Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
TEST BANK
Timby's Introductory Medical-Surgical Nursing
Loretta A. Donnelly-Moreno, Brigitte Moseley
14th Edition
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Table of Contents
UNIT 1 Nursing Roles and Responsibilities
Chapter 1: Concepts and Trends in Healthcare
Chapter 2: Settings and Models for Nursing Care
Chapter 3: The Nursing Process
Chapter 4: Interviewing and Physical Assessment
Chapter 5: Legal and Ethical Issues
Chapter 6: Leadership Roles and Management Functions
UNIT 2 Client Care Concerns
Chapter 7: Nurse–Client Relationships
Chapter 8: Cultural Care Considerations
Chapter 9: Integrative Medicine and Alternative Therapies
Chapter 10: End-of-Life Care
UNIT 3 Foundations of Medical-Surgical Nursing
Chapter 11 : Pain Management
Chapter 12 : Infection
Chapter 13 : Intravenous Therapy
Chapter 14: Perioperative Care
Chapter 15: Disaster Situations
UNIT 4 Caring for Clients with Multisystem Disorders
Chapter 16: Caring for Clients with Fluid, Electrolyte, and Acid–Base Imbalances
Chapter 17: Caring for Clients in Shock
Chapter 18: Caring for Clients with Cancer
UNIT 5 Caring for Clients with Respiratory Disorders
Chapter 19: Introduction to the Respiratory System
Chapter 20: Caring for Clients with Upper Respiratory Disorders
Chapter 21: Caring for Clients with Lower Respiratory Disorders
UNIT 6 Caring for Clients with Cardiovascular Disorders
Chapter 22: Introduction to the Cardiovascular System
Chapter 23: Caring for Clients with Infectious and Inflammatory Disorders of the Heart and Blood Vessels
Chapter 24: Caring for Clients with Valvular Disorders of the Heart
Chapter 25: Caring for Clients with Disorders of Coronary and Peripheral Blood Vessels
Chapter 26: Caring for Clients with Cardiac Arrhythmias
Chapter 27: Caring for Clients with Hypertension
Chapter 28: Caring for Clients with Heart Failure
Chapter 29: Caring for Clients Undergoing Cardiovascular Surgery
UNIT 7 Caring for Clients with Hematopoietic and Lymphatic Disorders
Chapter 30: Introduction to the Hematopoietic and Lymphatic Systems
Chapter 31: Caring for Clients with Disorders of the Hematopoietic System
Chapter 32: Caring for Clients with Disorders of the Lymphatic System
UNIT 8 Caring for Clients with Immune Disorders
Chapter 33: Introduction to the Immune System
Chapter 34: Caring for Clients with Immune-Mediated Disorders
Chapter 35: Caring for Clients with HIV/AIDS
UNIT 9 Caring for Clients with Neurologic Disorders
Chapter 36: Introduction to the Nervous System
Chapter 37: Caring for Clients with Central and Peripheral Nervous System Disorders
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Chapter 38: Caring for Clients with Cerebrovascular Disorders
Chapter 39: Caring for Clients with Head and Spinal Cord Trauma
Chapter 40: Caring for Clients with Neurologic Deficits
UNIT 10 Caring for Clients with Sensory Disorders
Chapter 41: Introduction to the Sensory System
Chapter 42: Caring for Clients with Eye Disorders
Chapter 43: Caring for Clients with Ear Disorders
UNIT 11 Caring for Clients with Gastrointestinal Disorders
Chapter 44: Introduction to the Gastrointestinal System and Accessory Structures
Chapter 45: Caring for Clients with Disorders of the Upper Gastrointestinal Tract
Chapter 46: Caring for Clients with Disorders of the Lower Gastrointestinal Tract
Chapter 47: Caring for Clients with Disorders of the Liver, Gallbladder, or Pancreas
Chapter 48: Caring for Clients with Ostomies
UNIT 12 Caring for Clients with Endocrine Disorders
Chapter 49: Introduction to the Endocrine System
Chapter 50: Caring for Clients with Disorders of the Endocrine System
Chapter 51: Caring for Clients with Diabetes Mellitus
UNIT 13 Caring for Clients with Breast and Reproductive Disorders
Chapter 52: Introduction to the Female and Male Reproductive Systems
Chapter 53: Caring for Clients with Disorders of the Female Reproductive System
Chapter 54: Caring for Clients with Breast Disorders
Chapter 55: Caring for Clients with Disorders of the Male Reproductive System
Chapter 56: Caring for Clients with Sexually Transmitted Infections
UNIT 14 Caring for Clients with Urinary and Renal Disorders
Chapter 57: Introduction to the Urinary System
Chapter 58: Caring for Clients with Disorders of the Kidneys and Ureters
Chapter 59: Caring for Clients with Disorders of the Bladder and Urethra
UNIT 15 Caring for Clients with Musculoskeletal Disorders
Chapter 60: Introduction to the Musculoskeletal System
