,FocusgongAdultgHealthgMedicalgSurgicalgNursingg2ndgEditiongHonangTestgBank
WellgElaboratedgAnswersg&gQuestions
Chapterg1gThegnurse’sgRolegingAdultgHealthgNursinggMU
LTIPLEgCHOICE
1. Thegnursegensuresgthatgagclient’sgbedsgpacegisgneatgandgcleangwithgthegcallglightgwithingea
sygreach.gThegnursegisgfocusinggongwhichgnursinggtheoristgwhogrealizedgthegimportancegofg
thegenvironmentgforgcare?
1. FlorencegNightingale
2. SistergCallistagRoy
3. DorotheagOrem
4. MarthagRogers
ANS:g1
FlorencegNightingalesgtheorygfocusedgongthegenvironmentgforgcare.gSistergCallistagRoysgmodelgi
sgbasedgingsystemsgtheorygandgangindividual’sgabilitygtogadapt.gDorotheagOremsgmodelgisgthegse
lf-gcaregdeficitgtheory.gMarthagRogersgmodelgisgthegsciencegofgunitaryghumangbeings.
PTS:1DIF:gApply
REF:gEmergencegofgContemporarygNursinggingthegUnitedgStates
2. Thegnursegisginstructinggagclientgongself-
administrationgofginsulingsogthatgthegclientgwillgnotgneedgaghealthgcaregprovidergtogdogthisga
ctivity.gThegnursegisgimplementinggwhichgofgthegfollowinggaspectsgofgVirginiagHenderson
sgtheorygofgnursing?
1. Agcaringgrelationship
2. Helpinggthegclientgachievegindependencegfromgthegnurses’gassistancegasgquicklygasgpossible
3. Integrationgofgobjectivegandgsubjectivegdata
4. Applicationgofgcritical
gthinkingANS:g2
MedgC
,3. VirginiagHendersonsgtheorygofgnursinggisgtoghelpgpeoplegachieveghealthgorgagpeacefulgdeathgsogthatgtheygcang
begindependentgfromgthegnurses’gassistancegasgquicklygasgpossible.gAgcaringgrelationship,gintegrationgofgobje
ctivegandgsubjectivegdata,gandgapplicationgofgcriticalgthinkinggareincludedgingthegAmericangNursesgAssociati
onsgessentialgfeaturesgofgprofessionalgnursing.
PTS:1DIF:gAnalyze
REF:gEmergencegofgContemporarygNursinggingthegUnitedgStates
A. clientgtellsgthegnursegthatgheghasgangHMOgforghisghealthginsurance.gThegnursegunderstan
dsgthatgthegpurposegofgthisgtypegofghealthgplangisgto:
1. ensuregpaymentgisgmadegtogMedicaregforgservicesgrendered.
2. maximizegthegutilizationgofghealthgcaregresources.
3. efficientlygmanagegcostsgwhilegprovidinggqualitygcare.
4. focusgongthegillnessgwhengprovidinggcare.
ANS:g3
Healthgmaintenancegorganizationsg(HMOs)gweregcreatedgtogefficientlygmanageghealthgcaregcosts
gwhilegprovidinggqualitygcare.gAngHMOgisgagtypegofgmanagedgcaregplangwithgtheggoalgofgprovidi
nggwellnessgcaregandgnotgfocusinggongthegillnessgduringgthegprovisiongofgcare.gHMOsgdognotgen
suregpaymentgisgmadegtogMedicaregforgservicesgrendered.gHMOsgalsogdognotgmaximizegthegutili
zationgofghealthgcaregresourcesgbutgrathergusesgfinancialgincentivesgtogdecreasegcaregcosts.
PTS:g1gDIF:gUnderstandgREF:gCostgofgCare
4.A clientgtellsgthegnursegthatghegdoesgnotghavegagprimarygcaregphysiciangbutgrathergmakesa
ngappointmentgwithgagdoctorgwhogspecializesgingthegareagingwhichghegisgexperiencinggagpr
oblem.gThegnursegrealizesgthisgclientgisgatgriskgforgwhichgofgthegfollowing?
