Test Bank for Medical-Surgical Nursing: Concepts and Practice 6th Edition by Holly K. Stromberg – Complete Chapter 1-49 isbn: 9780443121029

Test Bank for Medical-Surgical Nursing: Concepts and Practice 6th Edition by Holly K. Stromberg – Complete Chapter 1-49 isbn: 9780443121029. Chapter 01: Caring for Medical-Surgical Patients MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each state defines the scope of nursing practice in that state. REF: p. 3 OBJ: 3 TOP: NPA KEY: Nursing Franklyn A Plus Pass Page | 5 b. Look up the procedure in the procedure manual. c. Attempt to perform the procedure with supervision. d. Inform the charge nurse of her lack of training in this procedure. CORRECT ANSWER: D The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek further training to gain proficiency. Although the other options might be helpful, they are not safe. DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care address? a. I have no idea of how this drug will affect me. b. Do you know if my physician is coming back today? c. Will my insurance pay for my stay? d. Am I going to have to go to a nursing home? CORRECT ANSWER: A 3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocational nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patient. REF: p. 2 OBJ: 1 TOP: Teaching KEY: Nursing Process Franklyn A Plus Pass Page | 6 DIF: Cognitive Level: Application Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 4. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which information should the nurse include? a. Seek the opinion of an alternate health care provider. b. Contact the insurance company for coverage details as services may be limited. c. Provide detailed documentation of all care received for his condition. d. Wait at least 6 months to see a specialist. CORRECT ANSWER: B DIF: Cognitive Level: Application HMOs are a kind of managed care. This is accomplished by paying providers to care for groups of patients for a set capitation fee and by limiting services. Patients are not required to seek a second opinion, provide documentation of care, or wait a specific time period before visiting a specialist. REF: p. 9 OBJ: 9 KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, 6. The patient complains to the nurse that he is confused about his deductible that he owes the hospital. Franklyn A Plus Pass Page | 7 TOP: Charge Nurse/Manager Effective Care Environment: Coordinated Care Which statement accurately explains a deductible? a. An amount of money put aside for the payment of future medical bills b. A one-time fee for service c. An amount of money deducted from the bill by the insurance company d. An annual amount of money the patient must pay out-of-pocket for medical care CORRECT ANSWER: D The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance company assuming the cost. This practice improves the profit of the insurance company. DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 9 TOP: Health Care Financing KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 7. A patient asks the nurse what Medicare Part A covers. Which response is correct? a. Medicare Part A covers inpatient hospital costs. b. Medicare Part A covers reimbursement to the physician. c. Medicare Part A covers outpatient hospital services. d. Medicare Part A covers ambulance transportation. Franklyn A Plus Pass Page | 8 CORRECT ANSWER: A DIF: Cognitive Level: Comprehension OBJ: 9 Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care a. Hospitals focus only on the specific diagnosis. b. Hospitals treat and discharge patients quickly. c. Reduced cost drugs are ordered for specific diagnoses. d. Diagnostic group classification streamlines care. CORRECT ANSWER: B