Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank

FOCUS ON ADULT HEALTH MEDICAL SURGICAL
NURSING 2ND EDITION
Chapter 1–The Health Care System and Contemporary Nursing
MULTIPLE CHOICE
1.The nurse ensures that a client’s bedspace 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 Nightingale’s theory focused on the environment for care. Sister
Callista Roy’s model is based in systems theory and an individual’s ability
to adapt. Dorothea Orem’s model is the self­care deficit theory. Martha
Roger’s 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 self­administration 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 Henderson’s
theory of nursing?
A caring relationship
Helping the client achieve independence from the nurse’s assistance as quickly as possible
Integration of objective and subjective data
Application of critical thinking
ANS: 2
Virginia Henderson’s theory of nursing is to help people achieve health or a
peaceful death so that they can be independent from the nurse’s
assistance as quickly as possible. A caring relationship, integration of
objective and subjective data, and application of critical thinking are
included in the American Nurses Association’s essential features of
professional nursing.
PTS:1DIF:Analyze
REF:Emergence of Contemporary Nursing in the United States
3.A client tells the nurse that he has an HMO for his health insurance. The
nurse understands that the 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 while providing quality care. An HMO is a type of
managed care plan with the goal of providing wellness care 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 resources 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 makes an appointment with a doctor who specializes in the area in
which he is experiencing a problem. The nurse 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 health care problems. These episodes of
care cause fragmentation of care. The client who utilizes specialists is not
at risk for overpayment of services, the inability to sustain health, or finding
an appropriate general practitioner.
PTS:1DIF:AnalyzeREF roviders of Care
5.The nurse is attending a master’s degree program in efforts to be
educationally prepared to serve as a hospital leader. The nurse realizes