienthonhself-administrationhofhinsulinhsohthaththehclienthwillhnothneed
ahhealthhcarehproviderhtohdohthishactivity.hThehnursehishimplementinghwhichhofhthehfollowing
aspectshofhVirginiahHendersonshtheoryhofhnursing?
1. Ahcaringhrelationship
2. Helpinghthehclienthachievehindependencehfromhthehnurseshassistancehashquicklyhashpossible
3. Integrationhofhobjectivehandhsubjectivehdata
4. Applicationhofhcriticalhthinking
ANS:h2
,h
VirginiahHendersonshtheoryhofhnursinghishtohhelphpeoplehachievehhealthhorhahpeacefulhdeathhsohthat
theyhcanhbehindependenthfromhthehnurseshassistancehashquicklyhashpossible.hAhcaringhrelationship,
integrationhofhobjectivehandhsubjectivehdata,handhapplicationhofhcriticalhthinkingharehincludedhin
thehAmericanhNurseshAssociationshessentialhfeatureshofhprofessionalhnursing.
PTS:1DIF:Analyze
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
A.h clienthtellshthehnursehthathhehhashanhHMOhforhhishhealthhinsurance.hThehnursehunderstandshthat
thehpurposehofhthishtypehofhhealthhplanhishto:
1. ensurehpaymenthishmadehtohMedicarehforhserviceshrendered.
2. maximizehthehutilizationhofhhealthhcarehresources.
3. efficientlyhmanagehcostshwhilehprovidinghqualityhcare.
4. focushonhthehillnesshwhenhprovidinghcare.
ANS:h3
Healthhmaintenancehorganizationsh(HMOs)hwerehcreatedhtohefficientlyhmanagehhealthhcarehcosts
whilehprovidinghqualityhcare.hAnhHMOhishahtypehofhmanagedhcarehplanhwithhthehgoalhofhproviding
wellnesshcarehandhnothfocusinghonhthehillnesshduringhthehprovisionhofhcare.hHMOshdohnothensure
paymenthishmadehtohMedicarehforhserviceshrendered.hHMOshalsohdohnothmaximizehthehutilization
ofhhealthhcarehresourceshbuthratherhuseshfinancialhincentiveshtohdecreasehcarehcosts.
PTS:h1hDIF:hUnderstandhREF:hCosthofhCare
4.Ahclienthtellshthehnursehthathhehdoeshnothhavehahprimaryhcarehphysicianhbuthratherhmakeshan
appointmenthwithhahdoctorhwhohspecializeshinhthehareahinhwhichhhehishexperiencinghahproblem.
Thehnursehrealizeshthishclienthishathriskhforhwhichhofhthehfollowing?
1. Fragmentedhcare
2. Overpaymenthofhservices
3. Inabilityhtohsustainhhealth
4. Findinghanhappropriatehgeneralhpractitioner
,h
ANS:h1
Inhtheh1980s,hthehclosehandhtrustinghrelationshiphbetweenhanhindividualhandhthehindividuals
physicianhwanedhandhwashreplacedhbyhacquaintanceshwithhspecialistshbasedhuponhparticularhhealth
carehproblems.hThesehepisodeshofhcarehcausehfragmentationhofhcare.hThehclienthwhohutilizes
specialistshishnothathriskhforhoverpaymenthofhservices,hthehinabilityhtohsustainhhealth,horhfindinghan
appropriatehgeneralhpractitioner.
PTS:1DIF:AnalyzeREFrovidershofhCare
5.Thehnursehishattendinghahmastershdegreehprogramhinheffortshtohbeheducationallyhpreparedhto
servehashahhospitalhleader.hThehnursehrealizeshthaththisheducationalhpreparationhwill:
1. hinderhthehnurseshabilityhtohworkhwithhphysicians.
2. behviewedhashnothsupportinghthehprofessionhofhnursinghbyhotherhnurses.
3. ensurehthehnursehishbiasedhtowardshclinicianshinterests.
preparehthehnursehtohservehashstronghclinicalhsupporthwithhthehabilityhtohintegratehbusinesshand
4. caring.
