1. Which statement accurately describes the primary purpose of the
State Nurse Practice Act (NPA)?
a.
To test and license LPN/LVNs.
b.
To define the scope of LPN/LVN practice.
c.
To improve the quality of care provided by the LPN/LVN.
d.
To limit the LPN/LVN employment placement. - ANSWER b. To define
the scope of LPN/LVN practice.
The charge nurse asks the new vocational nurse to start an intravenous
infusion, a skill that the vocational nurse has not been taught during her
educational program. How should the vocational nurse respond?
a.
Ask a more experienced nurse to demonstrate the procedure.
b.
Look up the procedure in the procedure manual.
c.
Attempt to perform the procedure with supervision.
d.
Inform the charge nurse of her lack of training in this procedure. -
ANSWER d. Inform the charge nurse of her lack of training in this
procedure.
According to most state NPAs, the vocational nurse acting as charge
nurse in a long-term care facility acts in which capacity?
a.
Working under direct supervision of an RN on the unit
b.
Working with the RN in the building
c.
,Working under general supervision by the RN available on site or by
phone
d.
Working as an independent vocational nurse - ANSWER c. Working
under general supervision by the RN available on site or by phone
The nurse is educating a patient that is a member of a health
maintenance organization (HMO). Which information should the nurse
include?
a.
Seek the opinion of an alternate health care provider.
b.
Obtain insurance approval for medical services prior to treatment.
c.
Provide detailed documentation of all care received for his condition.
d.
Wait at least 6 months to see a specialist. - ANSWER b. Obtain
insurance approval for medical services prior to treatment.
A patient asks the nurse what Medicare Part A covers. Which response
is correct?
a.
Medicare Part A covers inpatient hospital costs.
b.
Medicare Part A covers reimbursement to the physician.
c.
Medicare Part A covers outpatient hospital services.
d.
Medicare Part A covers ambulance transportation. - ANSWER a.
Medicare Part A covers inpatient hospital costs.
Which is the main cost-containment component of diagnosis-related
groups (DRGs)?
a.
Hospitals focus only on the specific diagnosis.
b.
Hospitals treat and discharge patients quickly.
c.
,Reduced cost drugs are ordered for specific diagnoses.
d.
Diagnostic group classification streamlines care. - ANSWER b. Hospitals
treat and discharge patients quickly.
The nurse is assessing a group of patients. Which patient would most
likely qualify for Medicaid?
a.
A 35-year-old unemployed single mother with diabetes
b.
A 70-year-old Medicare recipient with retirement income who needs to
be in a long-term care facility
c.
An 80-year-old blind woman living in her own home who has inadequate
private insurance
d.
A 67-year-old stroke victim with Medicare Part A and an income from
investments - ANSWER a. A 35-year-old unemployed single mother with
diabetes
Which area is the major focus of Healthy People 2020 and the primary
mechanism through which to improve the health of Americans in the
second decade of the century?
a.
Research funding
b.
Health information distribution
c.
Healthy lifestyle encouragement
d.
Health improvement program designs - ANSWER c. Healthy lifestyle
encouragement
Which term explains the type of care that addresses interventions for all
dimensions of a patient's life?
a.
Focused care
b.
, General care
c.
Directed care
d.
Holistic care - ANSWER d. Holistic care
A patient furiously says, "My doctor was so busy giving me instructions
that he didn't hear what I was trying to ask him!" Which response is most
empathetic?
a.
"When people ignore me, I really get mad."
b.
"I'm sure that the doctor was rushed and unaware of your needs."
c.
"I'll bet that made you feel very frustrated."
d.
"Take a deep breath and plan what you will say to him tomorrow." -
ANSWER c. "I'll bet that made you feel very frustrated."
11. The nurse is explaining differences in a therapeutic relationship and
a social relationship to a patient. Which information about therapeutic
relationships is most important for the nurse to include in the
explanation?
a.
Therapeutic relationships lack formal boundaries.
b.
Therapeutic relationships are goal directed.
c.
Therapeutic relationships meet the needs of each person in the
relationship.
d.
Therapeutic relationships extend past the hospitalization period. -
ANSWER b. Therapeutic relationships are goal directed.
The long-term care facility nurse is caring for a newly admitted 80-year-
old patient who is depressed. Which approach is best for the nurse to
employ?
a.
