TEST BANK
TIMBYS INTRODUCTORY MEDICAL SURGICAL NURSING 13TH EDITION
By Donnelly Moreno
Chapter 1: Concepts and Trends in Health Care
Timbys: Introductory Medical Surgical Nursing 13th Edition
- Managed care organizations are insurers that carefully plan and closely supervise the
distribution of healthcare services. What is one of the goals of managedcare?
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
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 - In an effort to cut costs, hospitals have instituted many changes. Which of thesecost-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
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
- 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”?
A. The client is married and is moving on.
B. The client is experiencing high quality of life within the limits of thephysical
condition.
C. The client is facing various states of health and illness.
D. The client is physiologically and psychologically stable.
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 - A 17-year-old client is having protected sex one to two times a week ina
monogamous relationship. What is the client participating in?
A. Health promotion
B. Health maintenance
C. Illness prevention
D. Wellness
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
- A client complaining of bloody urine has scheduled an appointment with afamily
practitioner. What type of care is the client receiving?
A. Tertiary
B. Secondary
C. Skilled nursing care
D. Primary
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 - 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?
A. Inpatient quality indicators
B. Prevention quality indicators
C. National Patient Safety Goals
D. Patient safety indicators
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.