ANS:h4
Thehnursehishattendinghanheducationalhprogramhtohservehashahhospitalhleader.hThisheducationhwill
preparehthehnursehtohservehashstronghclinicalhsupporthwithhthehabilityhtohintegratehbusinesshand
caring.hThisheducationhwillhnothhinderhthehnurseshabilityhtohworkhwithhphysicians.hThisheducation
willhnothbehviewedhashunsupportivehtohthehprofessionhofhnursing.hTheheducationhwillhensurehthat
thehnursehishnothbiasedhtowardshclinicianshinterests.
PTS:h1hDIF:hAnalyzehREF:hClinicalhSystemshLeadership
6.Ahclienthtellshthehnursehthathallhhospitalshcarehabouthishdoinghthehminimumhforhahclienthregardless
ofhthehoutcome.hWhichhofhthehfollowinghshouldhthehnursehrespondhtohthishclient?
1. Ithdoeshfeelhlikehthathsometimes.
2. Healthhinsurancehcompanieshhavehcausedhthishproblem.
3. Thehdoctorshwillhgethpaidhregardlesshofhthehclientshoutcomes.
,h
Thereharehqualityhprogramshinhplacehtohmakehsurehclientshreceivehthehbesthqualityhofhcarehregardless
4. ofhthehcost.
ANS:h4
Inhresponsehtohconcernshabouthsafetyhandhqualityhofhcarehvoicedhbyhclientshandhproviders,htotal
qualityhmanagementhandhcontinuoushqualityhimprovementhprogramshwerehinitiated.hThese
programshensurehsocietyhthathcosthmanagementhishnothcompromisinghsafetyhorhquality.hThishis
whaththehnursehshouldhrespondhtohthehclient.hThehotherhchoiceshdohnothaddresshthehclientshconcerns
norhdohtheyhexplainhqualityhmanagementhprograms.
PTS:h1hDIF:hApplyhREF:hQualityhMeasurehShift
7.Thehnursehishprovidinghcarehathahtimehthathishthehmosthbeneficialhtohthehclient.hThehnursehis
implementinghwhichhofhthehfollowinghJointhCommissionhDimensionshofhQualityhPerformance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS:h2
Thehdimensionhofhtimelinesshmeanshthehdegreehinhwhichhinterventionsharehprovidedhaththehmost
beneficialhtimehtohthehclient.hSafetyhmeanshthehdegreehinhwhichhthehriskhofhanhinterventionhandhrisk
tohthehenvironmentharehreducedhforhbothhclienthandhhealthhcarehprovider.hEfficiencyhmeanshthe
degreehinhwhichhcarehhashthehdesiredheffecthwithhahminimumhofheffort,hwaste,horhexpense.
Availabilityhmeanshthehdegreehinhwhichhappropriatehinterventionsharehavailablehtohmeeththehclients
needs.
PTS:1DIF:Analyze
REF:Boxh1-1hJointhCommissionhDimensionshofhQualityhPerformance
8.ThehnursehishprovidinghcarehwhilehadheringhtohsafetyhashahJointhCommissionhDimensionhof
QualityhPerformance.hWhichhofhthehfollowinghdidhthehnursehprovidehtohthehclient?
1. Usinghahneedlelesshdevicehwhenhprovidinghintravenoushmedications
,h
2. Keepinghthehsiderailshofhthehbedhinhthehdownhpositionhafterhprovidinghahpainhmedicationhtohahclient
3. Havinghthehclienthsithinhahwheelchairhwithhthehwheelshinhthehunlockedhposition
4. Placinghclothhtowelshoverhahspillhinhthehroomhofhanhambulatoryhclient
ANS:h1
Thehdimensionhofhsafetyhmeanshthehdegreehinhwhichhthehriskhofhanhinterventionhandhriskhtohthe
environmentharehreducedhforhbothhclienthandhhealthhcarehprovider.hThehnursehwhohusesha
needlelesshdevicehwhenhprovidinghintravenoushmedicationshishadheringhtohthishdimension.
Keepinghthehsiderailshinhthehdownhpositionhishnothahsafehpractice.hHavinghahclienthsithinha
wheelchairhwithhthehwheelshunlockedhishnothahsafehpractice.hPlacinghclothhtowelshoverhahspillhin
thehroomhofhanhambulatoryhclienthishnothahsafehpractice.
PTS:1DIF:Analyze
REF:Boxh1-1hJointhCommissionhDimensionshofhQualityhPerformance
9.ThehnursehishplanninghandhprovidinghcarehwhilehadheringhtohthehAmericanhNurseshAssociation
definitionhofhprofessionalhnursing.hWhichhofhthehfollowinghdoeshthehnursehincludehwhen
implementinghclienthcare?
