TEST BANK FOR Medical-Surgical Nursing: Concepts & Practice 5th edition by Holly K. Stromberg ISBN:978-0323810210 NEW COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!

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,Chapter 01: Caring for Medical-Surgical Patients
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Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
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MULTIPLE CHOICE ko




1. Which statement accurately describes the primary purpose of the state nurse
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practice act (NPA)? ko ko



a. To test and license LPN/LVNs ko ko ko ko



b. To define the scope of LPN/LVN practice
ko ko ko ko ko ko



c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANS: B ko



While improving quality of care provided by the LPN/LVN may be a result
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of the NPA, the primarypurpose of the NPA of each state defines the scop
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e of nursing practice in that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 ko ko k o ko



OBJ: 3 TOP: NPA ko ko k o



KEY: Nursing Process Step: Implementation MSC: NCLEX: Sa ko ko ko ko k o ko ko



fe, Effective Care Environment: Coordinated Care
ko ko ko ko ko




2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocati
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onal nurse has not been taught during her educational program. How should the vocational nurse respo
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nd?
a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual. ko ko ko ko ko ko ko



c. Attempt to perform the procedure with supervision. ko ko ko ko ko ko



d. Inform the charge nurse of her lack of training in this procedure.
ko ko ko ko ko ko ko ko ko ko ko




ANS: D ko



The charge nurse should be informed of the lack of training to perform the procedure, and the vocati
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onal nurse should seek further training to gain proficiency. Although the other options might be helpf
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ul, they are not safe.
ko ko ko ko




DIF: Cognitive Level: Application REF: p. 3 ko ko k o ko



OBJ: 1 TOP: Providing Safe Care ko ko k o ko ko



KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care ko ko ko ko ko ko ko ko ko k



o Environment: Coordinated Care ko ko




3. Which patient statement indicates a need for further discharge teaching that the vocational nurse
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should address?
ko ko



a. "I have no idea of how this drug will affect me."
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b. "Do you know if my physician is coming back today?"
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c. "Will my insurance pay for my stay?" ko ko ko ko ko ko



d. "Am I going to have to go to a nursing home?" ko ko ko ko ko ko ko ko ko ko




ANS: A ko



Lack of knowledge at discharge about medication effects and side effects is a concern that should be a
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ddressed by the vocational nurse. The other concerns in the options are the responsibility of other de
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partments to which the nurse might refer the patient. ko ko ko ko ko ko ko ko




DIF: Cognitive Level: Application REF: p. 2 ko ko k o ko



OBJ: 1 TOP: Teaching ko ko k o



KEY: Nursing Process Step: Implementation MSC: NCLEX: Sa ko ko ko ko k o ko ko



fe, Effective Care Environment: Coordinated Care
ko ko ko ko ko

,4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-
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term care facility acts in which capacity?
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a. Working under direct supervision of an RN on the unit ko ko ko ko ko ko ko ko ko



b. Working with the RN in the building ko ko ko ko ko ko



c. Working under general supervision by the RN available on site or by phone
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d. Working as an independent vocational nurse ko ko ko ko ko




ANS: C ko



The vocational nurse in the capacity of the charge nurse in a long-
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term care facility acts with the general supervision of an RN available on site or by phone.
ko ko ko ko ko ko ko ko ko ko ko ko ko ko ko ko




DIF: Cognitive Level: Comprehension REF: p. 3 ko ko k o ko



OBJ: 1 TOP: Charge Nurse/Manager ko ko k o ko



KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care ko ko ko ko ko ko ko ko ko k



o Environment: Coordinated Care ko ko




5. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which
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information should the nurse include?
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a. Seek the opinion of an alternate health care provider.
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b. Contact the insurance company for coverage details as services may be limited.
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c. Provide detailed documentation of all care received for his condition.
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d. Wait at least 6 months to see a specialist. ko ko ko ko ko ko ko ko




ANS: B ko



HMOs are a kind of managed care. This is accomplished by paying providers to care for groups o
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f patients for a set capitation fee and by limiting services. Patients are not required to seek a seco
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nd opinion, provide documentation of care, or wait a specific time period before visiting a speciali
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st.

