TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS (COMPLETE ALL CHAPTERS)

TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS (COMPLETE ALL CHAPTERS) Which is an example of what traditional medicine and complementary and alternative medicine therapies have in common? 1) Both can produce adverse effects in some patients. 2) Both use prescription medications. 3) Both are usually reimbursed by insurance programs. 4) Both are regulated by the FDA. ANS: 1 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice. Chapter page reference: p. 22 Heading: What Are Some Trends in Nursing and Healthcare? Integrated Processes: Caring TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS N Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 Both traditional and complementary therapies can produce adverse effects in some patients. 2 Many medications are derived from herbs, but the alternative treatments usually use the herbs, not prescription medication. 3 Insurance programs do not necessarily reimburse alternative treatments, because many are not supported by sound scientific research methodology. 4 Alternative medications are not regulated by the FDA. PTS: 1 CON: Evidence-Based Practice 13. Which is the biggest disadvantage of having nursing assistive personnel (NAP) assist nurses in practice? 1) Nurses must know what aspects of care can legally and safely be delegated to the NAP. 2) Nurses may rely too heavily on information gathered by the NAP when making patient care decisions. 3) Nurses are removed from many components of direct patient care that have been delegated to the NAP. 4) Nurses still maintain responsibility for the patient care given by the NAP. ANS: 2 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice. Chapter page reference: p. 24 Heading: Increased Use of Nursing Assistive Personnel Integrated Processes: Nursing Process – Implementation Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Collaboration Difficulty: Easy Feedback 1 All of the options may be disadvantages to using NAPs, but making decisions based on another’s information is the greatest drawback because of the potential for negatively affecting patient care. Treatment decisions based on incorrect information may cause harm to the patient. 2 All of the options may be disadvantages to using NAPs, but making decisions based on another’s information is the greatest drawback because of the potential for negatively affecting patient care. Treatment decisions based on incorrect information may cause harm to the patient. 3 All of the options may be disadvantages to using NAPs, but making decisions based on another’s information is the greatest drawback because of the potential for negatively affecting patient care. Treatment decisions based on incorrect information may cause harm to the patient. TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS N 4 All of the options may be disadvantages to using NAPs, but making decisions based on another’s information is the greatest drawback because of the potential for negatively affecting patient care. Treatment decisions based on incorrect information may cause harm to the patient. PTS: 1 CON: Collaboration 14. An older adult patient is diagnosed with type 1 diabetes mellitus (DM). The patient can perform self-care activities but needs help with shopping and meal preparation as well as with blood glucose monitoring and insulin administration. Which type of healthcare facility would be most appropriate for this patient? 1) Acute care facility 2) Ambulatory care facility 3) Extended care facility 4) Assisted living facility ANS: 4 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Describe the healthcare delivery system in the United States, including sites for care, types of workers, regulation, and financing of healthcare. Chapter page reference: p. 16 Heading: Extended Care Facilities Integrated Processes: Nursing Process – Planning Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Application [Applying] Concept: Patient-Centered Care Difficulty: Moderate Feedback 1 Acute care facilities focus on preventing illnesses and treating acute problems. These facilities include physicians’ offices, clinics, and diagnostic centers. 2 Ambulatory care facilities provide outpatient care. Clients live at home or in nonhospital settings and come to the site for care. Ambulatory care facilities include private health and medical offices, clinics, surgery centers, and outpatient therapy centers. 3 Extended care facilities typically provide long-term care, rehabilitation, wound care, and ongoing monitoring of patient conditions. 4 Assisted living facilities are intended for those who are able to perform self-care activities but who require assistance with meals, housekeeping, or medications. PTS: 1 CON: Patient-Centered Care 15. The nurse in the intensive care unit is providing care for only one patient, who was admitted in septic shock. Based on this information, which care delivery model is the nurse implementing? 1) Functional 2) Primary 3) Case method 4) Team ANS: 3 TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS N Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Describe the healthcare delivery system in the United States, including sites for care, types of workers, regulation, and financing of healthcare. Chapter page reference: p. 15 Heading: What Models of Care Are Used to Provide Nursing Care? Integrated Processes: Nursing Process – Planning Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Application [Applying] Concept: Patient-Centered Care Difficulty: Moderate Feedback 1 When the functional nursing model is employed, care is compartmentalized and each task is assigned to a staff member with the appropriate knowledge and skills. 2 In primary nursing, one nurse plans the care for a group of patients around the clock. The primary nurse assesses the patient and develops the plan of care. When that nurse is working, he or she provides care for those patients for whom he or she is responsible. In his or her absence, the associate nurses deliver care. Although the nurse in this case could possibly be a primary nurse, there are not enough data to confidently infer that. 3 The nurse is following the case method model of nursing care. In this model, one nurse cares for one patient during a single shift. 4 If the team nursing approach is utilized, a licensed nurse (RN or LVN) is paired with a nursing assistant. The pair is then assigned to a group of patients. PTS: 1 CON: Patient-Centered Care 16. Which healthcare worker should the nurse consult to counsel a patient about financial and family stressors affecting healthcare? 