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.gHMOsgdognotgens
uregpaymentgisgmadegtogMedicaregforgservicesgrendered.gHMOsgalsogdognotgmaximizegthegutiliz
ationgofghealthgcaregresourcesgbutgrathergusesgfinancialgincentivesgtogdecreasegcaregcosts.
PTS:g1gDIF:gUnderstandgREF:gCostgofgCare
4.A clientgtellsgthegnursegthatghegdoesgnotghavegagprimarygcaregphysiciangbutgrathergmakesa
ngappointmentgwithgagdoctorgwhogspecializesgingthegareagingwhichghegisgexperiencinggagpr
oblem.gThegnursegrealizesgthisgclientgisgatgriskgforgwhichgofgthegfollowing?
1. Fragmentedgcare
2. Overpaymentgofgservices
3. Inabilitygtogsustainghealth
4. Findinggangappropriateggeneralgpractitioner
MedgC
,ANS:g1
Ingtheg1980s,gthegclosegandgtrustinggrelationshipgbetweengangindividualgandgthegindividual’sgphy
siciangwanedgandgwasgreplacedgbygacquaintancesgwithgspecialistsgbasedgupongparticularghealthca
regproblems.gThesegepisodesgofgcaregcausegfragmentationgofgcare.gThegclientgwhogutilizesgspecial
istsgisgnotgatgriskgforgoverpaymentgofgservices,gtheginabilitygtogsustainghealth,gorfindinggangappro
priateggeneralgpractitioner.
PTS:1DIF:gAnalyzegREFgProvidersgofgCare
5. Thegnursegisgattendinggagmaster’sgdegreegprogramgingeffortsgtogbegeducationallygprepare
dgtoservegasgaghospitalgleader.gThegnursegrealizesgthatgthisgeducationalgpreparationwill:
1. hindergthegnurses’gabilitygtogworkgwithgphysicians.
2. begviewedgasgnotgsupportinggthegprofessiongofgnursinggbygothergnurses.
3. ensuregthegnursegisgbiasedgtowardsgclinician’sginterests.
preparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgand
4. caring.
ANS:g4
Thegnursegisgattendinggangeducationalgprogramgtogservegasgaghospitalgleader.gThisgeducationgwill
gpreparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgandgc
aring.gThisgeducationgwillgnotghindergthegnurse’sgabilitygtogworkgwithgphysicians.gThisgeducationg
willgnotgbegviewedgasgunsupportivegtogthegprofessiongofgnursing.gThegeducationgwillgensuregthatg
thegnursegisgnotgbiasedgtowardsgclinician’sginterests.
PTS:g1gDIF:gAnalyzegREF:gClinicalgSystemsgLeadership
6. Agclientgtellsgthegnursegthatgallghospitalsgcaregaboutgisgdoinggthegminimumgforgagclientgr
egardlessgofgthegoutcome.gWhichgofgthegfollowinggshouldgthegnursegrespondgtogthisgclient
?
1. Itgdoesgfeelglikegthatgsometimes.
2. Healthginsurancegcompaniesghavegcausedgthisgproblem.
3. Thegdoctorsgwillggetgpaidgregardlessgofgthegclients’goutcomes.
MedgC
, Theregaregqualitygprogramsgingplacegtogmakegsuregclientsgreceivegthegbestgqualitygofgcaregregardless
4. ofgthegcost.
ANS:g4
Ingresponsegtogconcernsgaboutgsafetygandgqualitygofgcaregvoicedgbygclientsgandgproviders,gtotalg
qualitygmanagementgandgcontinuousgqualitygimprovementgprogramsgwereginitiated.gThesegpro
gramsgensuregsocietygthatgcostgmanagementgisgnotgcompromisinggsafetygorgquality.gThisgisgwh
atgthegnursegshouldgrespondgtogthegclient.gThegothergchoicesgdognotgaddressgthegclientsgconcern
sgnorgdogtheygexplaingqualitygmanagementgprograms.
PTS:g1gDIF:gApplygREF:gQualitygMeasuregShift
7. Thegnursegisgprovidinggcaregatgagtimegthatgisgthegmostgbeneficialgtogthegclient.gThegnurseg
isgimplementinggwhichgofgthegfollowinggJointgCommissiongDimensionsgofgQualitygPerfor
mance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS:g2
Thegdimensiongofgtimelinessgmeansgthegdegreegingwhichginterventionsgaregprovidedgatgthegmost
gbeneficialgtimegtogthegclient.gSafetygmeansgthegdegreegingwhichgthegriskgofganginterventiongan
dgriskgtogthegenvironmentgaregreducedgforgbothgclientgandghealthgcaregprovider.gEfficiencygmea
nsgthegdegreegingwhichgcareghasgthegdesiredgeffectgwithgagminimumgofgeffort,gwaste,gorgexpens
e.
Availabilitygmeansgthegdegreegingwhichgappropriateginterventionsgaregavailablegtogmeetgtheclients
’gneeds.
PTS:1DIF:gAnalyze
REF:gBoxg1-1gJointgCommissiongDimensionsgofgQualitygPerformance
8. ThegnursegisgprovidinggcaregwhilegadheringgtogsafetygasgagJointgCommissiongDimensiong
ofgQualitygPerformance.gWhichgofgthegfollowinggdidgthegnursegprovidegtogthegclient?
