,Focus on Adult Health Medical Surgical Nursing 2nd Edition Honan Test Bank
l l l l l l l l l l l
Well Elaborated Answers & Questions
l l l l
Chapterl1lThelnurse’slRolelinlAdultlHealthlNursinglMULTI
PLElCHOICE
1. Thelnurselensureslthatlalclient’slbedslpacelislneatlandlcleanlwithlthelcallllightlwithinleasylreach
.lThelnurselislfocusinglonlwhichlnursingltheoristlwholrealizedlthelimportanceloflthelenvironme
ntlforlcare?
1. FlorencelNightingale
2. SisterlCallistalRoy
3. DorothealOrem
4. MarthalRogers
ANS:l1
FlorencelNightingalesltheorylfocusedlonlthelenvironmentlforlcare.lSisterlCallistalRoyslmodellislbase
dlinlsystemsltheorylandlanlindividual’slabilityltoladapt.lDorothealOremslmodellislthelself-
lcareldeficitltheory.lMarthalRogerslmodellislthelscienceloflunitarylhumanlbeings.
PTS:1DIF:lApply
REF:lEmergenceloflContemporarylNursinglinlthelUnitedlStates
2. Thelnurselislinstructinglalclientlonlself-
administrationloflinsulinlsolthatlthelclientlwilllnotlneedlalhealthlcarelproviderltoldolthislactivity.l
ThelnurselislimplementinglwhichloflthelfollowinglaspectsloflVirginialHendersonsltheoryloflnu
rsing?
1. Alcaringlrelationship
2. Helpinglthelclientlachievelindependencelfromlthelnurses’lassistancelaslquicklylaslpossible
3. Integrationloflobjectivelandlsubjectiveldata
4. Applicationloflcriticallt
hinkingANS:l2
MedlC
,3. VirginialHendersonsltheoryloflnursinglisltolhelplpeoplelachievelhealthlorlalpeacefulldeathlsolthatltheylcanlbelindep
endentlfromlthelnurses’lassistancelaslquicklylaslpossible.lAlcaringlrelationship,lintegrationloflobjectivelandlsubjec
tiveldata,landlapplicationloflcriticallthinkinglareincludedlinlthelAmericanlNurseslAssociationslessentiallfeatureslo
flprofessionallnursing.
PTS:1DIF:lAnalyze
REF:lEmergenceloflContemporarylNursinglinlthelUnitedlStates
A. clientltellslthelnurselthatlhelhaslanlHMOlforlhislhealthlinsurance.lThelnurselunderstandslthatlt
helpurposeloflthisltypeloflhealthlplanlislto:
1. ensurelpaymentlislmadeltolMedicarelforlserviceslrendered.
2. maximizelthelutilizationloflhealthlcarelresources.
3. efficientlylmanagelcostslwhilelprovidinglqualitylcare.
4. focuslonlthelillnesslwhenlprovidinglcare.
ANS:l3
Healthlmaintenancelorganizationsl(HMOs)lwerelcreatedltolefficientlylmanagelhealthlcarelcostslwhil
elprovidinglqualitylcare.lAnlHMOlislaltypeloflmanagedlcarelplanlwithlthelgoalloflprovidinglwellnesslc
arelandlnotlfocusinglonlthelillnesslduringlthelprovisionloflcare.lHMOsldolnotlensurelpaymentlislmadel
tolMedicarelforlserviceslrendered.lHMOslalsoldolnotlmaximizelthelutilizationloflhealthlcarelresource
slbutlratherluseslfinanciallincentivesltoldecreaselcarelcosts.
PTS:l1lDIF:lUnderstandlREF:lCostloflCare
4.A clientltellslthelnurselthatlheldoeslnotlhavelalprimarylcarelphysicianlbutlratherlmakesanlappo
intmentlwithlaldoctorlwholspecializeslinlthelarealinlwhichlhelislexperiencinglalproblem.lThelnu
rselrealizeslthislclientlislatlrisklforlwhichloflthelfollowing?
