Medical-Surgical Nursing: Concepts and Practice 3rd Edition – deWit – Complete Study Notes / Exam Prep Guide

TEST BANK FOR MEDICAL SURGICAL NURSING: CONCEPTS &
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PRACTICE 3RD EDITION BY DEWIT
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Chaptercb01:cbCaringcbforcbMedical-SurgicalcbPatients
deWit:cbMedical-SurgicalcbNursing:cbConceptscb&cbPractice,cb3rdcbEdition

MULTIPLEcbCHOICE

1. Whichcbstatementcbaccuratelycbdescribescbthecbprimarycbpurposecbofcbthecbstatecbnursecbpracticecbactcb(NPA)?
a. TocbtestcbandcblicensecbLPN/LVNs.
b. TocbdefinecbthecbscopecbofcbLPN/LVNcbpractice.
c. Tocbimprovecbthecbqualitycbofcbcarecbprovidedcbbycbthecb
LPN/LVN.
d. TocblimitcbthecbLPN/LVNcbemploymentcbplacement.

ANS: B
WhilecbimprovingcbqualitycbofcbcarecbprovidedcbbycbthecbLPN/LVNcbmaycbbecbacbresultcbofcbthecbNPA,cbthecbprimarycbpurp
osecbofcbthecbNPAcbofcbeachcbstatecbdefinescbthecbscopecbofcbnursingcbpracticecbincbthatcbstate.

PTS: 1 DIF:CognitivecbLevel:cbComprehension REF: 2
OBJ: 3 TOP:NPA KEY:
NursingcbProcesscbStep:cbImplementation
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

2. Thecbchargecbnursecbaskscbthecbnewcbvocationalcbnursecbtocbstartcbancbintravenouscbinfusion,cbacbskillcbthatcbthecbvo
cationalcbnursecbhascbnotcbbeencbtaughtcbduringcbhercbeducationalcbprogram.cbHowcbshouldcbthecbvocationalcbnursecbrespond?
a. Askcbacbmorecbexperiencedcbnursecbtocbdemonstratecbthecbproc
edure.
b. Lookcbupcbthecbprocedurecbincbthecbprocedurecbmanual.
c. Attemptcbtocbperformcbthecbprocedurecbwithcbsupervision.
d. Informcbthecbchargecbnursecbofcbhercblackcbofcbtrainingcbincbthi
scbprocedure.
ANS: D
Thecbchargecbnursecbshouldcbbecbinformedcbofcbthecblackcbofcbtrainingcbtocbperformcbthecbprocedure,cbandcbthecbvocationalcb
nursecbshouldcbseekcbfurthercbtrainingcbtocbgaincbproficiency.cbAlthoughcbthecbothercboptionscbmightcbbecbhelpful,cbtheycbare
cbnotcbsafe.

PTS: 1 DIF: CognitivecbLevel:cbApplicationc b c b REF 3
:
OBJ: 1 TOP: ProvidingcbSafecbCare KEY:
NursingcbProcesscbStep:cbN
/A
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

3. Whichcbpatientcbstatementcbindicatescbacbneedcbforcbfurthercbdischargecbteachingcbthatcbthecbvocationalcbnursecbshouldcba
ddress?
a. ―Icbhavecbnocbideacbofcbhowcbthiscbdrugcbwillcbaffectc
bme.‖
b. ―Docbyoucbknowcbifcbmycbphysiciancbiscbcomingcbbac
kcbtoday?‖
c. ―Willcbmycbinsurancecbpaycbforcbmycbstay?‖
d. ―AmcbIcbgoingcbtocbhavecbtocbgocbtocbacbnursingcbho
me?‖
ANS: A
Lackcbofcbknowledgecbatcbdischargecbaboutcbmedicationcbeffectscbandcbsidecbeffectscbiscbacbconcerncbthatcbshouldcbbecbaddre
ssedcbbycbthecbvocationalcbnurse.cbThecbothercbconcernscbincbthecboptionscbarecbthecbresponsibilitycbofcbothercbdepartmentscbt
ocbwhichcbthecbnursecbmightcbrefercbthecbpatient.

PTS: 1 DIF:CognitivecbLevel:cbApplicationc b c b REF:2
OBJ: 1 TOP:Teachingc b KEY:
NursingcbProcesscbStep:cbImplementati
on
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

4. AccordingcbtocbmostcbstatecbNPAs,cbthecbvocationalcbnursecbactingcbascbchargecbnursecbincbacblong-
termcbcarecbfacilitycbactscbincbwhichcbcapacity?
a. WorkingcbundercbdirectcbsupervisioncbofcbancbRNcboncbthecbunit
b. WorkingcbwithcbthecbRNcbincbthecbbuilding
c. WorkingcbundercbgeneralcbsupervisioncbbycbthecbRNcbavailablecboncbsitecb
orcbbycbphone
d. Workingcbascbancbindependentcbvocationalcbnurse

ANS: C

,Thecbvocationalcbnursecbincbthecbcapacitycbofcbthecbchargecbnursecbincbacblong-
termcbcarecbfacilitycbactscbwithcbthecbgeneralcbsupervisioncbofcbancbRNcbavailablecboncbsitecborcbbycbphone.

