TEST BANK
xv
,Chapter 01: Caring for Medical-Surgical Patients
xv xv xv xv xv
deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition
xv xv xv xv xv xv xv
xv MULTIPLE CHOICE xv
1. Which xvstatement xvaccurately xvdescribes xvthe xvprimary xvpurpose xvof xvthe xvstate xvnurse xvpractice xvact xv(NPA)?
a. To xvtest xvand xvlicense xvLPN/LVNs.
b. To xvdefine xvthe xvscope xvof xvLPN/LVN xvpractice.
c. To xvimprove xvthe xvquality xvof xvcare xvprovided xvby xvthe
xvLPN/LVN.
d. To xvlimit xvthe xvLPN/LVN xvemployment xvplacement.
ANS: B
While xvimproving xvquality xvof xvcare xvprovided xvby xvthe xvLPN/LVN xv may xvbe xva xvresult xvof xvthe xvNPA, xvthe xvprimary xvpurpose xvof
xvthe xv NPA xv of xv each xv state xv defines xv the xv scope xv of xv nursing xv practice xv in xv that xv state.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing xvProcess xvStep:
xv Implementation
MSC: NCLEX:xvSafe, xvEffective xvCare xvEnvironment: xvCoordinated xvCare
2. The xvcharge xvnurse xvasks xvthe xvnew xvvocational xvnurse xvto xvstart xvan xvintravenous xvinfusion, xva xvskill xvthat xvthe xvvocational
xv nurse xvhas xv not xv been xv taught xv during xv her xv educational xv program. xv How xv should xv the xv vocational xv nurse xv respond?
a. Ask xva xvmore xvexperienced xvnurse xvto xvdemonstrate xvthe xvprocedure.
b. Look xvup xvthe xvprocedure xvin xvthe xvprocedure xv manual.
c. Attempt xvto xvperform xvthe xvprocedure xv with xvsupervision.
d. Inform xvthe xvcharge xvnurse xvof xvher xvlack xvof xvtraining xvin xvthis
xvprocedure.
ANS: D
The xvcharge xvnurse xvshould xvbe xvinformed xvof xvthe xvlack xvof xvtraining xvto xvperform xvthe xvprocedure, xvand xvthe xvvocational xvnurse
xv should xv seek xv further xv training xv to xv gain xv proficiency. xv Although xv the xv other xv options xv might xv be xv helpful, xv they xv are xv not xv safe.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 3
OBJ: 1 TOP: Providing xvSafe xvCare KEY: Nursing xvProcess xvStep:
xvN/A
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
3. Which xvpatient xvstatement xvindicates xva xvneed xvfor xvfurther xvdischarge xvteaching xvthat xvthe xvvocational xvnurse xvshould xvaddress?
a. “I xvhave xvno xvidea xvof xvhow xvthis xvdrug xvwill xvaffect xv me.”
b. “Do xvyou xvknow xvif xvmy xvphysician xvis xvcoming xvback
xvtoday?”
c. “Will xvmy xvinsurance xvpay xvfor xvmy xvstay?”
d. “Am xvI xvgoing xvto xv have xvto xvgo xvto xva xvnursing xvhome?”
ANS: A
Lack xvof xvknowledge xvat xvdischarge xvabout xv medication xveffects xvand xvside xveffects xvis xva xvconcern xvthat xvshould xvbe xvaddressed xvby xvthe
xv vocatioxvnal xv nurse. xv The xv other xv concerns xv in xv the xv options xv are xv the xv responsibility xv of xv other xv departments xv to xv which xv the xv nurse
xv might xv refer xv the xv patient.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v x v REF: 2
OBJ: 1 TOP: Teaching x v KEY: Nursing xvProcess xvStep:
xv Implementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
4. According xvto xvmost xvstate xvNPAs, xvthe xvvocational xvnurse xvacting xvas xvcharge xvnurse xvin xva xvlong-term xvcare xvfacility
xv acts xv in xv which xv capacity?