Chapter 61: Caring for Clients Requiring Orthopedic Treatment
Chapter 62: Caring for Clients with Traumatic Musculoskeletal Injuries
Chapter 63: Caring for Clients with Orthopedic and Connective Tissue Disorders
UNIT 16 Caring for Clients with Integumentary Disorders
Chapter 64: Introduction to the Integumentary System
Chapter 65: Caring for Clients with Skin, Hair, and Nail Disorders
Chapter 66: Caring for Clients with Burns
UNIT 17 Caring for Clients with Psychobiologic Disorders
Chapter 67: Interaction of Body and Mind
Chapter 68: Caring for Clients with Anxiety Disorders
Chapter 69: Caring for Clients with Mood Disorders
Chapter 70: Caring for Clients with Eating Disorders
Chapter 71: Caring for Clients with Substance Use Disorders
Chapter 72: Caring for Clients with Dementia and Thought Disorders
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Test Bank Questions, Chapter 1:
Concepts and Trends in Healthcare
1. In an effort to cut costs, hospitals have instituted many changes. Which of
these cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in health care systems
2. The hospital is having a problem with health care-associated infections. A
committee has been established to study the problem and make
recommendations. The nurse working on the committee knows that this work
addresses what?
A) Inpatient quality indicators
B) Prevention quality indicators
C) National Patient Safety Goals
D) Client safety indicators
3. What method for financing health care is based on the ability to keep clients
healthy and out of the hospital through periodic screening, health education,
and preventive services?
A) Managed care
B) Preferred provider organization
C) Health maintenance organization
D) Point-of-service organization
4. A client is brought into the emergency department by the rescue squad after
involvement in a motorcycle accident with a severe spinal cord injury. What
type of illness does the nurse recognize?
A) Terminal
B) Acute
C) Chronic
D) Catastrophic
5. A client with chronic obstructive pulmonary disease visits a local long-term
care facility once a week to lead a bingo game for the residents. How does
the nurse determine that this client is achieving a high level of wellness?
A) The client enjoys the activity that the nurse provides to the clients.
B) The client finds satisfaction in socialization with the residents.
C) The client is achieving a high quality of life within the limits of the illness.
D) The client needs to feel a part of a group setting.
6. The nurse is providing a program at the local YMCA about stress-reduction
techniques combined with a 1-mile walk around the indoor track once a
week. What does this type of program address for the community?
A) Health promotion
B) Health maintenance
C) Illness prevention
D) Early detection of illness
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
7. The nurse informs the administrative assistant that a client is expected to
come in for lab work. The administrative assistant asks why the nurse refers
to the individual as a client. What is the best response by the nurse?
A) "We should refer to everyone as a client. They pay for our service."
B) "That's how the health care provider wants us to refer to them."
C) "Using the term client implies that they are an active partner in nursing
care."
D) "Using the term client is more respectful that using the term patient."
8. The client is referred from the health care provider to a cardiologist for a
cardiac catheterization to determine if the client has coronary artery disease.
What type of care does the nurse understand that this is?
A) Primary care
B) Secondary care
C) Tertiary care
D) Acute care
9. A client with terminal cancer is being referred to hospice services to assist
with care of the client and the family in the home environment. What type of
care does the nurse determine this is?
A) Primary care
B) Secondary care
C) Tertiary care
D) Acute care
10.A client comes to the clinic and reports being ill for several weeks but does
not have insurance and has delayed care. What does the nurse understand
about the overall health care reform goals that will address issues such as
this client?
A) The goal of health care reform is to provide care to females, infants, and
children.
B) The goal of health care reform is to provide more health care programs to
address illness.
C) The goal of health care reform is to provide quality health care for those
that can afford it.
D) The goal of health care reform is to provide affordable health care to
more citizens.