PTS: 1 DIF: CognitivecbLevel:cbComprehension REF: 2
OBJ: 1 TOP: ChargecbNurse/Manager KEY: Nursing ProcesscbStep:cbN/
A
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

,5. Thecbnursecbiscbeducatingcbacbpatientcbthatcbiscbacbmembercbofcbacbhealthcbmaintenancecborganizationcb(HMO).c
bWhichcbinformationcbshouldcbthecbnursecbinclude?
a. Seekcbthecbopinioncbofcbancbalternatecbhealthcbcarecbprovider.
b. Obtaincbinsurancecbapprovalcbforcbmedicalcbservicescbpriorcbtocbtreat
ment.
c. Providecbdetailedcbdocumentationcbofcballcbcarecbreceivedcbforcbhisc
bcondition.
d. Waitcbatcbleastcb6cbmonthscbtocbseecbacbspecialist.

ANS: B
MostcbHMOscbrequirecbpreprocedurecbauthorizationcbforcbtreatment.cbPatientscbarecbnotcbrequiredcbtocbseekcbacbsecondcbopin
ion,cbprovidecbdocumentationcbofcbcare,cborcbwaitcbacbspecificcbtimecbperiodcbbeforecbvisitingcbacbspecialist.

PTS: 1 DIF: CognitivecbLevel:cbApplicationc b c b R 9
EF:
OBJ: 9 TOP: ChargecbNurse/Manager
KEY: NursingcbProcesscbStep:cbImplementation
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

6. Thecbpatientcbcomplainscbtocbthecbnursecbthatcbhecbiscbconfusedcbaboutcbhiscb―deductible‖cbthatcbhecbowesc
bthecbhospital.cbWhichcbstatementcbaccuratelycbexplainscbacbdeductible?
a. Ancbamountcbofcbmoneycbputcbasidecbforcbthecbpaymentcbofcbfuturecbmedicalcb
bills
b. Acbone-timecbfeecbforcbservice
c. Ancbamountcbofcbmoneycbdeductedcbfromcbthecbbillcbbycbthecbinsurancecbcomp
any
d. Ancbannualcbamountcbofcbmoneycbthecbpatientcbmustcbpaycbout-of-
pocketcbforcbmedicalcbcare
ANS: D
Thecbdeductiblecbiscbthecbannualcbamountcbthecbinsuredcbmustcbpaycbout-of-
pocketcbpriorcbtocbthecbinsurance cbcompanycbassumingcbthecbcost.cbThiscbpracticecbimprovescbthecbprofitcbofcbthecbinsurancec
bcompany.

PTS: 1 DIF: CognitivecbLevel:cbComprehension REF: 7
OBJ: 9 TOP: HealthcbCarecbFinancing
KEY: NursingcbProcesscbStep:cbImplementation
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

7. Thecbnursecbcomparescbthecbcharacteristicscbofcbacbhealthcbmaintenancecborganizationcb(HMO)cbandcbacbpr
eferredcbprovidercborganizationcb(PPO).cbWhichcbinformationcbshouldcbthecbnursecbincludecbaboutcbHMOs?
a. HMOscbrequirecbacbsetcbfeecbofcbeachcbmembercbmonthly.
b. HMOscballowcbthecbmembercbtocbselectcbhiscbhealthcbcarec
bprovider.
c. HMOscbpermitcbadmissioncbtocbanycbfacilitycbthecbmember
cbprefers.
d. HMOscboffercbunlimitedcbdiagnosticcbtestscbandcbtreatment
s.
ANS: A
HMOscbrequirecbacbsetcbfeecbfromcbeachcbmembercbmonthlycb(capitation).cbThecbpatientcbwillcbbecbtreatedcbbycbthecbHMOcbstaffcbi
ncbHMO-approvedcbfacilities.cbExcessivecbusecbofcbdiagnosticcbtestscbandcbtreatmentscbiscbdiscouragedcbbycbthecbHMO.

PTS: 1 DIF: CognitivecbLevel:cbApplicationc b c b R 9
EF:
OBJ: 9 TOP: ManagedcbCare
KEY: NursingcbProcesscbStep:cbImplementation
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

8. AcbpatientcbaskscbthecbnursecbwhatcbMedicarecbPartcbAcbcovers.cbWhichcbresponsecbiscbcorrect?
a. MedicarecbPartcbAcbcoverscbinpatientcbhospitalcbcosts.
b. MedicarecbPartcbAcbcoverscbreimbursementcbtocbthecbp
hysician.
c. MedicarecbPartcbAcbcoverscboutpatientcbhospitalcbservic
es.
d. MedicarecbPartcbAcbcoverscbambulancecbtransportation.

ANS: A
MedicarecbPartcbAcbcoverscbinpatientcbhospitalcbexpenses,cbdrugs,cbx-
rays,cblaboratorycbwork,cbandcbintensivecbcare.cbMedicarecbPartcbBcbpayscbthecbphysician,cbambulancecbtransport,cbandcboutpatientc
bservices.

, PTS: 1 DIF: CognitivecbLevel:cbComprehension REF: 7,cbBoxcb1
-4
OBJ: 9 TOP: Government-
Sponsoredcb Healthcb Insurance
KEY: NursingcbProcesscbStep:cbImplementation
MSC: NCLEX:cbSafe,cbEffectivecbCarecbEnvironment:cbCoordinatedcbCare

9. Whichcbiscbthecbmaincbcost-containmentcbcomponentcbofcbdiagnosis-relatedcbgroupscb(DRGs)?