a. Working xvunder xvdirect xvsupervision xvof xvan xvRN xvon xvthe xvunit
b. Working xv with xvthe xvRN xvin xvthe xvbuilding
c. Working xvunder xvgeneral xvsupervision xvby xvthe xvRN xvavailable xvon xvsite xvor xvby
xvphone
d. Working xvas xvan xvindependent xvvocational xvnurse
ANS: C
The xvvocational xvnurse xvin xvthe xvcapacity xvof xvthe xvcharge xvnurse xvin xva xvlong-term xvcare xvfacility xvacts xvwith xvthe xvgeneral xvsupervision
xv of xv an xv RN xv available xv on xv site xv or xv by xv phone.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 2
OBJ: 1 TOP: Charge xvNurse/Manager KEY: Nursing xvProcess xvStep:
xvN/A
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x vCoordinated xvCare
,5. The xvnurse xvis xveducating xva xvpatient xvthat xvis xva xv member xvof xva xvhealth xvmaintenance xvorganization xv(HMO). xvWhich
xvinformation xv should xv the xv nurse xv include?
a. Seek xvthe xvopinion xvof xvan xvalternate xvhealth xvcare xvprovider.
b. Obtain xvinsurance xvapproval xvfor xvmedical xvservices xvprior xvto xvtreatment.
c. Provide xvdetailed xvdocumentation xvof xvall xvcare xvreceived xvfor xvhis
xvcondition.
d. Wait xvat xvleast xv6 xvmonths xvto xvsee xva xvspecialist.
ANS: B
Most xvHMOs xvrequire xvpreprocedure xvauthorization xvfor xvtreatment. xvPatients xvare xvnot xvrequired xvto xvseek xva xvsecond xvopinion, xvprovide
xv documentation xv of xv care, xv or xv wait xv a xv specific xv time xv period xv before xv visiting xv a xv specialist.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 9
OBJ: 9 TOP: Charge xvNurse/Manager
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
6. The xvpatient xvcomplains xvto xvthe xvnurse xvthat xvhe xvis xvconfused xvabout xvhis xv“deductible” xvthat xvhe xvowes xvthe
xv hospital. xv Which xv statement xv accurately xv explains xv a xv deductible?
a. An xvamount xvof xvmoney xvput xvaside xvfor xvthe xvpayment xv of xvfuture xvmedical xvbills
b. A xvone-time xvfee xvfor xvservice
c. An xvamount xvof xv money xvdeducted xvfrom xvthe xvbill xvby xvthe xvinsurance xvcompany
d. An xvannual xvamount xvof xvmoney xvthe xvpatient xvmust xvpay xvout-of-pocket xvfor
xvmedical xvcare
ANS: D
The xvdeductible xvis xvthe xvannual xvamount xvthe xvinsured xvmust xvpay xvout-of-pocket xvprior xvto xvthe xvinsurance xvcompany xvassuming
xv the xv cost. xv This xv practice xv improves xv the xv profit xv of xv the xv insurance xv company.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 7
OBJ: 9 TOP: Health xvCare xvFinancing
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
7. The xvnurse xvcompares xvthe xvcharacteristics xvof xva xvhealth xvmaintenance xvorganization xv(HMO) xvand xva
xv preferred xvprovider xv organization xv (PPO). xv Which xv information xv should xv the xv nurse xv include xv about xv HMOs?
a. HMOs xvrequire xva xvset xvfee xvof xveach xvmember xv monthly.
b. HMOs xvallow xvthe xvmember xvto xvselect xvhis xvhealth xvcare
xvprovider.
c. HMOs xvpermit xvadmission xvto xvany xvfacility xvthe xvmember
xvprefers.
d. HMOs xvoffer xvunlimited xvdiagnostic xvtests xvand xvtreatments.
