Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
Test Bank Focus on Adult Health Medical Surgical thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
relationship, integration of objective and subjective data, and application of critical thinking are
Nursing 2nd Edition Honan included in the American Nurses Associations essential features of professional nursing.
Chapter 1 The nurse’s Role in Adult Health Nursing PTS:1DIF: Analyze
REF: Emergence of Contemporary Nursing in the United States
MULTIPLE CHOICE
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy thatthe purpose of this type of health plan is to:
reach.The nurse is focusing on which nursing theorist who realized the importance of the
environment for care?
1. ensure payment is made to Medicare for services rendered.
1. Florence Nightingale
2. maximize the utilization of health care resources.
2. Sister Callista Roy
3. efficiently manage costs while providing quality care.
3. Dorothea Orem
4. focus on the illness when providing care.
4. Martha Rogers
ANS: 3
ANS: 1 Health maintenance organizations (HMOs) were created to efficiently manage health care costs
while providing quality care. An HMO is a type of managed care plan with the goal of providing
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self- payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
care deficit theory. Martha Rogers model is the science of unitary human beings. of health care resources but rather uses financial incentives to decrease care costs.
PTS:1DIF: Apply PTS: 1 DIF: Understand REF: Cost of Care
REF: Emergence of Contemporary Nursing in the United States 4.A client tells the nurse that he does not have a primary care physician but rather makes
2. The nurse is instructing a client on self-administration of insulin so that the client will not an appointment with a doctor who specializes in the area in which he is experiencing a
needa health care provider to do this activity. The nurse is implementing which of the problem.The nurse realizes this client is at risk for which of the following?
following aspects of Virginia Hendersons theory of nursing?
1. Fragmented care
1. A caring relationship
2. Overpayment of services
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
3. Inability to sustain health
3. Integration of objective and subjective data
4. Finding an appropriate general practitioner
4. Application of critical thinking
ANS: 2
,ANS: 1
There are quality programs in place to make sure clients receive the best quality of care regardless
In the 1980s, the close and trusting relationship between an individual and the individual’s 4. of the cost.
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who
ANS: 4
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
finding an appropriate general practitioner. In response to concerns about safety and quality of care voiced by clients and providers, total
quality management and continuous quality improvement programs were initiated. These
PTS:1DIF: AnalyzeREFroviders of Care
programs ensure society that cost management is not compromising safety or quality. This is
5.The nurse is attending a master’s degree program in efforts to be educationally what the nurse should respond to the client. The other choices do not address the clients
prepared toserve as a hospital leader. The nurse realizes that this educational preparation concernsnor do they explain quality management programs.
will:
PTS: 1 DIF: Apply REF: Quality Measure Shift
1. hinder the nurses’ ability to work with physicians. 7. The nurse is providing care at a time that is the most beneficial to the client. The nurse is
implementing which of the following Joint Commission Dimensions of Quality Performance?
2. be viewed as not supporting the profession of nursing by other nurses.
1. Safety
3. ensure the nurse is biased towards clinician’s interests.
2. Timeliness
prepare the nurse to serve as strong clinical support with the ability to integrate business and
4. caring. 3. Efficiency
ANS: 4 4. Availability
The nurse is attending an educational program to serve as a hospital leader. This education will
prepare the nurse to serve as strong clinical support with the ability to integrate business and ANS: 2
caring. This education will not hinder the nurse’s ability to work with physicians. This education The dimension of timeliness means the degree in which interventions are provided at the most
will not be viewed as unsupportive to the profession of nursing. The education will ensure that beneficial time to the client. Safety means the degree in which the risk of an intervention and
the nurse is not biased towards clinician’s interests. riskto the environment are reduced for both client and health care provider. Efficiency means
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership the degree in which care has the desired effect with a minimum of effort, waste, or expense.
Availability means the degree in which appropriate interventions are available to meet the
6.A client tells the nurse that all hospitals care about is doing the minimum for a client clients’needs.
regardlessof the outcome. Which of the following should the nurse respond to this client?
