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test bank for fundamental concepts and skills for nursing 6th edition williams all chapters 2022

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Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition
Williams-all chapters-2022-2023 GRADED A+

Henry Street Settlement Service brought the provision of community health
care to the poor people living in tenements.


DIF: Cognitive Level: Comprehension REF: p. 2
OBJ: Theory #4 TOP: Growth of Nursing KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A


8. An educational pathway for an LPN/LVN refers to an LPN/LVN:
a. learning on the job and being promoted to a higher level of responsibility.
b. moving from a maternity unit to a more complicated surgical unit.
c. obtaining additional education to move from one level of nursing to another.
d. learning that advancement requires consistent work and commitment.

ANS: C
By broadening the educational base, an LPN/LVN may advance and build a
nursing career.


DIF: Cognitive Level: Knowledge REF: p. 7 OBJ:
Theory #7 TOP: Nursing Education Pathways KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A


9. When diagnosis-related groups (DRGs) were established by Medicare in
1983, the purpose was to:
a. put patients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase the availability of medical care to older adults.
d. identify a patient’s condition more quickly.

ANS: B VERIFIED-TEST BANK




dr.j

,Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition
Williams-all chapters-2022-2023 GRADED A+
The purpose of instituting DRGs was to contain skyrocketing costs of health care.


DIF: Cognitive Level: Knowledge REF: p. 9 OBJ: Theory
#10 TOP: Health Care Delivery KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A


10. The advent of diagnosis-related groups (DRGs) required that nurses working
in health care agencies:
a. record supportive documentation to confirm a patient’s need for
care in order to qualify for reimbursement.
b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more flexible.

ANS: A
DRGs required that nurses provide more supportive documentation of their
assessments and identified patient’s needs to qualify the facility for Medicare
reimbursement. Observant assessment might also indicate another DRG
classification and consequently more reimbursement for the facility.


DIF: Cognitive Level: Comprehension REF: p. 10
OBJ: Theory #10 TOP: Managed Care KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A




dr.j

,Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition
Williams-all chapters-2022-2023 GRADED A+
VERIFIED-TEST




dr.j

, Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition
Williams-all chapters-2022-2023 GRADED A+

11. If a member of a health maintenance organization (HMO) is having respiratory
problems such as fever, cough, and fatigue for several days and wants to see a
specialist, the person is required to go:
a. directly to an emergency room for treatment.
b. to any general practitioner of choice.
c. directly to a respiratory specialist.
d. to a primary care provider for a referral.

ANS: D
Participants in an HMO must see their primary provider to receive a referral for
a specialist in order for the HMO to pay for the care.


DIF: Cognitive Level: Comprehension REF: p. 10
OBJ: Theory #11 TOP: Managed Care KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A


12. An advantage of preferred provider organizations (PPOs) is that:
a. they make insurance coverage of employees less expensive to employers.
b. there are fewer physicians to choose from than in an HMO.
c. long-term relationships with physicians are more likely.
d. patients may go directly to a specialist for care.

ANS: A
The use of PPOs allows insurance companies to keep their premiums low and
in turn makes insurance coverage less expensive for the employers. There are
usually more physicians fromwhich to choose than from an HMO, but long-
term relationships between physician and patient cannot be established easily.
Patients still must see their primary physician before being referred to other
specialties.VERIFIED-TEST BANK

DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: Theory
#11 TOP: Preferred Provider Organizations KEY:
Nursing Process Step: N/A MSC: NCLEX: N/A dr.j

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