Test Bank Focus on Adult Health Medical
f f f f f f
SurgicalNursing 2nd Edition Honan
f f f f f f
Chapter 1 The nurse’s Role in Adult Health Nursing
f f f f f f f f
MULTIPLE CHOICE f
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
f f f f f f f f f f f f f f f f f
reach.The nurse is focusing on which nursing theorist who realized the importance of the
f f f f f f f f f f f f f f
environment for care?
f f f
1. Florence Nightingale f
2. Sister Callista Roy f f
3. Dorothea Orem f
4. Martha Rogers f
ANS: 1 f
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
f f f f f f f f f f f f f
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self-
f f f f f f f f f f f f f f f f
care deficit theory. Martha Rogers model is the science of unitary human beings.
f f f f f f f f f f f f f
PTS:1DIF: Apply f
REF: Emergence of Contemporary Nursing in the United States
f f f f f f f f
2. The nurse is instructing a client on self-administration of insulin so that the client will not
f f f f f f f f f f f f f f f
needa health care provider to do this activity. The nurse is implementing which of the
f f f f f f f f f f f f f f f
following aspects of Virginia Hendersons theory of nursing?
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1. A caring relationship
f f
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 f f f f f
, 4. Application of critical thinking
f f f
ANS: 2
f f
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
f f f f f f f f f f f f f f f
thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
f f f f f f f f f f f f f f
relationship, integration of objective and subjective data, and application of critical thinking are
f f f f f f f f f f f f f
included in the American Nurses Associations essential features of professional nursing.
f f f f f f f f f f f
PTS:1DIF: Analyze f
REF: Emergence of Contemporary Nursing in the United States
f f f f f f f f
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
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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. f f f f f f
3. efficiently manage costs while providing quality care. f f f f f f
4. focus on the illness when providing care. f f f f f f
ANS: 3 f
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
f f f f f f f f f f f
while providing quality care. An HMO is a type of managed care plan with the goal of providing
f f f f f f f f f f f f f f f f f f
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
f f f f f f f f f f f f f f f f f
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
f f f f f f f f f f f f f f f
of health care resources but rather uses financial incentives to decrease care costs.
f f f f f f f f f f f f f
PTS: 1 DIF: Understand REF: Cost of Care
f f f f f f f
4.A client tells the nurse that he does not have a primary care physician but rather makes
f f f f f f f f f f f f f f f
an appointment with a doctor who specializes in the area in which he is experiencing a
f f f f f f f f f f f f f f f f
problem.The nurse realizes this client is at risk for which of the following?
f f f f f f f f f f f f f
1. Fragmented care f
2. Overpayment of services f f
3. Inability to sustain health f f f
4. Finding an appropriate general practitioner f f f f
, ANS: 1 f
In the 1980s, the close and trusting relationship between an individual and the individual’s
f f f f f f f f f f f f f
physician waned and was replaced by acquaintances with specialists based upon particular
f f f f f f f f f f f f
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
f f f f f f f f f f f f f f
specialists is not at risk for overpayment of services, the inability to sustain health, or finding an
f f f f f f f f f f f f f f f f f
appropriate general practitioner.
f f f
PTS:1DIF: AnalyzeREFroviders of Care f f f
5. The nurse is attending a master’s degree program in efforts to be educationally prepared
f f f f f f f f f f f f f
toserve as a hospital leader. The nurse realizes that this educational preparation will:
f f f f f f f f f f f f f
1. hinder the nurses’ ability to work with physicians.
f f f f f f f
2. be viewed as not supporting the profession of nursing by other nurses.
f f f f f f f f f f f
3. ensure the nurse is biased towards clinician’s interests.
f f f f f f f
prepare the nurse to serve as strong clinical support with the ability to integrate business and
f f f f f f f f f f f f f f f
4. caring.
ANS: 4 f
The nurse is attending an educational program to serve as a hospital leader. This education will
f f f f f f f f f f f f f f f
prepare the nurse to serve as strong clinical support with the ability to integrate business and
f f f f f f f f f f f f f f f f
caring. This education will not hinder the nurse’s ability to work with physicians. This education
f f f f f f f f f f f f f f f
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
f f f f f f f f f f f f f f f f
the nurse is not biased towards clinician’s interests.
f f f f f f f f
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
f f f f f f f
6. A client tells the nurse that all hospitals care about is doing the minimum for a client
f f f f f f f f f f f f f f f f
regardlessof the outcome. Which of the following should the nurse respond to this client?
f f f f f f f f f f f f f f
1. It does feel like that sometimes.
f f f f f
2. Health insurance companies have caused this problem.f f f f f f
3. The doctors will get paid regardless of the clients’ outcomes.
f f f f f f f f f
f f f f f f
SurgicalNursing 2nd Edition Honan
f f f f f f
Chapter 1 The nurse’s Role in Adult Health Nursing
f f f f f f f f
MULTIPLE CHOICE f
1. The nurse ensures that a client’s beds pace is neat and clean with the call light within easy
f f f f f f f f f f f f f f f f f
reach.The nurse is focusing on which nursing theorist who realized the importance of the
f f f f f f f f f f f f f f
environment for care?