PTS:1DIF: Analyze
1. It does feel like that sometimes. REF:Box 1-1 Joint Commission Dimensions of Quality Performance
8. The nurse is providing care while adhering to safety as a Joint Commission Dimension of
2. Health insurance companies have caused this problem. Quality Performance. Which of the following did the nurse provide to the client?
3. The doctors will get paid regardless of the clients’ outcomes. 1. Using a needleless device when providing intravenous medications
, REF:Emergence of Contemporary Nursing in the United States
2. Keeping the side rails of the bed in the down position after providing a pain medication to a client
10. The nurse has shifted her practice from an illness focus to a health focus. Which of
thefollowing has this nurse implemented?
3. Having the client sit in a wheelchair with the wheels in the unlocked position
1. Standardized care plans
4. Placing cloth towels over a spill in the room of an ambulatory client
2. Critical pathways
ANS: 1
The dimension of safety means the degree in which the risk of an intervention and risk to 3. Instructing a client on relaxation techniques to aid with sleep
theenvironment are reduced for both client and health care provider. The nurse who uses
a needleless device when providing intravenous medications is adhering to this dimension.
4. Holding around-the-clock medication when a client is asleep
Keeping the side rails in the down position is not a safe practice. Having a client sit in a
wheelchair with the wheels unlocked is not a safe practice. Placing cloth towels over a spill in
the room of an ambulatory client is not a safe practice. ANS: 3
PTS:1DIF: Analyze The use of client education as a strategy to attain and maintain the potential for health is an
example of the shift of care from an illness focus to a health focus. The nurse instructing a client
REF:Box 1-1 Joint Commission Dimensions of Quality Performance on relaxation techniques to aid with sleep is implementing a health focus of care. The other
9. The nurse is planning and providing care while adhering to the American Nurses Association choices do not support the shift from an illness focus to a health focus.
definition of professional nursing. Which of the following does the nurse include when PTS: 1 DIF: Analyze REF: Leadership
implementing client care?
11.A client is admitted with a highly communicable disease. The nurses do not want to
1. Follows the NANDA nursing diagnoses process participate in the care of this client. Which of the following should be done to ensure the
clientreceives the highest quality of care?
2. Integrates objective and subjective data
1. Adhere to strict standard precautions.
3. Respects cultural diversity of peers
2. Plan to have the client transferred to another health care organization.
4. Acknowledges the experience and training of physicians
3. Ask the physician if the client can be cared for in the home.
ANS: 2
4. Suspend the nurses without pay who refuse to care for the client.
The American Nurses Association acknowledges six essential features of professional nursing.
These include: 1) a caring relationship, 2) attention to the full range of human health and illness ANS: 1
experiences, 3) integrates objective and subjective data, 4) applies scientific knowledge and
critical thinking, 5) advances nursing knowledge through scholarly inquiry, and 6) promotes When providing care in a highly global environment, the risks of communicable diseases
social justice. The nurse integrating objective and subjective data is implementing one of the six increases. In the event that a client is admitted with a highly communicable disease and the
essential features of professional nursing. The other choices are not essential features of nurses are fearing for their own health and safety, the only safe approach is to ensure all staff
professional nursing. adhere to strict standard precautions. The other choices do not ensure that the client will
receive the highest quality of care. The nurses must learn emotional intelligence and resolve
PTS:1DIF: Analyze issues underfire.
, PTS:1DIF:AnalyzeREF:Globalization PTS:1DIF:ApplyREF:Ergonomic Hazards
12. The nurse has been an employee of an organization for 2 years and is considering a MULTIPLE RESPONSE
jobchange. Which of the following does this nurses plan suggest to any future
1. The nurse is planning care for a client and reviewing appropriate educational materials to
employers?
use for discharge instructions. Which domains of nursing is this nurse implementing? (Select all
thatapply.)
1. The nurse moves to other jobs too frequently.
1. Nursing process
2. The nurse is inflexible.
2. Clinical practice
3. The nurse is searching for a more challenging environment with career opportunities.
3. Education
4. The nurse is willing to sacrifice home and personal life for a job.
4. Literature
ANS: 3
At one point in time, job changes every 2 or 3 years was considered a red flag for employers. 5. Administration
This does not hold true today. The nurse who changes jobs every 2 or 3 years is interested in
career advancement and success. Creativity is valued and opportunities are desired. Moving
toanother job in 2 to 3 years does not mean the nurse is inflexible. The new generation of 6. Research
nursesdoes not want to sacrifice home and personal life for a job.
ANS: 2, 3
PTS: 1 DIF: Analyze REF: Care Delivery Models
The four domains of nursing are: 1) clinical practice, 2) education, 3) administration, and 4)
13. The nurse is experiencing pain and fatigue in both arms when using the computer to
research. When the nurse plans care for a client, the domain being implemented is clinical
document client care. Which of the following can the nurse do to reduce these
practice. When reviewing appropriate educational materials to use for discharge instructions,
symptoms?
thedomain being implemented is education. The nurse is not utilizing the domains of research
or administration. Nursing process and literature are not domains of nursing.
1. Refuse to use the computer and document using a pen and paper.
PTS:1DIF: Apply
2. Stand up when using the computer. REF:Emergence of Contemporary Nursing in the United States
2. The nurse suspects that another health care colleague may be chemically dependent
3. Adjust the keyboard and chair to reduce the pressure on the wrists and arms. whenwhich of the following is assessed? (Select all that apply.)
4. Ask another nurse to input the information for client care activities. 1. Prolonged work breaks
ANS: 3 2. Clinical care omissions
Ergonomic hazards are increasing with health care providers and nurses in particular. Many of
these hazards are because of the implementation of computers for documentation. The nurse 3. Mood stability
should adjust the keyboard and chair to reduce the pressure on the wrists and arms when
documenting with the computer. The nurse cannot refuse to use the computer. Standing up
maynot reduce the nurse’s symptoms. The nurse cannot legally ask another nurse to
document clientcare.
Test Bank Focus on Adult Health Medical Surgical thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
relationship, integration of objective and subjective data, and application of critical thinking are
Nursing 2nd Edition Honan included in the American Nurses Associations essential features of professional nursing.
Chapter 1 The nurse’s Role in Adult Health Nursing PTS:1DIF: Analyze
REF: Emergence of Contemporary Nursing in the United States
MULTIPLE CHOICE
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy thatthe purpose of this type of health plan is to:
reach.The nurse is focusing on which nursing theorist who realized the importance of the
environment for care?
1. ensure payment is made to Medicare for services rendered.
1. Florence Nightingale
2. maximize the utilization of health care resources.
2. Sister Callista Roy
3. efficiently manage costs while providing quality care.
3. Dorothea Orem
4. focus on the illness when providing care.
4. Martha Rogers
ANS: 3
ANS: 1 Health maintenance organizations (HMOs) were created to efficiently manage health care costs
while providing quality care. An HMO is a type of managed care plan with the goal of providing
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self- payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
care deficit theory. Martha Rogers model is the science of unitary human beings. of health care resources but rather uses financial incentives to decrease care costs.
PTS:1DIF: Apply PTS: 1 DIF: Understand REF: Cost of Care
REF: Emergence of Contemporary Nursing in the United States 4.A client tells the nurse that he does not have a primary care physician but rather makes
2. The nurse is instructing a client on self-administration of insulin so that the client will not an appointment with a doctor who specializes in the area in which he is experiencing a
needa health care provider to do this activity. The nurse is implementing which of the problem.The nurse realizes this client is at risk for which of the following?
following aspects of Virginia Hendersons theory of nursing?
1. Fragmented care
1. A caring relationship
2. Overpayment of services
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
3. Inability to sustain health
3. Integration of objective and subjective data
4. Finding an appropriate general practitioner
4. Application of critical thinking
ANS: 2
,ANS: 1
There are quality programs in place to make sure clients receive the best quality of care regardless
In the 1980s, the close and trusting relationship between an individual and the individual’s 4. of the cost.