DIF: Cognitive Level: Application
k o k o ko ko REF: k o k o p. 9 ko OBJ: 9 ko



TOP: Charge Nurse/Manager k o ko



KEY: Nursing Process Step: Implementation ko ko ko ko k



o MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ko ko ko ko ko ko ko




6. The patient complains to the nurse that he is confused about his "deductible" that he owes the hospital.
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Which statement accurately explains a deductible?
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a. An amount of money put aside for the payment of future medical bills
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b. A one-time fee for service ko ko ko ko



c. An amount of money deducted from the bill by the insurance company
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d. An annual amount of money the patient must pay out-of-pocket for medical care
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ANS: D ko



The deductible is the annual amount the insured must pay out-of-
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pocket prior to the insurance company assuming the cost. This practice improves the profit of the ins
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urance company. ko




DIF: Cognitive Level: Comprehension
k o k o ko ko k o k o REF: k o k o p. 7 ko OBJ: 9 ko



TOP: Health Care Financing k o ko ko



KEY: Nursing Process Step: Implementation ko ko ko ko k



o MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ko ko ko ko ko ko ko




7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
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a. Medicare Part A covers inpatient hospital costs. ko ko ko ko ko ko



b. Medicare Part A covers reimbursement to the physician. ko ko ko ko ko ko ko



c. Medicare Part A covers outpatient hospital services. ko ko ko ko ko ko



d. Medicare Part A covers ambulance transportation. ko ko ko ko ko




ANS: A ko



Medicare Part A covers inpatient hospital expenses, drugs, x-
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rays, laboratory work, and intensive care. Medicare Part B pays the physician, ambulance transport, a
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nd outpatient services.
ko ko

, DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4 ko ko ko ko ko ko



OBJ: 9 k TOP: Government-
o ko



Sponsored Health Insurance KEY: Nursing Process Step: Implementa
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tion
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ko ko ko ko ko ko ko




8. Which is the main cost-containment component of diagnosis-related groups (DRGs)?
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a. Hospitals focus only on the specific diagnosis. ko ko ko ko ko ko



b. Hospitals treat and discharge patients quickly. ko ko ko ko ko



c. Reduced cost drugs are ordered for specific diagnoses. ko ko ko ko ko ko ko



d. Diagnostic group classification streamlines care. ko ko ko ko




ANS: B ko



DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient's diagnostic
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category regardless of the length of time in the hospital. If hospitals can treat and discharge patients
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before the allotted time, hospitals get to keep the excess payment; cost is contained, and the patient is
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discharged sooner. ko




DIF: Cognitive Level: Comprehension REF: p. 8 ko ko k o ko



OBJ: 9 TOP: Government-Sponsored Health Insurance ko ko ko ko ko



KEY: Nursing Process Step: Implementation
ko ko ko ko



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ko ko ko ko ko ko ko




9. The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid?
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a. A 35-year-old unemployed single mother with diabetes
ko ko ko ko ko ko



b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-
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term care facility ko ko



c. An 80-year- ko



old blind woman living in her own home who has inadequate private insurance
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d. A 67-year-old stroke victim with Medicare Part A and an income frominvestments
ko ko ko ko ko ko ko ko ko ko ko ko




ANS: A ko



Medicaid is a joint effort of federal and state governments geared primarily for low-
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income people with no insurance.
ko ko ko ko




DIF: Cognitive Level: Application REF: p. 8, Box 1-5 ko ko ko ko ko ko



OBJ: 9 k TOP: Government-Sponsored Health Insurance—
o ko ko ko



Medicaid KEY: Nursing Process Step: Assessment
ko ko ko ko ko



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ko ko ko ko ko ko ko




10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
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improve the health of Americans in the second decade of the century?
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a. Research funding ko



b. Health information distribution ko ko



c. Healthy lifestyle encouragement ko ko



d. Health improvement program designs ko ko ko




ANS: C ko



Healthy People 2020 focuses on expanding ongoing programs to include support and information to r
ko ko ko ko ko ko ko ko ko ko ko ko ko ko



educe infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective imm
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unizations, healthy eating habits, and healthy weight.
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DIF: Cognitive Level: Comprehension ko ko REF: k o k o p. 6 ko OBJ: 7 ko



TOP: Healthy People 2020
k o ko ko



KEY: Nursing Process Step: Implementation ko ko ko ko k



o MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ko ko ko ko ko ko ko