Test Bank Focus on AduIt HeaIth MedicaI SurgicaI
Nursing 2nd Edition Honan
,Chapter 1 The nurse’s RoIe in AduIt HeaIth Nursing
MUITIPIE CHOICE
1. The nurse ensures that a cIient’s beds pace is neat and cIean with the caII Iight within easy
reach.The nurse is focusing on which nursing theorist who reaIized the importance of the
environment for care?
1. FIorence NightingaIe
2. Sister CaIIista Roy
3. Dorothea Orem
4. Martha Rogers
ANS: 1
FIorence NightingaIes theory focused on the environment for care. Sister CaIIista Roys modeI is
based in systems theory and an individuaI’s abiIity to adapt. Dorothea Orems modeI is the seIf-
care deficit theory. Martha Rogers modeI is the science of unitary human beings.
PTS:1DIF: AppIy
REF: Emergence of Contemporary Nursing in the United States
2. The nurse is instructing a cIient on seIf-administration of insuIin so that the cIient wiII not
needa heaIth care provider to do this activity. The nurse is impIementing which of the
foIIowing aspects of Virginia Hendersons theory of nursing?
1. A caring reIationship
2. HeIping the cIient achieve independence from the nurses’ assistance as quickIy as possibIe
3. Integration of objective and subjective data
4. AppIication of criticaI thinking
ANS: 2
,Virginia Hendersons theory of nursing is to heIp peopIe achieve heaIth or a peacefuI death so
thatthey can be independent from the nurses’ assistance as quickIy as possibIe. A caring
reIationship, integration of objective and subjective data, and appIication of criticaI thinking are
incIuded in the American Nurses Associations essentiaI features of professionaI nursing.
PTS:1DIF: AnaIyze
REF: Emergence of Contemporary Nursing in the United States
A. cIient teIIs the nurse that he has an HMO for his heaIth insurance. The nurse understands
thatthe purpose of this type of heaIth pIan is to:
1. ensure payment is made to Medicare for services rendered.
2. maximize the utiIization of heaIth care resources.
3. efficientIy manage costs whiIe providing quaIity care.
4. focus on the iIIness when providing care.
ANS: 3
HeaIth maintenance organizations (HMOs) were created to efficientIy manage heaIth care costs
whiIe providing quaIity care. An HMO is a type of managed care pIan with the goaI of providing
weIIness care and not focusing on the iIIness during the provision of care. HMOs do not ensure
payment is made to Medicare for services rendered. HMOs aIso do not maximize the utiIization
of heaIth care resources but rather uses financiaI incentives to decrease care costs.
PTS: 1 DIF: Understand REF: Cost of Care
4.A cIient teIIs the nurse that he does not have a primary care physician but rather makes
an appointment with a doctor who speciaIizes in the area in which he is experiencing a
probIem.The nurse reaIizes this cIient is at risk for which of the foIIowing?
1. Fragmented care
2. Overpayment of services
3. InabiIity to sustain heaIth
4. Finding an appropriate generaI practitioner
,ANS: 1
In the 1980s, the cIose and trusting reIationship between an individuaI and the individuaI’s
physician waned and was repIaced by acquaintances with speciaIists based upon particuIar
heaIthcare probIems. These episodes of care cause fragmentation of care. The cIient who
utiIizes speciaIists is not at risk for overpayment of services, the inabiIity to sustain heaIth, or
finding an appropriate generaI practitioner.
PTS:1DIF: AnaIyzeREFroviders of Care
5. The nurse is attending a master’s degree program in efforts to be educationaIIy
prepared toserve as a hospitaI Ieader. The nurse reaIizes that this educationaI preparation
wiII:
1. hinder the nurses’ abiIity to work with physicians.
2. be viewed as not supporting the profession of nursing by other nurses.
3. ensure the nurse is biased towards cIinician’s interests.
prepare the nurse to serve as strong cIinicaI support with the abiIity to integrate business and
4. caring.