11.An HMO client obtained a second opinion regarding a diagnosis of colon
cancer. There was no authorization obtained for this second opinion from the
client or health care provider. What is the consequence of this action?
A) The client will be responsible for the entire bill for the second opinion.
B) The client will still receive full coverage.
C) The client will be dropped from the HMO for breaking the rules.
D) The client will be fined by the HMO for not using the authorization
process.
12.A nurse has applied for a position in the hospital emergency department and
is told that the facility only hires RNs and unlicensed assistive personnel
(UAPs) in the emergency department. What concern does the nurse have
with the practice of hiring UAPs in place of LPNs?
A) LPNs will be phased out of the health care field altogether when more
UAPs are hired.
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
B) UAPs are performing some of the duties that practical nurses typically
provide and may jeopardize the quality of care.
C) UAPs will replace nurses because they deliver a better quality of care.
D) State boards of nursing will begin to credential UAPs.
13.The Healthy People initiatives have targeted the improvement of health for
all. What is one of the broad goals of the Healthy People initiatives?
A) Increasing technological innovation in treatment of disorders
B) Reducing expenditures on end-of-life care
C) Applying a systematic approach to health improvement
D) Increasing the quality and length of a healthy life
14.A nurse is providing care for a client who has had a hip replacement and is
going to be discharged in 2 days. The nurse has provided the client
instructions for care after discharge. Which instruction would be considered
accessing tertiary care?
A) "Begin physical therapy in 1 week."
B) "Follow up with your primary health care provider in 2 days to discuss
laboratory results."
C) "Go to the outpatient laboratory for blood studies in 3 days."
D) "Report to the emergency department for signs of infection, shortness of
breath, or chest pain."
15.The nurse is collecting data at the clinic from a new client and learns the
client has a family history of high blood pressure and stroke. The nurse
discusses diet and exercise programs that may benefit the client. What type
of education is the nurse providing?
A) illness prevention
B) early detection
C) health screening
D) disease management
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Test Bank Answer Key, Chapter 1:
Concepts and Trends in Healthcare
1. A. Hospitals are using unlicensed assistive personnel to perform some duties
practical and registered nurses once provided. Many are concerned that the
use of unlicensed assistive personnel will jeopardize the quality of care.
Increasing numbers of clients in hospitals, not devoting enough time to the
client, and the rise of medical costs are less likely to jeopardize the quality of
care.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 6-7, Changes And Trends In Healthcare: Effects Of Cost-
Driven Changes
2. C. The Joint Commission has established National Patient Safety Goals that
are updated annually. These safety goals have changed how clients are
identified and prevent adverse effects. Some of the 2016 goals include
reducing the risk of health care-associated infections. Client safety indicators
reflect the quality of care in hospitals but focus on potentially avoidable
complications. Prevention indicators identify hospital admissions that could be
avoided through high-quality outpatient care. Inpatient indicators reflect
quality of care inside the hospital.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Communication and Documentation
Page and Header: 7-8, Measures Of Quality Of Care
3. C. Health maintenance organizations strive to keep their costs low and
members out of the hospital through periodic screenings, health education,
and preventive services. Managed care organizations are insurers who
carefully plan and closely supervise the distribution of health care services.
