, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
Chapter 01: Caring for Medical-Surgical Patients
ss ss ss ss ss
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
ss ss ss ss ss ss ss
MULTIPLE ssCHOICE
1. Which ssstatement ssaccurately ssdescribes ssthe ssprimary sspurpose ssof ssthe ssstate ssnurse sspractice
act ss(NPA)?
ss
a. To sstest ssand sslicense ssLPN/LVNs.
b. To ssdefine ssthe ssscope ssof ssLPN/LVN sspractice.
c. To ssimprove ssthe ssquality ssof sscare ssprovided ssby ssthe ssLPN/LVN.
d. To sslimit ssthe ssLPN/LVN ssemployment ssplacement.
ANS: s s B
While ssimproving ssquality ssof sscare ssprovided ssbyssthe ssLPN/LVN ssmay ssbe ssa ssresult ssof ssthe ssNPA,
ssthe ssprimary sspurpose ssof ssthe ssNPA ssof sseach ssstate ssdefines ssthe ssscope ssof ssnursing sspractice ssin
ssthat ssstate.
PTS: s s s s 1 DIF: Cognitive ssLevel: ssComprehension REF: s s s s 2
OBJ: s s 3 TOP: s s NPA KEY: s s Nursing ssProcess ssStep:
ssImplementation ssMSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated
ssCare
2. The sscharge ssnurse ssasks ssthe ssnew ssvocational ssnurse ssto ssstart ssan ssintravenous ssinfusion, ssa ssskill
that ssthe ssvocational ssnurse sshas ssnot ssbeen sstaught ssduring ssher sseducational ssprogram. ssHow
ss
ssshould ssthe ssvocational ssnurse ssrespond?
a. Ask ssa ssmore ssexperienced ssnurse ssto ssdemonstrate ssthe ssprocedure.
b. Look ssup ssthe ssprocedure ssin ssthe ssprocedure ssmanual.
c. Attempt ssto ssperform ssthe ssprocedure sswith sssupervision.
d. Inform ssthe sscharge ssnurse ssof ssher sslack ssof sstraining ssin ssthis ssprocedure.
ANS: s s D
The sscharge ssnurse ssshould ssbe ssinformed ssof ssthe sslack ssof sstraining ssto ssperform ssthe ssprocedure,
ssand ssthe ssvocational ssnurse ssshould ssseek ssfurther sstraining ssto ssgain ssproficiency. ssAlthough ssthe
ssother ssoptions ssmight ssbe sshelpful, ssthey ssare ssnot sssafe.
PTS: 1 DIF: Cognitive ssLevel: ssApplication REF: s s s s 3
OBJ: s s 1 TOP: s s Providing ssSafe ssCare KEY: s s Nursing ssProcess ssStep:
ssN/A ssMSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
3. Which sspatient ssstatement ssindicates ssa ssneed ssfor ssfurther ssdischarge ssteaching ssthat ssthe
vocational ssnurse ssshould ssaddress?
ss
a. ―I sshave ssno ssidea ssof sshow ssthis ssdrug sswill ssaffect ssme.‖
b. ―Do ssyou ssknow ssif ssmy ssphysician ssis sscoming ssback sstoday?‖
c. ―Will ssmy ssinsurance sspay ssfor ssmy ssstay?‖
d. ―Am ssI ssgoing ssto sshave ssto ssgo ssto ssa ssnursing sshome?‖
ANS: s s A
Lack ssof ssknowledge ssat ssdischarge ssabout ssmedication sseffects ssand ssside sseffects ssis ssa ssconcern
ssthat ssshould ssbe ssaddressed ssby ssthe ssvocational ssnurse. ssThe ssother ssconcerns ssin ssthe ssoptions
ssare ssthe ssresponsibility ssof ssother ssdepartments ssto sswhich ssthe ssnurse ssmight ssrefer ssthe sspatient.
PTS: s s ss1 DIF: Cognitive ssLevel: ssApplication REF: s s s s 2
OBJ: s s ss1 TOP: s s Teaching KEY: s s Nursing ssProcess ssStep: ssImplementation
, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
4. According ssto ssmost ssstate ssNPAs, ssthe ssvocational ssnurse ssacting ssas sscharge ssnurse ssin ssa sslong-term
care ssfacility ssacts ssin sswhich sscapacity?
ss
a. Working ssunder ssdirect sssupervision ssof ssan ssRN sson ssthe ssunit
b. Working sswith ssthe ssRN ssin ssthe ssbuilding
c. Working ssunder ssgeneral sssupervision ssby ssthe ssRN ssavailable sson sssite ssor ssby ssphone
d. Working ssas ssan ssindependent ssvocational ssnurse
ANS: s s C
The ssvocational ssnurse ssin ssthe sscapacity ssof ssthe sscharge ssnurse ssin ssa sslong-term sscare ssfacility ssacts
sswith ssthe ssgeneral sssupervision ssof ssan ssRN ssavailable sson sssite ssor ssby ssphone.
