Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Stromberg, All Chapters 1-49 Latest Update |complete solution |Grade A+

Test Bank For Medical Surgical Nursing 5th Edition By Holly K.
Stromberg, All Chapters 1-49 | Latest Update
Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
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MULTIPLECHOICE ij




Which statement accurately describes the primary purpose of the state nurse practiceact
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(NPA)?
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a. To test and license LPN/LVNs. ij ij ij ij




b. To define the scope of LPN/LVN ij ij ij ij ij




practice.
c. To improve the quality of care ij ij ij ij ij




provided by the LPN/LVN. ij ij ij




d. To limit the LPN/LVN employment ij ij ij ij




placement.
ANS: B ij




While improving quality of care provided by the LPN/LVN may be a result of
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theNPA, the primary purpose of the NPA of each state defines the scope of nursing
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practice in that state.
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PTS: 1
Cognitive Level: Comprehension DIF: ij ij




REF: 2 i j




OBJ:3 TOP: NPA KEY: Nursing Process Step: ij ij ij ij




Implementation
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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The charge nurse asks the new vocational nurse to start an intravenous infusion, a
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skillthat the vocational nurse has notbeen taught during her educational program. How
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should the vocational nurse respond?
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a. Ask a more experienced nurse to ij ij ij ij ij




demonstrate the procedure. ij ij




b. Look up the procedure in the procedure ij ij ij ij ij ij




manual.
c. Attempt to perform the procedure with ij ij ij ij ij




supervision.
d. Inform the charge nurse of her lack of ij ij ij ij ij ij ij




training in this procedure. ij ij ij




ANS: D ij




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

, Application REF: ij




OBJ:1 TOP: Providing Safe Care Nursing Process ij ij ij




KEY: Step: N/A ij




MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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Which patient statement indicates a need for further discharge teaching that
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thevocational nurse should address?
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a. ―I have no idea of how this drug ij ij ij ij ij ij ij




will affect me.‖ ij ij




b. ―Do you know if my physician is ij ij ij ij ij ij




coming back today?‖ ij ij




c. ―Will my insurance pay for my ij ij ij ij ij




stay?‖
d. ―Am I going to have to go to a ij ij ij ij ij ij ij ij




nursing home?‖ ij




ANS: A ij




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




2
OBJ:1 TOP: Teaching KEY: Nursing Process ij ij




Step: Implementation ij




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




the unit ij




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




c. Working under general supervision by the RN ij ij ij ij ij ij




available on site or by phone ij ij ij ij ij




d. Working as an independent vocational nurse ij ij ij ij ij




ANS: C ij




The vocational nurse in the capacity of the charge nurse in a long-term care
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facilityacts with the general supervision of an RNavailable on site or by phone.
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PTS: 1
Cognitive Level: REF: 2 DIF: ij




Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process ij




KEY: ng Step: N/A ij




MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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,The nurse is educating a patient that is a member of a health maintenance
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organization(HMO). Which informationshould the nurse include?
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a. Seek the opinion of an alternate health care ij ij ij ij ij ij ij




provider.
b. Obtain insurance approval for medical ij ij ij ij




services prior to treatment. ij ij ij




c. Provide detailed documentation of all care ij ij ij ij ij




received for his condition. ij ij ij




d. Wait at least 6 months to see a specialist. ij ij ij ij ij ij ij ij




ANS: B ij




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




Application REF: ij




OBJ:9 TOP: Charge Nurse/Manager ij




KEY: Nursing Process Step: Implementation
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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The patient complains to the nurse that he is confused about his ―deductible‖ that
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heowes the hospital. Whichstatement accurately explains a deductible?
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a. An amount of money put aside for the payment of ij ij ij ij ij ij ij ij ij




future medical bills ij ij




b. A one-time fee for service ij ij ij ij




c. An amount of money deducted from the bill by ij ij ij ij ij ij ij ij




the insurance company ij ij




d. An annual amount of money the patient must pay ij ij ij ij ij ij ij ij




out-of-pocket for medical care ij ij ij




ANS: D ij




The deductible is the annual amount the insured must pay out-of-pocket prior to
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theinsurance company assuming the cost. This practice improves the profit of the
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insurance company.
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PTS: 1
Cognitive Level: REF: 7 DIF: ij




Comprehension
OBJ:9 TOP: Health Care Financing ij ij




KEY: Nursing Process Step: Implementation
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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The nurse compares the characteristics of a health maintenance organization
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(HMO)and a preferred providerorganization (PPO). Which information should the
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nurse include about HMOs?
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, a. HMOs require a set fee of each ij ij ij ij ij ij




member monthly. ij




b. HMOs allow the member to select ij ij ij ij ij




his health care provider. ij ij ij




c. HMOs permit admission to any ij ij ij ij




facility the member prefers. ij ij ij




d. HMOs offer unlimited diagnostic ij ij ij




tests and treatments. ij ij




ANS: A ij




HMOs require a set fee from each member monthly (capitation). The patient will
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betreated by the HMO staff in HMO-approvedfacilities. Excessive use of diagnostic
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tests and treatments is discouraged by the HMO.
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PTS: 1
Cognitive Level: 9 DIF: ij




Application REF: ij




OBJ:9 TOP: Managed Care ij




KEY: Nursing Process Step: Implementation
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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A patient asks the nurse what Medicare Part A covers. Which response is correct?
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a. Medicare Part A covers inpatient ij ij ij ij




hospital costs. ij




b. Medicare Part A covers ij ij ij




reimbursement to the physician. ij ij ij




c. Medicare Part A covers outpatient ij ij ij ij




hospital services. ij




d. Medicare Part A covers ambulance ij ij ij ij




transportation.
ANS: A ij




Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory
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work,and intensive care. Medicare Part B pays thephysician, ambulance transport,
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and outpatient services.
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PTS: 1
Cognitive Level: REF 7, Box DIF: ij ij




Comprehension : 1-4
OBJ:9 TOP: Government-Sponsored
Health Insurance ij




KEY: Nursing Process Step: Implementation
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
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Which is the main cost-containment component of diagnosis-related groups (DRGs)?
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