Preferred provider organizations are a community network of providers who
are willing to discount their fees for service in exchange for a steady stream
of referral customers. Point-of-service organizations involve a network of
providers; clients select a primary care health care provider within the group
who then serves as the gatekeeper for other health care services.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Integrated Process: Teaching/Learning
Page and Header: 6, Health Maintenance Organizations
4. D. Illness refers to a state of being sick and can be viewed as catastrophic or
a sudden, traumatic illness, which has occurred with this client. The client has
suffered a traumatic accident with serious injury and would be classified as
catastrophic. This event is not chronic, terminal, or acute.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Physiological Integrity: Physiological Adaptation
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 2, Illness And Disease
5. C. Clients with chronic illness can achieve a high level of wellness if they can
experience a high quality of life within the limits of that illness. By engaging
in a personal and social activity weekly, this client would be considered
healthy. Although the client may enjoy the activity, find satisfaction in
socialization, or need to feel a part of a group, choosing to take part in an
activity that promotes a high quality of life within the limits of the client's
illness is what demonstrates wellness to the nurse.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Caring
Page and Header: 2, The Health-Illness Continuum
6. A. Health promotion refers to engaging in strategies to enhance health such
as eating a diet high in grains and complex carbohydrates, exercising
regularly, balancing work with leisure activities, and practicing stress-
reduction techniques. Illness prevention involves identifying risk factors such
as a family history of hypertension or diabetes and reducing the effects of
risk factors on one's health. Early detection uses screening diagnostic tests
and procedures to identify a disease process earlier, so that treatment may
be initiated earlier and be more effective. Health maintenance refers to
protecting one's current level of health by preventing illness or deterioration,
such as by complying with medication regimens, being screened for diseases
such as breast and colon cancers, or practicing safe sex.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Page and Header: 3, Health Maintenance And Promotion
7. C. A client is an active partner in nursing care, and the person receiving
health care services should no longer play a passive, ill role. The use of the
term client reflects the attitude of personal responsibility for health. Though
clients may be paying for these services, some health care providers may
request their staff members to use this terminology, and some people may
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
consider it to be a more respectful term than "patient", these are not the
primary reasons to refer to the individual as a client.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Caring
Page and Header: 3, Health Maintenance And Promotion
8. B. Secondary care includes referrals to facilities for additional testing such as
cardiac catheterization, consultation, and diagnosis as well as emergency and
acute care interventions. This client falls into this category due to the referral
to the cardiologist for the cardiac catheterization. The client does not fall into
the acute care category. Primary care would include being seen by the client's
primary health care provider. Tertiary care focuses more on complex medical
and surgical interventions, cancer care, rehabilitative services, long-term care
such as burn care, and palliative and hospice care.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 3, The Healthcare Delivery System
9. C. Tertiary care focuses more on complex medical and surgical interventions,
cancer care, rehabilitative services, long-term care such as burn care, and
palliative and hospice care. This client is terminally ill and being referred for
hospice service. Secondary care includes referrals to facilities for additional
testing such as cardiac catheterization, consultation, and diagnosis as well as
emergency and acute care interventions. The client does not fall into the
acute care category. Primary care would include being seen by the client's
primary health care provider.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 3, The Healthcare Delivery System
10.D. The overall goal of health care reform is to provide affordable health care
to more U.S. citizens. Other goals are to reduce the insurance companies'
control of health care and to provide more assistance to senior citizens on
fixed incomes. Providing care to females, infants, and children and offering
more health care programs to address illness may be results of health care
reform but are not themselves the overall goal. Health care reform seeks to
provide quality health care that is affordable to as many U.S. citizens as
possible, not to only provide it to those who can already afford it.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 4, Access To Care
11.A. Members of an HMO must receive authorization for secondary care, such
as second opinions from specialists or diagnostic testing. If members obtain
unauthorized care, they are responsible for the entire bill. In this way, HMOs
serve as gatekeepers for health care services. The member will not be fined
or dropped from the program but will not receive coverage for the service
rendered from the second opinion.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 6, Health Maintenance Organizations
12.B. Changes in the health care industry have also affected employment for
health care workers. Hospitals employ UAPs to perform some duties that
practical and registered nurses once provided. Many are concerned that the
use of UAPs will jeopardize the quality of care. There is no evidence to
indicate that LPNs will be phased out of the health care system or that UAPs
will replace nurses. State boards of nursing cannot credential an unlicensed
person that does not go through a formal education program.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 6-7, Changes And Trends In Healthcare: Effects Of Cost-
Driven Changes
13.D. Two broad goals of the Healthy People initiative are to increase the quality
and years of healthy life and to eliminate health disparities. Healthy People
puts forward a number of health objectives but does not propose a
systematic approach to health improvement. Healthy People addresses
technology in relation to electronic health information, but does not directly
promote technological innovations in treatment. While Healthy People has a
number of objectives specific to older adults and objectives around making
health care more affordable and accessible, it does not seek to reduce
expenses on end-of-life care.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Health Promotion and Maintenance
Cognitive Level: Remember
Integrated Process: Teaching/Learning
Page and Header: 8, Future Trends And Goals For Healthcare
14.A. Starting physical therapy, a type of rehabilitation, is a form of tertiary
care. Tertiary care focuses on complex medical and surgical interventions,
and specialized services such as cancer care and rehabilitative services.