1) Social worker 2) Occupational therapist 3) Physician’s assistant 4) Technologist ANS: 1 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Describe the healthcare delivery system in the United States, including sites for care, types of workers, regulation, and financing of healthcare. Chapter page reference: p. 17 Heading: Who Are the Members of the Interprofessional Healthcare Team? Integrated Processes: Nursing Process – Planning Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Application [Applying] Concept: Collaboration Difficulty: Moderate Feedback 1 The social worker coordinates services and counsels patients about financial, housing, marital, and family issues affecting healthcare. 2 The occupational therapist helps patients regain function and independence in TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS N activities of daily living. 3 Physician’s assistants work under the physician’s direction to diagnose certain diseases and injuries. 4 Technologists provide a variety of specific functions in hospitals, diagnostic centers, and emergency care. For example, laboratory technologists aid in the diagnosis and treatment of patients by examining blood, urine, tissue, and body fluids. Radiology technologists perform x-rays and other diagnostic testing. PTS: 1 CON: Collaboration 17. Which type of managed care allows patients the greatest choice of providers, medications, and medical devices? 1) Health maintenance organization 2) Integrated delivery network 3) Preferred provider organization 4) Employment-based private insurance ANS: 3 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Describe the healthcare delivery system in the United States, including sites for care, types of workers, regulation, and financing of healthcare. Chapter page reference: p. 19 Heading: Managed Care Integrated Processes: Nursing Process – Planning Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Application [Applying] Concept: Patient-Centered Care Difficulty: Moderate Feedback 1 Health maintenance organizations allow patients to choose a primary care provider within the organization to coordinate their care. This type of program will only reimburse medical care when patients have first obtained a referral from their primary providers. 2 Integrated delivery networks combine providers, healthcare facilities, pharmaceuticals, and services into one system, and patients must remain within the system to receive care. 3 Preferred provider organizations are a form of managed care that allows patients greater choice of providers, medications, and medical devices within the designated list. 4 Employment-based private insurance is not a managed care organization. PTS: 1 CON: Patient-Centered Care 18. A patient who underwent a total abdominal hysterectomy is assisted out of bed as soon as her vital signs are stable. Which item is directing this intervention? 1) Critical pathway 2) Nursing care plan 3) Case manager 4) Traditional care model TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS N ANS: 1 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Delineate the forces and trends affecting contemporary nursing practice. Chapter page reference: p. 20 Heading: Work Redesign Integrated Processes: Nursing Process – Implementation Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Health Care System Difficulty: Easy Feedback 1 This patient’s care is most likely being directed by a critical pathway. A critical pathway is a multidisciplinary approach to care that sequences interventions over a length of stay for a given case type such as total abdominal hysterectomy. Using this model, the patient can be assisted out of bed as soon as her vital signs are stable. 2 The nursing care plan guides nursing care but cannot specify when the patient can get out of bed postoperatively without a physician’s order. 3 When case management is used, care is coordinated by the case manager across the healthcare setting, but the case manager does not direct each care intervention. 4 Using the traditional model, the nurse would have to obtain a physician’s order to assist the patient out of bed after surgery. PTS: 1 CON: Health Care System 19. Which member of the healthcare team typically serves as the case manager? 1) Occupational therapist 2) Physician 3) Physician’s assistant 4) Registered nurse ANS: 4 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Name nine expanded roles for nursing. Chapter page reference: p. 9 Heading: Table 1-1 Roles and Functions of the Nurse Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Collaboration Difficulty: Easy Feedback 1 The occupational therapist, physician, and physician’s assistant all serve on the healthcare team and take direction from the case manager. 2 The occupational therapist, physician, and physician’s assistant all serve on the healthcare team and take direction from the case manager. 3 The occupational therapist, physician, and physician’s assistant all serve on the TEST BANK FOR BASIC NURSING 2ND EDITION BY TREAS TETBANKWORLD.ORG N healthcare team and take direction from the case manager. 4 Typically, registered nurses serve as case managers for patients with specific diagnoses. Their role is coordinator of care across the healthcare system. PTS: 1 CON: Collaboration 20. Which is considered a primary care service? 1) Providing wound care 2) Administering childhood immunizations 3) Providing drug rehabilitation 4) Outpatient hernia repair ANS: 2 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Describe the healthcare delivery system in the United States, including sites for care, types of workers, regulation, and financing of healthcare. Chapter page reference: p. 17 Heading: How Is Healthcare Categorized? Integrated Processes: Nursing Process – Implementation Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Health Care System Difficulty: Easy Feedback 1 Wound care is an example of a tertiary care service. 2 Primary care services focus on health promotion and disease prevention; administering childhood immunizations is one such service. 3 Drug rehabilitation is an example of a tertiary care service. 4 Outpatient hernia repair surgery is an example of a secondary care service. PTS: 1 CON: Health Care System 21. Which nursing activities represent direct care? Choose all that apply 1) Administering a medication 2) Documenting an assessment 3) Participating in a care conference 4) Making work assignments for the shift ANS: 1 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Name nine expanded roles for nursing. Chapter page reference: p. 15 Heading: Who Are the Recipients of Nursing Care? Integrated Processes: Nursing Process – Implementation Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Professionalism