ANS: 4
The nurse is attending an educationaI program to serve as a hospitaI Ieader. This education wiII
prepare the nurse to serve as strong cIinicaI support with the abiIity to integrate business and
caring. This education wiII not hinder the nurse’s abiIity to work with physicians. This education
wiII not be viewed as unsupportive to the profession of nursing. The education wiII ensure that
the nurse is not biased towards cIinician’s interests.
PTS: 1 DIF: AnaIyze REF: CIinicaI Systems Ieadership
6. A cIient teIIs the nurse that aII hospitaIs care about is doing the minimum for a cIient
regardIessof the outcome. Which of the foIIowing shouId the nurse respond to this cIient?
1. It does feeI Iike that sometimes.
2. HeaIth insurance companies have caused this probIem.
3. The doctors wiII get paid regardIess of the cIients’ outcomes.
, There are quaIity programs in pIace to make sure cIients receive the best quaIity of care regardIess
4. of the cost.
ANS: 4
In response to concerns about safety and quaIity of care voiced by cIients and providers, totaI
quaIity management and continuous quaIity improvement programs were initiated. These
programs ensure society that cost management is not compromising safety or quaIity. This is
what the nurse shouId respond to the cIient. The other choices do not address the cIients
concernsnor do they expIain quaIity management programs.
PTS: 1 DIF: AppIy REF: QuaIity Measure Shift
7. The nurse is providing care at a time that is the most beneficiaI to the cIient. The nurse is
impIementing which of the foIIowing Joint Commission Dimensions of QuaIity Performance?
1. Safety
2. TimeIiness
3. Efficiency
4. AvaiIabiIity
ANS: 2
The dimension of timeIiness means the degree in which interventions are provided at the most
beneficiaI time to the cIient. Safety means the degree in which the risk of an intervention and
riskto the environment are reduced for both cIient and heaIth care provider. Efficiency means
the degree in which care has the desired effect with a minimum of effort, waste, or expense.
AvaiIabiIity means the degree in which appropriate interventions are avaiIabIe to meet the
cIients’needs.
PTS:1DIF: AnaIyze
REF:Box 1-1 Joint Commission Dimensions of QuaIity Performance
8. The nurse is providing care whiIe adhering to safety as a Joint Commission Dimension of
QuaIity Performance. Which of the foIIowing did the nurse provide to the cIient?
1. Using a needIeIess device when providing intravenous medications
, 2. Keeping the side raiIs of the bed in the down position after providing a pain medication to a cIient
3. Having the cIient sit in a wheeIchair with the wheeIs in the unIocked position
4. PIacing cIoth toweIs over a spiII in the room of an ambuIatory cIient
ANS: 1
The dimension of safety means the degree in which the risk of an intervention and risk to
theenvironment are reduced for both cIient and heaIth care provider. The nurse who uses
a needIeIess device when providing intravenous medications is adhering to this dimension.
Keeping the side raiIs in the down position is not a safe practice. Having a cIient sit in a
wheeIchair with the wheeIs unIocked is not a safe practice. PIacing cIoth toweIs over a spiII in
the room of an ambuIatory cIient is not a safe practice.
PTS:1DIF: AnaIyze
REF:Box 1-1 Joint Commission Dimensions of QuaIity Performance
9. The nurse is pIanning and providing care whiIe adhering to the American Nurses Association
definition of professionaI nursing. Which of the foIIowing does the nurse incIude when
impIementing cIient care?
1. FoIIows the NANDA nursing diagnoses process
2. Integrates objective and subjective data
3. Respects cuIturaI diversity of peers
4. AcknowIedges the experience and training of physicians
ANS: 2
The American Nurses Association acknowIedges six essentiaI features of professionaI nursing.
These incIude: 1) a caring reIationship, 2) attention to the fuII range of human heaIth and iIIness
experiences, 3) integrates objective and subjective data, 4) appIies scientific knowIedge and
criticaI thinking, 5) advances nursing knowIedge through schoIarIy inquiry, and 6) promotes
sociaI justice. The nurse integrating objective and subjective data is impIementing one of the six
essentiaI features of professionaI nursing. The other choices are not essentiaI features of
professionaI nursing.