1. Usinggagneedlelessgdevicegwhengprovidinggintravenousgmedications
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.gHMOsgdognotgens
uregpaymentgisgmadegtogMedicaregforgservicesgrendered.gHMOsgalsogdognotgmaximizegthegutiliz
ationgofghealthgcaregresourcesgbutgrathergusesgfinancialgincentivesgtogdecreasegcaregcosts.
PTS:g1gDIF:gUnderstandgREF:gCostgofgCare
4.A clientgtellsgthegnursegthatghegdoesgnotghavegagprimarygcaregphysiciangbutgrathergmakesa
ngappointmentgwithgagdoctorgwhogspecializesgingthegareagingwhichghegisgexperiencinggagpr
oblem.gThegnursegrealizesgthisgclientgisgatgriskgforgwhichgofgthegfollowing?
1. Fragmentedgcare
2. Overpaymentgofgservices
3. Inabilitygtogsustainghealth
4. Findinggangappropriateggeneralgpractitioner
MedgC
,ANS:g1
Ingtheg1980s,gthegclosegandgtrustinggrelationshipgbetweengangindividualgandgthegindividual’sgphy
siciangwanedgandgwasgreplacedgbygacquaintancesgwithgspecialistsgbasedgupongparticularghealthca
regproblems.gThesegepisodesgofgcaregcausegfragmentationgofgcare.gThegclientgwhogutilizesgspecial
istsgisgnotgatgriskgforgoverpaymentgofgservices,gtheginabilitygtogsustainghealth,gorfindinggangappro
priateggeneralgpractitioner.
PTS:1DIF:gAnalyzegREFgProvidersgofgCare
5. Thegnursegisgattendinggagmaster’sgdegreegprogramgingeffortsgtogbegeducationallygprepare
dgtoservegasgaghospitalgleader.gThegnursegrealizesgthatgthisgeducationalgpreparationwill:
1. hindergthegnurses’gabilitygtogworkgwithgphysicians.
2. begviewedgasgnotgsupportinggthegprofessiongofgnursinggbygothergnurses.
3. ensuregthegnursegisgbiasedgtowardsgclinician’sginterests.
preparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgand
4. caring.
ANS:g4
Thegnursegisgattendinggangeducationalgprogramgtogservegasgaghospitalgleader.gThisgeducationgwill
gpreparegthegnursegtogservegasgstronggclinicalgsupportgwithgthegabilitygtogintegrategbusinessgandgc
aring.gThisgeducationgwillgnotghindergthegnurse’sgabilitygtogworkgwithgphysicians.gThisgeducationg
willgnotgbegviewedgasgunsupportivegtogthegprofessiongofgnursing.gThegeducationgwillgensuregthatg
thegnursegisgnotgbiasedgtowardsgclinician’sginterests.
PTS:g1gDIF:gAnalyzegREF:gClinicalgSystemsgLeadership
6. Agclientgtellsgthegnursegthatgallghospitalsgcaregaboutgisgdoinggthegminimumgforgagclientgr
egardlessgofgthegoutcome.gWhichgofgthegfollowinggshouldgthegnursegrespondgtogthisgclient
?
1. Itgdoesgfeelglikegthatgsometimes.
2. Healthginsurancegcompaniesghavegcausedgthisgproblem.
3. Thegdoctorsgwillggetgpaidgregardlessgofgthegclients’goutcomes.
MedgC
, Theregaregqualitygprogramsgingplacegtogmakegsuregclientsgreceivegthegbestgqualitygofgcaregregardless
4. ofgthegcost.
ANS:g4
Ingresponsegtogconcernsgaboutgsafetygandgqualitygofgcaregvoicedgbygclientsgandgproviders,gtotalg
qualitygmanagementgandgcontinuousgqualitygimprovementgprogramsgwereginitiated.gThesegpro
gramsgensuregsocietygthatgcostgmanagementgisgnotgcompromisinggsafetygorgquality.gThisgisgwh
atgthegnursegshouldgrespondgtogthegclient.gThegothergchoicesgdognotgaddressgthegclientsgconcern
sgnorgdogtheygexplaingqualitygmanagementgprograms.
PTS:g1gDIF:gApplygREF:gQualitygMeasuregShift
7. Thegnursegisgprovidinggcaregatgagtimegthatgisgthegmostgbeneficialgtogthegclient.gThegnurseg
isgimplementinggwhichgofgthegfollowinggJointgCommissiongDimensionsgofgQualitygPerfor
mance?
1. Safety
2. Timeliness
3. Efficiency
4. Availability
ANS:g2
Thegdimensiongofgtimelinessgmeansgthegdegreegingwhichginterventionsgaregprovidedgatgthegmost
gbeneficialgtimegtogthegclient.gSafetygmeansgthegdegreegingwhichgthegriskgofganginterventiongan
dgriskgtogthegenvironmentgaregreducedgforgbothgclientgandghealthgcaregprovider.gEfficiencygmea
nsgthegdegreegingwhichgcareghasgthegdesiredgeffectgwithgagminimumgofgeffort,gwaste,gorgexpens
e.
Availabilitygmeansgthegdegreegingwhichgappropriateginterventionsgaregavailablegtogmeetgtheclients
’gneeds.
PTS:1DIF:gAnalyze
REF:gBoxg1-1gJointgCommissiongDimensionsgofgQualitygPerformance
8. ThegnursegisgprovidinggcaregwhilegadheringgtogsafetygasgagJointgCommissiongDimensiong
ofgQualitygPerformance.gWhichgofgthegfollowinggdidgthegnursegprovidegtogthegclient?
1. Usinggagneedlelessgdevicegwhengprovidinggintravenousgmedications
MedgC