ANS: A
HMOs xvrequire xva xvset xvfee xvfrom xveach xv member xv monthly xv(capitation). xvThe xvpatient xv will xvbe xvtreated xvby xvthe xvHMO xvstaff xvin
xv HMO-approved xv facilities. xv Excessive xv use xv of xv diagnostic xv tests xv and xv treatments xv is xv discouraged xv by xv the xv HMO.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 9
OBJ: 9 TOP: Managed xvCare
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
8. A xvpatient xvasks xvthe xvnurse xvwhat xv Medicare xvPart xvA xvcovers. xvWhich xvresponse xvis xvcorrect?
a. Medicare xvPart xvA xvcovers xvinpatient xvhospital xvcosts.
b. Medicare xvPart xvA xvcovers xvreimbursement xvto xvthe
xvphysician.
c. Medicare xvPart xvA xvcovers xvoutpatient xvhospital xvservices.
d. Medicare xvPart xvA xvcovers xvambulance xvtransportation.
ANS: A
Medicare xvPart xvA xvcovers xvinpatient xvhospital xvexpenses, xvdrugs, xvx-rays, xvlaboratory xvwork, xvand xvintensive xvcare. xvMedicare xvPart xvB
xv pays xv the xv physician, xv ambulance xv transport, xv and xv outpatient xv services.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 7, xvBox xv1-
4
OBJ: 9 TOP: Government-Sponsored xvHealth
xv Insurance
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
9. Which xvis xvthe xvmain xvcost-containment xvcomponent xvof xvdiagnosis-related xvgroups xv(DRGs)?
, a. Hospitals xvfocus xvonly xvon xvthe xvspecific xvdiagnosis.
b. Hospitals xvtreat xvand xvdischarge xvpatients xvquickly.
c. Reduced xvcost xvdrugs xvare xvordered xvfor xvspecific
xvdiagnoses.
d. Diagnostic x v group x v classification x v streamlines x v care.
ANS: B
DRGs xvare xva xvprospective xvpayment xvplan xvin xv which xvhospitals xvreceive xva xvflat xvfee xvfor xveach xvpatient’s xvdiagnostic xvcategory
xv regardless xv of x v the xv length xv of xv time xv in xv the xv hospital. xv If xv hospitals xv can xv treat xv and xv discharge xv patients xv before xv the xv allotted
xv time, xv hospitals xv get xv to xv keep xv the xv excess xv payment; xv cost xv is xv contained, xv and xv the xv patient xv is xv discharged xv sooner.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 8
OBJ: 9 TOP: Government-Sponsored xvHealth
xv Insurance
KEY: x v x v Nursing xvProcess xvStep: xv Implementation
MSC: x v x v NCLEX: xvSafe, xvEffective xvCare xvEnvironment: xvCoordinated xvCare
10. The xvnurse xvis xvassessing xva xvgroup xvof xvpatients. xvWhich xvpatient xvwould xvmost xvlikely xvqualify xvfor xvMedicaid?
a. A xv35-year-old xvunemployed xvsingle xv mother xvwith xvdiabetes
b. A xv70-year-old xvMedicare xvrecipient xvwith xvretirement xvincome xvwho xvneeds xvto xvbe xvin xva xvlong-term xvcare
xvfacility
c. An xv80-year-old xvblind xvwoman xvliving xvin xvher xvown xvhome xvwho xvhas xvinadequate xvprivate xvinsurance
d. A xv67-year-old xvstroke xvvictim xvwith xvMedicare xvPart xvA xvand xvan xvincome xvfrom xvinvestments
ANS: A
Medicaid xvis xva xvjoint xveffort xvof xvfederal xvand xvstate xvgovernments xvgeared xvprimarily xvfor xvlow-income xvpeople xvwith xvno xvinsurance.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 8, xvBox xv1-
5 xvOBJ: 9 TOP: Government-Sponsored xvHealth xvInsurance–
Medicaid xvKEY: Nursing xvProcess xvStep: xvAssessment
MSC: NCLEX: x v Safe, x vEffective x vCare xvEnvironment: x vCoordinated x v Care
11. Which xvarea xvis xvthe xv major xvfocus xvof xvHealthy x vPeople xv 2020 xvand xvthe xvprimary xv mechanism xvthrough xvwhich xvto
xvimprove xv the xv health xv of xv Americans xv in xv the xv second xv decade xv of xv the xv century?
