Medical-Surgical Nursing: Focus on
Clinical Judgment 3rd Edition by Linda
Honan
, Chapter 1: The nurse’s Role in Adult Health Nursing
MULTIPLE CHOICE
1. The nurse practitioner keeps the patient's bedside area tidy and ensures the call light is easily accessible. This
approach is based on the theory of which nursing pioneer who emphasized the role of the environment in patient
care?
1. Florence Nightingale
2. Sister Callista Roy
3. Dorothea Orem
4. Martha Rogers
CORRECT ANSWER: 1
Florence Nightingale’s theory highlighted the importance of a clean and healing environment. Sister Callista Roy’s
framework centers on adaptation, Dorothea Orem’s theory addresses self-care deficits, and Martha Rogers focused on
unitary human beings.
2. The nurse practitioner teaches a patient how to self-administer insulin, aiming to reduce the patient’s dependence
on health professionals. This action demonstrates which principle of Virginia Henderson’s nursing theory?
1. Building a caring relationship
2. Promoting the patient’s independence from nursing assistance as soon as possible
3. Combining objective and subjective data
4. Using critical thinking
CORRECT ANSWER: 2
Virginia Henderson’s theory focuses on enabling patients to achieve independence. The other options are core aspects
of professional nursing but not specific to Henderson’s theory.
3. A patient mentions having an HMO health insurance plan. The nurse practitioner understands that this type of plan
is primarily intended to:
1. Guarantee payments to Medicare for services
2. Maximize use of healthcare resources
3. Manage costs efficiently while maintaining quality care
4. Focus care primarily on treating illness
,CORRECT ANSWER: 3
HMOs aim to manage costs while delivering quality care. They promote wellness rather than illness-centered care
and do not exist to facilitate Medicare payments.
4. A patient tells the nurse practitioner they see specialists for health problems instead of having a primary care
doctor. The nurse practitioner recognizes this could lead to:
1. Fragmented care
2. Higher healthcare costs
3. Difficulty maintaining health
4. Trouble finding a primary care doctor
CORRECT ANSWER: 1
Without a primary care provider, care can become fragmented across different specialists, reducing continuity of care.
5. The nurse practitioner is pursuing a master’s degree to prepare for a hospital leadership role. This education will
help the nurse practitioner to:
1. Weaken collaboration with physicians
2. Appear unsupportive of the nursing profession
3. Favor clinicians' interests
4. Integrate business acumen with compassionate clinical practice
CORRECT ANSWER: 4
Advanced education equips nurse leaders to combine business and clinical skills for effective leadership.
6. A patient expresses concern that hospitals only do the bare minimum. How should the nurse practitioner respond?
1. "It can feel that way sometimes."
2. "Insurance companies are responsible for this."
3. "Doctors get paid regardless of patient outcomes."
4. "There are quality programs to ensure excellent care regardless of cost."
CORRECT ANSWER: 4
Quality management programs are in place to ensure that patient care is not compromised by cost concerns.
, 7. A nurse practitioner delivers care at the most appropriate time for the patient. This reflects which Joint
Commission Dimension of Quality Performance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
CORRECT ANSWER: 2
Timeliness ensures interventions are provided when they will most benefit the patient.
8. In practicing safely according to the Joint Commission’s quality dimensions, which action should the nurse
practitioner take?
1. Use needleless systems for IV medications
2. Leave bed rails down after giving pain medication
3. Keep wheelchair wheels unlocked
4. Place towels over a spill on the floor
CORRECT ANSWER: 1
Using needleless IV devices minimizes the risk of injury and promotes safety. The other options increase safety risks.
9. While planning care, the nurse practitioner applies the American Nurses Association’s definition of professional
nursing by:
1. Using NANDA nursing diagnoses
2. Integrating both objective and subjective data
3. Valuing cultural diversity among coworkers
4. Recognizing physicians’ expertise
CORRECT ANSWER: 2
Integrating objective and subjective data is one of the ANA’s essential features of professional nursing.
