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 N
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ursing 2nd Edition Honan c4 c4 c4 c 4




Chapter 1 The nurse’s Role in Adult Health Nursing
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MULTIPLE CHOICE c4




1. Thenurse ensures that a client’s beds pace is neat and clean with the call light within e
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asy reach.The nurse is focusing on which nursing theorist who realized the importance o
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f the environment for care?
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1. Florence Nightingale c4




2. Sister Callista Roy c4 c4




3. Dorothea Orem c4




4. Martha Rogers c4




ANS: 1 c4




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 the
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self- care deficit theory. Martha Rogers model is the science of unitary human beings.
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PTS:1DIF: Apply c4




REF: Emergence of Contemporary Nursing in the United States
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2. The nurse is instructing a client on self-
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administration of insulin so that the client will not needa health care provider to do this
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activity. The nurse is implementing which of the following aspects of Virginia Henderso
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ns 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 c4 c4 c4 c4 c4




4. Application of critical thinking c4 c4 c4




c4 ANS: 2 c4

,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death s
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o thatthey can be independent from the nurses’ assistance as quickly as possible. A caring re
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lationship, integration of objective and subjective data, and application of critical thinking are
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included in the American Nurses Associations essential features of professional nursing.
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PTS:1DIF: Analyze c4




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 understan
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ds 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 c4




Health maintenance organizations (HMOs) were created to efficiently manage health care cos
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ts while providing quality care. An HMO is a type of managed care plan with the goal of pro
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viding wellness care and not focusing on the illness during the provision of care. HMOs do n
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ot ensure payment is made to Medicare for services rendered. HMOs also do not maximize t
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he utilization of health care resources but rather uses financial incentives to decrease care c
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osts.
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 mak
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es an appointment with a doctor who specializes in the area in which he is experiencin
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g a problem.The nurse realizes this client is at risk for which of the following?
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1. Fragmented care c4




2. Overpayment of services c4 c4




3. Inability to sustain health c4 c4 c4




4. Finding an appropriate general practitioner
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, ANS: 1 c4




In the 1980s, the close and trusting relationship between an individual and the individual’s p
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hysician waned and was replaced by acquaintances with specialists based upon particular he
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althcare problems. These episodes of care cause fragmentation of care. The client who utiliz
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es specialists is not at risk for overpayment of services, the inability to sustain health, or findi
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ng an appropriate general practitioner.
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PTS:1DIF: AnalyzeREFroviders of Carec4 c4 c4




5. The nurse is attending a master’s degree program in efforts to be educationally prep
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ared toserve as a hospital leader. The nurse realizes that this educational preparation wi
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ll:

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 c4




The nurse is attending an educational program to serve as a hospital leader. This education w
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ill prepare the nurse to serve as strong clinical support with the ability to integrate business
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and caring. This education will not hinder the nurse’s ability to work with physicians. This edu
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cation will not be viewed as unsupportive to the profession of nursing. The education will en
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sure 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 client
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regardlessof the outcome. Which of the following should the nurse respond to this clie
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nt?

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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