1. Fragmentedlcare
2. Overpaymentloflservices
3. Inabilityltolsustainlhealth
4. Findinglanlappropriatelgenerallpractitioner
MedlC
, ANS:l1
Inlthel1980s,lthelcloselandltrustinglrelationshiplbetweenlanlindividuallandlthelindividual’slphysicianl
wanedlandlwaslreplacedlbylacquaintanceslwithlspecialistslbasedluponlparticularlhealthcarelproblem
s.lTheselepisodesloflcarelcauselfragmentationloflcare.lThelclientlwholutilizeslspecialistslislnotlatlrisklf
orloverpaymentloflservices,lthelinabilityltolsustainlhealth,lorfindinglanlappropriatelgenerallpractition
er.
PTS:1DIF:lAnalyzelREFlProvidersloflCare
5. Thelnurselislattendinglalmaster’sldegreelprogramlinleffortsltolbeleducationallylpreparedltose
rvelaslalhospitallleader.lThelnurselrealizeslthatlthisleducationallpreparationwill:
1. hinderlthelnurses’labilityltolworklwithlphysicians.
2. belviewedlaslnotlsupportinglthelprofessionloflnursinglbylotherlnurses.
3. ensurelthelnurselislbiasedltowardslclinician’slinterests.
preparelthelnurseltolservelaslstronglclinicallsupportlwithlthelabilityltolintegratelbusinessland
4. caring.
ANS:l4
Thelnurselislattendinglanleducationallprogramltolservelaslalhospitallleader.lThisleducationlwilllprepa
relthelnurseltolservelaslstronglclinicallsupportlwithlthelabilityltolintegratelbusinesslandlcaring.lThisled
ucationlwilllnotlhinderlthelnurse’slabilityltolworklwithlphysicians.lThisleducationlwilllnotlbelviewedla
slunsupportiveltolthelprofessionloflnursing.lTheleducationlwilllensurelthatlthelnurselislnotlbiasedltow
ardslclinician’slinterests.
PTS:l1lDIF:lAnalyzelREF:lClinicallSystemslLeadership
6. Alclientltellslthelnurselthatlalllhospitalslcarelaboutlisldoinglthelminimumlforlalclientlregardle
sslofltheloutcome.lWhichloflthelfollowinglshouldlthelnurselrespondltolthislclient?
1. Itldoeslfeelllikelthatlsometimes.
2. Healthlinsurancelcompanieslhavelcausedlthislproblem.
3. Theldoctorslwilllgetlpaidlregardlessloflthelclients’loutcomes.
MedlC
l l l l l l l l l l l
Well Elaborated Answers & Questions
l l l l
Chapterl1lThelnurse’slRolelinlAdultlHealthlNursinglMULTI
PLElCHOICE
1. Thelnurselensureslthatlalclient’slbedslpacelislneatlandlcleanlwithlthelcallllightlwithinleasylreach
.lThelnurselislfocusinglonlwhichlnursingltheoristlwholrealizedlthelimportanceloflthelenvironme
ntlforlcare?
1. FlorencelNightingale
2. SisterlCallistalRoy
3. DorothealOrem
4. MarthalRogers
ANS:l1
FlorencelNightingalesltheorylfocusedlonlthelenvironmentlforlcare.lSisterlCallistalRoyslmodellislbase
dlinlsystemsltheorylandlanlindividual’slabilityltoladapt.lDorothealOremslmodellislthelself-
lcareldeficitltheory.lMarthalRogerslmodellislthelscienceloflunitarylhumanlbeings.
PTS:1DIF:lApply
REF:lEmergenceloflContemporarylNursinglinlthelUnitedlStates
2. Thelnurselislinstructinglalclientlonlself-
administrationloflinsulinlsolthatlthelclientlwilllnotlneedlalhealthlcarelproviderltoldolthislactivity.l
ThelnurselislimplementinglwhichloflthelfollowinglaspectsloflVirginialHendersonsltheoryloflnu
rsing?
1. Alcaringlrelationship
2. Helpinglthelclientlachievelindependencelfromlthelnurses’lassistancelaslquicklylaslpossible
3. Integrationloflobjectivelandlsubjectiveldata
4. Applicationloflcriticallt
hinkingANS:l2
MedlC
,3. VirginialHendersonsltheoryloflnursinglisltolhelplpeoplelachievelhealthlorlalpeacefulldeathlsolthatltheylcanlbelindep
endentlfromlthelnurses’lassistancelaslquicklylaslpossible.lAlcaringlrelationship,lintegrationloflobjectivelandlsubjec
tiveldata,landlapplicationloflcriticallthinkinglareincludedlinlthelAmericanlNurseslAssociationslessentiallfeatureslo
flprofessionallnursing.
