Test Bank For Introductory Medical-Surgical Nursing , 11th Edition by RN Timby, Barbara K., RN Smith, Nancy E.
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Test Bank For Introductory Medical-Surgical Nursing , 11th Edition by RN Timby, Barbara K., RN Smith, Nancy E.Test Bank For Introductory Medical-Surgical Nursing , 11th Edition by RN Timby, Barbara K., RN Smith, Nancy E.Test Bank For Introductory Medical-Surgical Nursing , 11th Edition by RN Timby,...
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1. Which of the following describes the role of the nurse as defined by Florence
Nightingale?
A) Helping people to carry out activities that contribute to health and recovery
B) Putting the patient in the best condition for nature to act upon him or her
C) Diagnosing and treating human responses to actual or potential health problems
D) Promoting a caring relationship that facilitates health and healing
Ans: B
Feedback:
Florence Nightingale (1859) described the role of the nurse as putting “the patient in the
best condition for nature to act upon him.” Virginia Henderson envisioned the nurse's
role as helping people (sick or well) to carry out activities that contribute to health,
recovery, or a peaceful death. The American Nurses Association (ANA) traditionally
defined nursing as “the diagnosis and treatment of human responses to actual or
potential health problems.” In response to an increased emphasis on the science of care,
the ANA now acknowledges “promotion of a caring relationship that facilitates health
and healing” as one of the four essential features of contemporary nursing practice.
2. Which setting has been the traditional site for the nursing work force?
A) Dialysis units
B) Inpatient units
C) Same-day surgery units
D) Clinics
Ans: B
Feedback:
Although hospitals include all levels of outpatient areas (e.g., dialysis units, clinics,
same-day surgery units, related diagnostic departments), inpatient units have been the
traditional site for much of the nursing work force.
3. Which type of care is used for clients with terminal illness who have a life expectancy
of less than 6 months?
A) Hospice care
B) Ambulatory care
C) Skilled nursing care
D) Intermediate care
Ans: A
Feedback:
Hospices provide care for clients with terminal illness whose life expectancy is less than
6 months. Ambulatory care is also called outpatient care. Skilled nursing care facilities
provide skilled nursing and rehabilitative care to people who have the potential to regain
function but need skilled observation and nursing care during an acute illness.
Intermediate care facilities are nursing homes that provide custodial care for people who
cannot care for themselves because of mental or physical disabilities.
Page 1
,4. Freestanding apartments are an example of which type of alternative healthcare setting?
A) Skilled nursing care
B) Assisted living
C) Congregate housing
D) Boarding homes
Ans: C
Feedback:
Congregate housing provides independent living or minimal assistance for seniors or
disabled adults. Skilled nursing care facilities provide skilled nursing and rehabilitative
care to people who have the potential to regain function but need skilled observation and
nursing care during an acute illness. Assisted living facilities provide care to residents
who need assistance with up to three activities of daily living. Boarding homes are
usually small homes with individual rooms where residents pay for room and board and
minimal nursing services.
5. In which setting is total care often practiced?
A) Assisted living
B) Intensive care units
C) Boarding homes
D) Congregate nursing
Ans: B
Feedback:
Total care is often practiced in intensive care units where nurses are assigned one or two
clients. Assisted living facilities provide care to residents who need assistance with up to
three activities of daily living. Boarding homes are usually small homes with individual
rooms where residents pay for room and board and minimal nursing services.
Congregate housing provides independent living or minimal assistance for seniors or
disabled adults.
6. Which of the following describes the goal of alternative care facilities?
A) An RN and one or more assistive personnel care for a group of patients.
B) An RN assumes all care for a small group of patients.
C) There is 24-hour accountability by an RN.
D) The facility provides the least restrictive living arrangement.
Ans: D
Feedback:
The goal of alternative care facilities is to provide the least restrictive living
arrangement while maintaining safety and quality. Patient-focused care uses an RN
partnered with one or more assistive personnel to care for a group of clients. Total care
refers to assignments in which a nurse assumes all the care for a small group of clients.
In primary nursing, an RN assumes 24-hour accountability for the client's care and has
total responsibility for the nursing care of assigned clients during his or her shift.
Page 2
, 7. Which nursing theorist stated that clients are open systems in constant interaction with
their environment?
A) Florence Nightingale
B) Virginia Henderson
C) Imogene King
D) Dorothea Orem
Ans: C
Feedback:
Imogene King stated that clients are open systems in constant interaction with their
environment. Florence Nightingale described the role of the nurse as putting “the patient
in the best condition for nature to act upon him.” Virginia Henderson envisioned the
nurse's role as helping people (sick or well) to carry out activities contributing to health,
recovery, or a peaceful death that they would do for themselves if they had the
necessary strength, will, or knowledge. Dorothea Orem was a proponent of the self-care
deficit theory.
8. Veterans' hospitals are an example of which type of ownership?
A) For-profit
B) Government-owned
C) Proprietary
D) Nonprofit
Ans: B
Feedback:
Veterans' hospitals are an example of government-owned healthcare institutions.
For-profit agencies (proprietary) are owned and operated by corporate groups with
investors and stockholders. Nonprofit institutions include universities and religious
organizations.
9. A religious organization is an example of this type of ownership?
A) Government-owned
B) Proprietary agency
C) Nonprofit agency
D) Public facility
Ans: C
Feedback:
Nonprofit institutions include universities and religious organizations. Veterans'
hospitals are an example of government-owned or public healthcare institutions, which
receive at least some tax support. For-profit agencies (proprietary) are owned and
operated by corporate groups with investors and stockholders.
Page 3
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