Test Bank for Medical-Surgical Nursing 5th edition by Holly Stromberg

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

1. Whichgstatementgaccuratelygdescribesgthegprimarygpurposegofgthegstategnursegpracticegactg(
NPA)?
a. TogtestgandglicensegLPN/LVNs
b. TogdefinegthegscopegofgLPN/LVNgpractice
c. TogimprovegthegqualitygofgcaregprovidedgbygthegLPN/LVN
d. ToglimitgthegLPN/LVNgemploymentgplacement
ANS:g B
WhilegimprovinggqualitygofgcaregprovidedgbygthegLPN/LVNgmaygbegagresultgofgthegNPA,gthegprimaryg
purposegofgthegNPAgofgeachgstategdefinesgthegscopegofgnursinggpracticeg ingthatg state.

DIF: CognitivegLevel:gComprehension REF:g p.g3
OBJ:g 3gTOP:g NPA
KEY:g NursinggProcessgStep:gImplementation
MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

2. Thegchargegnursegasksgthegnewgvocationalgnursegtogstartgangintravenousginfusion,gagskillgthatgthegv
ocationalgnurseghasgnotgbeengtaughtgduringghergeducationalgprogram.gHowgshouldgthegvocationalg
nursegrespond?
a. Askgagmoregexperiencedgnursegtogdemonstrategthegprocedure.
b. Lookgupgthegproceduregingthegproceduregmanual.
c. Attemptgtog performgthegproceduregwithgsupervision.
d. Informgthegchargegnursegofgherglackgofgtraininggingthisgprocedure.

ANS:g D
Thegchargegnursegshouldgbeginformedgofgtheglackgofgtraininggtogperformgthegprocedure,gandgthegv
ocationalgnursegshouldgseekgfurthergtraininggtoggaingproficiency.gAlthoughgthegothergoptionsgmi
ghtgbeghelpful,gtheygaregnotgsafe.

DIF: CognitivegLevel:gApplication REF:g p.g3
OBJ:g 1gTOP:g ProvidinggSafegCare
KEY:g NursinggProcessgStep:gN/AgMSC:g NCLEX:gSafe,gEffectivegCareg
Environment:gCoordinatedgCare

3. Whichgpatientgstatementgindicatesgagneedgforgfurthergdischargegteachinggthatgthegvocationalg
nursegshouldgaddress?
a. ―Ighavegnogideagofghowgthisgdruggwillgaffectgme.‖
b. ―Dogyougknowgifgmygphysiciangisgcominggbackgtoday?‖
c. ―Willgmyginsurancegpaygforgmygstay?‖
d. ―AmgIggoinggtoghavegtoggogtogagnursingghome?‖

ANS:g A
Lackgofgknowledgegatgdischargegaboutgmedicationgeffectsgandgsidegeffectsgisgagconcerngthatgshou
ldgbegaddressedgbygthegvocationalgnurse.gThegothergconcernsgingthegoptionsgaregthegresponsibilit
ygofgothergdepartmentsgtogwhichgthegnursegmightgrefergthegpatient.

DIF: CognitivegLevel:gApplication REF:g p.g2
OBJ:g 1gTOP:g Teaching
KEY:g NursinggProcessgStep:gImplementation

, MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

4. AccordinggtogmostgstategNPAs,gthegvocationalgnursegactinggasgchargegnursegingaglong-
termgcaregfacilitygactsgingwhichgcapacity?
a. WorkinggundergdirectgsupervisiongofgangRNgongthegunit
b. WorkinggwithgthegRNgingthegbuilding
c. WorkinggunderggeneralgsupervisiongbygthegRNgavailablegongsitegorgbygphone
d. Workinggasgangindependentgvocationalgnurse
ANS:g C
Thegvocationalgnursegingthegcapacitygofgthegchargegnursegingaglong-
termgcaregfacilitygactsgwithgtheggeneralgsupervisiongofgangRNgavailablegongsitegorgbygphone.

DIF: CognitivegLevel:gComprehension REF:g p.g3
OBJ:g 1gTOP:g ChargegNurse/Manager
KEY:g NursinggProcessgStep:gN/AgMSC:g NCLEX:gSafe,gEffectivegCareg
Environment:gCoordinatedgCare

5. Thegnursegisgeducatinggagpatientgthatgisgagmembergofgaghealthgmaintenancegorganizationg(
HMO).gWhichginformationgshouldgthegnurseginclude?
a. Seekgthegopiniongofgangalternateghealthgcaregprovider.
b. Contactgtheginsurancegcompanygforgcoveragegdetailsgasgservicesgmaygbeglimited.
c. Providegdetailedgdocumentationgofgallgcaregreceivedgforghisgcondition.
d. Waitgatgleastg6gmonthsgtogseegagspecialist.
ANS:g B
HMOsgaregagkindgofgmanagedgcare.gThisgisgaccomplishedgbygpayinggprovidersgtogcaregforggroup
sgofgpatientsgforgagsetgcapitationgfeegandgbyglimitinggservices.gPatientsgaregnotgrequiredgtogseekgag
secondgopinion,gprovidegdocumentationgofgcare,gorgwaitgagspecificgtimegperiodgbeforegvisitinggag
specialist.