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who
ANS: 4
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
finding an appropriate general practitioner. In response to concerns about safety and quality of care voiced by clients and providers, total
quality management and continuous quality improvement programs were initiated. These
PTS:1DIF: AnalyzeREFroviders of Care
programs ensure society that cost management is not compromising safety or quality. This is
5.The nurse is attending a master’s degree program in efforts to be educationally what the nurse should respond to the client. The other choices do not address the clients
prepared toserve as a hospital leader. The nurse realizes that this educational preparation concernsnor do they explain quality management programs.
will:
PTS: 1 DIF: Apply REF: Quality Measure Shift
1. hinder the nurses’ ability to work with physicians. 7. The nurse is providing care at a time that is the most beneficial to the client. The nurse is
implementing which of the following Joint Commission Dimensions of Quality Performance?
2. be viewed as not supporting the profession of nursing by other nurses.
1. Safety
3. ensure the nurse is biased towards clinician’s interests.
2. Timeliness
prepare the nurse to serve as strong clinical support with the ability to integrate business and
4. caring. 3. Efficiency
ANS: 4 4. Availability
The nurse is attending an educational program to serve as a hospital leader. This education will
prepare the nurse to serve as strong clinical support with the ability to integrate business and ANS: 2
caring. This education will not hinder the nurse’s ability to work with physicians. This education The dimension of timeliness means the degree in which interventions are provided at the most
will not be viewed as unsupportive to the profession of nursing. The education will ensure that beneficial time to the client. Safety means the degree in which the risk of an intervention and
the nurse is not biased towards clinician’s interests. riskto the environment are reduced for both client and health care provider. Efficiency means
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership the degree in which care has the desired effect with a minimum of effort, waste, or expense.
Availability means the degree in which appropriate interventions are available to meet the
6.A client tells the nurse that all hospitals care about is doing the minimum for a client clients’needs.
regardlessof the outcome. Which of the following should the nurse respond to this client?
PTS:1DIF: Analyze
1. It does feel like that sometimes. REF:Box 1-1 Joint Commission Dimensions of Quality Performance
8. The nurse is providing care while adhering to safety as a Joint Commission Dimension of
2. Health insurance companies have caused this problem. Quality Performance. Which of the following did the nurse provide to the client?
3. The doctors will get paid regardless of the clients’ outcomes. 1. Using a needleless device when providing intravenous medications
, REF:Emergence of Contemporary Nursing in the United States
2. Keeping the side rails of the bed in the down position after providing a pain medication to a client
10. The nurse has shifted her practice from an illness focus to a health focus. Which of
thefollowing has this nurse implemented?
3. Having the client sit in a wheelchair with the wheels in the unlocked position
1. Standardized care plans
4. Placing cloth towels over a spill in the room of an ambulatory client
2. Critical pathways
ANS: 1
The dimension of safety means the degree in which the risk of an intervention and risk to 3. Instructing a client on relaxation techniques to aid with sleep
theenvironment are reduced for both client and health care provider. The nurse who uses
a needleless device when providing intravenous medications is adhering to this dimension.
4. Holding around-the-clock medication when a client is asleep
Keeping the side rails in the down position is not a safe practice. Having a client sit in a
wheelchair with the wheels unlocked is not a safe practice. Placing cloth towels over a spill in
the room of an ambulatory client is not a safe practice. ANS: 3
PTS:1DIF: Analyze The use of client education as a strategy to attain and maintain the potential for health is an
example of the shift of care from an illness focus to a health focus. The nurse instructing a client
REF:Box 1-1 Joint Commission Dimensions of Quality Performance on relaxation techniques to aid with sleep is implementing a health focus of care. The other
9. The nurse is planning and providing care while adhering to the American Nurses Association choices do not support the shift from an illness focus to a health focus.
definition of professional nursing. Which of the following does the nurse include when PTS: 1 DIF: Analyze REF: Leadership
implementing client care?