1. FollowshthehNANDAhnursinghdiagnoseshprocess
2. Integrateshobjectivehandhsubjectivehdata
3. Respectshculturalhdiversityhofhpeers
4. Acknowledgeshthehexperiencehandhtraininghofhphysicians
ANS:h2
ThehAmericanhNurseshAssociationhacknowledgeshsixhessentialhfeatureshofhprofessionalhnursing.
Thesehinclude:h1)hahcaringhrelationship,h2)hattentionhtohthehfullhrangehofhhumanhhealthhandhillness
experiences,h3)hintegrateshobjectivehandhsubjectivehdata,h4)happlieshscientifichknowledgehand
criticalhthinking,h5)hadvanceshnursinghknowledgehthroughhscholarlyhinquiry,handh6)hpromotes
socialhjustice.hThehnursehintegratinghobjectivehandhsubjectivehdatahishimplementinghonehofhthehsix
essentialhfeatureshofhprofessionalhnursing.hThehotherhchoicesharehnothessentialhfeatureshof
professionalhnursing.
PTS:1DIF:Analyze
,h
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
10.Thehnursehhashshiftedhherhpracticehfromhanhillnesshfocushtohahhealthhfocus.hWhichhofhthe
followinghhashthishnursehimplemented?
1. Standardizedhcarehplans
2. Criticalhpathways
3. Instructinghahclienthonhrelaxationhtechniqueshtohaidhwithhsleep
4. Holdingharound-the-clockhmedicationhwhenhahclienthishasleep
ANS:h3
Thehusehofhclientheducationhashahstrategyhtohattainhandhmaintainhthehpotentialhforhhealthhishan
examplehofhthehshifthofhcarehfromhanhillnesshfocushtohahhealthhfocus.hThehnursehinstructinghahclient
onhrelaxationhtechniqueshtohaidhwithhsleephishimplementinghahhealthhfocushofhcare.hThehother
choiceshdohnothsupporththehshifthfromhanhillnesshfocushtohahhealthhfocus.
PTS:h1hDIF:hAnalyzehREF:hLeadership
11.Ahclienthishadmittedhwithhahhighlyhcommunicablehdisease.hThehnurseshdohnothwanthto
participatehinhthehcarehofhthishclient.hWhichhofhthehfollowinghshouldhbehdonehtohensurehthehclient
receiveshthehhighesthqualityhofhcare?
1. Adherehtohstricthstandardhprecautions.
2. Planhtohhavehthehclienthtransferredhtohanotherhhealthhcarehorganization.
3. Askhthehphysicianhifhthehclienthcanhbehcaredhforhinhthehhome.
4. Suspendhthehnurseshwithouthpayhwhohrefusehtohcarehforhthehclient.
ANS:h1
Whenhprovidinghcarehinhahhighlyhglobalhenvironment,hthehriskshofhcommunicablehdiseases
increases.hInhthehevenththathahclienthishadmittedhwithhahhighlyhcommunicablehdiseasehandhthe
nursesharehfearinghforhtheirhownhhealthhandhsafety,hthehonlyhsafehapproachhishtohensurehallhstaff
adherehtohstricthstandardhprecautions.hThehotherhchoiceshdohnothensurehthaththehclienthwillhreceive
thehhighesthqualityhofhcare.hThehnurseshmusthlearnhemotionalhintelligencehandhresolvehissueshunder
fire.
