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Focus on Adult Health: Medical-
Surgical Nursing 2nd Edition by Linda
Honan ISBN-13 9781496349286
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,Chapter 1 The nurse’s Role in Adult Health Nursing
MULTIPLE CHOICE
1.The nurse ensures that a client’s beds pace is neat and clean with the call light within
easy reach. The nurse is focusing on which nursing theorist who realized the
importance of the environment for care?
1. Florence Nightingale
2. Sister Callista Roy
3. Dorothea Orem
4. Martha Rogers
ANS: 1
Florence Nightingales theory focused on the environment for care. Sister Callista Roys
model is based in systems theory and an individual’s ability to adapt. Dorothea Orems
model is the self- care deficit theory. Martha Rogers model is the science of unitary human
beings.
PTS:1DIF: Apply
REF: Emergence of Contemporary Nursing in the United States
2.The nurse is instructing a client on self-administration of insulin so that the client
will not need a health care provider to do this activity. The nurse is implementing
which of the following aspects of Virginia Hendersons theory of nursing?
1. A caring relationship
2. Helping the client achieve independence from the nurses’ assistance as quickly as possible
3. Integration of objective and subjective data
4. Application of critical thinking
ANS: 2
,3.Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so that they can be
independent from the nurses’ assistance as quickly as possible. A caring relationship, integration of objective
and subjective data, and application of critical thinking are included in the American Nurses Associations
essential features of professional nursing.
PTS:1DIF: Analyze
REF: Emergence of Contemporary Nursing in the United States
A. client tells the nurse that he has an HMO for his health insurance. The nurse understands
that the purpose of this type of health plan is to:
1. ensure payment is made to Medicare for services rendered.
2. maximize the utilization of health care resources.
3. efficiently manage costs while providing quality care.
4. focus on the illness when providing care.
ANS: 3
Health maintenance organizations (HMOs) were created to efficiently manage health care costs
while providing quality care. An HMO is a type of managed care plan with the goal of providing
wellness care and not focusing on the illness during the provision of care. HMOs do not ensure
payment is made to Medicare for services rendered. HMOs also do not maximize the utilization
of health care resources but rather uses financial incentives to decrease care costs.
PTS: 1 DIF: Understand REF: Cost of Care
1.A client tells the nurse that he does not have a primary care physician but rather makesan
appointment with a doctor who specializes in the area in which he is experiencing a
problem. The nurse realizes this client is at risk for which of the following?
1. Fragmented care
2. Overpayment of services
3. Inability to sustain health
4. Finding an appropriate general practitioner
, ANS: 1
In the 1980s, the close and trusting relationship between an individual and the individual’s
physician waned and was replaced by acquaintances with specialists based upon particular
healthcare problems. These episodes of care cause fragmentation of care. The client who utilizes
specialists is not at risk for overpayment of services, the inability to sustain health, orfinding an
appropriate general practitioner.
PTS:1DIF: Analyze REF Providers of Care
2. The nurse is attending a master’s degree program in efforts to be educationally prepared
toserve as a hospital leader. The nurse realizes that this educational preparationwill:
1. hinder the nurses’ ability to work with physicians.
2. be viewed as not supporting the profession of nursing by other nurses.
3. ensure the nurse is biased towards clinician’s interests.
prepare the nurse to serve as strong clinical support with the ability to integrate business and
4. caring.
ANS: 4
The nurse is attending an educational program to serve as a hospital leader. This education will
prepare the nurse to serve as strong clinical support with the ability to integrate business and
caring. This education will not hinder the nurse’s ability to work with physicians. This education
will not be viewed as unsupportive to the profession of nursing. The education will ensure that
the nurse is not biased towards clinician’s interests.
PTS: 1 DIF: Analyze REF: Clinical Systems Leadership
3. A client tells the nurse that all hospitals care about is doing the minimum for a client
regardless of the outcome. Which of the following should the nurse respond to this client?
1. It does feel like that sometimes.
2. Health insurance companies have caused this problem.
3. The doctors will get paid regardless of the clients’ outcomes.
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