Advanced Practice Nursing Roles- Core Concepts for Professional Development 6th

Edition Blair Test Bank

Chapter 1. Overview of Advanced Practice Registered Nursing

MULTIPLE CHOICE

1.The nurse ensures that a clients bedspace 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 individuals 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

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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

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

3.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

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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

4.A client tells the nurse 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 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 individuals

physician waned and was replaced by acquaintances with specialists based upon

particular health care 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, or finding an appropriate general practitioner.

PTS:1DIF:AnalyzeREFroviders of Care

5.The nurse is attending a masters degree program in efforts to be educationally prepared

to serve as a hospital leader. The nurse realizes that this educational preparation will:

1.

hinder the nurses ability to work with physicians.

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2.

be viewed as not supporting the profession of nursing by other nurses.

3.

ensure the nurse is biased towards clinicians interests.

4.

prepare the nurse to serve as strong clinical support with the ability to integrate business

and 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 nurses 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 clinicians

interests.

PTS: 1 DIF: Analyze REF: Clinical Systems Leadership

6.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.

4.

There are quality programs in place to make sure clients receive the best quality of care

regardless of the cost.

ANS: 4

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