Test Bank Fo Adult Health Medical Surgical Nursing 2nd Edition Honan
| | | | | | | | | |
Chapter |1 |The |nurse’s |Role |in |Adult |Health |Nursing
MULTIPLE |CHOICE
1. The |nurse |ensures |that |a |clients |bedspace |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 |individuals |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 |thinking
ANS: |2
,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 |are |included |in |the
|American |Nurses |Associations |essential |features |of |professional |nursing.
PTS:1DIF:Analyze
REF:Emergence |of |Contemporary |Nursing |in |the |United |States
3. 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 |makes |an
|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 |individuals
|physician |waned |and |was |replaced |by |acquaintances |with |specialists |based |upon |particular |health
|care |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, |or |finding |an
|appropriate |general |practitioner.
PTS:1DIF:AnalyzeREFroviders |of |Care
5. The |nurse |is |attending |a |masters |degree |program |in |efforts |to |be |educationally |prepared |to
|serve |as |a |hospital |leader. |The |nurse |realizes |that |this |educational |preparation |will:
1. hinder |the |nurses |ability |to |work |with |physicians.
2. be |viewed |as |not |supporting |the |profession |of |nursing |by |other |nurses.
3. ensure |the |nurse |is |biased |towards |clinicians |interests.
prepare |the |nurse |to |serve |as |strong |clinical |support |with |the |ability |to |integrate |business |and
4. caring.
ANS: |4
The |nurse |is |attending |an |educational |program |to |serve |as |a |hospital |leader. |This |education |will
|prepare |the |nurse |to |serve |as |strong |clinical |support |with |the |ability |to |integrate |business |and
|caring. |This |education |will |not |hinder |the |nurses |ability |to |work |with |physicians. |This |education
|will |not |be |viewed |as |unsupportive |to |the |profession |of |nursing. |The |education |will |ensure |that |the
|nurse |is |not |biased |towards |clinicians |interests.
PTS: |1 |DIF: |Analyze |REF: |Clinical |Systems |Leadership
6. A |client |tells |the |nurse |that |all |hospitals |care |about |is |doing |the |minimum |for |a |client |regardless |of
|the |outcome. |Which |of |the |following |should |the |nurse |respond |to |this |client?
1. It |does |feel |like |that |sometimes.
2. Health |insurance |companies |have |caused |this |problem.
3. The |doctors |will |get |paid |regardless |of |the |clients |outcomes.
, There |are |quality |programs |in |place |to |make |sure |clients |receive |the |best |quality |of |care |regardless
4. of |the |cost.
ANS: |4
In |response |to |concerns |about |safety |and |quality |of |care |voiced |by |clients |and |providers, |total
|quality |management |and |continuous |quality |improvement |programs |were |initiated. |These
|programs |ensure |society |that |cost |management |is |not |compromising |safety |or |quality. |This |is |what
|the |nurse |should |respond |to |the |client. |The |other |choices |do |not |address |the |clients |concerns |nor |do
|they |explain |quality |management |programs.
PTS: |1 |DIF: |Apply |REF: |Quality |Measure |Shift
7. The |nurse |is |providing |care |at |a |time |that |is |the |most |beneficial |to |the |client. |The |nurse |is
|implementing |which |of |the |following |Joint |Commission |Dimensions |of |Quality |Performance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS: |2
The |dimension |of |timeliness |means |the |degree |in |which |interventions |are |provided |at |the |most
|beneficial |time |to |the |client. |Safety |means |the |degree |in |which |the |risk |of |an |intervention |and |risk |to
|the |environment |are |reduced |for |both |client |and |health |care |provider. |Efficiency |means |the |degree
|in |which |care |has |the |desired |effect |with |a |minimum |of |effort, |waste, |or |expense.
Availability |means |the |degree |in |which |appropriate |interventions |are |available |to |meet |the |clients
|needs.
PTS:1DIF:Analyze
REF:Box |1-1 |Joint |Commission |Dimensions |of |Quality |Performance
8. The |nurse |is |providing |care |while |adhering |to |safety |as |a |Joint |Commission |Dimension |of
|Quality |Performance. |Which |of |the |following |did |the |nurse |provide |to |the |client?