PTS: s s s s 1 DIF: Cognitive ssLevel: ssComprehension REF: s s s s 2
OBJ: s s 1 TOP: s s Charge ssNurse/Manager KEY: s s Nursing ssProcess ssStep:
ssN/A ssMSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
5. The ssnurse ssis sseducating ssa sspatient ssthat ssis ssa ssmember ssof ssa sshealth ssmaintenance
organization ss(HMO). ssWhich ssinformation ssshould ssthe ssnurse ssinclude?
ss
a. Seek ssthe ssopinion ssof ssan ssalternate sshealth sscare ssprovider.
b. Obtain ssinsurance ssapproval ssfor ssmedical ssservices ssprior ssto sstreatment.
c. Provide ssdetailed ssdocumentation ssof ssall sscare ssreceived ssfor sshis sscondition.
d. Wait ssat ssleast ss6 ssmonths ssto sssee ssa ssspecialist.
ANS: s s B
Most ssHMOs ssrequire sspreprocedure ssauthorization ssfor sstreatment. ssPatients ssare ssnot ssrequired
ssto ssseek ssa sssecond ssopinion, ssprovide ssdocumentation ssof sscare, ssor sswait ssa ssspecific sstime ssperiod
ssbefore ssvisiting ssa ssspecialist.
PTS: s s 1 DIF: Cognitive ssLevel: ssApplication REF:
s s 9 ssOBJ: s s 9 TOP: s s Charge ssNurse/Manager
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
6. The sspatient sscomplains ssto ssthe ssnurse ssthat sshe ssis ssconfused ssabout sshis ss―deductible‖ ssthat sshe
owes ssthe sshospital. ssWhich ssstatement ssaccurately ssexplains ssa ssdeductible?
ss
a. An ssamount ssof ssmoney ssput ssaside ssfor ssthe sspayment ssof ssfuture ssmedical ssbills
b. A ssone-time ssfee ssfor ssservice
c. An ssamount ssof ssmoney ssdeducted ssfrom ssthe ssbill ssby ssthe ssinsurance sscompany
d. An ssannual ssamount ssof ssmoney ssthe sspatient ssmust sspay ssout-of-pocket ssfor ssmedical sscare
ANS: s s D
The ssdeductible ssis ssthe ssannual ssamount ssthe ssinsured ssmust sspay ssout-of-pocket ssprior ssto ssthe
ssinsurance sscompany ssassuming ssthe sscost. ssThis sspractice ssimproves ssthe ssprofit ssof ssthe
ssinsurance sscompany.
PTS: s s 1 DIF: Cognitive ssLevel: ssComprehension REF:
s s 7 ssOBJ: s s 9 TOP: s s Health ssCare ssFinancing
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
7. The ssnurse sscompares ssthe sscharacteristics ssof ssa sshealth ssmaintenance ssorganization ss(HMO)
and ssa sspreferred ssprovider ssorganization ss(PPO). ssWhich ssinformation ssshould ssthe ssnurse
ss
include ssabout ssHMOs?
ss
a. HMOs ssrequire ssa ssset ssfee ssof sseach ssmember ssmonthly.
b. HMOs ssallow ssthe ssmember ssto ssselect sshis sshealth sscare ssprovider.
c. HMOs sspermit ssadmission ssto ssany ssfacility ssthe ssmember ssprefers.
d. HMOs ssoffer ssunlimited ssdiagnostic sstests ssand sstreatments.
ANS: s s A
HMOs ssrequire ssa ssset ssfee ssfrom sseach ssmember ssmonthly ss(capitation). ssThe sspatient sswill ssbe
sstreated ssby ssthe ssHMO ssstaff ssin ssHMO-approved ssfacilities. ssExcessive ssuse ssof ssdiagnostic sstests
ssand sstreatments ssis ssdiscouraged ssby ssthe ssHMO.