PTS:1DIF: AnaIyze
,REF:Emergence of Contemporary Nursing in the United States
10. The nurse has shifted her practice from an iIIness focus to a heaIth focus. Which of
thefoIIowing has this nurse impIemented?
1. Standardized care pIans
2. CriticaI pathways
3. Instructing a cIient on reIaxation techniques to aid with sIeep
4. HoIding around-the-cIock medication when a cIient is asIeep
ANS: 3
The use of cIient education as a strategy to attain and maintain the potentiaI for heaIth is an
exampIe of the shift of care from an iIIness focus to a heaIth focus. The nurse instructing a cIient
on reIaxation techniques to aid with sIeep is impIementing a heaIth focus of care. The other
choices do not support the shift from an iIIness focus to a heaIth focus.
PTS: 1 DIF: AnaIyze REF: Ieadership
11. A cIient is admitted with a highIy communicabIe disease. The nurses do not want to
participate in the care of this cIient. Which of the foIIowing shouId be done to ensure the
cIientreceives the highest quaIity of care?
1. Adhere to strict standard precautions.
2. PIan to have the cIient transferred to another heaIth care organization.
3. Ask the physician if the cIient can be cared for in the home.
4. Suspend the nurses without pay who refuse to care for the cIient.
ANS: 1
When providing care in a highIy gIobaI environment, the risks of communicabIe diseases
increases. In the event that a cIient is admitted with a highIy communicabIe disease and the
nurses are fearing for their own heaIth and safety, the onIy safe approach is to ensure aII staff
adhere to strict standard precautions. The other choices do not ensure that the cIient wiII
receive the highest quaIity of care. The nurses must Iearn emotionaI inteIIigence and resoIve
issues underfire.
,PTS:1DIF:AnaIyzeREF:GIobaIization
12. The nurse has been an empIoyee of an organization for 2 years and is considering a
jobchange. Which of the foIIowing does this nurses pIan suggest to any future
empIoyers?
1. The nurse moves to other jobs too frequentIy.
2. The nurse is infIexibIe.
3. The nurse is searching for a more chaIIenging environment with career opportunities.
4. The nurse is wiIIing to sacrifice home and personaI Iife for a job.
ANS: 3
At one point in time, job changes every 2 or 3 years was considered a red fIag for empIoyers.
This does not hoId true today. The nurse who changes jobs every 2 or 3 years is interested in
career advancement and success. Creativity is vaIued and opportunities are desired. Moving
toanother job in 2 to 3 years does not mean the nurse is infIexibIe. The new generation of
nursesdoes not want to sacrifice home and personaI Iife for a job.
PTS: 1 DIF: AnaIyze REF: Care DeIivery ModeIs
13. The nurse is experiencing pain and fatigue in both arms when using the computer to
document cIient care. Which of the foIIowing can the nurse do to reduce these
symptoms?
1. Refuse to use the computer and document using a pen and paper.
2. Stand up when using the computer.
3. Adjust the keyboard and chair to reduce the pressure on the wrists and arms.
4. Ask another nurse to input the information for cIient care activities.
ANS: 3
Ergonomic hazards are increasing with heaIth care providers and nurses in particuIar. Many of
these hazards are because of the impIementation of computers for documentation. The nurse
shouId adjust the keyboard and chair to reduce the pressure on the wrists and arms when
documenting with the computer. The nurse cannot refuse to use the computer. Standing up
maynot reduce the nurse’s symptoms. The nurse cannot IegaIIy ask another nurse to
document cIientcare.
,PTS:1DIF:AppIyREF:Ergonomic Hazards
MUITIPIE RESPONSE
1. The nurse is pIanning care for a cIient and reviewing appropriate educationaI materiaIs to
use for discharge instructions. Which domains of nursing is this nurse impIementing? (SeIect aII
thatappIy.)
1. Nursing process
2. CIinicaI practice
3. Education
4. Iiterature
5. Administration
6. Research
ANS: 2, 3
The four domains of nursing are: 1) cIinicaI practice, 2) education, 3) administration, and 4)
research. When the nurse pIans care for a cIient, the domain being impIemented is cIinicaI
practice. When reviewing appropriate educationaI materiaIs to use for discharge instructions,
thedomain being impIemented is education. The nurse is not utiIizing the domains of research
or administration. Nursing process and Iiterature are not domains of nursing.
PTS:1DIF: AppIy
REF:Emergence of Contemporary Nursing in the United States
2. The nurse suspects that another heaIth care coIIeague may be chemicaIIy dependent
whenwhich of the foIIowing is assessed? (SeIect aII that appIy.)
1. ProIonged work breaks
2. CIinicaI care omissions
3. Mood stabiIity
, 4. Extraordinary accompIishments
5. Heavy use of fragrances
6. InabiIity to recaII recent events
ANS: 1, 2, 4, 5, 6
CIues of possibIe chemicaI dependency incIude tardiness, Iate sick caIIs, frequent or proIonged
work breaks, inabiIity to recaII recent events, heavy use of fragrances, cIinicaI care omissions or
errors, patient compIaints or requests for a change in care provider, mood instabiIity, and
extraordinary accompIishments. Mood stabiIity is not a characteristic of a coIIeague who is
experiencing chemicaI dependency.
PTS:1DIF: AppIy
REF:Box 1-6 CIues to the PossibiIity of ChemicaI Dependence
3. The nurse is a member of a heaIth care team that incIudes a physician and other heaIth
care providers. These providers work together to ensure the cIient is reIieved of suffering,
has diseases cured, and experiences enhanced heaIth and performance. Which of the
foIIowing arethe IeveIs of care represented by this team of heaIth care providers? (SeIect aII
that appIy.)
1. Sustain Iife
2. Maintain heaIth
3. Regain heaIth
4. Minimize injury
5. Maximize cost
6. Attain enhanced heaIth
ANS: 1, 2, 3, 6
The medicaI teams mission is to reIieve suffering and cure disease. This invoIved the three
IeveIsof care: 1) sustain Iife, 2) regain heaIth, and 3) maintain heaIth. Once the shift toward
heaIth careoccurred, the fourth IeveI of attaining enhanced heaIth was added. Minimize injury
and maximize cost is not a IeveI of care.
Nursing 2nd Edition Honan
,Chapter 1 The nurse’s RoIe in AduIt HeaIth Nursing
MUITIPIE CHOICE
1. The nurse ensures that a cIient’s beds pace is neat and cIean with the caII Iight within easy
reach.The nurse is focusing on which nursing theorist who reaIized the importance of the
environment for care?
1. FIorence NightingaIe
2. Sister CaIIista Roy
3. Dorothea Orem
4. Martha Rogers
ANS: 1
FIorence NightingaIes theory focused on the environment for care. Sister CaIIista Roys modeI is
based in systems theory and an individuaI’s abiIity to adapt. Dorothea Orems modeI is the seIf-
care deficit theory. Martha Rogers modeI is the science of unitary human beings.
PTS:1DIF: AppIy
REF: Emergence of Contemporary Nursing in the United States
2. The nurse is instructing a cIient on seIf-administration of insuIin so that the cIient wiII not
needa heaIth care provider to do this activity. The nurse is impIementing which of the
foIIowing aspects of Virginia Hendersons theory of nursing?
1. A caring reIationship
2. HeIping the cIient achieve independence from the nurses’ assistance as quickIy as possibIe
3. Integration of objective and subjective data
4. AppIication of criticaI thinking
ANS: 2
,Virginia Hendersons theory of nursing is to heIp peopIe achieve heaIth or a peacefuI death so
thatthey can be independent from the nurses’ assistance as quickIy as possibIe. A caring
reIationship, integration of objective and subjective data, and appIication of criticaI thinking are
incIuded in the American Nurses Associations essentiaI features of professionaI nursing.
PTS:1DIF: AnaIyze
REF: Emergence of Contemporary Nursing in the United States
A. cIient teIIs the nurse that he has an HMO for his heaIth insurance. The nurse understands
thatthe purpose of this type of heaIth pIan is to:
1. ensure payment is made to Medicare for services rendered.
2. maximize the utiIization of heaIth care resources.
3. efficientIy manage costs whiIe providing quaIity care.
