Test Bank for Timbys Introductory Medical Surgical Nursing 13th Edition Donnelly Moreno 9781975172237
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Timbys Introductory Medical Surgical Nursing
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Timbys Introductory Medical Surgical Nursing
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Timby\'s Introductory Medical-Surgical Nursing
Timby’s Introductory Medical-Surgical Nursing, 13th Edition, continues a long tradition of success and equips LPN/LVN students with the practical knowledge and skills to confidently meet the challenges of a changing healthcare environment and embrace expanding opportunities in medical-surgical nu...
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Donnelly-Moreno, Verified Chapters 1 - 72, [Updated Version 2024]
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th Edition by Donnelly-Moreno, Verified Chapters 1 - 72, [Updated Version 2024]
Test Bank For Timbys Introductory Medical-Surgical Nursing 13th Edition By Loretta A. Donnelly-Moreno; Brigitte Moseley 9781975172237 Chapter 1-72 All Chapters || Updated 2024|2025
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Chapter 1: Concepts and Trends in Health Care
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?
Preventing illness through screening and promotion of health activities A.
Improving training of healthcare professionals B.
Eliminating health disparities between segments of the population C.
Providing hospice or home hospice care D.
ANS: A
Rationale: 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 2030.
Providing hospice or home hospice care is only for terminally ill clients.
PTS: 1 REF: p. 6, Managed Care
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter: 1
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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?
Using unlicensed assistive personnel A.
Increasing numbers of clients in hospitals B.
Not devoting enough time to the client C.
The rise of medical care costs in healthcare systems D.
ANS: A
Rationale: 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 REF: p. 7, Effects of Cost-Driven Changes
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Remember NOT: Multiple Choice
3. Since losing a leg years ago, the client and their spouse have formed a community
walking group to raise money for the homeless in their area. Which of the following
has contributed to the client being viewed as "healthy"?
The client is married and is moving on. A.
The client is experiencing high quality of life within the limits of the physical B.
condition.
The client is facing various states of health and illness. C.
The client is physiologically and psychologically stable. D.
ANS: B
, Rationale: 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 that contributes to quality of life but does not by itself define the quality of the
client's life. All clients experience various states of health and illness.
PTS: 1 REF: pp. 2-3, The Health–Illness Continuum
NAT: Client Needs: Psychosocial Integrity TOP: Chapter: 1
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
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?
Health promotion A.
Health maintenance B.
Illness prevention C.
Wellness D.
ANS: B
Rationale: 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 REF: p. 3, Health Maintenance and Promotion
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter: 1
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. A client complaining of bloody urine has scheduled an appointment with a family
practitioner. What type of care is the client receiving?
Tertiary A.
Secondary B.
Skilled nursing care C.
Primary D.
ANS: D
Rationale: 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 REF: p. 3, The Health Care Delivery System
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
,6. The hospital is having a problem with healthcare-associated infections. A committee
has been established to study the problem and make recommendations. The nurse
working on the committee knows that this work addresses what?
Inpatient quality indicators A.
Prevention quality indicators B.
National Patient Safety Goals C.
Patient safety indicators D.
ANS: C
Rationale: 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 safety indicators 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.
PTS: 1 REF: p. 8, Measures of Quality of Care
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
7. After hip surgery, a client is admitted to the rehabilitation hospital. What type of care
is the client receiving?
Secondary A.
Tertiary B.
Rehabilitation C.
Primary D.
ANS: B
Rationale: Hospitals where specialized technology is available provide tertiary care.
Primary care is the initial contact that a client has, such as an appointment with a
family practitioner. Secondary care includes referrals for additional testing.
Rehabilitation is aimed at restoring a people to their fullest abilities.
PTS: 1 REF: p. 3, The Health Care Delivery System
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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?
Increasing technological innovations A.
Preventing treatable problems B.
Applying a systematic approach to health improvement C.
Increasing the quality and length of a healthy life D.
ANS: D
, Rationale: Two broad goals of the Healthy People 2030 initiative are to increase
quality and years of healthy life and eliminate health disparities. Healthy People 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.
PTS: 1 REF: p. 8, Future Trends and Goals for Health Care
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter: 1
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Remember NOT: Multiple Choice
9. What method for financing healthcare is based on the ability to keep clients healthy
and out of the hospital through periodic screening, health education, and preventive
services?
Managed care A.
Preferred provider organization B.
Health maintenance organization C.
Point-of-service organization D.
ANS: C
Rationale: 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-service
organizations involve a network of providers; clients select a primary care physician
within the group who then serves as the gatekeeper for other healthcare services
PTS: 1 REF: p. 6, Health Maintenance Organizations
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter: 1
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
10. The nurse is leading a cardiac rehabilitation support group. How can the nurse best
demonstrate meeting the client's needs holistically?
Lead an exercise, show a video about healthy lifestyle changes, and invite a A.
spiritual leader to talk with the group.
Have the clients share various healthy low-cholesterol recipes and participate in a B.
cooking class.
Have the clients discuss ways to relieve stress and practice stress reduction. C.
Demonstrate low-impact aerobic exercise to the group and bring in a lecturer on D.
Tai Chi.
ANS: A
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