a. Research x v funding
b. Health x v information x v distribution
c. Healthy x v lifestyle x v encouragement
d. Health x v improvement x v program
x v designs
ANS: C
Healthy xvPeople xv2020 xvfocuses xvon xvexpanding xvongoing xvprograms xvto xvinclude xvsupport xvand xvinformation xvto xvreduce xvinfant
xv mortality, xv cancer, xv cardiovascular xv disease, xv and xv HIV/AIDS, xv and xv to xv increase xv effective xv immunizations, xv healthy xv eating
xv habits, xv and xv healthy xv weight.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 6
OBJ: 7 TOP: Healthy xvPeople xv2020
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
12. Which xvterm xvexplains xvthe xvtype xvof xvcare xvthat xvaddresses xvinterventions xvfor xvall xvdimensions xvof xva xvpatient’s xvlife?
a. Focused xvcare
b. General xvcare
c. Directed x v care
d. Holistic xvcare
ANS: D
Holistic xvcare xvaddresses xvthe xvphysiologic, xvpsychological, xvsocial, xvcultural, xvand xvspiritual xvneeds xvof xvthe xvpatient.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 6
OBJ: 8 TOP: Holistic xvCare
KEY: Nursing xvProcess xvStep: xvPlanning
MSC: NCLEX: xvPsychosocial xv Integrity: xv Coping xvand xvAdaptation
xv
,Chapter 01: Caring for Medical-Surgical Patients
xv xv xv xv xv
deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition
xv xv xv xv xv xv xv
xv MULTIPLE CHOICE xv
1. Which xvstatement xvaccurately xvdescribes xvthe xvprimary xvpurpose xvof xvthe xvstate xvnurse xvpractice xvact xv(NPA)?
a. To xvtest xvand xvlicense xvLPN/LVNs.
b. To xvdefine xvthe xvscope xvof xvLPN/LVN xvpractice.
c. To xvimprove xvthe xvquality xvof xvcare xvprovided xvby xvthe
xvLPN/LVN.
d. To xvlimit xvthe xvLPN/LVN xvemployment xvplacement.
ANS: B
While xvimproving xvquality xvof xvcare xvprovided xvby xvthe xvLPN/LVN xv may xvbe xva xvresult xvof xvthe xvNPA, xvthe xvprimary xvpurpose xvof
xvthe xv NPA xv of xv each xv state xv defines xv the xv scope xv of xv nursing xv practice xv in xv that xv state.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing xvProcess xvStep:
xv Implementation
MSC: NCLEX:xvSafe, xvEffective xvCare xvEnvironment: xvCoordinated xvCare
2. The xvcharge xvnurse xvasks xvthe xvnew xvvocational xvnurse xvto xvstart xvan xvintravenous xvinfusion, xva xvskill xvthat xvthe xvvocational
xv nurse xvhas xv not xv been xv taught xv during xv her xv educational xv program. xv How xv should xv the xv vocational xv nurse xv respond?
a. Ask xva xvmore xvexperienced xvnurse xvto xvdemonstrate xvthe xvprocedure.
b. Look xvup xvthe xvprocedure xvin xvthe xvprocedure xv manual.
c. Attempt xvto xvperform xvthe xvprocedure xv with xvsupervision.
d. Inform xvthe xvcharge xvnurse xvof xvher xvlack xvof xvtraining xvin xvthis
xvprocedure.
