Medical-Surgical Nursing: Concepts & Practice, 3rd Edition (deWit, 2022) | Core Textbook & Guide

Whizznurse@2024

Test Bank For Medical-
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Surgical Nursing: Concepts & Practice 3rd E
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dition by Susan
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C. deWit.
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FULL TEST BANK!!!
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,Whizznurse@2024




Chapterj 01:j Caringj forj Medical-Surgicalj Patients
deWit:j Medical-Surgicalj Nursing:j Conceptsj &j Practice,j 3rdj Edition

MULTIPLEj CHOICE

1. Whichjstatementjaccuratelyjdescribesjthejprimaryjpurposejofjthejstatejnursejpracticejactj(NPA)?
a. TojtestjandjlicensejLPN/LVNs.
b. TojdefinejthejscopejofjLPN/LVNjpractice.
c. TojimprovejthejqualityjofjcarejprovidedjbyjthejLPN/LVN.
d. TojlimitjthejLPN/LVNjemploymentjplacement.

ANS: B



PTS: 1 DIF: CognitivejLevel:jComprehension REF: 2
OBJ: 3 TOP: NPA KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:j Coordinatedj Care

2.

a. Askjajmorejexperiencedjnursejtojdemonstratejthejprocedure.
b. Lookjupjthejprocedurejinjthejprocedurejmanual.
c. Attemptjtojperformjthejprocedurejwithjsupervision.
d. Informjthejchargejnursejofjherjlackjofjtrainingjinjthisjprocedure.

ANS: D



PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 3
OBJ: 1 TOP: ProvidingjSafejCare KEY: NursingjProcessjStep:jN/A
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare

3.
a. “Ijhavejnojideajofjhowjthisjdrugjwilljaffectjme.”
b. “Dojyoujknowjifjmyjphysicianjisjcomingjbackjtoday?”
c. “Willjmyjinsurancejpayjforjmyjstay?”
d. “AmjIjgoingjtojhavejtojgojtojajnursingjhome?”

ANS: A
Lackj ofj knowledgej atj dischargej aboutj medicationj effectsj andjsidej effectsj isj aj concernjthatj shouldj bejaddressedj byj thej vocatiojnaljn
urse.j Thej otherj concernsj inj thej optionsj arej thej responsibilityj ofj otherj departmentsj toj whichj thej nursej mightj referj thej patient.
PTS: 1 DIF: CognitivejLevel:jApplicationj j REF: 2
OBJ: 1 TOP: Teachingj KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare



a. WorkingjunderjdirectjsupervisionjofjanjRNjonjthejunit
b. WorkingjwithjthejRNjinjthejbuilding
c. WorkingjunderjgeneraljsupervisionjbyjthejRNjavailablejonjsitejorjbyjphone
d. Workingjasjanjindependentjvocationaljnurse

ANS: C
Thejvocationaljnursejinjthejcapacityjofjthejchargejnursejinjajlong-
termjcarejfacilityjactsjwithjthejgeneraljsupervisionjofjanjRNjavailablejonjsitejorjbyjphone.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 2
OBJ: 1 TOP: ChargejNurse/Manager KEY: NursingjProcessjStep:jN/A
MSC: NCLEX:jSafe,jEffectivej CarejEnvironment:j CoordinatedjCare

,Whizznurse@2024




5. Thejnursejisjeducatingjajpatientjthatjisjajmemberjofjajhealthjmaintenancejorganizationj(HMO).jWhichjinformationjs
houldjthejnursejinclude?
a. Seekjthejopinionjofjanjalternatejhealthjcarejprovider.
b. Obtainjinsurancejapprovaljforjmedicaljservicesjpriorjtojtreatment.
c. Providejdetailedjdocumentationjofjalljcarejreceivedjforjhisjcondition.
d. Waitjatjleastj6jmonthsjtojseejajspecialist.

ANS: B
MostjHMOsjrequirejpreprocedure jauthorizationjforjtreatment.jPatientsjarejnotjrequiredjtojseekjajsecondjopinion,jprovidejdocumen
tationjofjcare,jorjwaitjajspecificjtimejperiodjbeforejvisitingjajspecialist.
PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 9
OBJ: 9 TOP: ChargejNurse/Manager
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare

6. Thejpatientjcomplainsjtojthejnursejthatjhejisjconfusedjaboutjhisj“deductible”jthatjhejowesjthejhospital.jWhichjs
tatementjaccuratelyjexplainsjajdeductible?
a. Anjamountjofjmoneyjputjasidejforjthejpaymentjofjfuturejmedicaljbills
b. Ajone-timejfeejforjservice
c. Anjamountjofjmoneyjdeductedjfromjthejbilljbyjthejinsurancejcompany
d. Anjannualjamountjofjmoneyjthejpatientjmustjpayjout-of-pocketjforjmedicaljcare

ANS: D
Thejdeductiblejisjthejannualjamountjthejinsuredjmustjpayjout-of-
pocketjpriorjtojthejinsurancejcompanyjassumingjthejcost.jThisjpracticejimprovesjthejprofitjofjthejinsurancejcompany.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 7
OBJ: 9 TOP: HealthjCarejFinancing
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare

7. Thejnursejcomparesjthejcharacteristicsjofjajhealthjmaintenancejorganizationj(HMO)jandjajpreferredjproviderj
organizationj(PPO).jWhichjinformationjshouldjthejnursejincludejaboutjHMOs?
a. HMOsjrequirejajsetjfeejofjeachjmemberjmonthly.
b. HMOsjallowjthejmemberjtojselectjhisjhealthjcarejprovider.
c. HMOsjpermitjadmissionjtojanyjfacilityjthejmemberjprefers.
d. HMOsjofferjunlimitedjdiagnosticjtestsjandjtreatments.

