TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Edition by Donnelly-Moreno, Verified Chapters 1 - 72, Complete Newest Version

1.
Page 1
m

, CHAPTER 1 m




Managed care organizations are insurers that carefully plan and closely supervise the
m m m m m m m m m m m


distribution of healthcare services. What is one of the goals of managed care?
m m m m m m m m m m m m m


A) Preventing illness through screening and promotion of health activities m m m m m m m m


B) Improving training of healthcare professionals m m m m


C) Eliminating health disparities between segments of the population m m m m m m m


D) Providing hospice or home hospice m m m m


care Ans: A
m m m


Feedback:
Preventing illness through screening and promotion of health activities is one of the
m m m m m m m m m m m m


goals of managed care. Improved training of healthcare professionals is the priority
m m m m m m m m m m m m


for international health and not the goal of managed care. Eliminating health
m m m m m m m m m m m m


disparities between the segments of population is a goal of Healthy People 2020.
m m m m m m m m m m m m m


Providing hospice or home hospice care is only for terminally ill clients.
m m m m m m m m m m m m




2. In an effort to cut costs, hospitals have instituted many changes. Which of
m m m m m m m m m m m m


mthese cost-cutting factors is most likely to jeopardize the quality of care?
m m m m m m m m m m m


A) Using unlicensed assistive personnel m m m


B) Increasing numbers of clients in hospitals m m m m m


C) Not devoting enough time to the client
m m m m m m


D) The rise of medical care costs in healthcare
m m m m m m m


msystems Ans: A m m


Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical
m m m m m m m m m m


mand registered nurses once provided. Many are concerned that the use of unlicensed
m m m m m m m m m m m m


massistive personnel will jeopardize the quality of care. Increasing numbers of clients
m m m m m m m m m m m


min hospitals, not devoting enough time to the client, or the rise of medical costs are
m m m m m m m m m m m m m m m


mless likely to jeopardize the quality of care.
m m m m m m m




3. Since losing his right leg years ago, Mr. Smith and his wife have formed a
m m m m m m m m m m m m m m


community walking group to raise money for the homeless in his area. Which of
m m m m m m m m m m m m m m


the following has contributed to him being viewed as ―healthy‖?
m m m m m m m m m m


A) The client is married and is moving on.
m m m m m m m


B) The client is experiencing high quality of life within the limits of the
m m m m m m m m m m m m


physical condition.
m m


C) The client is facing various states of health and illness.
m m m m m m m m m


D) The client is physiologically and psychologically
m m m m m


stable. Ans: B
m m m


Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
m m m m m m m m m m


stability, and self-expression. Clients with chronic illness can achieve a high level of
m m m m m m m m m m m m m


wellness and experience high quality of life. Marriage is an aspect of quality of life
m m m m m m m m m m m m m m m


but does not define the quality of the client's life. All clients experience various states
m m m m m m m m m m m m m m m


of health and illness.
m m m m




Page 2 m

,4. A 17-year-old client is having protected sex one to two times a week in a
m m m m m m m m m m m m m m


monogamous relationship. What is the client participating in?
m m m m m m m m


A) Health promotion m


B) Health maintenance m


C) Illness prevention m


D) Wellness
Ans: B
m m


mFeedback:
Protecting one's current level of health by practicing safe sex to prevent illness is an
m m m m m m m m m m m m m m


mexample of a health maintenance activity. Health promotion strategies are used to
m m m m m m m m m m m


menhance health, such as eating a diet high in fiber. Illness prevention includes
m m m m m m m m m m m m


midentifying risk factors such as hypertension. Wellness is the balance of total well-
m m m m m m m m m m m m


being.


5. A client complaining of bloody urine has scheduled an appointment with a
m m m m m m m m m m m


family practitioner. What type of care is the client receiving?
m m m m m m m m m m


A) Tertiary
B) Secondary
C) Skilled nursing care m m


D) Primary
Ans: D
m m


Feedback:
m


The first provider that clients contact about a health need provides primary care; this
m m m m m m m m m m m m m


person is typically a family practitioner or nurse practitioner. Secondary care includes
m m m m m m m m m m m m


referrals to facilities for additional testing. Tertiary care focuses on more complex
m m m m m m m m m m m m


medical and surgical intervention. Skilled nursing care occurs in facilities or units that
m m m m m m m m m m m m m


offer prolonged health maintenance or rehabilitative services.
m m m m m m m




Page 3 m

, 6. The hospital is having a problem with healthcare-associated infections. A committee
m m m m m m m m m m


has been established to study the problem and make recommendations. The nurse
m m m m m m m m m m m m


mworking on the committee knows that this work addresses what?
m m m m m m m m m


A) Inpatient quality indicators m m


B) Prevention quality indicators m m


C) National Patient Safety Goals m m m


D) Patient safety indicators m m


mAns: C m


Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
m m m m m m m m m m m


mannually. These safety goals have changed how patients are identified and prevent
m m m m m m m m m m m


madverse effects. Some of the 2012 goals include reducing the risk of
m m m m m m m m m m m


healthcare-associated infections. Patient safety indicators reflect the quality of care in
m m m m m m m m m m


mhospitals but focus on potentially avoidable complications. Prevention indicators
m m m m m m m m


midentify hospital admissions that could be avoided through high-quality outpatient
m m m m m m m m m


care. Inpatient indicators reflect quality of care inside the hospital.
m m m m m m m m m m




7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care
m m m m m m m m m m m m m m


is the client receiving?
m m m m


A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
m m


Feedback:
m


Hospitals where specialized technology is available provide tertiary care. Primary
m m m m m m m m m


care is the initial contact that a client has, such as an appointment with a family
m m m m m m m m m m m m m m m m


practitioner. Secondary care includes referrals for additional testing. Rehabilitation is
m m m m m m m m m m


aimed at restoring a person to his or her fullest ability.
m m m m m m m m m m m




Page 4 m