Encouraging the client to see a family health care provider would be
promoting primary care. Sending the client for lab studies or instructing them
TEST BANK
Timby's Introductory Medical-Surgical Nursing
Loretta A. Donnelly-Moreno, Brigitte Moseley
14th Edition
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Table of Contents
UNIT 1 Nursing Roles and Responsibilities
Chapter 1: Concepts and Trends in Healthcare
Chapter 2: Settings and Models for Nursing Care
Chapter 3: The Nursing Process
Chapter 4: Interviewing and Physical Assessment
Chapter 5: Legal and Ethical Issues
Chapter 6: Leadership Roles and Management Functions
UNIT 2 Client Care Concerns
Chapter 7: Nurse–Client Relationships
Chapter 8: Cultural Care Considerations
Chapter 9: Integrative Medicine and Alternative Therapies
Chapter 10: End-of-Life Care
UNIT 3 Foundations of Medical-Surgical Nursing
Chapter 11 : Pain Management
Chapter 12 : Infection
Chapter 13 : Intravenous Therapy
Chapter 14: Perioperative Care
Chapter 15: Disaster Situations
UNIT 4 Caring for Clients with Multisystem Disorders
Chapter 16: Caring for Clients with Fluid, Electrolyte, and Acid–Base Imbalances
Chapter 17: Caring for Clients in Shock
Chapter 18: Caring for Clients with Cancer
UNIT 5 Caring for Clients with Respiratory Disorders
Chapter 19: Introduction to the Respiratory System
Chapter 20: Caring for Clients with Upper Respiratory Disorders
Chapter 21: Caring for Clients with Lower Respiratory Disorders
UNIT 6 Caring for Clients with Cardiovascular Disorders
Chapter 22: Introduction to the Cardiovascular System
Chapter 23: Caring for Clients with Infectious and Inflammatory Disorders of the Heart and Blood Vessels
Chapter 24: Caring for Clients with Valvular Disorders of the Heart
Chapter 25: Caring for Clients with Disorders of Coronary and Peripheral Blood Vessels
Chapter 26: Caring for Clients with Cardiac Arrhythmias
Chapter 27: Caring for Clients with Hypertension
Chapter 28: Caring for Clients with Heart Failure
Chapter 29: Caring for Clients Undergoing Cardiovascular Surgery
UNIT 7 Caring for Clients with Hematopoietic and Lymphatic Disorders
Chapter 30: Introduction to the Hematopoietic and Lymphatic Systems
Chapter 31: Caring for Clients with Disorders of the Hematopoietic System
Chapter 32: Caring for Clients with Disorders of the Lymphatic System
UNIT 8 Caring for Clients with Immune Disorders
Chapter 33: Introduction to the Immune System
Chapter 34: Caring for Clients with Immune-Mediated Disorders
Chapter 35: Caring for Clients with HIV/AIDS
UNIT 9 Caring for Clients with Neurologic Disorders
Chapter 36: Introduction to the Nervous System
Chapter 37: Caring for Clients with Central and Peripheral Nervous System Disorders
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Chapter 38: Caring for Clients with Cerebrovascular Disorders
Chapter 39: Caring for Clients with Head and Spinal Cord Trauma
Chapter 40: Caring for Clients with Neurologic Deficits
UNIT 10 Caring for Clients with Sensory Disorders
Chapter 41: Introduction to the Sensory System
Chapter 42: Caring for Clients with Eye Disorders
Chapter 43: Caring for Clients with Ear Disorders
UNIT 11 Caring for Clients with Gastrointestinal Disorders
Chapter 44: Introduction to the Gastrointestinal System and Accessory Structures
Chapter 45: Caring for Clients with Disorders of the Upper Gastrointestinal Tract
Chapter 46: Caring for Clients with Disorders of the Lower Gastrointestinal Tract
Chapter 47: Caring for Clients with Disorders of the Liver, Gallbladder, or Pancreas
Chapter 48: Caring for Clients with Ostomies
UNIT 12 Caring for Clients with Endocrine Disorders
Chapter 49: Introduction to the Endocrine System
Chapter 50: Caring for Clients with Disorders of the Endocrine System
Chapter 51: Caring for Clients with Diabetes Mellitus
UNIT 13 Caring for Clients with Breast and Reproductive Disorders
Chapter 52: Introduction to the Female and Male Reproductive Systems
Chapter 53: Caring for Clients with Disorders of the Female Reproductive System
Chapter 54: Caring for Clients with Breast Disorders
Chapter 55: Caring for Clients with Disorders of the Male Reproductive System
Chapter 56: Caring for Clients with Sexually Transmitted Infections
UNIT 14 Caring for Clients with Urinary and Renal Disorders
Chapter 57: Introduction to the Urinary System
Chapter 58: Caring for Clients with Disorders of the Kidneys and Ureters
Chapter 59: Caring for Clients with Disorders of the Bladder and Urethra
UNIT 15 Caring for Clients with Musculoskeletal Disorders
Chapter 60: Introduction to the Musculoskeletal System
Chapter 61: Caring for Clients Requiring Orthopedic Treatment
Chapter 62: Caring for Clients with Traumatic Musculoskeletal Injuries