TEST BANK Medical-Surgical Nursing: Focus on Clinical Judgment
3rd Edition by Honan
Chapter 1-55
,h
Table of contents:
h h
Chapterh1hThehnurse’shRolehinhAdulthHealthhNursing
Chapterh2hHealthhEducationhandhHealthhPromotion
Chapterh3hChronichIllnesshandhEnd-of-LifehCare
Chapterh4hFluidhandhElectrolytehandhAcid–BasehImbalances
Chapterh5hPerioperativehNursing
Chapterh6hCancerhCare
Chapterh7hPainhManagement
Chapterh8hNursinghAssessment:hRespiratoryhFunction
Chapterh9hNursinghManagement:hPatientshwithhUpperhRespiratoryhTracthDisorders
Chapterh10hNursinghManagement:hPatientshwithhChesthandhLowerhRespiratoryhTracthDisorders
Chapterh11hNursinghManagementhofhPatientshDiagnosedhwithhChronichObstructivehPulmonary
DiseasehandhAsthma
Chapterh12hNursinghAssessment:hCardiovascularhandhCirculatoryhFunction
Chapterh13hNursinghManagement:hPatientshwithhHypertension
Chapterh14hNursinghManagement:hPatientshwithhCoronaryhVascularhDisorders
Chapterh15hNursinghManagement:hPatientshwithhComplicationshfromhHearthDisease
Chapterh16hNursinghManagement:hPatientshwithhStructural,hInflammatoryhandhInfectious
CardiachDisorders
Chapterh17hNursinghManagement:hPatientshwithhArrhythmiashandhConductionhProblems
Chapterh18hNursinghManagement:hPatientshwithhVascularhDisordershandhProblemshof
PeripheralhCirculation
Chapterh19hNursinghAssessment:hHematologichFunction
Chapterh20hNursinghManagement:hPatientshwithhHematologichdisorders
Chapterh21hNursinghAssessment:hDigestive,hGastrointestinal,handhMetabolichFunction
Chapterh22hNursinghManagement:hPatientshwithhOralhandhEsophagealhDisordershandhPatients
,ReceivinghGastrointestinalhIntubation,hEnteral,handhParenteralhNutrition
Chapterh23hNursinghManagement:hPatientshwithhGastrichandhDuodenalhDisorders
Chapterh24hNursinghManagement:hPatientshwithhIntestinalhandhRectalhDisorders
Chapterh25hNursinghManagement:hPatientshwithhHepatichandhBiliaryhDisorders
Chapterh26hNursinghAssessment:hRenalhandhUrinaryhTracthFunction
Chapterh27hNursinghManagement:hPatientshwithhRenalhDisorders
Chapterh28hNursinghManagement:hPatientshwithhUrinaryhDisorders
Chapterh29hNursinghAssessment:hEndocrinehFunction
Chapterh30hNursinghManagement:hDiabeteshMellitus
Chapterh31hNursinghManagement:hPatientshwithhEndocrinehDisorders
Chapterh32hNursinghAssessment:hFemalehandhMalehReproductivehFunction
Chapterh33hNursinghManagement:hPatientshwithhBreasthandhFemalehReproductivehDisorders
Chapterh34hNursinghManagement:hPatientshwithhMalehReproductivehDisorders
Chapterh35hNursinghManagement:hPatientshwithhSexuallyhTransmittedhInfections
Chapterh36hNursinghAssessment:hImmunehFunction
Chapterh37hNursinghManagement:hPatientshwithhImmunodeficiency,hHIVhInfection,handhAIDS
Chapterh38hNursinghManagement:hPatientshwithhAllergichDisorders
h
Chapterh39hNursinghManagement:hPatientshwithhRheumatichDisorders
Chapterh40hNursinghAssessment:hMusculoskeletalhFunction
Chapterh41hNursinghManagement:hPatientshwithhMusculoskeletalhDisorders
Chapterh42hNursinghManagement:hPatientshwithhMusculoskeletalhTrauma
Chapterh43hNursinghAssessment:hNeurologichFunction
Chapterh44hNursinghManagement:hPatientshwithhOncologichDisordershofhthehBrainhandhSpinal
Cord
Chapterh45hNursinghManagement:hPatientshwithhNeurologichTrauma
,Chapterh46hNursinghManagement:hPatientshwithhNeurologichDisorders
Chapterh47hNursinghManagement:hPatientshwithhCerebrovascularhDisorders
Chapterh48hNursinghAssessment:hSensorineuralhFunction
Chapterh49hNursinghManagement:hPatientshwithhEyehandhVisionhDisorders
Chapterh50hNursinghManagement:hPatientshwithhHearinghandhBalancehDisorders
Chapterh51hNursinghAssessment:hIntegumentaryhFunction
Chapterh52hNursinghManagement:hPatientshwithhDermatologichProblems
Chapterh52hNursinghManagement:hPatientshwithhBurnhInjury
Chapterh53hNursinghManagement:hShockhandhMultisystemhFailure
Chapterh54hNursinghManagement:hCriticalhCare
Chapterh55hNursinghManagement:hEmergencieshandhDisasters
,Chapterh1hThehnurse’shRolehinhAdulthHealthhNursing
MULTIPLEhCHOICE
1.Thehnursehensureshthathahclientshbedspacehishneathandhcleanhwithhthehcallhlighthwithinheasyhreach.
