DEWIT’S MEDICAL
SURGICAL NURSING
CONCEPTS AND PRACTICE
4TH EDITION STROMBERG
TEST BANK
, Dewit’s Medical Surgical Nursing Concepts and Practice 4th Edition
Stromberg Test Bank
Chapter 1. Caring for Medical-Surgical Patients
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a home-bound
patient, the spouse of the patient asks whether Medicare will cover the patients ventilator therapy
and insulin injections. What is the best response by the nurse?
a. Yes, Medicare will cover both the ventilator therapy and the insulin injections.
b. No, Medicare will not cover either of these ongoing therapies.
c. Medicare will cover the ventilator therapy, but it does not cover the insulin injections.
d. Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill
such as ventilator therapy.
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can
be taught to the family or the patient are not covered.
DIF: Cognitive Level: Application REF: p. 18 OBJ: 3
TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement
in a skilled nursing care facility when he is discharged from the general hospital. The patient is
incontinent, has mild dementia but is able to ambulate with a walker, and must have help to eat
and dress himself. What is the nurses most appropriate response?
a. Yes, your husband would qualify for a skilled care facility because of his inability to feed and
dress himself.
b. No, your husbands disabilities would not qualify him for a skilled facility.
c. Yes, your husband qualifies for placement in a skilled care facility because of his dementia.
d. Yes, anyone who is willing to pay can be placed in a skilled nursing facility.
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for
rehabilitation must be evident, or severe deficits in self-care that have a potential for
improvement and require the services of a registered nurse, physical therapist, or speech therapist
must exist.
DIF: Cognitive Level: Analysis REF: p. 19 OBJ: 9
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room,
does not take active part in activities, and leaves the meal table after having eaten very little. The
nurse should analyze this relocation response as
a. regression.
http://www.nursylab.com
,b. social withdrawal.
c. depersonalization.
d. passive aggressive.
ANS: B
Social withdrawal is a frequent response to relocation.
DIF: Cognitive Level: Application REF: p. 27 OBJ: 10
TOP: Relocation Response KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means. What
statement made by the patient indicates a correct understanding?
a. I will return to my previous level of functioning.
b. I will be counseled into a new career.
c. I will develop better coping skills to accept his disability.
d. I will attain the greatest degree of independence possible.
ANS: D
The rehabilitation process works to promote independence at whatever level the patient is
capable of achieving.
DIF: Cognitive Level: Comprehension REF: p. 21 OBJ: 4
TOP: Rehabilitation Goals KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
5. A nurse assesses a patient who needs to be reminded to take premeasured oral medications,
wash, go to meals, and undress and come to bed at night, but coming and going as he pleases is
considered safe for him. What facility placement would be most appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
ANS: D
Domiciliary care provides room, board, and supervision, and residents may come and go as they
please. Sheltered housing does not provide 24-hour care.
DIF: Cognitive Level: Comprehension REF: p. 25 OBJ: 3
TOP: Levels of Care, Criteria for Domiciliary Residence
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. A nurse is making a list of the members of the rehabilitation team so the different types of
services available to patients may be taught to a group of families. Which lists should be used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
ANS: A
The rehabilitation team usually consists of all of the choices except the laboratory technician,
dietitian, and psychiatrist. (The mental health role is represented by the psychologist.)
http://www.nursylab.com
, DIF: Cognitive Level: Comprehension REF: p. 23 OBJ: 8
TOP: Rehabilitation Team Members KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
7. A nurse explains the level of disability to a patient who was injured in a construction accident
that resulted in the loss of both his right arm and right leg. This loss has affected his quality of
life and ability to return to previous employment. At what level should the client be classified as
being disabled?
a. I
b. II
c. III
d. IV
ANS: B
The patient is limited in the use of his right arm for feeding himself, dressing himself, and
driving his car, which are three main activities of daily living. He may be able to work if
workplace modifications are made.
DIF: Cognitive Level: Application REF: p. 21 OBJ: 5
TOP: Levels of Disability KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. A nurse explains that in 1990, the Americans with Disabilities Act (ADA) was passed. For
which extended services for the disabled persons did this act provide?
a. Covering the costs for the rehabilitation of disabled World War I servicemen by providing job
training
b. Extending protection to the disabled in the military sector, such as wheelchair ramps on
military bases
c. Extending protection to the disabled in private areas, such as accessibility to public restaurant
bathrooms and telephones
d. Affording disabled persons full access to all health care services
ANS: C
The ADA of 1990 extended the previous legislative Acts of 1920, 1935, and 1973. The ADA now
covers private sector individuals and public businesses in particular.
