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Test Bank for Medical-Surgical Nursing: Focus on Clinical Judgment 3rd Edition by Linda Honan
Test Bank for Medical-Surgical Nursing: Focus on Clinical Judgment 3rd Edition by Linda Honan
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Medical-Surgical Nursing: Focus on ClinicalJudgment 3rd Edition by Linda Honan
Chapter 1 The nurse’s Role in Adult Health Nursing
,MULTIPLE CHOICE
1. The nursing practitioner ensures that a patient’s beds pace is neat and clean with the call
light within easy reach. The nursing practitioner 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
CORRECT CHOICE: 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.
SCORE-1COMPLEXITY-Apply
SOURCE- Emergence of Contemporary Nursing in the United States
2. The nursing practitioner is instructing a patient on self-administration of insulin so that
the patient will not need a health care provider to do this activity. The nursing practitioner
is implementing which of the following aspects of Virginia Hendersons theory of nursing?
1. A caring relationship
2. Helping the patient achieve independence from the nurses’ assistance as quickly as possible
3. Integration of objective and subjective data
4. Application of critical thinking
CORRECT CHOICE: 2
,Virginia Hendersons theory of nursing is to help people achieve health or a peaceful death so
thatthey 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.
SCORE-1COMPLEXITY-Analyze
SOURCE- Emergence of Contemporary Nursing in the United States
A. patient tells the nursing practitioner that he has an HMO for his health insurance. The
nursing practitioner understands thatthe 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.
CORRECT CHOICE: 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.
SCORE- 1 COMPLEXITY-Understand SOURCE- Cost of Care
4.A patient tells the nursing practitioner that he does not have a primary care physician
but rather makes an appointment with a doctor who specializes in the area in which he is
experiencing a problem.The nursing practitioner realizes this patient 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
, CORRECT CHOICE: 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 patient who
utilizes specialists is not at risk for overpayment of services, the inability to sustain health, or
finding an appropriate general practitioner.
SCORE-1COMPLEXITY-AnalyzeREFroviders of Care
5. The nursing practitioner is attending a master’s degree program in efforts to be
educationally prepared toserve as a hospital leader. The nursing practitioner realizes that
this educational preparation will:
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 nursing practitioner is biased towards clinician’s interests.
prepare the nursing practitioner to serve as strong clinical support with the ability to integrate
business and
4. caring.
CORRECT CHOICE: 4
The nursing practitioner is attending an educational program to serve as a hospital leader. This
education will prepare the nursing practitioner 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 nursing practitioner is not biased towards clinician’s
interests.
SCORE- 1 COMPLEXITY-Analyze SOURCE- Clinical Systems Leadership
6. A patient tells the nursing practitioner that all hospitals care about is doing the
minimum for a patient regardlessof the outcome. Which of the following should the
nursing practitioner respond to this patient?
1. It does feel like that sometimes.
2. Health insurance companies have caused this problem.
3. The doctors will get paid regardless of the patients’ outcomes.
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