Test Bank Focus on Adult HealthMedical NA NA NA NA NA NA
SurgicalNursing 2nd Edition Honan
NA N
A NA NA NA N A
Chapter 1 The nurse’s Role in Adult Health Nursing
NA NA NA NA NA NA NA NA
MULTIPLE CHOICE NA
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
NA NA NA NA N
A NA NA NA NA NA NA NA NA NA NA NA NA
NA reach.The nurse is focusing on which nursing theorist who realized the importance of the
NA NA NA NA NA NA NA NA NA NA NA NA NA
NA environment for care? NA NA
1. Florence Nightingale NA
2. Sister Callista Roy NA NA
3. Dorothea Orem NA
4. Martha Rogers NA
ANS: 1 NA
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
NA NA NA NA NA NA NA NA NA NA NA NA NA
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self- care
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
deficit theory. Martha Rogers model is the science of unitary human beings.
NA NA NA NA NA NA NA NA NA NA NA NA
PTS:1DIF: Apply NA
REF: Emergence of Contemporary Nursing in theUnited States
NA NA NA NA NA NA N
A NA
2. The nurse is instructing a client on self-administration of insulin so that the client will not
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA needa health care provider to do this activity. The nurse is implementing which of the
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA following aspects of Virginia Hendersons theory of nursing?
NA NA NA NA NA NA NA
1. A caring relationship
NA NA
2. Helpingthe client achieve independence from the nurses’ assistance as quickly as possible
N
A NA NA NA NA NA NA NA NA NA NA NA
3. Integration of objective and subjectivedata NA NA NA NA N
A
4. Applicationofcriticalthinking N
A N
A N
A
NA ANS: 2 NA
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
relationship, integration of objective and subjective data, and application of critical thinking are
NA NA NA NA NA NA NA NA NA NA NA NA NA
included in the American Nurses Associations essential features of professional nursing.
NA NA NA NA NA NA NA NA NA NA NA
PTS:1DIF: Analyze NA
REF: Emergence of Contemporary Nursing in the United States
NA NA NA NA NA NA NA NA
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
thatthe purpose of this type of health plan is to:
NA NA NA NA NA NA NA NA NA NA
1. ensurepayment is made to Medicare for services rendered. N
A NA NA NA NA NA NA NA
2. maximize the utilization of health care resources. NA NA NA NA NA NA
3. efficiently manage costs while providing quality care. NA NA NA NA NA NA
4. focus on the illness when providing care. NA NA NA NA NA NA
ANS: 3 NA
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
NA NA NA NA NA NA NA NA NA NA NA
while providing quality care. An HMO is a type of managed care plan with the goal of providing
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization of
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
health care resources but rather uses financial incentives to decrease care costs.
NA NA NA NA NA NA NA NA NA NA NA NA
PTS: 1 DIF: Understand REF: Cost of Care
NA NA NA NA NA NA NA
4.A client tells the nurse that he does not have a primary care physician but rather makes an
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
appointment with a doctor who specializes in the area in which he is experiencing a
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
problem.The nurse realizes this client is at risk for which of the following?
NA NA NA NA NA NA NA NA NA NA NA NA NA
1. Fragmented care NA
2. Overpaymentof services N
A NA
3. Inabilityto sustain health N
A NA NA
4. Finding an appropriate generalpractitioner NA NA NA N
A
,ANS: 1 NA
In the 1980s, the close and trusting relationship between an individual and the individual’s
NA NA NA NA NA NA NA NA NA NA NA NA NA
physician waned and was replaced by acquaintances with specialists based upon particular
NA NA NA NA NA NA NA NA NA NA NA NA
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
specialists is not at risk for overpayment of services, the inability to sustain health, or finding an
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
appropriate general practitioner.
NA NA NA
PTS:1DIF: AnalyzeREFroviders of Care NA NA NA
5. The nurse is attending a master’s degree program in efforts to be educationally prepared
NA NA NA NA NA NA NA NA NA NA NA NA NA
toserve as a hospital leader. The nurse realizes that this educational preparation will:
NA NA NA NA NA NA NA NA NA NA NA NA NA
1. hinder the nurses’ ability to work with physicians. NA NA NA NA NA NA NA
2. be viewed as not supporting the profession of nursing by other nurses.
NA NA NA NA NA NA NA NA NA NA NA
3. ensurethe nurse is biased towards clinician’s interests. N
A NA NA NA NA NA NA
preparethe nurse to serve as strong clinical support with the ability to integrate business and N
A NA NA NA NA NA NA NA NA NA NA NA NA NA NA
4. caring.
ANS: 4 NA
The nurse is attending an educational program to serve as a hospital leader. This education will
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
prepare the nurse to serve as strong clinical support with the ability to integrate business and
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
caring. This education will not hinder the nurse’s ability to work with physicians. This education will
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
not be viewed as unsupportive to the profession of nursing. The education will ensure that the
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
nurse is not biased towards clinician’s interests.