State Nurse Practice Act (NPA)?
a.
To test and license LPN/LVNs.
b.
To define the scope of LPN/LVN practice.
c.
To improve the quality of care provided by the LPN/LVN.
d.
To limit the LPN/LVN employment placement. - ANSWER b. To define
the scope of LPN/LVN practice.
The charge nurse asks the new vocational nurse to start an intravenous
infusion, a skill that the vocational nurse has not been taught during her
educational program. How should the vocational nurse respond?
a.
Ask a more experienced nurse to demonstrate the procedure.
b.
Look up the procedure in the procedure manual.
c.
Attempt to perform the procedure with supervision.
d.
Inform the charge nurse of her lack of training in this procedure. -
ANSWER d. Inform the charge nurse of her lack of training in this
procedure.
According to most state NPAs, the vocational nurse acting as charge
nurse in a long-term care facility acts in which capacity?
a.
Working under direct supervision of an RN on the unit
b.
Working with the RN in the building
c.
,Working under general supervision by the RN available on site or by
phone
d.
Working as an independent vocational nurse - ANSWER c. Working
under general supervision by the RN available on site or by phone
The nurse is educating a patient that is a member of a health
maintenance organization (HMO). Which information should the nurse
include?
a.
Seek the opinion of an alternate health care provider.
b.
Obtain insurance approval for medical services prior to treatment.
c.
Provide detailed documentation of all care received for his condition.
d.
Wait at least 6 months to see a specialist. - ANSWER b. Obtain
insurance approval for medical services prior to treatment.
A patient asks the nurse what Medicare Part A covers. Which response
is correct?
a.
Medicare Part A covers inpatient hospital costs.
b.
Medicare Part A covers reimbursement to the physician.
c.
Medicare Part A covers outpatient hospital services.
d.
Medicare Part A covers ambulance transportation. - ANSWER a.
Medicare Part A covers inpatient hospital costs.
Which is the main cost-containment component of diagnosis-related
groups (DRGs)?
a.
Hospitals focus only on the specific diagnosis.
b.
Hospitals treat and discharge patients quickly.
c.
,Reduced cost drugs are ordered for specific diagnoses.
d.
Diagnostic group classification streamlines care. - ANSWER b. Hospitals
treat and discharge patients quickly.
The nurse is assessing a group of patients. Which patient would most
likely qualify for Medicaid?
a.
A 35-year-old unemployed single mother with diabetes
b.
A 70-year-old Medicare recipient with retirement income who needs to
be in a long-term care facility
c.
An 80-year-old blind woman living in her own home who has inadequate
private insurance
d.
A 67-year-old stroke victim with Medicare Part A and an income from
investments - ANSWER a. A 35-year-old unemployed single mother with
diabetes
Which area is the major focus of Healthy People 2020 and the primary
mechanism through which to improve the health of Americans in the
second decade of the century?
a.
Research funding
b.
Health information distribution
c.
Healthy lifestyle encouragement
d.
Health improvement program designs - ANSWER c. Healthy lifestyle
encouragement
Which term explains the type of care that addresses interventions for all
dimensions of a patient's life?
a.
Focused care
b.
, General care
c.
Directed care
d.
Holistic care - ANSWER d. Holistic care
A patient furiously says, "My doctor was so busy giving me instructions
that he didn't hear what I was trying to ask him!" Which response is most
empathetic?
a.
"When people ignore me, I really get mad."
b.
"I'm sure that the doctor was rushed and unaware of your needs."
c.
"I'll bet that made you feel very frustrated."
d.
"Take a deep breath and plan what you will say to him tomorrow." -
ANSWER c. "I'll bet that made you feel very frustrated."
11. The nurse is explaining differences in a therapeutic relationship and
a social relationship to a patient. Which information about therapeutic
relationships is most important for the nurse to include in the
explanation?
a.
Therapeutic relationships lack formal boundaries.
b.
Therapeutic relationships are goal directed.
c.
Therapeutic relationships meet the needs of each person in the
relationship.
d.
Therapeutic relationships extend past the hospitalization period. -
ANSWER b. Therapeutic relationships are goal directed.
The long-term care facility nurse is caring for a newly admitted 80-year-
old patient who is depressed. Which approach is best for the nurse to
employ?
a.