ANS: D
The xvcharge xvnurse xvshould xvbe xvinformed xvof xvthe xvlack xvof xvtraining xvto xvperform xvthe xvprocedure, xvand xvthe xvvocational xvnurse
xv should xv seek xv further xv training xv to xv gain xv proficiency. xv Although xv the xv other xv options xv might xv be xv helpful, xv they xv are xv not xv safe.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 3
OBJ: 1 TOP: Providing xvSafe xvCare KEY: Nursing xvProcess xvStep:
xvN/A
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
3. Which xvpatient xvstatement xvindicates xva xvneed xvfor xvfurther xvdischarge xvteaching xvthat xvthe xvvocational xvnurse xvshould xvaddress?
a. “I xvhave xvno xvidea xvof xvhow xvthis xvdrug xvwill xvaffect xv me.”
b. “Do xvyou xvknow xvif xvmy xvphysician xvis xvcoming xvback
xvtoday?”
c. “Will xvmy xvinsurance xvpay xvfor xvmy xvstay?”
d. “Am xvI xvgoing xvto xv have xvto xvgo xvto xva xvnursing xvhome?”
ANS: A
Lack xvof xvknowledge xvat xvdischarge xvabout xv medication xveffects xvand xvside xveffects xvis xva xvconcern xvthat xvshould xvbe xvaddressed xvby xvthe
xv vocatioxvnal xv nurse. xv The xv other xv concerns xv in xv the xv options xv are xv the xv responsibility xv of xv other xv departments xv to xv which xv the xv nurse
xv might xv refer xv the xv patient.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v x v REF: 2
OBJ: 1 TOP: Teaching x v KEY: Nursing xvProcess xvStep:
xv Implementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
4. According xvto xvmost xvstate xvNPAs, xvthe xvvocational xvnurse xvacting xvas xvcharge xvnurse xvin xva xvlong-term xvcare xvfacility
xv acts xv in xv which xv capacity?
a. Working xvunder xvdirect xvsupervision xvof xvan xvRN xvon xvthe xvunit
b. Working xv with xvthe xvRN xvin xvthe xvbuilding
c. Working xvunder xvgeneral xvsupervision xvby xvthe xvRN xvavailable xvon xvsite xvor xvby
xvphone
d. Working xvas xvan xvindependent xvvocational xvnurse
ANS: C
The xvvocational xvnurse xvin xvthe xvcapacity xvof xvthe xvcharge xvnurse xvin xva xvlong-term xvcare xvfacility xvacts xvwith xvthe xvgeneral xvsupervision
xv of xv an xv RN xv available xv on xv site xv or xv by xv phone.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 2
OBJ: 1 TOP: Charge xvNurse/Manager KEY: Nursing xvProcess xvStep:
xvN/A
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x vCoordinated xvCare
,5. The xvnurse xvis xveducating xva xvpatient xvthat xvis xva xv member xvof xva xvhealth xvmaintenance xvorganization xv(HMO). xvWhich
xvinformation xv should xv the xv nurse xv include?
a. Seek xvthe xvopinion xvof xvan xvalternate xvhealth xvcare xvprovider.
b. Obtain xvinsurance xvapproval xvfor xvmedical xvservices xvprior xvto xvtreatment.
c. Provide xvdetailed xvdocumentation xvof xvall xvcare xvreceived xvfor xvhis
xvcondition.
d. Wait xvat xvleast xv6 xvmonths xvto xvsee xva xvspecialist.
