Focus on Adult Health Medical Surgical Nursing 3rd Edition Honan Test Bank
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
Med
,Focus on Adult Health Medical Surgical Nursing 3rd Edition Honan Test Bank
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
Well Elaborated Answers & Questions
#wert #wert #wert #wert
Chapter 1 The nurse’s Role in Adult Health Nursing
#wert #wert #wert #wert #wert #wert #wert #wert
MULTIPLE CHOICE
#wert #wert
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
reach. The nurse is focusing on which nursing theorist who realized the importance of the
environment for care?
1. Florence Nightingale
2. Sister Callista Roy
3. Dorothea Orem
4. Martha Rogers
ANS: 1
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self-
care deficit theory. Martha Rogers model is the science of unitary human beings.
PTS:1DIF: Apply
REF: Emergence of Contemporary Nursing in the United States
2. The nurse is instructing a client on self-administration of insulin so that the client will not
need a health care provider to do this activity. The nurse is implementing which of the
following aspects of Virginia Hendersons theory of nursing?
1. A caring relationship
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
3. Integration of objective and subjective data
4. Application of critical
thinkingANS: 2
Med
,Med C
3. Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so that they can be
independent from the nurses’ assistance as quickly as possible. A caring relationship, integration of objective
and subjective data, and application of critical thinking areincluded in the American Nurses Associations
essential features of professional nursing.
PTS:1DIF: Analyze
REF: Emergence of Contemporary Nursing in the United States
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
that the purpose of this type of health plan is to:
1. ensure payment is made to Medicare for services rendered.
2. maximize the utilization of health care resources.
3. efficiently manage costs while providing quality care.
4. focus on the illness when providing care.
ANS: 3
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
while providing quality care. An HMO is a type of managed care plan with the goal of providing
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
of health care resources but rather uses financial incentives to decrease care costs.
PTS: 1 DIF: Understand REF: Cost of Care
4.A client tells the nurse that he does not have a primary care physician but rather makesan
appointment with a doctor who specializes in the area in which he is experiencing a
problem. The nurse realizes this client is at risk for which of the following?
1. Fragmented care
2. Overpayment of services
3. Inability to sustain health
4. Finding an appropriate general practitioner
ANS: 1
In the 1980s, the close and trusting relationship between an individual and the individual’s
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
specialists is not at risk for overpayment of services, the inability to sustain health, orfinding an
appropriate general practitioner.
Med
, PTS:1DIF: Analyze REF Providers of Care #wert #wert #wert #wert #wert
5. The nurse is attending a master’s degree program in efforts to be educationally
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
#wert
prepared toserve as a hospital leader. The nurse realizes that this educational
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
#wert
preparationwill:
1. hinder the nurses’ ability to work with physicians.
#wert #wert #wert #wert #wert #wert #wert
2. be viewed as not supporting the profession of nursing by other nurses.
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
3. ensure the nurse is biased towards clinician’s interests.
#wert #wert #wert #wert #wert #wert #wert
prepare the nurse to serve as strong clinical support with the ability to integrate business an
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
4. caring.
ANS: 4 #wert
The nurse is attending an educational program to serve as a hospital leader. This
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
education will prepare the nurse to serve as strong clinical support with the ability
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
to integrate business and caring. This education will not hinder the nurse’s ability to
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
work with physicians. This education will not be viewed as unsupportive to the
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
profession of nursing. The education will ensure that the nurse is not biased
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
towards clinician’s interests.
#wert #wert #wert
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
#wert #wert #wert #wert #wert #wert #wert
6. A client tells the nurse that all hospitals care about is doing the minimum
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
#wert
for a client regardless of the outcome. Which of the following should the nurse
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
respond to this client?
#wert #wert #wert #wert
1. It does feel like that sometimes.
#wert #wert #wert #wert #wert
2. Health insurance companies have caused this problem.
#wert #wert #wert #wert #wert #wert
3. The doctors will get paid regardless of the clients’ outcomes.
#wert #wert #wert #wert #wert #wert #wert #wert #wert
There are quality programs in place to make sure clients receive the best quality of care
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
regardless
#wert
4. of the cost.
#wert #wert
ANS: 4 #wert
In response to concerns about safety and quality of care voiced by clients and
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
providers, total quality management and continuous quality improvement programs
#wert #wert #wert #wert #wert #wert #wert #wert #wert
were initiated. These programs ensure society that cost management is not
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
compromising safety or quality. This is what the nurse should respond to the
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
client. The other choices do not address the clients concerns nor do they explain
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
quality management programs.
