Introductory Medical-Surgical Nursing,
Twelfth Edition Barbara Kuhn Timby Test
Bank
COMMUNITY HEALTH NURSING
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Chapter 1, Concepts and Trends in HealthcareH
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
ANS: A
Feedback: Preventing illness through screening and promotion of health activities is one of
the goals of managed 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 2020. Providing hospice or home
hospice care is only for terminally ill clients.
PTS: 1 DIF: Easy
REF: Header: Box 1-3: Goals of Managed Care |Page: 6 OBJ: 9
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1
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 clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in healthcare systems
ANS: A
Feedback: Hospitals are using unlicensed assistive personnel to perform some duties
practical and registered nurses once provided. Many are concerned that the use of unlicensed
assistive personnel will jeopardize the quality of care. Increasing numbers of clients in
hospitals, not devoting enough time to the client, or the rise of medical costs are less likely
to jeopardize the quality of care.
PTS: 1 DIF: Easy
REF: Header: Effects of Cost-Driven Changes |Page: 6 OBJ: 11
NAT: Client Needs: Safe and Effective Care Environment: Coordinated Care
TOP: Chapter 1 KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Remember
3. Since losing his right leg years ago, the client and his wife have formed a community
walking group to raise money for the homeless in his area. Which of these has contributed
to him being viewed as “healthy”?
A) The client is married and is moving on.
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B) The client is experiencing high quality of life within the limits of the physical condition.
C) The client is facing various states of health and illness.
D) The client is physiologically and psychologically stable.
ANS: B
Feedback: Clients adapt physically, emotionally, and socially, enabling them to maintain
comfort, stability, and self-expression. Clients with chronic illness can achieve a high level
of wellness and experience high quality of life. Marriage is an aspect of quality of life but
does not define the quality of the client's life. All clients experience various states of health
and illness.
4. A 17-year-old client is having protected sex one to two times a week in a monogamous
relationship. What is the client participating in?
A) Health promotion
B) Health maintenance
C) Illness prevention
D) Wellness
ANS: B
Feedback: 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, such as eating a diet high in fiber. Illness prevention includes identifying
risk factors such as hypertension. Wellness is the balance of total well-being.
PTS: 1 DIF: Moderate
REF: Header: Health Maintenance and Promotion |Page: 2 OBJ: 3
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
5. A client complaining of bloody urine has scheduled an appointment with a family
practitioner. What type of care is the client receiving?
A) Tertiary
B) Secondary
C) Skilled nursing care
D) Primary
ANS: D
Feedback: The first provider that clients contact about a health need provides primary care;
this person is typically a family practitioner or nurse 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.
PTS: 1 DIF: Easy
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