Focus on Adult Health Medical-Surgical Nursing 2nd Edition Honan Test Bank | Complete Guide & Answers

TESTBANK
b

,Chapter 1 The nurse’s Role in Adult Health Nursing
b b b b b b b b




b MULTIPLE CHOICE b




1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy reach.
b b b b b b b b b b b b b b b b b b




b The nurse is focusing on which nursing theorist who realized the importance of the
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b environment for care? b b




1. FlorenceNightingale b




2. Sister Callista Roy b b




3. Dorothea Orem b




4. Martha Rogers b




ANS: 1 b




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- care
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deficit theory. Martha Rogers model is the science of unitary human beings.
b b b b b b b b b b b b




PTS:1DIF: Apply b




REF: Emergence of Contemporary Nursing in the United States
b b b b b b b b




2. The nurse is instructing a client on self-administration of insulin so that the client will not need
b b b b b b b b b b b b b b b b




b a health care provider to do this activity. The nurse is implementing which of the following
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b aspects of Virginia Hendersons theory of nursing?
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1. A caring relationship
b b




2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
b b b b b b b b b b b b




3. Integration of objective and subjectivedata b b b b b




4. Application ofcritical b b




b thinkingANS: 2 b

,3. Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so that they can be
b b b b b b b b b b b b b b b b b b b




b independent from the nurses’ assistance as quickly as possible. A caring relationship, integration of objective and
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b subjective data, and application of critical thinking areincluded in the American Nurses Associations essential
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b features of professional nursing.
b b b




PTS:1DIF: Analyze b




REF: Emergence of Contemporary Nursing in the United States
b b b b b b b b




A. client tells the nursethat hehas 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 madeto Medicare for services rendered.
b b b b b b b b




2. maximize the utilization of health care resources. b b b b b b




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




4. focus on the illness when providing care.
b b b b b b




ANS: 3 b




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
b b b b b b b b b b b b b b b b




health care resources but rather uses financial incentives to decrease care costs.
b b b b b b b b b b b b




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 b




2. Overpayment of services b b




3. Inability to sustain health b b b




4. Finding an appropriate general practitioner b b b b

, ANS: 1 bb




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.
bb bb bb




PTS:1DIF: Analyze REF Providers of Care bb bb bb bb bb




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 bb




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 that
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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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bb 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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