Test Bank Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan All Chapters Complete Guide

, Test Bank Focus on Adult Health Medical Surgical
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Nursing 2nd Edition Honan
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Chapter 1 The nurse’s Role in Adult Health Nursing
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MULTIPLE CHOICE u




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 u




2. Sister Callista Roy u u




3. Dorothea Orem u




4. Martha Rogers u




ANS: 1 u




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
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self- care deficit theory. Martha Rogers model is the science of unitary human beings.
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PTS:1DIF: Apply u




REF: Emergence of Contemporary Nursing in the United 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. Helping the client achieve independence from the nurses’ assistance as quickly as possible
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3. Integration of objective and subjective data u u u u u




4. Application of critical thinking u u u




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, integration of 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 u




REF: Emergence of Contemporary Nursing in the United States
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A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
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thatthe purpose of this type of health plan is to:
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1. ensure payment is made to Medicare for services rendered.
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2. maximize the utilization of health care resources.
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3. efficiently manage costs while providing quality care.
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4. focus on the illness when providing care.
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ANS: 3 u




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
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providing wellness care and not focusing on the illness during the provision of care. HMOs do
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not ensure payment is made to Medicare for services rendered. HMOs also do not maximize
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the utilization of health care resources but rather uses financial incentives to decrease care
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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
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an 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 u




2. Overpayment of services u u




3. Inability to sustain health u u u




4. Finding an appropriate general practitioner
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, ANS: 1 u




In the 1980s, the close and trusting relationship between an individual and the individual’s
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uphysician waned and was replaced by acquaintances with specialists based upon particular
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uhealthcare problems. These episodes of care cause fragmentation of care. The client who
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uutilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
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ufinding an appropriate general practitioner.
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PTS:1DIF: AnalyzeREFroviders of Careu u u




5. The nurse is attending a master’s degree program in efforts to be educationally
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prepared toserve as a hospital leader. The nurse realizes that this educational
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preparation will:
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1. hinder the nurses’ ability to work with physicians.
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2. be viewed as not supporting the profession of nursing by other nurses.
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3. ensure the nurse is biased towards clinician’s interests.
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prepare the nurse to serve as strong clinical support with the ability to integrate business and
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4. caring.

ANS: 4 u




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
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will not be viewed as unsupportive to the profession of nursing. The education will ensure
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that the 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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regardlessof the outcome. Which of the following should the nurse respond to this
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client?
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1. It does feel like that sometimes.
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2. Health insurance companies have caused this problem.
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3. The doctors will get paid regardless of the clients’ outcomes.
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