Thehnursehishfocusinghonhwhichhnursinghtheoristhwhohrealizedhthehimportancehofhthehenvironment
forhcare?
1. FlorencehNightingale
2. SisterhCallistahRoy
3. DorotheahOrem
4. MarthahRogers
ANS:h1
FlorencehNightingaleshtheoryhfocusedhonhthehenvironmenthforhcare.hSisterhCallistahRoyshmodelhis
basedhinhsystemshtheoryhandhanhindividualshabilityhtohadapt.hDorotheahOremshmodelhishthehself-
carehdeficiththeory.hMarthahRogershmodelhishthehsciencehofhunitaryhhumanhbeings.
PTS:1DIF:Apply
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
2.Thehnursehishinstructinghahclienthonhself-administrationhofhinsulinhsohthaththehclienthwillhnothneed
ahhealthhcarehproviderhtohdohthishactivity.hThehnursehishimplementinghwhichhofhthehfollowing
aspectshofhVirginiahHendersonshtheoryhofhnursing?
1. Ahcaringhrelationship
2. Helpinghthehclienthachievehindependencehfromhthehnurseshassistancehashquicklyhashpossible
3. Integrationhofhobjectivehandhsubjectivehdata
4. Applicationhofhcriticalhthinking
ANS:h2
,h
VirginiahHendersonshtheoryhofhnursinghishtohhelphpeoplehachievehhealthhorhahpeacefulhdeathhsohthat
theyhcanhbehindependenthfromhthehnurseshassistancehashquicklyhashpossible.hAhcaringhrelationship,
integrationhofhobjectivehandhsubjectivehdata,handhapplicationhofhcriticalhthinkingharehincludedhin
thehAmericanhNurseshAssociationshessentialhfeatureshofhprofessionalhnursing.
PTS:1DIF:Analyze
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
A.h clienthtellshthehnursehthathhehhashanhHMOhforhhishhealthhinsurance.hThehnursehunderstandshthat
thehpurposehofhthishtypehofhhealthhplanhishto:
1. ensurehpaymenthishmadehtohMedicarehforhserviceshrendered.
2. maximizehthehutilizationhofhhealthhcarehresources.
3. efficientlyhmanagehcostshwhilehprovidinghqualityhcare.
4. focushonhthehillnesshwhenhprovidinghcare.
ANS:h3
Healthhmaintenancehorganizationsh(HMOs)hwerehcreatedhtohefficientlyhmanagehhealthhcarehcosts
whilehprovidinghqualityhcare.hAnhHMOhishahtypehofhmanagedhcarehplanhwithhthehgoalhofhproviding
wellnesshcarehandhnothfocusinghonhthehillnesshduringhthehprovisionhofhcare.hHMOshdohnothensure
paymenthishmadehtohMedicarehforhserviceshrendered.hHMOshalsohdohnothmaximizehthehutilization
ofhhealthhcarehresourceshbuthratherhuseshfinancialhincentiveshtohdecreasehcarehcosts.
PTS:h1hDIF:hUnderstandhREF:hCosthofhCare
4.Ahclienthtellshthehnursehthathhehdoeshnothhavehahprimaryhcarehphysicianhbuthratherhmakeshan
appointmenthwithhahdoctorhwhohspecializeshinhthehareahinhwhichhhehishexperiencinghahproblem.
Thehnursehrealizeshthishclienthishathriskhforhwhichhofhthehfollowing?
1. Fragmentedhcare
2. Overpaymenthofhservices
3. Inabilityhtohsustainhhealth
4. Findinghanhappropriatehgeneralhpractitioner
,h
ANS:h1
Inhtheh1980s,hthehclosehandhtrustinghrelationshiphbetweenhanhindividualhandhthehindividuals
physicianhwanedhandhwashreplacedhbyhacquaintanceshwithhspecialistshbasedhuponhparticularhhealth
carehproblems.hThesehepisodeshofhcarehcausehfragmentationhofhcare.hThehclienthwhohutilizes
specialistshishnothathriskhforhoverpaymenthofhservices,hthehinabilityhtohsustainhhealth,horhfindinghan
appropriatehgeneralhpractitioner.
