TEST BANK For Dewits Medical Surgical Nursing Concepts and Practice 5th Edition By Holly K. Stromberg |Complete Chapter 1 - 49 | 100 % Verified

Test Bank ForMedical Surgical Nursing 5th Edition ByHollyK. Stromberg, All
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Chapters 1-49 | Latest Update o, o, o, o, o,




Chapter01:CaringforMedical-SurgicalPatients o, o, o, o, o,




deWit:Medical-SurgicalNursing:Concepts &Practice, 5thEdition
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MULTIPLECHOICE o,




Whichstatement accuratelydescribes theprimarypurpose ofthestatenursepractice act
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(NPA)?
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a. TotestandlicenseLPN/LVNs. o, o, o, o,




b. Todefine thescopeofLPN/LVN o, o, o, o, o,




practice.
c. Toimprovethequality ofcare o, o, o, o, o,




providedbytheLPN/LVN. o, o, o,




d. TolimittheLPN/LVN employment o, o, o, o,




placement.
ANS: B o ,




Whileimproving qualityofcareprovidedbytheLPN/LVN maybearesult ofthe NPA, the
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primary purpose of the NPA of each state defines the scope of nursing practice in that state.
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PTS: 1
CognitiveLevel:Comprehension DIF: o, o,




REF: 2 o ,




OBJ:3 TOP: NPA KEY:NursingProcessStep: o , o, o, o,




Implementation
MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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The charge nurse asks the new vocational nurse to start anintravenous infusion, a skill that the
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vocational nurse has notbeen taught during her educational program. How should the
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vocational nurse respond?
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a. Askamoreexperienced nurseto o, o, o, o, o,




demonstratetheprocedure. o, o,




b. Lookuptheprocedure intheprocedure o, o, o, o, o, o,




manual.
c. Attempttoperformtheprocedurewith o, o, o, o, o,




supervision.
d. Informthecharge nurseofherlack of o, o, o, o, o, o, o,




traininginthis procedure. o, o, o,




ANS: D o ,




The charge nurse should be informed of the lack of training to perform the procedure, and
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the vocational nurse should seek further training to gain proficiency. Although the other
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options might be helpful, they are not safe.
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PTS: 1 DIF: CognitiveLevel: o, 3

, Application REF: o ,




OBJ: 1 TOP: ProvidingSafeCare NursingProcess o, o, o,




KEY: Step: N/A o,




MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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Which patient statement indicates aneedforfurtherdischargeteachingthatthe vocational
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nurse should address?
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a. “Ihavenoidea of how this drug o, o, o, o, o, o, o,




willaffect me.” o, o,




b. “Doyouknow if myphysicianis o, o, o, o, o, o,




comingback today?” o, o,




c. “Willmyinsurance payformy o, o, o, o, o,




stay?”
d. “Am I going to have to go to a o, o, o, o, o, o, o, o,




nursing home?” o,




ANS: A o ,




Lack of knowledge at discharge about medication effects and side effects is a concern that
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should be addressed by the vocationalnurse. The other concerns in the options are the
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responsibility of other departments to which the nurse might refer the patient.
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PTS: 1
CognitiveLevel:Application REF: DIF: o, o,




2
OBJ:1 TOP: Teaching KEY: NursingProcess o , o,




Step:Implementation o,




MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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According tomoststateNPAs,thevocationalnurseactingaschargenurseinalong- term care
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facility acts in which capacity?
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a. Working underdirectsupervisionofanRN on o, o, o, o, o, o, o,




theunit o,




b. WorkingwiththeRNinthebuilding o, o, o, o, o, o,




c. Working undergeneralsupervisionbytheRN o, o, o, o, o, o,




availableonsiteorbyphone o, o, o, o, o,




d. Workingasanindependentvocational nurse o, o, o, o, o,




ANS: C o ,




The vocational nursein the capacity of the charge nurse in a long-term carefacility acts with
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the general supervision of an RNavailable on site or by phone.
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PTS: 1
CognitiveLevel: REF: 2 DIF: o,