NA NA NA NA NA NA NA
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
NA NA NA NA NA NA NA
6. A client tells the nurse that all hospitals care about is doing the minimum for a client
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA regardlessof the outcome. Which of the following should the nurse respond to this client? NA NA NA NA NA NA NA NA NA NA NA NA NA
1. It does feel like that sometimes.
NA NA NA NA NA
2. Health insurance companies havecaused this problem. NA NA NA N
A NA NA
3. The doctors will get paid regardless of the clients’ outcomes.
NA NA NA NA NA NA NA NA NA
, There are quality programs in place to make sure clients receive the best quality of care regardless
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
4. of the cost. NA NA
ANS: 4 NA
In response to concerns about safety and quality of care voiced by clients and providers, total quality
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
management and continuous quality improvement programs were initiated. These programs
NA NA NA NA NA NA NA NA NA NA
ensure society that cost management is not compromising safety or quality. This is what the nurse
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
should respond to the client. The other choices do not address the clients concernsnor do they
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
explain quality management programs.
NA NA NA NA
PTS: 1 DIF: Apply REF: Quality Measure Shift
NA NA NA NA NA NA NA
7. The nurse is providing care at a time that is the most beneficial to the client. The nurse is
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA implementing which of the following Joint Commission Dimensions of Quality Performance? NA NA NA NA NA NA NA NA NA NA
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS: 2 NA
The dimension of timeliness means the degree in which interventions are provided at the most
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
beneficial time to the client. Safety means the degree in which the risk of an intervention and riskto
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
the environment are reduced for both client and health care provider. Efficiency means the degree
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
in which care has the desired effect with a minimum of effort, waste, or expense.
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
Availability means the degree in which appropriate interventions are available to meet the
NA NA NA NA NA NA NA NA NA NA NA NA
clients’needs.
NA
PTS:1DIF: Analyze NA
REF:Box1-1 Joint Commission Dimensions of Quality Performance
N
A NA NA NA NA NA NA
8. The nurse is providing care while adhering to safety as a Joint Commission Dimension of
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA Quality Performance. Which of the following did the nurse provide to the client?
NA NA NA NA NA NA NA NA NA NA NA NA
1. Using aneedleless device when providing intravenous medications
NA N
A NA NA NA NA NA
SurgicalNursing 2nd Edition Honan
NA N
A NA NA NA N A
Chapter 1 The nurse’s Role in Adult Health Nursing
NA NA NA NA NA NA NA NA
MULTIPLE CHOICE NA
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
NA NA NA NA N
A NA NA NA NA NA NA NA NA NA NA NA NA
NA reach.The nurse is focusing on which nursing theorist who realized the importance of the
NA NA NA NA NA NA NA NA NA NA NA NA NA
NA environment for care? NA NA
1. Florence Nightingale NA
2. Sister Callista Roy NA NA
3. Dorothea Orem NA
4. Martha Rogers NA
ANS: 1 NA
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
NA NA NA NA NA NA NA NA NA NA NA NA NA
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self- care
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
deficit theory. Martha Rogers model is the science of unitary human beings.
NA NA NA NA NA NA NA NA NA NA NA NA
PTS:1DIF: Apply NA
REF: Emergence of Contemporary Nursing in theUnited States
NA NA NA NA NA NA N
A NA
2. The nurse is instructing a client on self-administration of insulin so that the client will not
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA needa health care provider to do this activity. The nurse is implementing which of the
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA following aspects of Virginia Hendersons theory of nursing?
NA NA NA NA NA NA NA
1. A caring relationship
NA NA
2. Helpingthe client achieve independence from the nurses’ assistance as quickly as possible
N
A NA NA NA NA NA NA NA NA NA NA NA
3. Integration of objective and subjectivedata NA NA NA NA N
A
4. Applicationofcriticalthinking N
A N
A N
A
NA ANS: 2 NA
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
relationship, integration of objective and subjective data, and application of critical thinking are
NA NA NA NA NA NA NA NA NA NA NA NA NA
included in the American Nurses Associations essential features of professional nursing.
NA NA NA NA NA NA NA NA NA NA NA
PTS:1DIF: Analyze NA
REF: Emergence of Contemporary Nursing in the United States
NA NA NA NA NA NA NA NA
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
thatthe purpose of this type of health plan is to:
NA NA NA NA NA NA NA NA NA NA
1. ensurepayment is made to Medicare for services rendered. N
A NA NA NA NA NA NA NA
2. maximize the utilization of health care resources. NA NA NA NA NA NA
3. efficiently manage costs while providing quality care. NA NA NA NA NA NA
4. focus on the illness when providing care. NA NA NA NA NA NA
ANS: 3 NA
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
NA NA NA NA NA NA NA NA NA NA NA
while providing quality care. An HMO is a type of managed care plan with the goal of providing
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization of
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
health care resources but rather uses financial incentives to decrease care costs.