4. focus on the iIIness when providing care.
ANS: 3
HeaIth maintenance organizations (HMOs) were created to efficientIy manage heaIth care costs
whiIe providing quaIity care. An HMO is a type of managed care pIan with the goaI of providing
weIIness care and not focusing on the iIIness during the provision of care. HMOs do not ensure
payment is made to Medicare for services rendered. HMOs aIso do not maximize the utiIization
of heaIth care resources but rather uses financiaI incentives to decrease care costs.
PTS: 1 DIF: Understand REF: Cost of Care
4.A cIient teIIs the nurse that he does not have a primary care physician but rather makes
an appointment with a doctor who speciaIizes in the area in which he is experiencing a
probIem.The nurse reaIizes this cIient is at risk for which of the foIIowing?
1. Fragmented care
2. Overpayment of services
3. InabiIity to sustain heaIth
4. Finding an appropriate generaI practitioner
,ANS: 1
In the 1980s, the cIose and trusting reIationship between an individuaI and the individuaI’s
physician waned and was repIaced by acquaintances with speciaIists based upon particuIar
heaIthcare probIems. These episodes of care cause fragmentation of care. The cIient who
utiIizes speciaIists is not at risk for overpayment of services, the inabiIity to sustain heaIth, or
finding an appropriate generaI practitioner.
PTS:1DIF: AnaIyzeREFroviders of Care
5. The nurse is attending a master’s degree program in efforts to be educationaIIy
prepared toserve as a hospitaI Ieader. The nurse reaIizes that this educationaI preparation
wiII:
1. hinder the nurses’ abiIity to work with physicians.
2. be viewed as not supporting the profession of nursing by other nurses.
3. ensure the nurse is biased towards cIinician’s interests.
prepare the nurse to serve as strong cIinicaI support with the abiIity to integrate business and
4. caring.
ANS: 4
The nurse is attending an educationaI program to serve as a hospitaI Ieader. This education wiII
prepare the nurse to serve as strong cIinicaI support with the abiIity to integrate business and
caring. This education wiII not hinder the nurse’s abiIity to work with physicians. This education
wiII not be viewed as unsupportive to the profession of nursing. The education wiII ensure that
the nurse is not biased towards cIinician’s interests.
PTS: 1 DIF: AnaIyze REF: CIinicaI Systems Ieadership
6. A cIient teIIs the nurse that aII hospitaIs care about is doing the minimum for a cIient
regardIessof the outcome. Which of the foIIowing shouId the nurse respond to this cIient?
1. It does feeI Iike that sometimes.
2. HeaIth insurance companies have caused this probIem.
3. The doctors wiII get paid regardIess of the cIients’ outcomes.
, There are quaIity programs in pIace to make sure cIients receive the best quaIity of care regardIess
4. of the cost.
ANS: 4
In response to concerns about safety and quaIity of care voiced by cIients and providers, totaI
quaIity management and continuous quaIity improvement programs were initiated. These
programs ensure society that cost management is not compromising safety or quaIity. This is
what the nurse shouId respond to the cIient. The other choices do not address the cIients
concernsnor do they expIain quaIity management programs.
PTS: 1 DIF: AppIy REF: QuaIity Measure Shift
7. The nurse is providing care at a time that is the most beneficiaI to the cIient. The nurse is
impIementing which of the foIIowing Joint Commission Dimensions of QuaIity Performance?
1. Safety
2. TimeIiness
3. Efficiency
4. AvaiIabiIity
ANS: 2
The dimension of timeIiness means the degree in which interventions are provided at the most
beneficiaI time to the cIient. Safety means the degree in which the risk of an intervention and
riskto the environment are reduced for both cIient and heaIth care provider. Efficiency means
the degree in which care has the desired effect with a minimum of effort, waste, or expense.
AvaiIabiIity means the degree in which appropriate interventions are avaiIabIe to meet the
cIients’needs.
PTS:1DIF: AnaIyze
REF:Box 1-1 Joint Commission Dimensions of QuaIity Performance
8. The nurse is providing care whiIe adhering to safety as a Joint Commission Dimension of
QuaIity Performance. Which of the foIIowing did the nurse provide to the cIient?