f f f
1. Florence Nightingale f
2. Sister Callista Roy f f
3. Dorothea Orem f
4. Martha Rogers f
ANS: 1 f
Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
f f f f f f f f f f f f f
based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self-
f f f f f f f f f f f f f f f f
care deficit theory. Martha Rogers model is the science of unitary human beings.
f f f f f f f f f f f f f
PTS:1DIF: Apply f
REF: Emergence of Contemporary Nursing in the United States
f f f f f f f f
2. The nurse is instructing a client on self-administration of insulin so that the client will not
f f f f f f f f f f f f f f f
needa health care provider to do this activity. The nurse is implementing which of the
f f f f f f f f f f f f f f f
following aspects of Virginia Hendersons theory of nursing?
f f f f f f f f
1. A caring relationship
f f
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
f f f f f f f f f f f f
3. Integration of objective and subjective data f f f f f
, 4. Application of critical thinking
f f f
ANS: 2
f f
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
f f f f f f f f f f f f f f f
thatthey can be independent from the nurses’ assistance as quickly as possible. A caring
f f f f f f f f f f f f f f
relationship, integration of objective and subjective data, and application of critical thinking are
f f f f f f f f f f f f f
included in the American Nurses Associations essential features of professional nursing.
f f f f f f f f f f f
PTS:1DIF: Analyze f
REF: Emergence of Contemporary Nursing in the United States
f f f f f f f f
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
f f f f f f f f f f f f f f f
thatthe purpose of this type of health plan is to:
f f f f f f f f f f
1. ensure payment is made to Medicare for services rendered.
f f f f f f f f
2. maximize the utilization of health care resources. f f f f f f
3. efficiently manage costs while providing quality care. f f f f f f
4. focus on the illness when providing care. f f f f f f
ANS: 3 f
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
f f f f f f f f f f f
while providing quality care. An HMO is a type of managed care plan with the goal of providing
f f f f f f f f f f f f f f f f f f
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
f f f f f f f f f f f f f f f f f
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
f f f f f f f f f f f f f f f
of health care resources but rather uses financial incentives to decrease care costs.
f f f f f f f f f f f f f
PTS: 1 DIF: Understand REF: Cost of Care
f f f f f f f
4.A client tells the nurse that he does not have a primary care physician but rather makes
f f f f f f f f f f f f f f f
an appointment with a doctor who specializes in the area in which he is experiencing a
f f f f f f f f f f f f f f f f
problem.The nurse realizes this client is at risk for which of the following?
f f f f f f f f f f f f f
1. Fragmented care f
2. Overpayment of services f f
3. Inability to sustain health f f f
4. Finding an appropriate general practitioner f f f f
, ANS: 1 f
In the 1980s, the close and trusting relationship between an individual and the individual’s
f f f f f f f f f f f f f
physician waned and was replaced by acquaintances with specialists based upon particular
f f f f f f f f f f f f
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
f f f f f f f f f f f f f f
specialists is not at risk for overpayment of services, the inability to sustain health, or finding an
f f f f f f f f f f f f f f f f f
appropriate general practitioner.
f f f
PTS:1DIF: AnalyzeREFroviders of Care f f f
5. The nurse is attending a master’s degree program in efforts to be educationally prepared
f f f f f f f f f f f f f
toserve as a hospital leader. The nurse realizes that this educational preparation will:
f f f f f f f f f f f f f
1. hinder the nurses’ ability to work with physicians.
f f f f f f f
2. be viewed as not supporting the profession of nursing by other nurses.
f f f f f f f f f f f
3. ensure the nurse is biased towards clinician’s interests.
f f f f f f f
prepare the nurse to serve as strong clinical support with the ability to integrate business and
f f f f f f f f f f f f f f f
4. caring.
ANS: 4 f
The nurse is attending an educational program to serve as a hospital leader. This education will
f f f f f f f f f f f f f f f
prepare the nurse to serve as strong clinical support with the ability to integrate business and
f f f f f f f f f f f f f f f f
caring. This education will not hinder the nurse’s ability to work with physicians. This education
f f f f f f f f f f f f f f f
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
f f f f f f f f f f f f f f f f
the nurse is not biased towards clinician’s interests.
f f f f f f f f
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
f f f f f f f
6. A client tells the nurse that all hospitals care about is doing the minimum for a client
f f f f f f f f f f f f f f f f
regardlessof the outcome. Which of the following should the nurse respond to this client?
f f f f f f f f f f f f f f
1. It does feel like that sometimes.
f f f f f
2. Health insurance companies have caused this problem.f f f f f f
3. The doctors will get paid regardless of the clients’ outcomes.
f f f f f f f f f
