TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Edition by Donnelly-Moreno, Verified Chapters 1 - 72, Complete Newest Version

1.
Page 1
g

, CHAPTER 1 g




Managed care organizations are insurers that carefully plan and closely supervise the
g g g g g g g g g g g


distribution of healthcare services. What is one of the goals of managed care?
g g g g g g g g g g g g g


A) Preventing illness through screening and promotion of health activities g g g g g g g g


B) Improving training of healthcare professionals g g g g


C) Eliminating health disparities between segments of the population g g g g g g g


D) Providing hospice or home hospice care g g g g g


Ans: A
g g


Feedback:
Preventing illness through screening and promotion of health activities is one of the
g g g g g g g g g g g g


goals of managed care. Improved training of healthcare professionals is the priority for
g g g g g g g g g g g g g


international health and not the goal of managed care. Eliminating health disparities
g g g g g g g g g g g g


between the segments of population is a goal of Healthy People 2020. Providing hospice
g g g g g g g g g g g g g g


or home hospice care is only for terminally ill clients.
g g g g g g g g g g




2. In an effort to cut costs, hospitals have instituted many changes. Which of these
g g g g g g g g g g g g g


gcost-cutting factors is most likely to jeopardize the quality of care?
g g g g g g g g g g


A) Using unlicensed assistive personnel g g g


B) Increasing numbers of clients in hospitals g g g g g


C) Not devoting enough time to the client g g g g g g


D) The rise of medical care costs in healthcare systems
g g g g g g g g


gAns: A g


Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
g g g g g g g g g g g


gregistered nurses once provided. Many are concerned that the use of unlicensed assistive
g g g g g g g g g g g g


gpersonnel will jeopardize the quality of care. Increasing numbers of clients in hospitals,
g g g g g g g g g g g g


gnot devoting enough time to the client, or the rise of medical costs are less likely to
g g g g g g g g g g g g g g g g


gjeopardize the quality of care. g g g g




3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community
g g g g g g g g g g g g g g g


walking group to raise money for the homeless in his area. Which of the following has
g g g g g g g g g g g g g g g g


contributed to him being viewed as ―healthy‖?
g g g g g g g


A) The client is married and is moving on. g g g g g g g


B) The client is experiencing high quality of life within the limits of the physical
g g g g g g g g g g g g g


condition.
g


C) The client is facing various states of health and illness.
g g g g g g g g g


D) The client is physiologically and psychologically stable.
g g g g g g


Ans: B
g g


Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
g g g g g g g g g g


stability, and self-expression. Clients with chronic illness can achieve a high level of
g g g g g g g g g g g g g


wellness and experience high quality of life. Marriage is an aspect of quality of life but
g g g g g g g g g g g g g g g g


does not define the quality of the client's life. All clients experience various states of
g g g g g g g g g g g g g g g


health and illness.
g g g




Page 2 g

,4. A 17-year-old client is having protected sex one to two times a week in a monogamous
g g g g g g g g g g g g g g g


relationship. What is the client participating in?
g g g g g g g


A) Health promotion g


B) Health maintenance g


C) Illness prevention g


D) Wellness
Ans: B
g g


Feedback:
g


Protecting one's current level of health by practicing safe sex to prevent illness is an
g g g g g g g g g g g g g g


example of a health maintenance activity. Health promotion strategies are used to
g g g g g g g g g g g g


enhance health, such as eating a diet high in fiber. Illness prevention includes
g g g g g g g g g g g g g


gidentifying risk factors such as hypertension. Wellness is the balance of total well-
g g g g g g g g g g g g


being.


5. A client complaining of bloody urine has scheduled an appointment with a family
g g g g g g g g g g g g


practitioner. What type of care is the client receiving?
g g g g g g g g g


A) Tertiary
B) Secondary
C) Skilled nursing care g g


D) Primary
Ans: D
g g


Feedback:
g


The first provider that clients contact about a health need provides primary care; this
g g g g g g g g g g g g g


person is typically a family practitioner or nurse practitioner. Secondary care includes
g g g g g g g g g g g g


referrals to facilities for additional testing. Tertiary care focuses on more complex
g g g g g g g g g g g g


medical and surgical intervention. Skilled nursing care occurs in facilities or units that
g g g g g g g g g g g g g


offer prolonged health maintenance or rehabilitative services.
g g g g g g g




Page 3 g

, 6. The hospital is having a problem with healthcare-associated infections. A committee has
g g g g g g g g g g g


been established to study the problem and make recommendations. The nurse working
g g g g g g g g g g g g


on the committee knows that this work addresses what?
g g g g g g g g g


A) Inpatient quality indicators g g


B) Prevention quality indicators g g


C) National Patient Safety Goals g g g


D) Patient safety indicators g g


Ans: C
g g


Feedback:
The Joint Commission has established National Patient Safety Goals that are updated
g g g g g g g g g g g


annually. These safety goals have changed how patients are identified and prevent
g g g g g g g g g g g g


adverse effects. Some of the 2012 goals include reducing the risk of
g g g g g g g g g g g g


healthcare-associated infections. Patient safety indicators reflect the quality of care in g g g g g g g g g g


hospitals but focus on potentially avoidable complications. Prevention indicators
g g g g g g g g g


identify hospital admissions that could be avoided through high-quality outpatient care.
g g g g g g g g g g g


Inpatient indicators reflect quality of care inside the hospital.
g g g g g g g g g




7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care is
g g g g g g g g g g g g g g g


the client receiving?
g g g


A) Secondary
B) Tertiary
C) Rehabilitation
D) Primary
Ans: B
g g


Feedback:
g


Hospitals where specialized technology is available provide tertiary care. Primary care
g g g g g g g g g g


is the initial contact that a client has, such as an appointment with a family practitioner.
g g g g g g g g g g g g g g g g


Secondary care includes referrals for additional testing. Rehabilitation is aimed at
g g g g g g g g g g g


restoring a person to his or her fullest ability.
g g g g g g g g g




Page 4 g