PTS:1DIF:AnalyzeREFrovidershofhCare
5.Thehnursehishattendinghahmastershdegreehprogramhinheffortshtohbeheducationallyhpreparedhto
servehashahhospitalhleader.hThehnursehrealizeshthaththisheducationalhpreparationhwill:
1. hinderhthehnurseshabilityhtohworkhwithhphysicians.
2. behviewedhashnothsupportinghthehprofessionhofhnursinghbyhotherhnurses.
3. ensurehthehnursehishbiasedhtowardshclinicianshinterests.
preparehthehnursehtohservehashstronghclinicalhsupporthwithhthehabilityhtohintegratehbusinesshand
4. caring.
ANS:h4
Thehnursehishattendinghanheducationalhprogramhtohservehashahhospitalhleader.hThisheducationhwill
preparehthehnursehtohservehashstronghclinicalhsupporthwithhthehabilityhtohintegratehbusinesshand
caring.hThisheducationhwillhnothhinderhthehnurseshabilityhtohworkhwithhphysicians.hThisheducation
willhnothbehviewedhashunsupportivehtohthehprofessionhofhnursing.hTheheducationhwillhensurehthat
thehnursehishnothbiasedhtowardshclinicianshinterests.
PTS:h1hDIF:hAnalyzehREF:hClinicalhSystemshLeadership
6.Ahclienthtellshthehnursehthathallhhospitalshcarehabouthishdoinghthehminimumhforhahclienthregardless
ofhthehoutcome.hWhichhofhthehfollowinghshouldhthehnursehrespondhtohthishclient?
1. Ithdoeshfeelhlikehthathsometimes.
2. Healthhinsurancehcompanieshhavehcausedhthishproblem.
3. Thehdoctorshwillhgethpaidhregardlesshofhthehclientshoutcomes.
,h
Thereharehqualityhprogramshinhplacehtohmakehsurehclientshreceivehthehbesthqualityhofhcarehregardless
4. ofhthehcost.
ANS:h4
Inhresponsehtohconcernshabouthsafetyhandhqualityhofhcarehvoicedhbyhclientshandhproviders,htotal
qualityhmanagementhandhcontinuoushqualityhimprovementhprogramshwerehinitiated.hThese
programshensurehsocietyhthathcosthmanagementhishnothcompromisinghsafetyhorhquality.hThishis
whaththehnursehshouldhrespondhtohthehclient.hThehotherhchoiceshdohnothaddresshthehclientshconcerns
norhdohtheyhexplainhqualityhmanagementhprograms.
PTS:h1hDIF:hApplyhREF:hQualityhMeasurehShift
7.Thehnursehishprovidinghcarehathahtimehthathishthehmosthbeneficialhtohthehclient.hThehnursehis
implementinghwhichhofhthehfollowinghJointhCommissionhDimensionshofhQualityhPerformance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS:h2
Thehdimensionhofhtimelinesshmeanshthehdegreehinhwhichhinterventionsharehprovidedhaththehmost
beneficialhtimehtohthehclient.hSafetyhmeanshthehdegreehinhwhichhthehriskhofhanhinterventionhandhrisk
tohthehenvironmentharehreducedhforhbothhclienthandhhealthhcarehprovider.hEfficiencyhmeanshthe
degreehinhwhichhcarehhashthehdesiredheffecthwithhahminimumhofheffort,hwaste,horhexpense.
Availabilityhmeanshthehdegreehinhwhichhappropriatehinterventionsharehavailablehtohmeeththehclients
needs.
PTS:1DIF:Analyze
REF:Boxh1-1hJointhCommissionhDimensionshofhQualityhPerformance
8.ThehnursehishprovidinghcarehwhilehadheringhtohsafetyhashahJointhCommissionhDimensionhof
QualityhPerformance.hWhichhofhthehfollowinghdidhthehnursehprovidehtohthehclient?
1. Usinghahneedlelesshdevicehwhenhprovidinghintravenoushmedications
,h
2. Keepinghthehsiderailshofhthehbedhinhthehdownhpositionhafterhprovidinghahpainhmedicationhtohahclient
3. Havinghthehclienthsithinhahwheelchairhwithhthehwheelshinhthehunlockedhposition
4. Placinghclothhtowelshoverhahspillhinhthehroomhofhanhambulatoryhclient
ANS:h1
Thehdimensionhofhsafetyhmeanshthehdegreehinhwhichhthehriskhofhanhinterventionhandhriskhtohthe
environmentharehreducedhforhbothhclienthandhhealthhcarehprovider.hThehnursehwhohusesha
needlelesshdevicehwhenhprovidinghintravenoushmedicationshishadheringhtohthishdimension.
