Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank

TESTBANK
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,Chapter1Thenurse’s RoleinAdultHealthNursing
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k MULTIPLE CHOICE k




1. Thenurseensuresthataclient’sbedspaceisneatand cleanwiththe calllight within easy reach.
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kThe nurse is focusing on which nursing theorist who realized the importance of the environment
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kfor care?
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1. FlorenceNightingale k




2. SisterCallistaRoy k k




3. DorotheaOrem k




4. MarthaRogers k




ANS: 1 k




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




REF: EmergenceofContemporaryNursingin theUnited States
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2. Thenurseisinstructing a clientonself-administration ofinsulinsothattheclient willnot need a
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khealth care provider to do this activity. The nurse is implementing which of the following aspects
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kof Virginia Hendersons theory of nursing?
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1. Acaringrelationship k k




2. Helpingthe clientachieve independencefromthenurses’assistanceasquicklyas possible
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3. Integrationofobjective andsubjectivedata k k k k k




4. Applicationofcritical k k




kthinkingANS: 2 k

,3. VirginiaHendersons theoryof nursing is to help people achievehealth or apeaceful death sothat they can be
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kindependent from the nurses’ assistance as quicklyas possible. A caring relationship, integration of objective and
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ksubjective data, and application of critical thinking areincluded in the American Nurses Associations essential
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kfeatures of professional nursing. k k k




PTS:1DIF:Analyze k




REF: EmergenceofContemporaryNursingin theUnitedStates
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A. client tellsthenursethathehasan HMOforhishealth insurance. Thenurseunderstands that the
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purpose of this type of health plan is to:
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1. ensurepayment ismadetoMedicareforservices rendered. k k k k k k k k




2. maximizetheutilizationofhealth careresources. k k k k k k




3. efficientlymanage costs whileprovidingqualitycare. k k k k k k




4. focusontheillnesswhen providingcare.k k k k k k




ANS: 3 k




Health maintenance organizations (HMOs) were created to efficiently manage health care costs while
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providingqualitycare. An HMO is a type of managed careplan with the goal of providing wellness care
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and not focusing on the illness during the provision of care. HMOs do not ensure payment is made to
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Medicare for services rendered. HMOs also do not maximize the utilization of health care resources but
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rather uses financial incentives to decrease care costs.
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PTS:1DIF: Understand REF:CostofCare
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4.A clienttells thenursethathedoesnothave aprimarycarephysicianbut rathermakesan
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appointment with a doctor who specializes in the area in which he is experiencing a problem. The
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nurse realizes this client is at risk for which of the following?
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1. Fragmentedcare k




2. Overpaymentofservices k k




3. Inabilitytosustainhealth k k k




4. Findinganappropriategeneralpractitioner k k k k

, ANS: 1 k




In the 1980s, the close and trusting relationship between an individual and the individual’s physician
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waned and was replaced by acquaintances with specialists based upon particular healthcare problems.
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These episodes of care cause fragmentation of care. The client who utilizes specialists is not at risk for
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overpayment of services, the inability to sustain health, orfinding an appropriate general practitioner.
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PTS:1DIF:AnalyzeREF ProvidersofCare k k k k k




5. Thenurseis attendinga master’s degree program in efforts to be educationallyprepared
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ktoserve as a hospital leader. The nurse realizes that this educational preparationwill:
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1. hinderthenurses’ abilitytoworkwith physicians. k k k k k k k




2. beviewed as not supportingtheprofession ofnursingbyother nurses.
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3. ensurethenurseisbiased towards clinician’sinterests. k k k k k k k




preparethenursetoserveas strongclinicalsupport withtheabilityto integratebusiness andk k k k k k k k k k k k k k k




4. caring.

ANS: 4 k




The nurse is attending an educational program to serve as a hospital leader. This education will prepare
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the nurse to serve as strong clinical support with the ability to integrate business and caring.This
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education willnothinderthenurse’sabilitytoworkwithphysicians.This education will not be viewed as
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unsupportive to the profession of nursing. The education will ensure that the nurse is not biased towards
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clinician’s interests.
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PTS:1DIF:AnalyzeREF:ClinicalSystemsLeadership
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6. A client tells the nurse that all hospitals care about is doing the minimum for a client regardless
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oftheoutcome. Which of thefollowingshouldthenurserespond tothis client?
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1. Itdoesfeel likethatsometimes.
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2. Healthinsurancecompanieshavecaused thisproblem. k k k k k k




3. Thedoctorswill getpaidregardlessoftheclients’ outcomes.
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