Test Bank
TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING,
13TH EDITION BY LORETTA A DONNELLY-MORENO
,Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
Chapter 1: Concepts and Trends in Health Care
MULTIPLE CHOICE
1. Managed care organizations are insurers that carefully plan and closely supervise the distribution of
healthcare services. What is one of the goals of managed care?
a. Preventing illness through screening and promotion of health activities
b. Improving training of healthcare professionals
c. Eliminating health disparities between segments of the population
d. Providing hospice or home hospice care
CORRECT RESPONSE
A
EXPLANATION:->>>Preventing illness through screening and promotion of health activities is one
of the goals ofmanaged care. Improved training of healthcare professionals is the priority for
international health and not the goal of managed care. Eliminating health disparities between the
segments of population is a goal of Healthy People 2030. Providing hospice or home hospice care is
only for terminally ill patients.
REF: p. 6, Managed Care NAT: Patient Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
2. In an effort to cut costs, hospitals have instituted many changes. Which of these cost-cutting factors is
most likely to jeopardize the quality of care?
a. Using unlicensed assistive personnel
b. Increasing numbers of patients in hospitals
c. Not devoting enough time to the patient
d. The rise of medical care costs in healthcare systems
CORRECT RESPONSE
A
EXPLANATION:->>>Hospitals are using unlicensed assistive personnel to perform some duties
practical and registered caregivers once provided. Many are concerned that the use of unlicensed
assistive personnelwill jeopardize the quality of care. Increasing numbers of patients in hospitals, not
devoting enough time to the patient, or the rise of medical costs are less likely to jeopardize the
quality of care.
REF: p. 7, Effects of Cost-Driven Changes
NAT: Patient Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Remember
3. Since losing a leg years ago, the patient and their spouse have formed a community walking group
toraise money for the homeless in their area. Which of the following has contributed to the patient
beingviewed as "healthy"?
a. The patient is married and is moving on.
b. The patient is experiencing high quality of life within the limits of the physical condition.
c. The patient is facing various states of health and illness.
d. The patient is physiologically and psychologically stable.
CORRECT RESPONSE B
EXPLANATION:->>>Patients adapt physically, emotionally, and socially, enabling them to
maintain comfort, stability, and self-expression. Patients with chronic illness can achieve a high level
of wellness and experience high quality of life. Marriage is an aspect that contributes to quality of life
but does not byitself define the quality of the patient's life. All patients experience various states of
health and illness.
REF: pp. 2-3, The Health–Illness Continuum
NAT: Patient Needs: Psychosocial Integrity
,Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
4. A 17-year-old patient is having protected sex one to two times a week in a monogamous
relationship.What is the patient participating in?
a. Health promotion
b. Health maintenance
c. Illness prevention
d. Wellness
CORRECT RESPONSE B
EXPLANATION:->>>Protecting one's current level of health by practicing safe sex to prevent illness
is an example of a health maintenance activity. Health promotion strategies are used to enhance health,
suchas eating a diet high in fiber. Illness prevention includes identifying risk factors such as
hypertension.Wellness is the balance of total well- being.
REF: p. 3, Health Maintenance and Promotion
NAT: Patient Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
5. A patient complaining of bloody urine has scheduled an appointment with a family practitioner.
Whattype of care is the patient receiving?
a. Tertiary
b. Secondary
c. Skilled nursing care
d. Primary
CORRECT RESPONSE D
EXPLANATION:->>>The first provider that patients contact about a health need provides primary
care; this personis typically a family practitioner or caregiver practitioner. Secondary care includes
referrals to facilities for additional testing. Tertiary care focuses on more complex medical and surgical
intervention. Skilled nursing care occurs in facilities or units that offer prolonged health maintenance
or rehabilitative services.
REF: p. 3, The Health Care Delivery System
NAT: Patient Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
6. The hospital is having a problem with healthcare-associated infections. A committee has been
established to study the problem and make recommendations. The caregiver working on the
committeeknows that this work addresses what?
a. Inpatient quality indicators
b. Prevention quality indicators
c. National Patient Safety Goals
d. Patient safety indicators
CORRECT RESPONSE C
EXPLANATION:->>>The Joint Commission has established National Patient Safety Goals that are
updated annually. These safety goals have changed how patients are identified and prevent adverse
effects. Some of the 2016 goals include reducing the risk of healthcare-associated infections. Patient
safetyindicators reflect the quality of care in hospitals but focus on potentially avoidable
complications.Prevention indicators identify hospital admissions that could be avoided through high-
quality outpatient care. Inpatient indicators reflect quality of care inside the hospital.
REF: p. 8, Measures of Quality of Care
NAT: Patient Needs: Safe, Effective Care Environment: Management of Care
, Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Loretta A Donnelly-Moreno
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Apply
7. After hip surgery, a patient is admitted to the rehabilitation hospital. What type of care is the
patientreceiving?
a. Secondary
b. Tertiary
c. Rehabilitation
d. Primary
CORRECT RESPONSE B
EXPLANATION:->>>Hospitals where specialized technology is available provide tertiary care.
Primary care isthe initial contact that a patient has, such as an appointment with a family practitioner.
Secondary careincludes referrals for additional testing. Rehabilitation is aimed at restoring a people to
their fullest abilities.
REF: p. 3, The Health Care Delivery System
NAT: Patient Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
8. The Healthy People 2030 initiative targets the improvement of health for all. In addition to eliminating
health disparities, what are the broad goals of this plan?
a. Increasing technological innovations
b. Preventing treatable problems
c. Applying a systematic approach to health improvement
d. Increasing the quality and length of a healthy life
CORRECT RESPONSE D
EXPLANATION:->>>Two broad goals of the Healthy People 2030 initiative are to increase quality and
years ofhealthy life and eliminate health disparities. Healthy Pele 2030 initiatives will help with treatable
problems but will not prevent problems. The initiative does not apply a systematic approach to health
improvement or increase technological innovations.
REF: p. 8, Future Trends and Goals for Health Care
NAT: Patient Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Remember
9. What method for financing healthcare is based on the ability to keep patients healthy and out of
thehospital through periodic screening, health education, and preventive services?
a. Managed care
b. Preferred provider organization
c. Health maintenance organization
d. Point-of-service organization
CORRECT RESPONSE C
EXPLANATION:->>>Health maintenance organizations strive to keep their costs low and members
out of the hospital through periodic screenings, health education, and preventive services. Managed
care organizations are insurers who carefully plan and closely supervise the distribution of
healthcare services. Preferred provider organizations are a community network of providers who are
willing to discount their fees for service in exchange for a steady stream of referral customers.
Point-of-serviceorganizations involve a network of providers; patients select a primary care physician
within the groupwho then serves as the gatekeeper for other healthcare services
REF: p. 6, Health Maintenance Organizations
NAT: Patient Needs: Health Promotion and Maintenance
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Understand