Comprehension
OBJ:1 TOP: ChargeNurse/Manager Nursi Process o,




KEY: ng Step:N/A o,




MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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,Thenurseis educating apatient thatis amember of ahealth maintenance organization (HMO).
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Which informationshould the nurse include?
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a. Seektheopinionofanalternate healthcare o, o, o, o, o, o, o,




provider.
b. Obtaininsuranceapprovalformedical o, o, o, o,




services priortotreatment. o, o, o,




c. Providedetaileddocumentation ofallcare o, o, o, o, o,




received forhis condition. o, o, o,




d. Waitatleast6months to seeaspecialist. o, o, o, o, o, o, o, o,




ANS: B o ,




Most HMOs require preprocedure authorization for treatment. Patients are not required to
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seek a second opinion, providedocumentation of care, or wait a specific time period before
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visiting a specialist.
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PTS: 1
CognitiveLevel: 9 DIF: o,




Application REF: o ,




OBJ:9 TOP: ChargeNurse/Manager o,




KEY:NursingProcessStep:Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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Thepatient complains to the nurse that heis confused about his “deductible”that he owes the
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hospital. Whichstatement accurately explains a deductible?
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a. Anamount of money putasidefor thepayment of o, o, o, o, o, o, o, o, o,




futuremedicalbills o, o,




b. Aone-time feefor service o, o, o, o,




c. Anamount ofmoneydeducted fromthe bill by o, o, o, o, o, o, o, o,




theinsurance company o, o,




d. Anannualamount ofmoneythepatient mustpay o, o, o, o, o, o, o, o,




out-of-pocketformedicalcare o, o, o,




ANS: D o ,




The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance
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company assuming the cost. Thispractice improves the profit of the insurance company.
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PTS: 1
CognitiveLevel: REF: 7 DIF: o,




Comprehension
OBJ:9 TOP: HealthCareFinancing o, o,




KEY:NursingProcessStep:Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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Thenursecompares thecharacteristics ofahealth maintenance organization (HMO) and a
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preferred providerorganization (PPO). Which information should the nurse include about
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HMOs?
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, a. HMOs requireasetfee ofeach o, o, o, o, o, o,




member monthly. o,




b. HMOs allow themember toselect o, o, o, o, o,




hishealthcareprovider. o, o, o,




c. HMOs permitadmission toany o, o, o, o,




facilitythememberprefers. o, o, o,




d. HMOsofferunlimited diagnostic o, o, o,




testsandtreatments. o, o,




ANS: A o ,




HMOs require aset feefrom each member monthly (capitation). Thepatient will be treated
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by the HMO staff in HMO-approvedfacilities. Excessive use of diagnostic tests and
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treatments is discouraged by the HMO.
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PTS: 1
CognitiveLevel: 9 DIF: o,




Application REF: o ,




OBJ:9 TOP: ManagedCare o,




KEY:NursingProcessStep:Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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Apatientasks thenursewhat MedicarePartAcovers.Whichresponse is correct?
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a. MedicarePartA covers inpatient o, o, o, o,




hospitalcosts. o,




b. MedicarePartA covers o, o, o,




reimbursementtothe physician. o, o, o,




c. MedicarePartAcovers outpatient o, o, o, o,




hospitalservices. o,




d. MedicarePartAcovers ambulance o, o, o, o,




transportation.
ANS: A o ,




MedicarePartA coversinpatient hospital expenses, drugs, x-rays,laboratory work, and
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intensive care. Medicare Part B pays thephysician, ambulance transport, and outpatient
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services.
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PTS: 1
CognitiveLevel: REF 7, Box DIF: o, o,




Comprehension : 1-4
OBJ:9 TOP: Government-Sponsored
HealthInsurance o,




KEY:NursingProcessStep:Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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Whichisthemaincost-containmentcomponentofdiagnosis-relatedgroups(DRGs)?
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