PTS: s s 1 DIF: Cognitive ssLevel: ssApplication REF:
s s 9 ssOBJ: s s 9 TOP: s s Managed ssCare
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
8. A sspatient ssasks ssthe ssnurse sswhat ssMedicare ssPart ssA sscovers. ssWhich ssresponse ssis sscorrect?
a. Medicare ssPart ssA sscovers ssinpatient sshospital sscosts.
b. Medicare ssPart ssA sscovers ssreimbursement ssto ssthe ssphysician.
c. Medicare ssPart ssA sscovers ssoutpatient sshospital ssservices.
d. Medicare ssPart ssA sscovers ssambulance sstransportation.
ANS: s s A
Medicare ssPart ssA sscovers ssinpatient sshospital ssexpenses, ssdrugs, ssx-rays, sslaboratory sswork,
ssand ssintensive sscare. ssMedicare ssPart ssB sspays ssthe ssphysician, ssambulance sstransport, ssand
ssoutpatient ssservices.
PTS: s s 1 DIF: Cognitive ssLevel: ssComprehension REF: s s 7, ssBox
ss1-4 ssOBJ: s s 9 TOP: s s Government-Sponsored ssHealth ssInsurance
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
9. Which ssis ssthe ssmain sscost-containment sscomponent ssof ssdiagnosis-related ssgroups ss(DRGs)?
a. Hospitals ssfocus ssonly sson ssthe ssspecific ssdiagnosis.
b. Hospitals sstreat ssand ssdischarge sspatients ssquickly.
c. Reduced sscost ssdrugs ssare ssordered ssfor ssspecific ssdiagnoses.
d. Diagnostic ssgroup ssclassification ssstreamlines sscare.
ANS: s s B
DRGs ssare ssa ssprospective sspayment ssplan ssin sswhich sshospitals ssreceive ssa ssflat ssfee ssfor sseach
sspatient’s ssdiagnostic sscategory ssregardless ssof ssthe sslength ssof sstime ssin ssthe sshospital. ssIf
sshospitals sscan sstreat ssand ssdischarge sspatients ssbefore ssthe ssallotted sstime, sshospitals ssget ssto
sskeep ssthe ssexcess sspayment; sscost ssis sscontained, ssand ssthe sspatient ssis ssdischarged sssooner.
PTS: s s 1 DIF: Cognitive ssLevel: ssComprehension REF:
s s 8 ssOBJ: s s 9 TOP: s s Government-Sponsored ssHealth ssInsurance
ssKEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
Study Material
Chapter 01: Caring for Medical-Surgical Patients
ss ss ss ss ss
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
ss ss ss ss ss ss ss
MULTIPLE ssCHOICE
1. Which ssstatement ssaccurately ssdescribes ssthe ssprimary sspurpose ssof ssthe ssstate ssnurse sspractice
act ss(NPA)?
ss
a. To sstest ssand sslicense ssLPN/LVNs.
b. To ssdefine ssthe ssscope ssof ssLPN/LVN sspractice.
c. To ssimprove ssthe ssquality ssof sscare ssprovided ssby ssthe ssLPN/LVN.
d. To sslimit ssthe ssLPN/LVN ssemployment ssplacement.
ANS: s s B
While ssimproving ssquality ssof sscare ssprovided ssbyssthe ssLPN/LVN ssmay ssbe ssa ssresult ssof ssthe ssNPA,
ssthe ssprimary sspurpose ssof ssthe ssNPA ssof sseach ssstate ssdefines ssthe ssscope ssof ssnursing sspractice ssin
ssthat ssstate.
PTS: s s s s 1 DIF: Cognitive ssLevel: ssComprehension REF: s s s s 2
OBJ: s s 3 TOP: s s NPA KEY: s s Nursing ssProcess ssStep:
ssImplementation ssMSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated
ssCare
2. The sscharge ssnurse ssasks ssthe ssnew ssvocational ssnurse ssto ssstart ssan ssintravenous ssinfusion, ssa ssskill
that ssthe ssvocational ssnurse sshas ssnot ssbeen sstaught ssduring ssher sseducational ssprogram. ssHow
ss
ssshould ssthe ssvocational ssnurse ssrespond?
a. Ask ssa ssmore ssexperienced ssnurse ssto ssdemonstrate ssthe ssprocedure.
b. Look ssup ssthe ssprocedure ssin ssthe ssprocedure ssmanual.
c. Attempt ssto ssperform ssthe ssprocedure sswith sssupervision.
d. Inform ssthe sscharge ssnurse ssof ssher sslack ssof sstraining ssin ssthis ssprocedure.
ANS: s s D
The sscharge ssnurse ssshould ssbe ssinformed ssof ssthe sslack ssof sstraining ssto ssperform ssthe ssprocedure,
ssand ssthe ssvocational ssnurse ssshould ssseek ssfurther sstraining ssto ssgain ssproficiency. ssAlthough ssthe
ssother ssoptions ssmight ssbe sshelpful, ssthey ssare ssnot sssafe.