1. Fragmentedgcare
2. Overpaymentgofgservices
3. Inabilitygtogsustainghealth
4. Findinggangappropriateggeneralgpractitioner
MedgC
, ANS:g1
Ingtheg1980s,gthegclosegandgtrustinggrelationshipgbetweengangindividualgandgthegindividual’sgphy
siciangwanedgandgwasgreplacedgbygacquaintancesgwithgspecialistsgbasedgupongparticularghealthc
aregproblems.gThesegepisodesgofgcaregcausegfragmentationgofgcare.gThegclientgwhogutilizesgspeci
alistsgisgnotgatgriskgforgoverpaymentgofgservices,gtheginabilitygtogsustainghealth,gorfindinggangapp
ropriateggeneralgpractitioner.
PTS:1DIF:gAnalyzegREFgProvidersgofgCare
5. Thegnursegisgattendinggagmaster’sgdegreegprogramgingeffortsgtogbegeducationallygprepare
dgtoservegasgaghospitalgleader.gThegnursegrealizesgthatgthisgeducationalgpreparationwill:
1. hindergthegnurses’gabilitygtogworkgwithgphysicians.
2. begviewedgasgnotgsupportinggthegprofessiongofgnursinggbygothergnurses.
3. ensuregthegnursegisgbiasedgtowardsgclinician’sginterests.
preparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgand
4. caring.
ANS:g4
Thegnursegisgattendinggangeducationalgprogramgtogservegasgaghospitalgleader.gThisgeducationgwil
lgpreparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgandg
caring.gThisgeducationgwillgnotghindergthegnurse’sgabilitygtogworkgwithgphysicians.gThisgeducatio
ngwillgnotgbegviewedgasgunsupportivegtogthegprofessiongofgnursing.gThegeducationgwillgensuregth
atgthegnursegisgnotgbiasedgtowardsgclinician’sginterests.
PTS:g1gDIF:gAnalyzegREF:gClinicalgSystemsgLeadership
6. Agclientgtellsgthegnursegthatgallghospitalsgcaregaboutgisgdoinggthegminimumgforgagclientg
regardlessgofgthegoutcome.gWhichgofgthegfollowinggshouldgthegnursegrespondgtogthisgclient
?
1. Itgdoesgfeelglikegthatgsometimes.
2. Healthginsurancegcompaniesghavegcausedgthisgproblem.
3. Thegdoctorsgwillggetgpaidgregardlessgofgthegclients’goutcomes.
MedgC
WellgElaboratedgAnswersg&gQuestions
Chapterg1gThegnurse’sgRolegingAdultgHealthgNursinggMU
LTIPLEgCHOICE
1. Thegnursegensuresgthatgagclient’sgbedsgpacegisgneatgandgcleangwithgthegcallglightgwithingea
sygreach.gThegnursegisgfocusinggongwhichgnursinggtheoristgwhogrealizedgthegimportancegofg
thegenvironmentgforgcare?
1. FlorencegNightingale
2. SistergCallistagRoy
3. DorotheagOrem
4. MarthagRogers
ANS:g1
FlorencegNightingalesgtheorygfocusedgongthegenvironmentgforgcare.gSistergCallistagRoysgmodelgi
sgbasedgingsystemsgtheorygandgangindividual’sgabilitygtogadapt.gDorotheagOremsgmodelgisgthegse
lf-gcaregdeficitgtheory.gMarthagRogersgmodelgisgthegsciencegofgunitaryghumangbeings.
PTS:1DIF:gApply
REF:gEmergencegofgContemporarygNursinggingthegUnitedgStates
2. Thegnursegisginstructinggagclientgongself-
administrationgofginsulingsogthatgthegclientgwillgnotgneedgaghealthgcaregprovidergtogdogthisga
ctivity.gThegnursegisgimplementinggwhichgofgthegfollowinggaspectsgofgVirginiagHenderson
sgtheorygofgnursing?
1. Agcaringgrelationship
2. Helpinggthegclientgachievegindependencegfromgthegnurses’gassistancegasgquicklygasgpossible
3. Integrationgofgobjectivegandgsubjectivegdata
4. Applicationgofgcritical
gthinkingANS:g2
MedgC
,3. VirginiagHendersonsgtheorygofgnursinggisgtoghelpgpeoplegachieveghealthgorgagpeacefulgdeathgsogthatgtheygcang
begindependentgfromgthegnurses’gassistancegasgquicklygasgpossible.gAgcaringgrelationship,gintegrationgofgobje
ctivegandgsubjectivegdata,gandgapplicationgofgcriticalgthinkinggareincludedgingthegAmericangNursesgAssociati
onsgessentialgfeaturesgofgprofessionalgnursing.