Keepinghthehsiderailshinhthehdownhpositionhishnothahsafehpractice.hHavinghahclienthsithinha
wheelchairhwithhthehwheelshunlockedhishnothahsafehpractice.hPlacinghclothhtowelshoverhahspillhin
thehroomhofhanhambulatoryhclienthishnothahsafehpractice.
PTS:1DIF:Analyze
REF:Boxh1-1hJointhCommissionhDimensionshofhQualityhPerformance
9.ThehnursehishplanninghandhprovidinghcarehwhilehadheringhtohthehAmericanhNurseshAssociation
definitionhofhprofessionalhnursing.hWhichhofhthehfollowinghdoeshthehnursehincludehwhen
implementinghclienthcare?
1. FollowshthehNANDAhnursinghdiagnoseshprocess
2. Integrateshobjectivehandhsubjectivehdata
3. Respectshculturalhdiversityhofhpeers
4. Acknowledgeshthehexperiencehandhtraininghofhphysicians
ANS:h2
ThehAmericanhNurseshAssociationhacknowledgeshsixhessentialhfeatureshofhprofessionalhnursing.
Thesehinclude:h1)hahcaringhrelationship,h2)hattentionhtohthehfullhrangehofhhumanhhealthhandhillness
experiences,h3)hintegrateshobjectivehandhsubjectivehdata,h4)happlieshscientifichknowledgehand
criticalhthinking,h5)hadvanceshnursinghknowledgehthroughhscholarlyhinquiry,handh6)hpromotes
socialhjustice.hThehnursehintegratinghobjectivehandhsubjectivehdatahishimplementinghonehofhthehsix
essentialhfeatureshofhprofessionalhnursing.hThehotherhchoicesharehnothessentialhfeatureshof
professionalhnursing.
PTS:1DIF:Analyze
,h
REF:EmergencehofhContemporaryhNursinghinhthehUnitedhStates
10.Thehnursehhashshiftedhherhpracticehfromhanhillnesshfocushtohahhealthhfocus.hWhichhofhthe
followinghhashthishnursehimplemented?
1. Standardizedhcarehplans
2. Criticalhpathways
3. Instructinghahclienthonhrelaxationhtechniqueshtohaidhwithhsleep
4. Holdingharound-the-clockhmedicationhwhenhahclienthishasleep
ANS:h3
Thehusehofhclientheducationhashahstrategyhtohattainhandhmaintainhthehpotentialhforhhealthhishan
examplehofhthehshifthofhcarehfromhanhillnesshfocushtohahhealthhfocus.hThehnursehinstructinghahclient
onhrelaxationhtechniqueshtohaidhwithhsleephishimplementinghahhealthhfocushofhcare.hThehother
choiceshdohnothsupporththehshifthfromhanhillnesshfocushtohahhealthhfocus.
PTS:h1hDIF:hAnalyzehREF:hLeadership
11.Ahclienthishadmittedhwithhahhighlyhcommunicablehdisease.hThehnurseshdohnothwanthto
participatehinhthehcarehofhthishclient.hWhichhofhthehfollowinghshouldhbehdonehtohensurehthehclient
receiveshthehhighesthqualityhofhcare?
1. Adherehtohstricthstandardhprecautions.
2. Planhtohhavehthehclienthtransferredhtohanotherhhealthhcarehorganization.
3. Askhthehphysicianhifhthehclienthcanhbehcaredhforhinhthehhome.
4. Suspendhthehnurseshwithouthpayhwhohrefusehtohcarehforhthehclient.
ANS:h1
Whenhprovidinghcarehinhahhighlyhglobalhenvironment,hthehriskshofhcommunicablehdiseases
increases.hInhthehevenththathahclienthishadmittedhwithhahhighlyhcommunicablehdiseasehandhthe
nursesharehfearinghforhtheirhownhhealthhandhsafety,hthehonlyhsafehapproachhishtohensurehallhstaff
adherehtohstricthstandardhprecautions.hThehotherhchoiceshdohnothensurehthaththehclienthwillhreceive
thehhighesthqualityhofhcare.hThehnurseshmusthlearnhemotionalhintelligencehandhresolvehissueshunder
fire.