PTS:1DIF:lAnalyze
REF:lEmergenceloflContemporarylNursinglinlthelUnitedlStates
A. clientltellslthelnurselthatlhelhaslanlHMOlforlhislhealthlinsurance.lThelnurselunderstandslthatlt
helpurposeloflthisltypeloflhealthlplanlislto:
1. ensurelpaymentlislmadeltolMedicarelforlserviceslrendered.
2. maximizelthelutilizationloflhealthlcarelresources.
3. efficientlylmanagelcostslwhilelprovidinglqualitylcare.
4. focuslonlthelillnesslwhenlprovidinglcare.
ANS:l3
Healthlmaintenancelorganizationsl(HMOs)lwerelcreatedltolefficientlylmanagelhealthlcarelcostslwhil
elprovidinglqualitylcare.lAnlHMOlislaltypeloflmanagedlcarelplanlwithlthelgoalloflprovidinglwellnesslc
arelandlnotlfocusinglonlthelillnesslduringlthelprovisionloflcare.lHMOsldolnotlensurelpaymentlislmadel
tolMedicarelforlserviceslrendered.lHMOslalsoldolnotlmaximizelthelutilizationloflhealthlcarelresource
slbutlratherluseslfinanciallincentivesltoldecreaselcarelcosts.
PTS:l1lDIF:lUnderstandlREF:lCostloflCare
4.A clientltellslthelnurselthatlheldoeslnotlhavelalprimarylcarelphysicianlbutlratherlmakesanlappo
intmentlwithlaldoctorlwholspecializeslinlthelarealinlwhichlhelislexperiencinglalproblem.lThelnu
rselrealizeslthislclientlislatlrisklforlwhichloflthelfollowing?
1. Fragmentedlcare
2. Overpaymentloflservices
3. Inabilityltolsustainlhealth
4. Findinglanlappropriatelgenerallpractitioner
MedlC
, ANS:l1
Inlthel1980s,lthelcloselandltrustinglrelationshiplbetweenlanlindividuallandlthelindividual’slphysicianl
wanedlandlwaslreplacedlbylacquaintanceslwithlspecialistslbasedluponlparticularlhealthcarelproblem
s.lTheselepisodesloflcarelcauselfragmentationloflcare.lThelclientlwholutilizeslspecialistslislnotlatlrisklf
orloverpaymentloflservices,lthelinabilityltolsustainlhealth,lorfindinglanlappropriatelgenerallpractition
er.
PTS:1DIF:lAnalyzelREFlProvidersloflCare
5. Thelnurselislattendinglalmaster’sldegreelprogramlinleffortsltolbeleducationallylpreparedltose
rvelaslalhospitallleader.lThelnurselrealizeslthatlthisleducationallpreparationwill:
1. hinderlthelnurses’labilityltolworklwithlphysicians.
2. belviewedlaslnotlsupportinglthelprofessionloflnursinglbylotherlnurses.
3. ensurelthelnurselislbiasedltowardslclinician’slinterests.
preparelthelnurseltolservelaslstronglclinicallsupportlwithlthelabilityltolintegratelbusinessland
4. caring.
ANS:l4
Thelnurselislattendinglanleducationallprogramltolservelaslalhospitallleader.lThisleducationlwilllprepa
relthelnurseltolservelaslstronglclinicallsupportlwithlthelabilityltolintegratelbusinesslandlcaring.lThisled
ucationlwilllnotlhinderlthelnurse’slabilityltolworklwithlphysicians.lThisleducationlwilllnotlbelviewedla
slunsupportiveltolthelprofessionloflnursing.lTheleducationlwilllensurelthatlthelnurselislnotlbiasedltow
ardslclinician’slinterests.
PTS:l1lDIF:lAnalyzelREF:lClinicallSystemslLeadership
6. Alclientltellslthelnurselthatlalllhospitalslcarelaboutlisldoinglthelminimumlforlalclientlregardle
sslofltheloutcome.lWhichloflthelfollowinglshouldlthelnurselrespondltolthislclient?
1. Itldoeslfeelllikelthatlsometimes.
2. Healthlinsurancelcompanieslhavelcausedlthislproblem.
3. Theldoctorslwilllgetlpaidlregardlessloflthelclients’loutcomes.
MedlC