ANS: B
Most xvHMOs xvrequire xvpreprocedure xvauthorization xvfor xvtreatment. xvPatients xvare xvnot xvrequired xvto xvseek xva xvsecond xvopinion, xvprovide
xv documentation xv of xv care, xv or xv wait xv a xv specific xv time xv period xv before xv visiting xv a xv specialist.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 9
OBJ: 9 TOP: Charge xvNurse/Manager
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
6. The xvpatient xvcomplains xvto xvthe xvnurse xvthat xvhe xvis xvconfused xvabout xvhis xv“deductible” xvthat xvhe xvowes xvthe
xv hospital. xv Which xv statement xv accurately xv explains xv a xv deductible?
a. An xvamount xvof xvmoney xvput xvaside xvfor xvthe xvpayment xv of xvfuture xvmedical xvbills
b. A xvone-time xvfee xvfor xvservice
c. An xvamount xvof xv money xvdeducted xvfrom xvthe xvbill xvby xvthe xvinsurance xvcompany
d. An xvannual xvamount xvof xvmoney xvthe xvpatient xvmust xvpay xvout-of-pocket xvfor
xvmedical xvcare
ANS: D
The xvdeductible xvis xvthe xvannual xvamount xvthe xvinsured xvmust xvpay xvout-of-pocket xvprior xvto xvthe xvinsurance xvcompany xvassuming
xv the xv cost. xv This xv practice xv improves xv the xv profit xv of xv the xv insurance xv company.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 7
OBJ: 9 TOP: Health xvCare xvFinancing
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
7. The xvnurse xvcompares xvthe xvcharacteristics xvof xva xvhealth xvmaintenance xvorganization xv(HMO) xvand xva
xv preferred xvprovider xv organization xv (PPO). xv Which xv information xv should xv the xv nurse xv include xv about xv HMOs?
a. HMOs xvrequire xva xvset xvfee xvof xveach xvmember xv monthly.
b. HMOs xvallow xvthe xvmember xvto xvselect xvhis xvhealth xvcare
xvprovider.
c. HMOs xvpermit xvadmission xvto xvany xvfacility xvthe xvmember
xvprefers.
d. HMOs xvoffer xvunlimited xvdiagnostic xvtests xvand xvtreatments.
ANS: A
HMOs xvrequire xva xvset xvfee xvfrom xveach xv member xv monthly xv(capitation). xvThe xvpatient xv will xvbe xvtreated xvby xvthe xvHMO xvstaff xvin
xv HMO-approved xv facilities. xv Excessive xv use xv of xv diagnostic xv tests xv and xv treatments xv is xv discouraged xv by xv the xv HMO.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 9
OBJ: 9 TOP: Managed xvCare
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
8. A xvpatient xvasks xvthe xvnurse xvwhat xv Medicare xvPart xvA xvcovers. xvWhich xvresponse xvis xvcorrect?
a. Medicare xvPart xvA xvcovers xvinpatient xvhospital xvcosts.
b. Medicare xvPart xvA xvcovers xvreimbursement xvto xvthe
xvphysician.
c. Medicare xvPart xvA xvcovers xvoutpatient xvhospital xvservices.
d. Medicare xvPart xvA xvcovers xvambulance xvtransportation.
ANS: A
Medicare xvPart xvA xvcovers xvinpatient xvhospital xvexpenses, xvdrugs, xvx-rays, xvlaboratory xvwork, xvand xvintensive xvcare. xvMedicare xvPart xvB
xv pays xv the xv physician, xv ambulance xv transport, xv and xv outpatient xv services.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 7, xvBox xv1-
4
OBJ: 9 TOP: Government-Sponsored xvHealth
xv Insurance
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
9. Which xvis xvthe xvmain xvcost-containment xvcomponent xvof xvdiagnosis-related xvgroups xv(DRGs)?
, a. Hospitals xvfocus xvonly xvon xvthe xvspecific xvdiagnosis.
b. Hospitals xvtreat xvand xvdischarge xvpatients xvquickly.
c. Reduced xvcost xvdrugs xvare xvordered xvfor xvspecific
xvdiagnoses.
d. Diagnostic x v group x v classification x v streamlines x v care.
