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,Focus on Adult Health Medical Surgical Nursing 3rd Edition Honan Test Bank
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Well Elaborated Answers & Questions
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Chapter.1.The.nurse’s.Role.in.Adult.Health.Nursing.MULTIPLE.C
HOICE
1. The.nurse.ensures.that.a.client’s.beds.pace.is.neat.and.clean.with.the.call.light.within.easy.reach..
The.nurse.is.focusing.on.which.nursing.theorist.who.realized.the.importance.of.the.environment
.for.care?
1. Florence.Nightingale
2. Sister.Callista.Roy
3. Dorothea.Orem
4. Martha.Rogers
ANS:.1
Florence.Nightingales.theory.focused.on.the.environment.for.care..Sister.Callista.Roys.model.is.base
d.in.systems.theory.and.an.individual’s.ability.to.adapt..Dorothea.Orems.model.is.the.self-
.care.deficit.theory..Martha.Rogers.model.is.the.science.of.unitary.human.beings.
PTS:1DIF:.Apply
REF:.Emergence.of.Contemporary.Nursing.in.the.United.States
2. The.nurse.is.instructing.a.client.on.self-
administration.of.insulin.so.that.the.client.will.not.need.a.health.care.provider.to.do.this.activity..
The.nurse.is.implementing.which.of.the.following.aspects.of.Virginia.Hendersons.theory.of.nur
sing?
1. A.caring.relationship
2. Helping.the.client.achieve.independence.from.the.nurses’.assistance.as.quickly.as.possible
3. Integration.of.objective.and.subjective.data
4. Application.of.critical.t
hinkingANS:.2
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3. Virginia.Hendersons.theory.of.nursing.is.to.help.people.achieve.health.or.a.peaceful.death.so.that.they.can.be.indepe
ndent.from.the.nurses’.assistance.as.quickly.as.possible..A.caring.relationship,.integration.of.objective.and.subjecti
ve.data,.and.application.of.critical.thinking.areincluded.in.the.American.Nurses.Associations.essential.features.of.
professional.nursing.
PTS:1DIF:.Analyze
REF:.Emergence.of.Contemporary.Nursing.in.the.United.States
A. client.tells.the.nurse.that.he.has.an.HMO.for.his.health.insurance..The.nurse.understands.that.t
he.purpose.of.this.type.of.health.plan.is.to:
1. ensure.payment.is.made.to.Medicare.for.services.rendered.
2. maximize.the.utilization.of.health.care.resources.
3. efficiently.manage.costs.while.providing.quality.care.
4. focus.on.the.illness.when.providing.care.
ANS:.3
Health.maintenance.organizations.(HMOs).were.created.to.efficiently.manage.health.care.costs.whil
e.providing.quality.care..An.HMO.is.a.type.of.managed.care.plan.with.the.goal.of.providing.wellness.c
are.and.not.focusing.on.the.illness.during.the.provision.of.care..HMOs.do.not.ensure.payment.is.made.
to.Medicare.for.services.rendered..HMOs.also.do.not.maximize.the.utilization.of.health.care.resource
s.but.rather.uses.financial.incentives.to.decrease.care.costs.
PTS:.1.DIF:.Understand.REF:.Cost.of.Care
4.A client.tells.the.nurse.that.he.does.not.have.a.primary.care.physician.but.rather.makesan.appoi
ntment.with.a.doctor.who.specializes.in.the.area.in.which.he.is.experiencing.a.problem..The.nur
se.realizes.this.client.is.at.risk.for.which.of.the.following?
1. Fragmented.care
2. Overpayment.of.services
3. Inability.to.sustain.health
4. Finding.an.appropriate.general.practitioner
ANS:.1
In.the.1980s,.the.close.and.trusting.relationship.between.an.individual.and.the.individual’s.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.utilizes.specialists.is.not.at.risk.fo
r.overpayment.of.services,.the.inability.to.sustain.health,.orfinding.an.appropriate.general.practitione
r.
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, PTS:1DIF:.Analyze.REF.Providers.of.Care
5. The.nurse.is.attending.a.master’s.degree.program.in.efforts.to.be.educationally.prepared.toser
ve.as.a.hospital.leader..The.nurse.realizes.that.this.educational.preparationwill:
1. hinder.the.nurses’.ability.to.work.with.physicians.
2. be.viewed.as.not.supporting.the.profession.of.nursing.by.other.nurses.
3. ensure.the.nurse.is.biased.towards.clinician’s.interests.
prepare.the.nurse.to.serve.as.strong.clinical.support.with.the.ability.to.integrate.business.and
4. caring.
ANS:.4
The.nurse.is.attending.an.educational.program.to.serve.as.a.hospital.leader..This.education.will.prepar
e.the.nurse.to.serve.as.strong.clinical.support.with.the.ability.to.integrate.business.and.caring..This.edu
cation.will.not.hinder.the.nurse’s.ability.to.work.with.physicians..This.education.will.not.be.viewed.as.
unsupportive.to.the.profession.of.nursing..The.education.will.ensure.that.the.nurse.is.not.biased.towar
ds.clinician’s.interests.
PTS:.1.DIF:.Analyze.REF:.Clinical.Systems.Leadership
6. A.client.tells.the.nurse.that.all.hospitals.care.about.is.doing.the.minimum.for.a.client.regardle
ss.of.the.outcome..Which.of.the.following.should.the.nurse.respond.to.this.client?
1. It.does.feel.like.that.sometimes.
2. Health.insurance.companies.have.caused.this.problem.
3. The.doctors.will.get.paid.regardless.of.the.clients’.outcomes.
There.are.quality.programs.in.place.to.make.sure.clients.receive.the.best.quality.of.care.regardless
4. of.the.cost.
ANS:.4
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.programs.ensur
e.society.that.cost.management.is.not.compromising.safety.or.quality..This.is.what.the.nurse.should.r
espond.to.the.client..The.other.choices.do.not.address.the.clients.concerns.nor.do.they.explain.qualit
y.management.programs.
PTS:.1.DIF:.Apply.REF:.Quality.Measure.Shift
7. The.nurse.is.providing.care.at.a.time.that.is.the.most.beneficial.to.the.client..The.nurse.is.imple
menting.which.of.the.following.Joint.Commission.Dimensions.of.Quality.Performance?
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