Chapter 63: Caring for Clients with Orthopedic and Connective Tissue Disorders
UNIT 16 Caring for Clients with Integumentary Disorders
Chapter 64: Introduction to the Integumentary System
Chapter 65: Caring for Clients with Skin, Hair, and Nail Disorders
Chapter 66: Caring for Clients with Burns
UNIT 17 Caring for Clients with Psychobiologic Disorders
Chapter 67: Interaction of Body and Mind
Chapter 68: Caring for Clients with Anxiety Disorders
Chapter 69: Caring for Clients with Mood Disorders
Chapter 70: Caring for Clients with Eating Disorders
Chapter 71: Caring for Clients with Substance Use Disorders
Chapter 72: Caring for Clients with Dementia and Thought Disorders
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Test Bank Questions, Chapter 1:
Concepts and Trends in Healthcare
1. In an effort to cut costs, hospitals have instituted many changes. Which of
these cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in health care systems
2. The hospital is having a problem with health care-associated infections. A
committee has been established to study the problem and make
recommendations. The nurse working on the committee knows that this work
addresses what?
A) Inpatient quality indicators
B) Prevention quality indicators
C) National Patient Safety Goals
D) Client safety indicators
3. What method for financing health care is based on the ability to keep clients
healthy and out of the hospital through periodic screening, health education,
and preventive services?
A) Managed care
B) Preferred provider organization
C) Health maintenance organization
D) Point-of-service organization
4. A client is brought into the emergency department by the rescue squad after
involvement in a motorcycle accident with a severe spinal cord injury. What
type of illness does the nurse recognize?
A) Terminal
B) Acute
C) Chronic
D) Catastrophic
5. A client with chronic obstructive pulmonary disease visits a local long-term
care facility once a week to lead a bingo game for the residents. How does
the nurse determine that this client is achieving a high level of wellness?
A) The client enjoys the activity that the nurse provides to the clients.
B) The client finds satisfaction in socialization with the residents.
C) The client is achieving a high quality of life within the limits of the illness.
D) The client needs to feel a part of a group setting.
6. The nurse is providing a program at the local YMCA about stress-reduction
techniques combined with a 1-mile walk around the indoor track once a
week. What does this type of program address for the community?
A) Health promotion
B) Health maintenance
C) Illness prevention
D) Early detection of illness
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
7. The nurse informs the administrative assistant that a client is expected to
come in for lab work. The administrative assistant asks why the nurse refers
to the individual as a client. What is the best response by the nurse?
A) "We should refer to everyone as a client. They pay for our service."
B) "That's how the health care provider wants us to refer to them."
C) "Using the term client implies that they are an active partner in nursing
care."
D) "Using the term client is more respectful that using the term patient."
8. The client is referred from the health care provider to a cardiologist for a
cardiac catheterization to determine if the client has coronary artery disease.
What type of care does the nurse understand that this is?
A) Primary care
B) Secondary care
C) Tertiary care
D) Acute care
9. A client with terminal cancer is being referred to hospice services to assist
with care of the client and the family in the home environment. What type of
care does the nurse determine this is?
A) Primary care
B) Secondary care
C) Tertiary care
D) Acute care
10.A client comes to the clinic and reports being ill for several weeks but does
not have insurance and has delayed care. What does the nurse understand
about the overall health care reform goals that will address issues such as
this client?
A) The goal of health care reform is to provide care to females, infants, and
children.
B) The goal of health care reform is to provide more health care programs to
address illness.
C) The goal of health care reform is to provide quality health care for those
that can afford it.
D) The goal of health care reform is to provide affordable health care to
more citizens.
11.An HMO client obtained a second opinion regarding a diagnosis of colon
cancer. There was no authorization obtained for this second opinion from the
client or health care provider. What is the consequence of this action?
A) The client will be responsible for the entire bill for the second opinion.