ANS: B
DRGs xvare xva xvprospective xvpayment xvplan xvin xv which xvhospitals xvreceive xva xvflat xvfee xvfor xveach xvpatient’s xvdiagnostic xvcategory
xv regardless xv of x v the xv length xv of xv time xv in xv the xv hospital. xv If xv hospitals xv can xv treat xv and xv discharge xv patients xv before xv the xv allotted
xv time, xv hospitals xv get xv to xv keep xv the xv excess xv payment; xv cost xv is xv contained, xv and xv the xv patient xv is xv discharged xv sooner.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 8
OBJ: 9 TOP: Government-Sponsored xvHealth
xv Insurance
KEY: x v x v Nursing xvProcess xvStep: xv Implementation
MSC: x v x v NCLEX: xvSafe, xvEffective xvCare xvEnvironment: xvCoordinated xvCare
10. The xvnurse xvis xvassessing xva xvgroup xvof xvpatients. xvWhich xvpatient xvwould xvmost xvlikely xvqualify xvfor xvMedicaid?
a. A xv35-year-old xvunemployed xvsingle xv mother xvwith xvdiabetes
b. A xv70-year-old xvMedicare xvrecipient xvwith xvretirement xvincome xvwho xvneeds xvto xvbe xvin xva xvlong-term xvcare
xvfacility
c. An xv80-year-old xvblind xvwoman xvliving xvin xvher xvown xvhome xvwho xvhas xvinadequate xvprivate xvinsurance
d. A xv67-year-old xvstroke xvvictim xvwith xvMedicare xvPart xvA xvand xvan xvincome xvfrom xvinvestments
ANS: A
Medicaid xvis xva xvjoint xveffort xvof xvfederal xvand xvstate xvgovernments xvgeared xvprimarily xvfor xvlow-income xvpeople xvwith xvno xvinsurance.
PTS: 1 DIF: Cognitive xvLevel: xvApplication x v REF: 8, xvBox xv1-
5 xvOBJ: 9 TOP: Government-Sponsored xvHealth xvInsurance–
Medicaid xvKEY: Nursing xvProcess xvStep: xvAssessment
MSC: NCLEX: x v Safe, x vEffective x vCare xvEnvironment: x vCoordinated x v Care
11. Which xvarea xvis xvthe xv major xvfocus xvof xvHealthy x vPeople xv 2020 xvand xvthe xvprimary xv mechanism xvthrough xvwhich xvto
xvimprove xv the xv health xv of xv Americans xv in xv the xv second xv decade xv of xv the xv century?
a. Research x v funding
b. Health x v information x v distribution
c. Healthy x v lifestyle x v encouragement
d. Health x v improvement x v program
x v designs
ANS: C
Healthy xvPeople xv2020 xvfocuses xvon xvexpanding xvongoing xvprograms xvto xvinclude xvsupport xvand xvinformation xvto xvreduce xvinfant
xv mortality, xv cancer, xv cardiovascular xv disease, xv and xv HIV/AIDS, xv and xv to xv increase xv effective xv immunizations, xv healthy xv eating
xv habits, xv and xv healthy xv weight.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 6
OBJ: 7 TOP: Healthy xvPeople xv2020
KEY: Nursing xvProcess xvStep: xvImplementation
MSC: NCLEX: x v Safe, xvEffective xv Care xvEnvironment: x v Coordinated xvCare
12. Which xvterm xvexplains xvthe xvtype xvof xvcare xvthat xvaddresses xvinterventions xvfor xvall xvdimensions xvof xva xvpatient’s xvlife?
a. Focused xvcare
b. General xvcare
c. Directed x v care
d. Holistic xvcare
ANS: D
Holistic xvcare xvaddresses xvthe xvphysiologic, xvpsychological, xvsocial, xvcultural, xvand xvspiritual xvneeds xvof xvthe xvpatient.
PTS: 1 DIF: Cognitive xvLevel: xvComprehension REF: 6
OBJ: 8 TOP: Holistic xvCare
KEY: Nursing xvProcess xvStep: xvPlanning
MSC: NCLEX: xvPsychosocial xv Integrity: xv Coping xvand xvAdaptation
