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,FocusVonVAdultVHealthVMedicalVSurgicalVNursingV3rdVEditionVHonanVTestVBank
WellVElaboratedVAnswersV&VQuestions
ChapterV1VTheVnurse’sVRoleVinVAdultVHealthVNursingVMUL
TIPLEVCHOICE
1. TheVnurseVensuresVthatVaVclient’sVbedsVpaceVisVneatVandVcleanVwithVtheVcallVlightVwi
thinVeasyVreach.VTheVnurseVisVfocusingVonVwhichVnursingVtheoristVwhoVrealizedVtheVi
mportanceVofVtheVenvironmentVforVcare?
1. FlorenceVNightingale
2. SisterVCallistaVRoy
3. DorotheaVOrem
4. MarthaVRogers
ANS:V1
FlorenceVNightingalesVtheoryVfocusedVonVtheVenvironmentVforVcare.VSisterVCallistaVRoysVm
odelVisVbasedVinVsystemsVtheoryVandVanVindividual’sVabilityVtoVadapt.VDorotheaVOremsVm
odelVisVtheVself-
VcareVdeficitVtheory.VMarthaVRogersVmodelVisVtheVscienceVofVunitaryVhumanVbeings.
PTS:1DIF:VApply
REF:VEmergenceVofVContemporaryVNursingVinVtheVUnitedVStates
2. TheVnurseVisVinstructingVaVclientVonVself-
administrationVofVinsulinVsoVthatVtheVclientVwillVnotVneedVaVhealthVcareVproviderVtoVd
oVthisVactivity.VTheVnurseVisVimplementingVwhichVofVtheVfollowingVaspectsVofVVirgin
iaVHendersonsVtheoryVofVnursing?
1. AVcaringVrelationship
2. HelpingVtheVclientVachieveVindependenceVfromVtheVnurses’VassistanceVasVquicklyVasVpossible
3. IntegrationVofVobjectiveVandVsubjectiveVdata
4. ApplicationVofVcritic
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,alVthinkingANS:V2
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3. VirginiaVHendersonsVtheoryVofVnursingVisVtoVhelpVpeopleVachieveVhealthVorVaVpeacefulVdeathVsoVthatVth
eyVcanVbeVindependentVfromVtheVnurses’VassistanceVasVquicklyVasVpossible.VAVcaringVrelationship,Vinteg
rationVofVobjectiveVandVsubjectiveVdata,VandVapplicationVofVcriticalVthinkingVareincludedVinVtheVAmeric
anVNursesVAssociationsVessentialVfeaturesVofVprofessionalVnursing.
PTS:1DIF:VAnalyze
REF:VEmergenceVofVContemporaryVNursingVinVtheVUnitedVStates
A. clientVtellsVtheVnurseVthatVheVhasVanVHMOVforVhisVhealthVinsurance.VTheVnurseVund
erstandsVthatVtheVpurposeVofVthisVtypeVofVhealthVplanVisVto:
1. ensureVpaymentVisVmadeVtoVMedicareVforVservicesVrendered.
2. maximizeVtheVutilizationVofVhealthVcareVresources.
3. efficientlyVmanageVcostsVwhileVprovidingVqualityVcare.
4. focusVonVtheVillnessVwhenVprovidingVcare.
ANS:V3
HealthVmaintenanceVorganizationsV(HMOs)VwereVcreatedVtoVefficientlyVmanageVhealthVcare
VcostsVwhileVprovidingVqualityVcare.VAnVHMOVisVaVtypeVofVmanagedVcareVplanVwithVtheVg
oalVofVprovidingVwellnessVcareVandVnotVfocusingVonVtheVillnessVduringVtheVprovisionVofVca
re.VHMOsVdoVnotVensureVpaymentVisVmadeVtoVMedicareVforVservicesVrendered.VHMOsVals
oVdoVnotVmaximizeVtheVutilizationVofVhealthVcareVresourcesVbutVratherVusesVfinancialVincen
tivesVtoVdecreaseVcareVcosts.
PTS:V1VDIF:VUnderstandVREF:VCostVofVCare
4.A clientVtellsVtheVnurseVthatVheVdoesVnotVhaveVaVprimaryVcareVphysicianVbutVratherV
makesanVappointmentVwithVaVdoctorVwhoVspecializesVinVtheVareaVinVwhichVheVisVexp
eriencingVaVproblem.VTheVnurseVrealizesVthisVclientVisVatVriskVforVwhichVofVtheVfollo
wing?
1. FragmentedVcare
2. OverpaymentVofVservices
3. InabilityVtoVsustainVhealth
4. FindingVanVappropriateVgeneralVpractitioner
ANS:V1
InVtheV1980s,VtheVcloseVandVtrustingVrelationshipVbetweenVanVindividualVandVtheVindividual
’sVphysicianVwanedVandVwasVreplacedVbyVacquaintancesVwithVspecialistsVbasedVuponVpartic
ularVhealthcareVproblems.VTheseVepisodesVofVcareVcauseVfragmentationVofVcare.VTheVclientV
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