PTS: 1 DIF: Cognitive ssLevel: ssApplication REF: s s s s 3
OBJ: s s 1 TOP: s s Providing ssSafe ssCare KEY: s s Nursing ssProcess ssStep:
ssN/A ssMSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
3. Which sspatient ssstatement ssindicates ssa ssneed ssfor ssfurther ssdischarge ssteaching ssthat ssthe
vocational ssnurse ssshould ssaddress?
ss
a. ―I sshave ssno ssidea ssof sshow ssthis ssdrug sswill ssaffect ssme.‖
b. ―Do ssyou ssknow ssif ssmy ssphysician ssis sscoming ssback sstoday?‖
c. ―Will ssmy ssinsurance sspay ssfor ssmy ssstay?‖
d. ―Am ssI ssgoing ssto sshave ssto ssgo ssto ssa ssnursing sshome?‖
ANS: s s A
Lack ssof ssknowledge ssat ssdischarge ssabout ssmedication sseffects ssand ssside sseffects ssis ssa ssconcern
ssthat ssshould ssbe ssaddressed ssby ssthe ssvocational ssnurse. ssThe ssother ssconcerns ssin ssthe ssoptions
ssare ssthe ssresponsibility ssof ssother ssdepartments ssto sswhich ssthe ssnurse ssmight ssrefer ssthe sspatient.
PTS: s s ss1 DIF: Cognitive ssLevel: ssApplication REF: s s s s 2
OBJ: s s ss1 TOP: s s Teaching KEY: s s Nursing ssProcess ssStep: ssImplementation
, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
4. According ssto ssmost ssstate ssNPAs, ssthe ssvocational ssnurse ssacting ssas sscharge ssnurse ssin ssa sslong-term
care ssfacility ssacts ssin sswhich sscapacity?
ss
a. Working ssunder ssdirect sssupervision ssof ssan ssRN sson ssthe ssunit
b. Working sswith ssthe ssRN ssin ssthe ssbuilding
c. Working ssunder ssgeneral sssupervision ssby ssthe ssRN ssavailable sson sssite ssor ssby ssphone
d. Working ssas ssan ssindependent ssvocational ssnurse
ANS: s s C
The ssvocational ssnurse ssin ssthe sscapacity ssof ssthe sscharge ssnurse ssin ssa sslong-term sscare ssfacility ssacts
sswith ssthe ssgeneral sssupervision ssof ssan ssRN ssavailable sson sssite ssor ssby ssphone.
PTS: s s s s 1 DIF: Cognitive ssLevel: ssComprehension REF: s s s s 2
OBJ: s s 1 TOP: s s Charge ssNurse/Manager KEY: s s Nursing ssProcess ssStep:
ssN/A ssMSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
5. The ssnurse ssis sseducating ssa sspatient ssthat ssis ssa ssmember ssof ssa sshealth ssmaintenance
organization ss(HMO). ssWhich ssinformation ssshould ssthe ssnurse ssinclude?
ss
a. Seek ssthe ssopinion ssof ssan ssalternate sshealth sscare ssprovider.
b. Obtain ssinsurance ssapproval ssfor ssmedical ssservices ssprior ssto sstreatment.
c. Provide ssdetailed ssdocumentation ssof ssall sscare ssreceived ssfor sshis sscondition.
d. Wait ssat ssleast ss6 ssmonths ssto sssee ssa ssspecialist.
ANS: s s B
Most ssHMOs ssrequire sspreprocedure ssauthorization ssfor sstreatment. ssPatients ssare ssnot ssrequired
ssto ssseek ssa sssecond ssopinion, ssprovide ssdocumentation ssof sscare, ssor sswait ssa ssspecific sstime ssperiod
ssbefore ssvisiting ssa ssspecialist.
PTS: s s 1 DIF: Cognitive ssLevel: ssApplication REF:
s s 9 ssOBJ: s s 9 TOP: s s Charge ssNurse/Manager
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
6. The sspatient sscomplains ssto ssthe ssnurse ssthat sshe ssis ssconfused ssabout sshis ss―deductible‖ ssthat sshe
owes ssthe sshospital. ssWhich ssstatement ssaccurately ssexplains ssa ssdeductible?
ss
a. An ssamount ssof ssmoney ssput ssaside ssfor ssthe sspayment ssof ssfuture ssmedical ssbills
b. A ssone-time ssfee ssfor ssservice
c. An ssamount ssof ssmoney ssdeducted ssfrom ssthe ssbill ssby ssthe ssinsurance sscompany
d. An ssannual ssamount ssof ssmoney ssthe sspatient ssmust sspay ssout-of-pocket ssfor ssmedical sscare
ANS: s s D
The ssdeductible ssis ssthe ssannual ssamount ssthe ssinsured ssmust sspay ssout-of-pocket ssprior ssto ssthe
ssinsurance sscompany ssassuming ssthe sscost. ssThis sspractice ssimproves ssthe ssprofit ssof ssthe
ssinsurance sscompany.