Clinical Judgment 3rd Edition by Linda
Honan
, Chapter 1: The nurse’s Role in Adult Health Nursing
MULTIPLE CHOICE
1. The nurse practitioner keeps the patient's bedside area tidy and ensures the call light is easily accessible. This
approach is based on the theory of which nursing pioneer who emphasized the role of the environment in patient
care?
1. Florence Nightingale
2. Sister Callista Roy
3. Dorothea Orem
4. Martha Rogers
CORRECT ANSWER: 1
Florence Nightingale’s theory highlighted the importance of a clean and healing environment. Sister Callista Roy’s
framework centers on adaptation, Dorothea Orem’s theory addresses self-care deficits, and Martha Rogers focused on
unitary human beings.
2. The nurse practitioner teaches a patient how to self-administer insulin, aiming to reduce the patient’s dependence
on health professionals. This action demonstrates which principle of Virginia Henderson’s nursing theory?
1. Building a caring relationship
2. Promoting the patient’s independence from nursing assistance as soon as possible
3. Combining objective and subjective data
4. Using critical thinking
CORRECT ANSWER: 2
Virginia Henderson’s theory focuses on enabling patients to achieve independence. The other options are core aspects
of professional nursing but not specific to Henderson’s theory.
3. A patient mentions having an HMO health insurance plan. The nurse practitioner understands that this type of plan
is primarily intended to:
1. Guarantee payments to Medicare for services
2. Maximize use of healthcare resources
3. Manage costs efficiently while maintaining quality care
4. Focus care primarily on treating illness
,CORRECT ANSWER: 3
HMOs aim to manage costs while delivering quality care. They promote wellness rather than illness-centered care
and do not exist to facilitate Medicare payments.
4. A patient tells the nurse practitioner they see specialists for health problems instead of having a primary care
doctor. The nurse practitioner recognizes this could lead to:
1. Fragmented care
2. Higher healthcare costs
3. Difficulty maintaining health
4. Trouble finding a primary care doctor
CORRECT ANSWER: 1
Without a primary care provider, care can become fragmented across different specialists, reducing continuity of care.
5. The nurse practitioner is pursuing a master’s degree to prepare for a hospital leadership role. This education will
help the nurse practitioner to:
1. Weaken collaboration with physicians
2. Appear unsupportive of the nursing profession
3. Favor clinicians' interests
4. Integrate business acumen with compassionate clinical practice
CORRECT ANSWER: 4
Advanced education equips nurse leaders to combine business and clinical skills for effective leadership.
6. A patient expresses concern that hospitals only do the bare minimum. How should the nurse practitioner respond?
1. "It can feel that way sometimes."
2. "Insurance companies are responsible for this."
3. "Doctors get paid regardless of patient outcomes."
4. "There are quality programs to ensure excellent care regardless of cost."
CORRECT ANSWER: 4
Quality management programs are in place to ensure that patient care is not compromised by cost concerns.
, 7. A nurse practitioner delivers care at the most appropriate time for the patient. This reflects which Joint
Commission Dimension of Quality Performance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
CORRECT ANSWER: 2
Timeliness ensures interventions are provided when they will most benefit the patient.
8. In practicing safely according to the Joint Commission’s quality dimensions, which action should the nurse
practitioner take?
1. Use needleless systems for IV medications
2. Leave bed rails down after giving pain medication
3. Keep wheelchair wheels unlocked
4. Place towels over a spill on the floor
CORRECT ANSWER: 1
Using needleless IV devices minimizes the risk of injury and promotes safety. The other options increase safety risks.
9. While planning care, the nurse practitioner applies the American Nurses Association’s definition of professional
nursing by:
1. Using NANDA nursing diagnoses
2. Integrating both objective and subjective data
3. Valuing cultural diversity among coworkers
4. Recognizing physicians’ expertise
CORRECT ANSWER: 2
Integrating objective and subjective data is one of the ANA’s essential features of professional nursing.
