Focus on Adult Health: Medical-Surgical Nursing, 2nd Edition – Honan | Complete Test Bank with Answers

TESTBANK
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,Chapter 1 The nurse’s Role in Adult Health Nursing
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MULTIPLE CHOICE
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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 D




2. Sister Callista Roy D D




3. Dorothea Orem D




4. Martha Rogers D




ANS: 1 D




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




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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need a 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 D D D D D




4. Application of critical D D




thinkingANS: 2
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,3. Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so that they can be
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independent from the nurses’ assistance as quickly as possible. A caring relationship, integration of objective
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and subjective data, and application of critical thinking areincluded in the American Nurses Associations
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essential features of professional nursing.
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PTS:1DIF: Analyze D




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 that
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the 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. D D D D D D




3. efficiently manage costs while providing quality care. D D D D D D




4. focus on the illness when providing care.
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ANS: 3 D




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 providing
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wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
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payment is made to Medicare for services rendered. HMOs also do not maximize the utilization of
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health care resources but rather uses financial incentives to decrease care 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 makesan
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appointment with a doctor who specializes in the area in which he is experiencing a problem.
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The nurse realizes this client is at risk for which of the following?
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1. Fragmented care D




2. Overpayment of services D D




3. Inability to sustain health D D D




4. Finding an appropriate general practitioner D D D D

, ANS: 1 D




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




5. The nurse is attending a master’s degree program in efforts to be educationally prepared
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toserve as a hospital leader. The nurse realizes that this educational preparationwill:
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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 D




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 caring.
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This education will not hinder the nurse’s ability to work with physicians. This education will not be
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viewed as unsupportive to the profession of nursing. The education will ensure that the nurse is not
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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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regardless of the outcome. Which of the following should the nurse respond to this 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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