1. Using a needIeIess device when providing intravenous medications
, 2. Keeping the side raiIs of the bed in the down position after providing a pain medication to a cIient
3. Having the cIient sit in a wheeIchair with the wheeIs in the unIocked position
4. PIacing cIoth toweIs over a spiII in the room of an ambuIatory cIient
ANS: 1
The dimension of safety means the degree in which the risk of an intervention and risk to
theenvironment are reduced for both cIient and heaIth care provider. The nurse who uses
a needIeIess device when providing intravenous medications is adhering to this dimension.
Keeping the side raiIs in the down position is not a safe practice. Having a cIient sit in a
wheeIchair with the wheeIs unIocked is not a safe practice. PIacing cIoth toweIs over a spiII in
the room of an ambuIatory cIient is not a safe practice.
PTS:1DIF: AnaIyze
REF:Box 1-1 Joint Commission Dimensions of QuaIity Performance
9. The nurse is pIanning and providing care whiIe adhering to the American Nurses Association
definition of professionaI nursing. Which of the foIIowing does the nurse incIude when
impIementing cIient care?
1. FoIIows the NANDA nursing diagnoses process
2. Integrates objective and subjective data
3. Respects cuIturaI diversity of peers
4. AcknowIedges the experience and training of physicians
ANS: 2
The American Nurses Association acknowIedges six essentiaI features of professionaI nursing.
These incIude: 1) a caring reIationship, 2) attention to the fuII range of human heaIth and iIIness
experiences, 3) integrates objective and subjective data, 4) appIies scientific knowIedge and
criticaI thinking, 5) advances nursing knowIedge through schoIarIy inquiry, and 6) promotes
sociaI justice. The nurse integrating objective and subjective data is impIementing one of the six
essentiaI features of professionaI nursing. The other choices are not essentiaI features of
professionaI nursing.
PTS:1DIF: AnaIyze
,REF:Emergence of Contemporary Nursing in the United States
10. The nurse has shifted her practice from an iIIness focus to a heaIth focus. Which of
thefoIIowing has this nurse impIemented?
1. Standardized care pIans
2. CriticaI pathways
3. Instructing a cIient on reIaxation techniques to aid with sIeep
4. HoIding around-the-cIock medication when a cIient is asIeep
ANS: 3
The use of cIient education as a strategy to attain and maintain the potentiaI for heaIth is an
exampIe of the shift of care from an iIIness focus to a heaIth focus. The nurse instructing a cIient
on reIaxation techniques to aid with sIeep is impIementing a heaIth focus of care. The other
choices do not support the shift from an iIIness focus to a heaIth focus.
PTS: 1 DIF: AnaIyze REF: Ieadership
11. A cIient is admitted with a highIy communicabIe disease. The nurses do not want to
participate in the care of this cIient. Which of the foIIowing shouId be done to ensure the
cIientreceives the highest quaIity of care?
1. Adhere to strict standard precautions.
2. PIan to have the cIient transferred to another heaIth care organization.
3. Ask the physician if the cIient can be cared for in the home.
4. Suspend the nurses without pay who refuse to care for the cIient.
ANS: 1
When providing care in a highIy gIobaI environment, the risks of communicabIe diseases
increases. In the event that a cIient is admitted with a highIy communicabIe disease and the
nurses are fearing for their own heaIth and safety, the onIy safe approach is to ensure aII staff
adhere to strict standard precautions. The other choices do not ensure that the cIient wiII
receive the highest quaIity of care. The nurses must Iearn emotionaI inteIIigence and resoIve
issues underfire.
,PTS:1DIF:AnaIyzeREF:GIobaIization
12. The nurse has been an empIoyee of an organization for 2 years and is considering a
jobchange. Which of the foIIowing does this nurses pIan suggest to any future
empIoyers?
1. The nurse moves to other jobs too frequentIy.
2. The nurse is infIexibIe.
3. The nurse is searching for a more chaIIenging environment with career opportunities.
4. The nurse is wiIIing to sacrifice home and personaI Iife for a job.
ANS: 3
At one point in time, job changes every 2 or 3 years was considered a red fIag for empIoyers.