#wert #wert #wert
PTS: 1 DIF: Apply REF: Quality Measure Shift
#wert #wert #wert #wert #wert #wert #wert
Med
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
Med
,Focus on Adult Health Medical Surgical Nursing 3rd Edition Honan Test Bank
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
Well Elaborated Answers & Questions
#wert #wert #wert #wert
Chapter 1 The nurse’s Role in Adult Health Nursing
#wert #wert #wert #wert #wert #wert #wert #wert
MULTIPLE CHOICE
#wert #wert
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
reach. The nurse is focusing on which nursing theorist who realized the importance of the
environment for care?
1. Florence Nightingale
2. Sister Callista Roy
3. Dorothea Orem
4. Martha Rogers
ANS: 1
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self-
care deficit theory. Martha Rogers model is the science of unitary human beings.
PTS:1DIF: Apply
REF: Emergence of Contemporary Nursing in the United States
2. The nurse is instructing a client on self-administration of insulin so that the client will not
need a health care provider to do this activity. The nurse is implementing which of the
following aspects of Virginia Hendersons theory of nursing?
1. A caring relationship
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
3. Integration of objective and subjective data
4. Application of critical
thinkingANS: 2
Med
,Med C
3. Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so that they can be
independent from the nurses’ assistance as quickly as possible. A caring relationship, integration of objective
and subjective data, and application of critical thinking areincluded in the American Nurses Associations
essential features of professional nursing.
PTS:1DIF: Analyze
REF: Emergence of Contemporary Nursing in the United States
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
that the purpose of this type of health plan is to:
1. ensure payment is made to Medicare for services rendered.
2. maximize the utilization of health care resources.
3. efficiently manage costs while providing quality care.
4. focus on the illness when providing care.
ANS: 3
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
while providing quality care. An HMO is a type of managed care plan with the goal of providing
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
of health care resources but rather uses financial incentives to decrease care costs.
PTS: 1 DIF: Understand REF: Cost of Care
4.A client tells the nurse that he does not have a primary care physician but rather makesan
appointment with a doctor who specializes in the area in which he is experiencing a
problem. The nurse realizes this client is at risk for which of the following?
1. Fragmented care
2. Overpayment of services
3. Inability to sustain health
4. Finding an appropriate general practitioner
ANS: 1
In the 1980s, the close and trusting relationship between an individual and the individual’s
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
specialists is not at risk for overpayment of services, the inability to sustain health, orfinding an
appropriate general practitioner.
Med
, PTS:1DIF: Analyze REF Providers of Care #wert #wert #wert #wert #wert
5. The nurse is attending a master’s degree program in efforts to be educationally
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
#wert
prepared toserve as a hospital leader. The nurse realizes that this educational
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
#wert
preparationwill:
1. hinder the nurses’ ability to work with physicians.
#wert #wert #wert #wert #wert #wert #wert
2. be viewed as not supporting the profession of nursing by other nurses.
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
3. ensure the nurse is biased towards clinician’s interests.
#wert #wert #wert #wert #wert #wert #wert
prepare the nurse to serve as strong clinical support with the ability to integrate business an
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
4. caring.
ANS: 4 #wert
The nurse is attending an educational program to serve as a hospital leader. This
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
education will prepare the nurse to serve as strong clinical support with the ability
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
to integrate business and caring. This education will not hinder the nurse’s ability to
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
work with physicians. This education will not be viewed as unsupportive to the
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
profession of nursing. The education will ensure that the nurse is not biased
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
towards clinician’s interests.
#wert #wert #wert
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
#wert #wert #wert #wert #wert #wert #wert
6. A client tells the nurse that all hospitals care about is doing the minimum
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
#wert
for a client regardless of the outcome. Which of the following should the nurse
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
respond to this client?
#wert #wert #wert #wert
1. It does feel like that sometimes.
#wert #wert #wert #wert #wert
2. Health insurance companies have caused this problem.
#wert #wert #wert #wert #wert #wert
3. The doctors will get paid regardless of the clients’ outcomes.
#wert #wert #wert #wert #wert #wert #wert #wert #wert
There are quality programs in place to make sure clients receive the best quality of care
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
regardless
#wert
4. of the cost.
#wert #wert
ANS: 4 #wert
In response to concerns about safety and quality of care voiced by clients and
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
providers, total quality management and continuous quality improvement programs
#wert #wert #wert #wert #wert #wert #wert #wert #wert
were initiated. These programs ensure society that cost management is not
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
compromising safety or quality. This is what the nurse should respond to the
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
client. The other choices do not address the clients concerns nor do they explain
#wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert #wert
quality management programs.
#wert #wert #wert
PTS: 1 DIF: Apply REF: Quality Measure Shift
#wert #wert #wert #wert #wert #wert #wert
Med