B) The client will still receive full coverage.
C) The client will be dropped from the HMO for breaking the rules.
D) The client will be fined by the HMO for not using the authorization
process.
12.A nurse has applied for a position in the hospital emergency department and
is told that the facility only hires RNs and unlicensed assistive personnel
(UAPs) in the emergency department. What concern does the nurse have
with the practice of hiring UAPs in place of LPNs?
A) LPNs will be phased out of the health care field altogether when more
UAPs are hired.
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
B) UAPs are performing some of the duties that practical nurses typically
provide and may jeopardize the quality of care.
C) UAPs will replace nurses because they deliver a better quality of care.
D) State boards of nursing will begin to credential UAPs.
13.The Healthy People initiatives have targeted the improvement of health for
all. What is one of the broad goals of the Healthy People initiatives?
A) Increasing technological innovation in treatment of disorders
B) Reducing expenditures on end-of-life care
C) Applying a systematic approach to health improvement
D) Increasing the quality and length of a healthy life
14.A nurse is providing care for a client who has had a hip replacement and is
going to be discharged in 2 days. The nurse has provided the client
instructions for care after discharge. Which instruction would be considered
accessing tertiary care?
A) "Begin physical therapy in 1 week."
B) "Follow up with your primary health care provider in 2 days to discuss
laboratory results."
C) "Go to the outpatient laboratory for blood studies in 3 days."
D) "Report to the emergency department for signs of infection, shortness of
breath, or chest pain."
15.The nurse is collecting data at the clinic from a new client and learns the
client has a family history of high blood pressure and stroke. The nurse
discusses diet and exercise programs that may benefit the client. What type
of education is the nurse providing?
A) illness prevention
B) early detection
C) health screening
D) disease management
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Test Bank Answer Key, Chapter 1:
Concepts and Trends in Healthcare
1. A. Hospitals are using unlicensed assistive personnel to perform some duties
practical and registered nurses once provided. Many are concerned that the
use of unlicensed assistive personnel will jeopardize the quality of care.
Increasing numbers of clients in hospitals, not devoting enough time to the
client, and the rise of medical costs are less likely to jeopardize the quality of
care.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Remember
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 6-7, Changes And Trends In Healthcare: Effects Of Cost-
Driven Changes
2. C. The Joint Commission has established National Patient Safety Goals that
are updated annually. These safety goals have changed how clients are
identified and prevent adverse effects. Some of the 2016 goals include
reducing the risk of health care-associated infections. Client safety indicators
reflect the quality of care in hospitals but focus on potentially avoidable
complications. Prevention indicators identify hospital admissions that could be
avoided through high-quality outpatient care. Inpatient indicators reflect
quality of care inside the hospital.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Communication and Documentation
Page and Header: 7-8, Measures Of Quality Of Care
3. C. Health maintenance organizations strive to keep their costs low and
members out of the hospital through periodic screenings, health education,
and preventive services. Managed care organizations are insurers who
carefully plan and closely supervise the distribution of health care services.
Preferred provider organizations are a community network of providers who
are willing to discount their fees for service in exchange for a steady stream
of referral customers. Point-of-service organizations involve a network of
providers; clients select a primary care health care provider within the group
who then serves as the gatekeeper for other health care services.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Understand
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Integrated Process: Teaching/Learning
Page and Header: 6, Health Maintenance Organizations
4. D. Illness refers to a state of being sick and can be viewed as catastrophic or
a sudden, traumatic illness, which has occurred with this client. The client has
suffered a traumatic accident with serious injury and would be classified as
catastrophic. This event is not chronic, terminal, or acute.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Physiological Integrity: Physiological Adaptation
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 2, Illness And Disease
5. C. Clients with chronic illness can achieve a high level of wellness if they can
experience a high quality of life within the limits of that illness. By engaging
in a personal and social activity weekly, this client would be considered
healthy. Although the client may enjoy the activity, find satisfaction in
socialization, or need to feel a part of a group, choosing to take part in an
activity that promotes a high quality of life within the limits of the client's
illness is what demonstrates wellness to the nurse.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Caring
Page and Header: 2, The Health-Illness Continuum
6. A. Health promotion refers to engaging in strategies to enhance health such
as eating a diet high in grains and complex carbohydrates, exercising
regularly, balancing work with leisure activities, and practicing stress-
reduction techniques. Illness prevention involves identifying risk factors such
as a family history of hypertension or diabetes and reducing the effects of
