Medical-Surgical Nursing: A Focus on Clinical Judgment 3rd Edition Honan – Test Bank | Updated 2026/2027 | Instant Download

Test Bank for Medical-Surgical Nursing: Focus on Clinical Judgmen
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3rd Edition by Linda Honan
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Chapter1Thenurse’s RoleinAdultHealth Nursing
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MULTIPLECHOICE
1. Thenurse ensures that aclient’s bed spaceisneatand clean withthe calllightwithin easy
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reach.The nurse is focusing on which nursing theorist who realized the importance of the
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environment for care?
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1. FlorenceNightingale


2. SisterCallistaRoy A
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3. DorotheaOrem A
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4. MarthaRogers A.




ANS:1 A.




Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is
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based in systems theory and an individual’s ability to adapt. Dorothea Orems model is the self-
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care deficit theory. Martha Rogers model isthe science of unitary human beings.
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PTS:1DIF: Apply A.




REF:EmergenceofContemporaryNursingintheUnitedStates
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2. Thenurseis instructing aclient on self-administration of insulin so thatthe client willnot
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needa health care provider to do this activity. Thenurse is implementing which of the
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following aspects of Virginia Hendersons theory of nursing?
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1. Acaring relationship A.




2. Helpingtheclientachieveindependencefromthenurses’assistanceasquicklyaspossible
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3. Integrationofobjectiveandsubjectivedata A
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4. Applicationofcriticalthinking

,ANS:2
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,Virginia Hendersons theory ofnursing is to help people achievehealth or a peacefuldeath so thatthey
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can be independent from the nurses’ assistance as quickly as possible. A caring
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relationship,integrationofobjectiveandsubjectivedata,andapplicationofcriticalthinkingare
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included in the American Nurses Associations essential features of professional nursing.
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PTS:1DIF: Analyze A.




REF:EmergenceofContemporaryNursingintheUnitedStates
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A. client tells thenursethathehas an HMOforhishealth insurance. Thenurseunderstands
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thatthe purpose of this type of health plan is to:
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1. ensurepaymentismadetoMedicarefor servicesrendered. A
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2. maximizetheutilizationofhealthcareresources. A
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3. efficientlymanagecostswhileprovidingqualitycare. A. A
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4. focusontheillnesswhenprovidingcare. A
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ANS:3 A.




Health maintenance organizations(HMOs) werecreated to efficiently manage health carecosts
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whileprovidingqualitycare. An HMO is a type of managed care plan with thegoal of providing
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wellness care and notfocusing ontheillness during the provision of care.HMOs do not ensure
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paymentismadetoMedicareforservicesrendered.HMOsalsodonotmaximizetheutilizationof
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health care resources but rather uses financial incentives to decrease care costs.
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PTS:1DIF:UnderstandREF: CostofCare
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4.A client tells thenursethathedoes nothaveaprimary carephysician but rather makes an
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appointment with a doctor who specializes in the area in which he is experiencing a
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problem.The nurse realizes this client is at risk for which of the following?
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1. Fragmentedcare A.




2. Overpaymentofservices A
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3. Inabilitytosustainhealth A
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4. Findinganappropriategeneralpractitioner A
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, ANS:1 A.




In the 1980s,the close and trusting relationship between an individual and the individual’s physician
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waned and was replaced by acquaintances with specialists based upon particular healthcare
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problems.These episodes of care cause fragmentation of care.The client who utilizes specialists is not
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at riskforoverpaymentof services,the inabilityto sustainhealth,or finding an appropriate general
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practitioner.
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PTS:1DIF:AnalyzeREFrovidersofCare A. A
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5. The nurse is attending a master’s degree program in efforts to be educationally prepared
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A. toserveasahospitalleader. Thenurserealizes thatthis educationalpreparation will: A. A. A. A. A.




1. hinderthenurses’abilitytowork withphysicians. A
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2. beviewedasnotsupportingtheprofession ofnursing byother nurses. A. A. A. A. A. H




3. ensurethenurseisbiasedtowards clinician’s interests. A. A
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preparethenursetoserveasstrong clinical support withtheability to integratebusiness and A. A. A . A. A. A.




4. caring.

ANS:4 A.




Thenurse is attending an educationalprogram toserve asahospital leader. This education will
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preparethenurseto serve asstrong clinical support with the abilityto integrate business and caring.
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This education willnothinderthenurse’sabilitytoworkwithphysicians. This education will not
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beviewed as unsupportive to theprofession of nursing. The education will ensure that the nurse is
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not biased towards clinician’s interests.
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PTS:1DIF:AnalyzeREF:Clinical SystemsLeadership
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6. A client tellsthenursethat all hospitals care about is doing the minimum fora client
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A. regardlessoftheoutcome. Which of thefollowingshould thenurserespond tothis client?
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1. Itdoesfeellike that sometimes.
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2. Healthinsurancecompanieshavecausedthisproblem. A
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3. Thedoctorswillgetpaidregardlessoftheclients’outcomes. A
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