PTS:1DIF:gAnalyze
REF:gEmergencegofgContemporarygNursinggingthegUnitedgStates
A. clientgtellsgthegnursegthatgheghasgangHMOgforghisghealthginsurance.gThegnursegunderstan
dsgthatgthegpurposegofgthisgtypegofghealthgplangisgto:
1. ensuregpaymentgisgmadegtogMedicaregforgservicesgrendered.
2. maximizegthegutilizationgofghealthgcaregresources.
3. efficientlygmanagegcostsgwhilegprovidinggqualitygcare.
4. focusgongthegillnessgwhengprovidinggcare.
ANS:g3
Healthgmaintenancegorganizationsg(HMOs)gweregcreatedgtogefficientlygmanageghealthgcaregcosts
gwhilegprovidinggqualitygcare.gAngHMOgisgagtypegofgmanagedgcaregplangwithgtheggoalgofgprovidi
nggwellnessgcaregandgnotgfocusinggongthegillnessgduringgthegprovisiongofgcare.gHMOsgdognotgen
suregpaymentgisgmadegtogMedicaregforgservicesgrendered.gHMOsgalsogdognotgmaximizegthegutili
zationgofghealthgcaregresourcesgbutgrathergusesgfinancialgincentivesgtogdecreasegcaregcosts.
PTS:g1gDIF:gUnderstandgREF:gCostgofgCare
4.A clientgtellsgthegnursegthatghegdoesgnotghavegagprimarygcaregphysiciangbutgrathergmakesa
ngappointmentgwithgagdoctorgwhogspecializesgingthegareagingwhichghegisgexperiencinggagpr
oblem.gThegnursegrealizesgthisgclientgisgatgriskgforgwhichgofgthegfollowing?
1. Fragmentedgcare
2. Overpaymentgofgservices
3. Inabilitygtogsustainghealth
4. Findinggangappropriateggeneralgpractitioner
MedgC
, ANS:g1
Ingtheg1980s,gthegclosegandgtrustinggrelationshipgbetweengangindividualgandgthegindividual’sgphy
siciangwanedgandgwasgreplacedgbygacquaintancesgwithgspecialistsgbasedgupongparticularghealthc
aregproblems.gThesegepisodesgofgcaregcausegfragmentationgofgcare.gThegclientgwhogutilizesgspeci
alistsgisgnotgatgriskgforgoverpaymentgofgservices,gtheginabilitygtogsustainghealth,gorfindinggangapp
ropriateggeneralgpractitioner.
PTS:1DIF:gAnalyzegREFgProvidersgofgCare
5. Thegnursegisgattendinggagmaster’sgdegreegprogramgingeffortsgtogbegeducationallygprepare
dgtoservegasgaghospitalgleader.gThegnursegrealizesgthatgthisgeducationalgpreparationwill:
1. hindergthegnurses’gabilitygtogworkgwithgphysicians.
2. begviewedgasgnotgsupportinggthegprofessiongofgnursinggbygothergnurses.
3. ensuregthegnursegisgbiasedgtowardsgclinician’sginterests.
preparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgand
4. caring.
ANS:g4
Thegnursegisgattendinggangeducationalgprogramgtogservegasgaghospitalgleader.gThisgeducationgwil
lgpreparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgandg
caring.gThisgeducationgwillgnotghindergthegnurse’sgabilitygtogworkgwithgphysicians.gThisgeducatio
ngwillgnotgbegviewedgasgunsupportivegtogthegprofessiongofgnursing.gThegeducationgwillgensuregth
atgthegnursegisgnotgbiasedgtowardsgclinician’sginterests.
PTS:g1gDIF:gAnalyzegREF:gClinicalgSystemsgLeadership
6. Agclientgtellsgthegnursegthatgallghospitalsgcaregaboutgisgdoinggthegminimumgforgagclientg
regardlessgofgthegoutcome.gWhichgofgthegfollowinggshouldgthegnursegrespondgtogthisgclient
?
1. Itgdoesgfeelglikegthatgsometimes.
2. Healthginsurancegcompaniesghavegcausedgthisgproblem.
3. Thegdoctorsgwillggetgpaidgregardlessgofgthegclients’goutcomes.
MedgC