DIF: Cognitive Level: Comprehension REF: p. 22-23 OBJ: 7
TOP: Americans with Disabilities Act (ADA) of 1990
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
9. A frail patient in a long-term care facility asks the nurse if a bath is to be given this morning.
What is the best reply by the nurse to encourage independence and give the patient the most
flexibility?
a. Based on your room number, you get bathed on Monday, Wednesday, and Friday. Today is
Tuesday.
b. If you want to eat breakfast in the dining room with the others, you may sponge yourself off in
your bathroom.
c. When your daughter comes this evening, ask her if she can give you a bath.
http://www.nursylab.com
SURGICAL NURSING
CONCEPTS AND PRACTICE
4TH EDITION STROMBERG
TEST BANK
, Dewit’s Medical Surgical Nursing Concepts and Practice 4th Edition
Stromberg Test Bank
Chapter 1. Caring for Medical-Surgical Patients
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a home-bound
patient, the spouse of the patient asks whether Medicare will cover the patients ventilator therapy
and insulin injections. What is the best response by the nurse?
a. Yes, Medicare will cover both the ventilator therapy and the insulin injections.
b. No, Medicare will not cover either of these ongoing therapies.
c. Medicare will cover the ventilator therapy, but it does not cover the insulin injections.
d. Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill
such as ventilator therapy.
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can
be taught to the family or the patient are not covered.
DIF: Cognitive Level: Application REF: p. 18 OBJ: 3
TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement
in a skilled nursing care facility when he is discharged from the general hospital. The patient is
incontinent, has mild dementia but is able to ambulate with a walker, and must have help to eat
and dress himself. What is the nurses most appropriate response?
a. Yes, your husband would qualify for a skilled care facility because of his inability to feed and
dress himself.
b. No, your husbands disabilities would not qualify him for a skilled facility.
c. Yes, your husband qualifies for placement in a skilled care facility because of his dementia.
d. Yes, anyone who is willing to pay can be placed in a skilled nursing facility.
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for
rehabilitation must be evident, or severe deficits in self-care that have a potential for
improvement and require the services of a registered nurse, physical therapist, or speech therapist
must exist.
DIF: Cognitive Level: Analysis REF: p. 19 OBJ: 9
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room,
does not take active part in activities, and leaves the meal table after having eaten very little. The
nurse should analyze this relocation response as
a. regression.
http://www.nursylab.com
,b. social withdrawal.
c. depersonalization.
d. passive aggressive.
ANS: B
Social withdrawal is a frequent response to relocation.
DIF: Cognitive Level: Application REF: p. 27 OBJ: 10
TOP: Relocation Response KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means. What
statement made by the patient indicates a correct understanding?
a. I will return to my previous level of functioning.
b. I will be counseled into a new career.
c. I will develop better coping skills to accept his disability.
d. I will attain the greatest degree of independence possible.
ANS: D
The rehabilitation process works to promote independence at whatever level the patient is
capable of achieving.
DIF: Cognitive Level: Comprehension REF: p. 21 OBJ: 4
TOP: Rehabilitation Goals KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
5. A nurse assesses a patient who needs to be reminded to take premeasured oral medications,
wash, go to meals, and undress and come to bed at night, but coming and going as he pleases is
considered safe for him. What facility placement would be most appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
ANS: D
Domiciliary care provides room, board, and supervision, and residents may come and go as they
please. Sheltered housing does not provide 24-hour care.
DIF: Cognitive Level: Comprehension REF: p. 25 OBJ: 3
TOP: Levels of Care, Criteria for Domiciliary Residence
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. A nurse is making a list of the members of the rehabilitation team so the different types of
services available to patients may be taught to a group of families. Which lists should be used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
ANS: A
The rehabilitation team usually consists of all of the choices except the laboratory technician,
dietitian, and psychiatrist. (The mental health role is represented by the psychologist.)
http://www.nursylab.com
, DIF: Cognitive Level: Comprehension REF: p. 23 OBJ: 8
TOP: Rehabilitation Team Members KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
7. A nurse explains the level of disability to a patient who was injured in a construction accident
that resulted in the loss of both his right arm and right leg. This loss has affected his quality of
life and ability to return to previous employment. At what level should the client be classified as
being disabled?
a. I
b. II
c. III
d. IV
ANS: B
The patient is limited in the use of his right arm for feeding himself, dressing himself, and
driving his car, which are three main activities of daily living. He may be able to work if
workplace modifications are made.
DIF: Cognitive Level: Application REF: p. 21 OBJ: 5
TOP: Levels of Disability KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. A nurse explains that in 1990, the Americans with Disabilities Act (ADA) was passed. For
which extended services for the disabled persons did this act provide?
a. Covering the costs for the rehabilitation of disabled World War I servicemen by providing job
training
b. Extending protection to the disabled in the military sector, such as wheelchair ramps on
military bases
c. Extending protection to the disabled in private areas, such as accessibility to public restaurant
bathrooms and telephones
d. Affording disabled persons full access to all health care services
ANS: C
The ADA of 1990 extended the previous legislative Acts of 1920, 1935, and 1973. The ADA now
covers private sector individuals and public businesses in particular.
DIF: Cognitive Level: Comprehension REF: p. 22-23 OBJ: 7
TOP: Americans with Disabilities Act (ADA) of 1990
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
9. A frail patient in a long-term care facility asks the nurse if a bath is to be given this morning.
What is the best reply by the nurse to encourage independence and give the patient the most
flexibility?
a. Based on your room number, you get bathed on Monday, Wednesday, and Friday. Today is
Tuesday.
b. If you want to eat breakfast in the dining room with the others, you may sponge yourself off in
your bathroom.
c. When your daughter comes this evening, ask her if she can give you a bath.
http://www.nursylab.com