11.A client is admitted with a highly communicable disease. The nurses do not want to
1. Follows the NANDA nursing diagnoses process participate in the care of this client. Which of the following should be done to ensure the
clientreceives the highest quality of care?
2. Integrates objective and subjective data
1. Adhere to strict standard precautions.
3. Respects cultural diversity of peers
2. Plan to have the client transferred to another health care organization.
4. Acknowledges the experience and training of physicians
3. Ask the physician if the client can be cared for in the home.
ANS: 2
4. Suspend the nurses without pay who refuse to care for the client.
The American Nurses Association acknowledges six essential features of professional nursing.
These include: 1) a caring relationship, 2) attention to the full range of human health and illness ANS: 1
experiences, 3) integrates objective and subjective data, 4) applies scientific knowledge and
critical thinking, 5) advances nursing knowledge through scholarly inquiry, and 6) promotes When providing care in a highly global environment, the risks of communicable diseases
social justice. The nurse integrating objective and subjective data is implementing one of the six increases. In the event that a client is admitted with a highly communicable disease and the
essential features of professional nursing. The other choices are not essential features of nurses are fearing for their own health and safety, the only safe approach is to ensure all staff
professional nursing. adhere to strict standard precautions. The other choices do not ensure that the client will
receive the highest quality of care. The nurses must learn emotional intelligence and resolve
PTS:1DIF: Analyze issues underfire.
, PTS:1DIF:AnalyzeREF:Globalization PTS:1DIF:ApplyREF:Ergonomic Hazards
12. The nurse has been an employee of an organization for 2 years and is considering a MULTIPLE RESPONSE
jobchange. Which of the following does this nurses plan suggest to any future
1. The nurse is planning care for a client and reviewing appropriate educational materials to
employers?
use for discharge instructions. Which domains of nursing is this nurse implementing? (Select all
thatapply.)
1. The nurse moves to other jobs too frequently.
1. Nursing process
2. The nurse is inflexible.
2. Clinical practice
3. The nurse is searching for a more challenging environment with career opportunities.
3. Education
4. The nurse is willing to sacrifice home and personal life for a job.
4. Literature
ANS: 3
At one point in time, job changes every 2 or 3 years was considered a red flag for employers. 5. Administration
This does not hold true today. The nurse who changes jobs every 2 or 3 years is interested in
career advancement and success. Creativity is valued and opportunities are desired. Moving
toanother job in 2 to 3 years does not mean the nurse is inflexible. The new generation of 6. Research
nursesdoes not want to sacrifice home and personal life for a job.
ANS: 2, 3
PTS: 1 DIF: Analyze REF: Care Delivery Models
The four domains of nursing are: 1) clinical practice, 2) education, 3) administration, and 4)
13. The nurse is experiencing pain and fatigue in both arms when using the computer to
research. When the nurse plans care for a client, the domain being implemented is clinical
document client care. Which of the following can the nurse do to reduce these
practice. When reviewing appropriate educational materials to use for discharge instructions,
symptoms?
thedomain being implemented is education. The nurse is not utilizing the domains of research
or administration. Nursing process and literature are not domains of nursing.
1. Refuse to use the computer and document using a pen and paper.
PTS:1DIF: Apply
2. Stand up when using the computer. REF:Emergence of Contemporary Nursing in the United States
2. The nurse suspects that another health care colleague may be chemically dependent
3. Adjust the keyboard and chair to reduce the pressure on the wrists and arms. whenwhich of the following is assessed? (Select all that apply.)
4. Ask another nurse to input the information for client care activities. 1. Prolonged work breaks
ANS: 3 2. Clinical care omissions
Ergonomic hazards are increasing with health care providers and nurses in particular. Many of
these hazards are because of the implementation of computers for documentation. The nurse 3. Mood stability
should adjust the keyboard and chair to reduce the pressure on the wrists and arms when
documenting with the computer. The nurse cannot refuse to use the computer. Standing up
maynot reduce the nurse’s symptoms. The nurse cannot legally ask another nurse to
document clientcare.