ANS: A
HMOsjrequirejajsetjfeejfromjeachjmemberjmonthlyj(capitation).jThejpatientjwilljbejtreatedjbyjthejHMOjstaffjinjHMO-
approvedjfacilities.jExcessivejusejofjdiagnosticjtestsjandjtreatmentsjisjdiscouragedjbyjthejHMO.
PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 9
OBJ: 9 TOP: ManagedjCare
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare

8. AjpatientjasksjthejnursejwhatjMedicarejPartjAjcovers.jWhichjresponsejisjcorrect?
a. MedicarejPartjAjcoversjinpatientjhospitaljcosts.
b. MedicarejPartjAjcoversjreimbursementjtojthejphysician.
c. MedicarejPartjAjcoversjoutpatientjhospitaljservices.
d. MedicarejPartjAjcoversjambulancejtransportation.

ANS: A
MedicarejPartjAjcoversjinpatientjhospitaljexpenses,jdrugs,jx-
rays,jlaboratoryjwork,jandjintensivejcare.jMedicarejPartjBjpaysjthejphysician,jambulancejtransport,jandjoutpatientjservices.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 7,jBoxj1-4
OBJ: 9 TOP: Government-SponsoredjHealthjInsurance
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare

9. Whichj isj thej mainj cost-containmentj componentj ofj diagnosis-relatedj groupsj (DRGs)?

, Whizznurse@2024




a. Hospitalsjfocusjonlyjonjthejspecificjdiagnosis.
b. Hospitalsj treatj andj dischargej patientsj quickly.
c. Reducedjcostjdrugsjarejorderedjforjspecificjdiagnoses.
d. Diagnosticj groupj classificationj streamlinesj care.

ANS: B
DRGsjarejajprospectivejpaymentjplanjinjwhichjhospitalsjreceivejajflatjfeejforjeachjpatient’sjdiagnosticjcategoryjregardlessj ofjthejle
ngthjofjtimejinjthejhospital.jIfjhospitalsjcanjtreatjandjdischargejpatientsjbeforejthejallottedjtime,jhospitalsjgetjtojkeepjthejexcessjpay
ment;jcostjisjcontained,jandjthejpatientjisjdischargedjsooner.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 8
OBJ: 9 TOP: Government-SponsoredjHealthjInsurance
KEY: NursingjProcessjStep:j Implementation
MSC: NCLEX:jSafe,j EffectivejCarej Environment:j Coordinatedj Care

10. Thejnursejisjassessingjajgroupjofjpatients.jWhichjpatientjwouldjmostjlikelyjqualifyjforjMedicaid?
a. Aj35-year-oldjunemployedjsinglejmotherjwithjdiabetes
b. Aj70-year-oldjMedicarejrecipientjwithjretirementjincomejwhojneedsjtojbejinjajlong-termjcarejfacility
c. Anj80-year-oldjblindjwomanjlivingjinjherjownjhomejwhojhasjinadequatejprivatejinsurance
d. Aj67-year-oldjstrokejvictimjwithjMedicarejPartjAjandjanjincomejfromjinvestments

ANS: A
Medicaidjisjajjointjeffortjofjfederaljandjstatejgovernmentsjgearedjprimarilyjforjlow-incomejpeoplejwithjnojinsurance.

PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 8,jBoxj1-
5jOBJ: 9 TOP: Government-SponsoredjHealthjInsurance–
MedicaidjKEY: NursingjProcessjStep:jAssessment
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedj Care

11. WhichjareajisjthejmajorjfocusjofjHealthyjPeoplej2020jandjthejprimaryjmechanismjthroughjwhichjtojimprovejthejhealthj
ofjAmericansjinjthejsecondjdecadejofjthejcentury?
a. Researchj funding
b. Healthj informationj distribution
c. Healthyj lifestylej encouragement
d. Healthj improvementj programj designs

ANS: C
HealthyjPeoplej2020jfocusesjonjexpandingjongoingjprogramsjtojincludejsupportjandjinformationjtojreducejinfantjmortality,jcance
r,jcardiovascularjdisease,jandjHIV/AIDS,jandjtojincreasejeffectivejimmunizations,jhealthyjeatingjhabits,jandjhealthyjweight.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 6
OBJ: 7 TOP: HealthyjPeoplej2020
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare

12. Whichjtermjexplainsjthejtypejofjcarejthatjaddressesjinterventionsjforjalljdimensionsjofjajpatient’sjlife?
a. Focusedj care
b. Generaljcare
c. Directedj care
d. Holisticjcare

ANS: D
Holisticj carej addressesj thej physiologic,j psychological,j social,j cultural,j andj spiritualj needsj ofj thej patient.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 6
OBJ: 8 TOP: HolisticjCare
KEY: NursingjProcessjStep:jPlanning
MSC: NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation

13. Ajpatientjfuriouslyjsays,j“Myjdoctorjwasjsojbusyjgivingjmejinstructionsjthatjhejdidn’tjhearjwhatjIjwasjtryingjtojaskjh
im!”jWhichjresponsejisjmostjempathetic?
a. “Whenjpeoplejignorejme,jIjreallyjgetjmad.”