risk factors on one's health. Early detection uses screening diagnostic tests
and procedures to identify a disease process earlier, so that treatment may
be initiated earlier and be more effective. Health maintenance refers to
protecting one's current level of health by preventing illness or deterioration,
such as by complying with medication regimens, being screened for diseases
such as breast and colon cancers, or practicing safe sex.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Page and Header: 3, Health Maintenance And Promotion
7. C. A client is an active partner in nursing care, and the person receiving
health care services should no longer play a passive, ill role. The use of the
term client reflects the attitude of personal responsibility for health. Though
clients may be paying for these services, some health care providers may
request their staff members to use this terminology, and some people may
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
consider it to be a more respectful term than "patient", these are not the
primary reasons to refer to the individual as a client.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Caring
Page and Header: 3, Health Maintenance And Promotion
8. B. Secondary care includes referrals to facilities for additional testing such as
cardiac catheterization, consultation, and diagnosis as well as emergency and
acute care interventions. This client falls into this category due to the referral
to the cardiologist for the cardiac catheterization. The client does not fall into
the acute care category. Primary care would include being seen by the client's
primary health care provider. Tertiary care focuses more on complex medical
and surgical interventions, cancer care, rehabilitative services, long-term care
such as burn care, and palliative and hospice care.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 3, The Healthcare Delivery System
9. C. Tertiary care focuses more on complex medical and surgical interventions,
cancer care, rehabilitative services, long-term care such as burn care, and
palliative and hospice care. This client is terminally ill and being referred for
hospice service. Secondary care includes referrals to facilities for additional
testing such as cardiac catheterization, consultation, and diagnosis as well as
emergency and acute care interventions. The client does not fall into the
acute care category. Primary care would include being seen by the client's
primary health care provider.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 3, The Healthcare Delivery System
10.D. The overall goal of health care reform is to provide affordable health care
to more U.S. citizens. Other goals are to reduce the insurance companies'
control of health care and to provide more assistance to senior citizens on
fixed incomes. Providing care to females, infants, and children and offering
more health care programs to address illness may be results of health care
reform but are not themselves the overall goal. Health care reform seeks to
provide quality health care that is affordable to as many U.S. citizens as
possible, not to only provide it to those who can already afford it.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
, Test Bank - Timby's Introductory Medical-Surgical Nursing 14th Edition (Donnelly-Moreno, 2026)
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 4, Access To Care
11.A. Members of an HMO must receive authorization for secondary care, such
as second opinions from specialists or diagnostic testing. If members obtain
unauthorized care, they are responsible for the entire bill. In this way, HMOs
serve as gatekeepers for health care services. The member will not be fined
or dropped from the program but will not receive coverage for the service
rendered from the second opinion.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 6, Health Maintenance Organizations
12.B. Changes in the health care industry have also affected employment for
health care workers. Hospitals employ UAPs to perform some duties that
practical and registered nurses once provided. Many are concerned that the
use of UAPs will jeopardize the quality of care. There is no evidence to
indicate that LPNs will be phased out of the health care system or that UAPs
will replace nurses. State boards of nursing cannot credential an unlicensed
person that does not go through a formal education program.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Safe and Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Nursing Process (Clinical Problem-solving Process)
Page and Header: 6-7, Changes And Trends In Healthcare: Effects Of Cost-
Driven Changes
13.D. Two broad goals of the Healthy People initiative are to increase the quality
and years of healthy life and to eliminate health disparities. Healthy People
puts forward a number of health objectives but does not propose a
systematic approach to health improvement. Healthy People addresses
technology in relation to electronic health information, but does not directly
promote technological innovations in treatment. While Healthy People has a
number of objectives specific to older adults and objectives around making
health care more affordable and accessible, it does not seek to reduce
expenses on end-of-life care.
Format: Multiple Choice
Chapter 1: Concepts and Trends in Healthcare
Client Needs: Health Promotion and Maintenance
Cognitive Level: Remember
Integrated Process: Teaching/Learning
Page and Header: 8, Future Trends And Goals For Healthcare
14.A. Starting physical therapy, a type of rehabilitation, is a form of tertiary
care. Tertiary care focuses on complex medical and surgical interventions,
and specialized services such as cancer care and rehabilitative services.
Encouraging the client to see a family health care provider would be
promoting primary care. Sending the client for lab studies or instructing them