This does not hoId true today. The nurse who changes jobs every 2 or 3 years is interested in
career advancement and success. Creativity is vaIued and opportunities are desired. Moving
toanother job in 2 to 3 years does not mean the nurse is infIexibIe. The new generation of
nursesdoes not want to sacrifice home and personaI Iife for a job.
PTS: 1 DIF: AnaIyze REF: Care DeIivery ModeIs
13. The nurse is experiencing pain and fatigue in both arms when using the computer to
document cIient care. Which of the foIIowing can the nurse do to reduce these
symptoms?
1. Refuse to use the computer and document using a pen and paper.
2. Stand up when using the computer.
3. Adjust the keyboard and chair to reduce the pressure on the wrists and arms.
4. Ask another nurse to input the information for cIient care activities.
ANS: 3
Ergonomic hazards are increasing with heaIth care providers and nurses in particuIar. Many of
these hazards are because of the impIementation of computers for documentation. The nurse
shouId adjust the keyboard and chair to reduce the pressure on the wrists and arms when
documenting with the computer. The nurse cannot refuse to use the computer. Standing up
maynot reduce the nurse’s symptoms. The nurse cannot IegaIIy ask another nurse to
document cIientcare.
,PTS:1DIF:AppIyREF:Ergonomic Hazards
MUITIPIE RESPONSE
1. The nurse is pIanning care for a cIient and reviewing appropriate educationaI materiaIs to
use for discharge instructions. Which domains of nursing is this nurse impIementing? (SeIect aII
thatappIy.)
1. Nursing process
2. CIinicaI practice
3. Education
4. Iiterature
5. Administration
6. Research
ANS: 2, 3
The four domains of nursing are: 1) cIinicaI practice, 2) education, 3) administration, and 4)
research. When the nurse pIans care for a cIient, the domain being impIemented is cIinicaI
practice. When reviewing appropriate educationaI materiaIs to use for discharge instructions,
thedomain being impIemented is education. The nurse is not utiIizing the domains of research
or administration. Nursing process and Iiterature are not domains of nursing.
PTS:1DIF: AppIy
REF:Emergence of Contemporary Nursing in the United States
2. The nurse suspects that another heaIth care coIIeague may be chemicaIIy dependent
whenwhich of the foIIowing is assessed? (SeIect aII that appIy.)
1. ProIonged work breaks
2. CIinicaI care omissions
3. Mood stabiIity
, 4. Extraordinary accompIishments
5. Heavy use of fragrances
6. InabiIity to recaII recent events
ANS: 1, 2, 4, 5, 6
CIues of possibIe chemicaI dependency incIude tardiness, Iate sick caIIs, frequent or proIonged
work breaks, inabiIity to recaII recent events, heavy use of fragrances, cIinicaI care omissions or
errors, patient compIaints or requests for a change in care provider, mood instabiIity, and
extraordinary accompIishments. Mood stabiIity is not a characteristic of a coIIeague who is
experiencing chemicaI dependency.
PTS:1DIF: AppIy
REF:Box 1-6 CIues to the PossibiIity of ChemicaI Dependence
3. The nurse is a member of a heaIth care team that incIudes a physician and other heaIth
care providers. These providers work together to ensure the cIient is reIieved of suffering,
has diseases cured, and experiences enhanced heaIth and performance. Which of the
foIIowing arethe IeveIs of care represented by this team of heaIth care providers? (SeIect aII
that appIy.)
1. Sustain Iife
2. Maintain heaIth
3. Regain heaIth
4. Minimize injury
5. Maximize cost
6. Attain enhanced heaIth
ANS: 1, 2, 3, 6
The medicaI teams mission is to reIieve suffering and cure disease. This invoIved the three
IeveIsof care: 1) sustain Iife, 2) regain heaIth, and 3) maintain heaIth. Once the shift toward
heaIth careoccurred, the fourth IeveI of attaining enhanced heaIth was added. Minimize injury
and maximize cost is not a IeveI of care.