PTS: s s 1 DIF: Cognitive ssLevel: ssComprehension REF:
s s 7 ssOBJ: s s 9 TOP: s s Health ssCare ssFinancing
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
, Stuvia.com ss- ssThe ssMarketplace ssto ssBuy ssand ssSell ssyour
Study Material
7. The ssnurse sscompares ssthe sscharacteristics ssof ssa sshealth ssmaintenance ssorganization ss(HMO)
and ssa sspreferred ssprovider ssorganization ss(PPO). ssWhich ssinformation ssshould ssthe ssnurse
ss
include ssabout ssHMOs?
ss
a. HMOs ssrequire ssa ssset ssfee ssof sseach ssmember ssmonthly.
b. HMOs ssallow ssthe ssmember ssto ssselect sshis sshealth sscare ssprovider.
c. HMOs sspermit ssadmission ssto ssany ssfacility ssthe ssmember ssprefers.
d. HMOs ssoffer ssunlimited ssdiagnostic sstests ssand sstreatments.
ANS: s s A
HMOs ssrequire ssa ssset ssfee ssfrom sseach ssmember ssmonthly ss(capitation). ssThe sspatient sswill ssbe
sstreated ssby ssthe ssHMO ssstaff ssin ssHMO-approved ssfacilities. ssExcessive ssuse ssof ssdiagnostic sstests
ssand sstreatments ssis ssdiscouraged ssby ssthe ssHMO.
PTS: s s 1 DIF: Cognitive ssLevel: ssApplication REF:
s s 9 ssOBJ: s s 9 TOP: s s Managed ssCare
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
8. A sspatient ssasks ssthe ssnurse sswhat ssMedicare ssPart ssA sscovers. ssWhich ssresponse ssis sscorrect?
a. Medicare ssPart ssA sscovers ssinpatient sshospital sscosts.
b. Medicare ssPart ssA sscovers ssreimbursement ssto ssthe ssphysician.
c. Medicare ssPart ssA sscovers ssoutpatient sshospital ssservices.
d. Medicare ssPart ssA sscovers ssambulance sstransportation.
ANS: s s A
Medicare ssPart ssA sscovers ssinpatient sshospital ssexpenses, ssdrugs, ssx-rays, sslaboratory sswork,
ssand ssintensive sscare. ssMedicare ssPart ssB sspays ssthe ssphysician, ssambulance sstransport, ssand
ssoutpatient ssservices.
PTS: s s 1 DIF: Cognitive ssLevel: ssComprehension REF: s s 7, ssBox
ss1-4 ssOBJ: s s 9 TOP: s s Government-Sponsored ssHealth ssInsurance
KEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
9. Which ssis ssthe ssmain sscost-containment sscomponent ssof ssdiagnosis-related ssgroups ss(DRGs)?
a. Hospitals ssfocus ssonly sson ssthe ssspecific ssdiagnosis.
b. Hospitals sstreat ssand ssdischarge sspatients ssquickly.
c. Reduced sscost ssdrugs ssare ssordered ssfor ssspecific ssdiagnoses.
d. Diagnostic ssgroup ssclassification ssstreamlines sscare.
ANS: s s B
DRGs ssare ssa ssprospective sspayment ssplan ssin sswhich sshospitals ssreceive ssa ssflat ssfee ssfor sseach
sspatient’s ssdiagnostic sscategory ssregardless ssof ssthe sslength ssof sstime ssin ssthe sshospital. ssIf
sshospitals sscan sstreat ssand ssdischarge sspatients ssbefore ssthe ssallotted sstime, sshospitals ssget ssto
sskeep ssthe ssexcess sspayment; sscost ssis sscontained, ssand ssthe sspatient ssis ssdischarged sssooner.
PTS: s s 1 DIF: Cognitive ssLevel: ssComprehension REF:
s s 8 ssOBJ: s s 9 TOP: s s Government-Sponsored ssHealth ssInsurance
ssKEY: s s Nursing ssProcess ssStep: ssImplementation
MSC: s s NCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
