Focus on Adult Health Medical Surgical Nursing 2nd Edition Linda Honan Test Bank

Test Bank Focus on Adult Health Medical Surgical
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Nursing 2nd Edition Honan
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Chapter 1 The nurse’s Role in Adult Health Nursing
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MULTIPLE CHOICE Ff




1. The nurse ensures Ffthat a client’s beds pace is neat and clean with the call light within
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Ff easy reach.The nurse is focusing on which nursing theorist who realized the importance
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Ff of the environment for care?
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1. Florence Nightingale Ff




2. Sister Callista Roy Ff Ff




3. Dorothea Orem Ff




4. Martha Rogers Ff




ANS: 1 Ff




Florence Nightingales theory focused on the environment for care. Sister Callista Roys model
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is based in systems theory and an individual’s ability to adapt. Dorothea Orems model is
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the self- care deficit theory. Martha Rogers model is the science of unitary human beings.
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PTS:1DIF: Apply Ff




REF: Emergence of Contemporary Nursing in the United States
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2. The nurse isinstructing a client on self-administration of insulin so that the client will
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not needa health care provider to do this activity. The nurse is implementing which of
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the following aspects of Virginia Hendersons theory of nursing?
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1. A caring relationship
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2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
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3. Integration of objective and subjective data Ff Ff Ff Ff Ff




4. Application of critical thinking Ff Ff Ff




Ff ANS: 2 Ff

,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death
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so thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
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relationship, integration of objective and subjective data, and application of critical thinking
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are included in the American Nurses Associations essential features of professional nursing.
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PTS:1DIF: Analyze Ff




REF: Emergence of Contemporary Nursing in the United States
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A. client tells the nurse that he has an HMO for his health insurance. The nurse
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understands thatthe purpose of this type of health plan is to:
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1. ensure payment is made to Medicare for services rendered.
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2. maximize the utilization of health care resources.
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3. efficiently manage costs while providing quality care.
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4. focus on the illness when providing care.
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ANS: 3 Ff




Health maintenance organizations (HMOs) were created to efficiently manage health care
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costs while providing quality care. An HMO is a type of managed care plan with the goal of
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providing wellness care and not focusing on the illness during the provision of care. HMOs
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do not ensure payment is made to Medicare for services rendered. HMOs also do not
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maximize the utilization of health care resources but rather uses financial incentives to
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decrease care costs.
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PTS: 1 DIF: Understand REF: Cost of Care
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4.A client tells the nurse that he does not have a primary care physician but rather
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makes an appointment with a doctor who specializes in the area in which he is
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experiencing a problem.The nurse realizes this client is at risk for which of the
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following?
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1. Fragmented care Ff




2. Overpayment of services Ff Ff




3. Inability to sustain health Ff Ff Ff




4. Finding an appropriate general practitioner
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,ANS: 1 Ff




In the 1980s, the close and trusting relationship between an individual and the individual’s
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physician waned and was replaced by acquaintances with specialists based upon particular
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healthcare problems. These episodes of care cause fragmentation of care. The client who
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utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
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finding an appropriate general practitioner.
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PTS:1DIF: AnalyzeREFroviders of Care
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5. The nurse is attending a master’s degree program in efforts to be educationally
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prepared toserve as a hospital leader. The nurse realizes that this educational
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preparation will:
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1. hinder the nurses’ ability to work with physicians.
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2. be viewed as not supporting the profession of nursing by other nurses.
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3. ensure the nurse is biased towards clinician’s interests.
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prepare the nurse to serve as strong clinical support with the ability to integrate business and
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4. caring.

ANS: 4 Ff




The nurse is attending an educational program to serve as a hospital leader. This education
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will prepare the nurse to serve as strong clinical support with the ability to integrate
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business and caring. This education will not hinder the nurse’s ability to work with
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physicians. This education will not be viewed as unsupportive to the profession of nursing.
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The education will ensure that the nurse is not biased towards clinician’s interests.
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PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
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6. A client tells the nurse that all hospitals care about is doing the minimum for a
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client regardlessof the outcome. Which of the following should the nurse respond to
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this client?
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1. It does feel like that sometimes.
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2. Health insurance companies have caused this problem.
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3. The doctors will get paid regardless of the clients’ outcomes.
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, There are quality programs in place to make sure clients receive the best quality of care regardle
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4. of the cost. Ff Ff




ANS: 4 Ff




In response to concerns about safety and quality of care voiced by clients and providers, total
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quality management and continuous quality improvement programs were initiated. These
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programs ensure society that cost management is not compromising safety or quality. This
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is what the nurse should respond to the client. The other choices do not address the
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clients concernsnor do they explain quality management programs.
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PTS: 1 DIF: Apply REF: Quality Measure Shift
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7. The nurse is providing care at a time that is the most beneficial to the client. The
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nurse is implementing which of the following Joint Commission Dimensions of Quality
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Performance?
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1. Safety


2. Timeliness


3. Efficiency


4. Availability


ANS: 2 Ff




The dimension of timeliness means the degree in which interventions are provided at the
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most beneficial time to the client. Safety means the degree in which the risk of an
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intervention and riskto the environment are reduced for both client and health care
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provider. Efficiency means the degree in which care has the desired effect with a minimum
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of effort, waste, or expense.
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Availability means the degree in which appropriate interventions are available to meet the
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clients’needs.
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PTS:1DIF: Analyze Ff




REF:Box 1-1 Joint Commission Dimensions of Quality Performance
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8. The nurse is providing care while adhering to safety as a Joint Commission Dimension
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Ff of Quality Performance. Which of the following did the nurse provide to the client?
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1. Using a needleless device when providing intravenous medications
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