NA NA NA NA NA NA NA NA NA NA NA NA
PTS: 1 DIF: Understand REF: Cost of Care
NA NA NA NA NA NA NA
4.A client tells the nurse that he does not have a primary care physician but rather makes an
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
appointment with a doctor who specializes in the area in which he is experiencing a
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
problem.The nurse realizes this client is at risk for which of the following?
NA NA NA NA NA NA NA NA NA NA NA NA NA
1. Fragmented care NA
2. Overpaymentof services N
A NA
3. Inabilityto sustain health N
A NA NA
4. Finding an appropriate generalpractitioner NA NA NA N
A
,ANS: 1 NA
In the 1980s, the close and trusting relationship between an individual and the individual’s
NA NA NA NA NA NA NA NA NA NA NA NA NA
physician waned and was replaced by acquaintances with specialists based upon particular
NA NA NA NA NA NA NA NA NA NA NA NA
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
specialists is not at risk for overpayment of services, the inability to sustain health, or finding an
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
appropriate general practitioner.
NA NA NA
PTS:1DIF: AnalyzeREFroviders of Care NA NA NA
5. The nurse is attending a master’s degree program in efforts to be educationally prepared
NA NA NA NA NA NA NA NA NA NA NA NA NA
toserve as a hospital leader. The nurse realizes that this educational preparation will:
NA NA NA NA NA NA NA NA NA NA NA NA NA
1. hinder the nurses’ ability to work with physicians. NA NA NA NA NA NA NA
2. be viewed as not supporting the profession of nursing by other nurses.
NA NA NA NA NA NA NA NA NA NA NA
3. ensurethe nurse is biased towards clinician’s interests. N
A NA NA NA NA NA NA
preparethe nurse to serve as strong clinical support with the ability to integrate business and N
A NA NA NA NA NA NA NA NA NA NA NA NA NA NA
4. caring.
ANS: 4 NA
The nurse is attending an educational program to serve as a hospital leader. This education will
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
prepare the nurse to serve as strong clinical support with the ability to integrate business and
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
caring. This education will not hinder the nurse’s ability to work with physicians. This education will
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
not be viewed as unsupportive to the profession of nursing. The education will ensure that the
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
nurse is not biased towards clinician’s interests.
NA NA NA NA NA NA NA
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
NA NA NA NA NA NA NA
6. A client tells the nurse that all hospitals care about is doing the minimum for a client
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA regardlessof the outcome. Which of the following should the nurse respond to this client? NA NA NA NA NA NA NA NA NA NA NA NA NA
1. It does feel like that sometimes.
NA NA NA NA NA
2. Health insurance companies havecaused this problem. NA NA NA N
A NA NA
3. The doctors will get paid regardless of the clients’ outcomes.
NA NA NA NA NA NA NA NA NA
, There are quality programs in place to make sure clients receive the best quality of care regardless
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
4. of the cost. NA NA
ANS: 4 NA
In response to concerns about safety and quality of care voiced by clients and providers, total quality
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
management and continuous quality improvement programs were initiated. These programs
NA NA NA NA NA NA NA NA NA NA
ensure society that cost management is not compromising safety or quality. This is what the nurse
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
should respond to the client. The other choices do not address the clients concernsnor do they
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
explain quality management programs.
NA NA NA NA
PTS: 1 DIF: Apply REF: Quality Measure Shift
NA NA NA NA NA NA NA
7. The nurse is providing care at a time that is the most beneficial to the client. The nurse is
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA implementing which of the following Joint Commission Dimensions of Quality Performance? NA NA NA NA NA NA NA NA NA NA
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS: 2 NA
The dimension of timeliness means the degree in which interventions are provided at the most
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
beneficial time to the client. Safety means the degree in which the risk of an intervention and riskto
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
the environment are reduced for both client and health care provider. Efficiency means the degree
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
in which care has the desired effect with a minimum of effort, waste, or expense.
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
Availability means the degree in which appropriate interventions are available to meet the
NA NA NA NA NA NA NA NA NA NA NA NA
clients’needs.
NA
PTS:1DIF: Analyze NA
REF:Box1-1 Joint Commission Dimensions of Quality Performance
N
A NA NA NA NA NA NA
8. The nurse is providing care while adhering to safety as a Joint Commission Dimension of
NA NA NA NA NA NA NA NA NA NA NA NA NA NA
NA Quality Performance. Which of the following did the nurse provide to the client?
NA NA NA NA NA NA NA NA NA NA NA NA
1. Using aneedleless device when providing intravenous medications
NA N
A NA NA NA NA NA