DIF: CognitivegLevel:gApplication REF:g g p.g 9 OBJ:g g 9
TOP:g ChargegNurse/Manager
KEY:g NursinggProcessgStep:gImplementationg
MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

6. Thegpatientgcomplainsgtogthegnursegthatghegisgconfusedgaboutghisg―deductible‖gthatghegowesgthegh
ospital.gWhichgstatementgaccuratelygexplainsgagdeductible?
a. Angamountgofgmoneygputgasidegforgthegpaymentgofgfuturegmedicalgbills
b. Agone-timegfeegforgservice
c. Angamountgofgmoneygdeductedgfromgthegbillgbygtheg insurancegcompany
d. Angannualgamountgofgmoneygthegpatientgmustgpaygout-of-pocketgforgmedicalgcare
ANS:g D
Thegdeductiblegisgthegannualgamountgtheginsuredgmustgpaygout-of-
pocketgpriorgtogtheginsurancegcompanygassuminggthegcost.gThisgpracticegimprovesgthegprofitgofgthegin
surancegcompany.

DIF: CognitivegLevel:gComprehension REF:g g p.g 7 OBJ:g g 9
TOP:g HealthgCaregFinancing
KEY:g NursinggProcessgStep:gImplementationg
MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

, 7. AgpatientgasksgthegnursegwhatgMedicaregPartgAgcovers.gWhichgresponsegisgcorrect?
a. MedicaregPartgAgcoversginpatientghospitalgcosts.
b. MedicaregPartgAgcoversgreimbursementgtogthegphysician.
c. MedicaregPartgAgcoversgoutpatientghospitalgservices.
d. MedicaregPartgAgcoversgambulancegtransportation.

ANS:g A
MedicaregPartgAgcoversginpatientghospitalgexpenses,gdrugs,gx-
rays,glaboratorygwork,gandgintensivegcare.gMedicaregPartgBgpaysgthegphysician,gambulanc
egtransport,gandgoutpatientgservices.

DIF: CognitivegLevel:gComprehension REF:g p.g8,gBoxg1-4
OBJ:g 9 TOP:g Government-
SponsoredgHealthgInsurancegKEY:g NursinggProcessgStep:gImplementat
ion
MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

8. Whichgisgthegmaingcost-containmentgcomponentgofgdiagnosis-relatedggroupsg(DRGs)?
a. Hospitalsgfocusgonlygongthegspecificgdiagnosis.
b. Hospitalsgtreatgandgdischargegpatientsgquickly.
c. Reducedgcostgdrugsgaregorderedgforgspecificgdiagnoses.
d. Diagnosticggroupgclassificationgstreamlinesgcare.
ANS:g B
DRGsgaregagprospectivegpaymentgplangingwhichghospitalsgreceivegagflatgfeegforgeachgpatient’sgdiagnos
ticgcategorygregardlessgofgtheglengthgofgtimegingtheghospital.gIfghospitalsgcangtreatgandgdischargegpatie
ntsgbeforegthegallottedgtime,ghospitalsggetgtogkeepgthegexcessgpayment;gcostgisgcontained,gandgthegpati
entgisgdischargedgsooner.

DIF: CognitivegLevel:gComprehension REF:g p.g8
OBJ:g 9gTOP:g Government-SponsoredgHealthgInsurance
KEY:g NursinggProcessgStep:gImplementation
MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

9. Thegnursegisgassessinggaggroupgofgpatients.gWhichgpatientgwouldgmostglikelygqualifygforg
Medicaid?
a. Ag35-year-oldgunemployedgsinglegmothergwithgdiabetes
b. Ag70-year-oldgMedicaregrecipientgwithgretirementgincomegwhogneedsgtogbeginga
long-termgcaregfacility
c. Ang80-year-oldgblindgwomanglivingginghergownghomegwhoghasginadequategprivate
insurance
d. Ag67-year-oldgstrokegvictimgwithgMedicaregPartgAgandgangincomegfromginvestments

ANS:g A
Medicaidgisgagjointgeffortgofgfederalgandgstateggovernmentsggearedgprimarilygforglow-
incomegpeoplegwithgnoginsurance.

DIF: CognitivegLevel:gApplication REF:g p.g8,gBoxg1-5
OBJ:g 9 TOP:g Government-SponsoredgHealthgInsurance—
MedicaidgKEY:g NursinggProcessgStep:gAssessment
MSC:g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare