Test Bank for Focus on Adult Health: Medical-Surgical Nursing 2nd Edition by Linda Honan ISBN 9781496349286 | Complete Guide A+

, 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 rq




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




1. Florence Nightingale rq




2. Sister Callista Roy rq rq




3. Dorothea Orem rq




4. Martha Rogers rq




ANS: 1 rq




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




REF: Emergence of Contemporary Nursing in the United States
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2. Thenurse is instructing 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
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of 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 rq rq rq rq rq




4. Application of critical thinking rq rq rq




rq ANS: 2 rq

,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
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caring relationship, integration of objective and subjective data, and application of critical
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thinking are included in the American Nurses Associations essential features of
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professional nursing.
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PTS:1DIF: Analyze rq




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 rq




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
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of providing wellness care and not focusing on the illness during the provision of care.
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HMOs do not ensure payment is made to Medicare for services rendered. HMOs also do
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not 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 rq




2. Overpayment of services rq rq




3. Inability to sustain health rq rq rq




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




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,
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or finding an appropriate general practitioner.
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PTS:1DIF: AnalyzeREFroviders of Care rq rq rq




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 rq




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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