1. Using |a |needleless |device |when |providing |intravenous |medications
| | | | | | | | | |
Chapter |1 |The |nurse’s |Role |in |Adult |Health |Nursing
MULTIPLE |CHOICE
1. The |nurse |ensures |that |a |clients |bedspace |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 |individuals |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 |thinking
ANS: |2
,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 |are |included |in |the
|American |Nurses |Associations |essential |features |of |professional |nursing.
PTS:1DIF:Analyze
REF:Emergence |of |Contemporary |Nursing |in |the |United |States
3. 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 |makes |an
|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 |individuals
|physician |waned |and |was |replaced |by |acquaintances |with |specialists |based |upon |particular |health
|care |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, |or |finding |an
|appropriate |general |practitioner.
PTS:1DIF:AnalyzeREFroviders |of |Care
5. The |nurse |is |attending |a |masters |degree |program |in |efforts |to |be |educationally |prepared |to
|serve |as |a |hospital |leader. |The |nurse |realizes |that |this |educational |preparation |will:
1. hinder |the |nurses |ability |to |work |with |physicians.
2. be |viewed |as |not |supporting |the |profession |of |nursing |by |other |nurses.
3. ensure |the |nurse |is |biased |towards |clinicians |interests.
prepare |the |nurse |to |serve |as |strong |clinical |support |with |the |ability |to |integrate |business |and
4. caring.
ANS: |4
The |nurse |is |attending |an |educational |program |to |serve |as |a |hospital |leader. |This |education |will
|prepare |the |nurse |to |serve |as |strong |clinical |support |with |the |ability |to |integrate |business |and
|caring. |This |education |will |not |hinder |the |nurses |ability |to |work |with |physicians. |This |education
|will |not |be |viewed |as |unsupportive |to |the |profession |of |nursing. |The |education |will |ensure |that |the
|nurse |is |not |biased |towards |clinicians |interests.
PTS: |1 |DIF: |Analyze |REF: |Clinical |Systems |Leadership
6. A |client |tells |the |nurse |that |all |hospitals |care |about |is |doing |the |minimum |for |a |client |regardless |of
|the |outcome. |Which |of |the |following |should |the |nurse |respond |to |this |client?
1. It |does |feel |like |that |sometimes.
2. Health |insurance |companies |have |caused |this |problem.
3. The |doctors |will |get |paid |regardless |of |the |clients |outcomes.
, There |are |quality |programs |in |place |to |make |sure |clients |receive |the |best |quality |of |care |regardless
4. of |the |cost.
ANS: |4
In |response |to |concerns |about |safety |and |quality |of |care |voiced |by |clients |and |providers, |total
|quality |management |and |continuous |quality |improvement |programs |were |initiated. |These
|programs |ensure |society |that |cost |management |is |not |compromising |safety |or |quality. |This |is |what
|the |nurse |should |respond |to |the |client. |The |other |choices |do |not |address |the |clients |concerns |nor |do
|they |explain |quality |management |programs.
PTS: |1 |DIF: |Apply |REF: |Quality |Measure |Shift
7. The |nurse |is |providing |care |at |a |time |that |is |the |most |beneficial |to |the |client. |The |nurse |is
|implementing |which |of |the |following |Joint |Commission |Dimensions |of |Quality |Performance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS: |2
The |dimension |of |timeliness |means |the |degree |in |which |interventions |are |provided |at |the |most
|beneficial |time |to |the |client. |Safety |means |the |degree |in |which |the |risk |of |an |intervention |and |risk |to
|the |environment |are |reduced |for |both |client |and |health |care |provider. |Efficiency |means |the |degree
|in |which |care |has |the |desired |effect |with |a |minimum |of |effort, |waste, |or |expense.
Availability |means |the |degree |in |which |appropriate |interventions |are |available |to |meet |the |clients
|needs.
PTS:1DIF:Analyze
REF:Box |1-1 |Joint |Commission |Dimensions |of |Quality |Performance
8. The |nurse |is |providing |care |while |adhering |to |safety |as |a |Joint |Commission |Dimension |of
|Quality |Performance. |Which |of |the |following |did |the |nurse |provide |to |the |client?
1. Using |a |needleless |device |when |providing |intravenous |medications
