TEST BANK j
Medical-Surgical Nursing: Concepts & Practice
j j j j
by Holly K. Stromberg
j j j
5th Edition
j
FULL TEST BANK!!!
j j
,Chapterj 01:j Caringj forj Medical-Surgicalj Patients
deWit:j Medical-Surgicalj Nursing:j Conceptsj &jPractice, 5thj Edition
MULTIPLEjCHOICE
1. Whichjstatementj accuratelyj describesj thej primaryj purposej ofjthej statejnursej practicej actj (NPA)?
a. TojtestjandjlicensejLPN/LVNs.
b. TojdefinejthejscopejofjLPN/LVNjpractice.
c. TojimprovejthejqualityjofjcarejprovidedjbyjthejLPN/LVN.
d. Toj limitj thej LPN/LVNj employmentj placement.
ANS: B
WhilejimprovingjqualityjofjcarejprovidedjbyjthejLPN/LVNjmayjbejajresultjofjthejNPA,jthejprimaryjpurposejofjthejNPAjofjeachjs
tatejdefinesjthejscopejofjnursingjpracticejinjthatjstate.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 2
OBJ: 3 TOP: NPA KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
2. Thejchargejnursejasksjthejnewjvocationaljnursejtojstartjanjintravenousjinfusion,jajskilljthatjthejvocationaljnursejhasjnotj
beenjtaughtjduringjherjeducationaljprogram.jHowjshouldjthejvocationaljnursejrespond?
a. Askj aj morej experiencedj nursej toj demonstratej thej procedure.
b. Lookjupjthejprocedurejinjthejprocedurejmanual.
c. Attemptj toj performj thej procedurej withj supervision.
d. Informjthejchargejnursejofjherjlackjofjtrainingjinjthisjprocedure.
ANS: D
Thejchargejnursejshouldjbejinformedjofjthejlackjofjtrainingjtojperformjthejprocedure,jandjthejvocationaljnursejshouldjseekjfurther
jtrainingjtojgainjproficiency.jAlthoughjthejotherjoptionsjmightjbejhelpful,jtheyjarejnotjsafe.
PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 3
OBJ: 1 TOP: ProvidingjSafejCare KEY: NursingjProcessjStep:jN/A
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
3. Whichjpatientj statementj indicatesj aj needjforj furtherj dischargej teachingj thatj thej vocationalj nursej shouldj address?
a. “Ijhavejnojideajofjhowjthisjdrugjwilljaffectjme.”
b. “Dojyoujknowjifjmyjphysicianjisjcomingjbackjtoday?”
c. “Willjmyjinsurancejpayjforjmyjstay?”
d. “AmjIjgoingjtojhavejtojgojtojajnursingjhome?”
ANS: A
Lackjofjknowledgejatjdischargejaboutjmedicationjeffectsjandjsidejeffectsjisjajconcernjthatjshouldjbejaddressedjbyjthejvocationaljn
urse.jThejotherjconcernsjinjthejoptionsjarejthejresponsibilityjofjotherjdepartmentsjtojwhichjthejnursejmightjreferjthejpatiejnt.
PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 2
OBJ: 1 TOP: Teachingj KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
4. AccordingjtojmostjstatejNPAs,jthejvocationaljnursejactingjasjchargejnursejinjajlong-
termjcarejfacilityjactsjinjwhichjcapacity?
a. WorkingjunderjdirectjsupervisionjofjanjRNjonjthejunit
b. WorkingjwithjthejRNjinjthejbuilding
c. WorkingjunderjgeneraljsupervisionjbyjthejRNjavailablejonjsitejorjbyjphone
d. Workingj asj anj independentj vocationalj nurse
ANS: C
Thejvocationaljnursejinjthejcapacityjofjthejchargejnursejinjajlong-
termjcarejfacilityjactsjwithjthejgeneraljsupervisionjofjanjRNjavailablejonjsitejorjbyjphone.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 2
OBJ: 1 TOP: ChargejNurse/Manager KEY: Nursing ProcessjStep:jN/A
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
,5. Thejnursejisjeducatingjajpatientjthatjisjajmemberjofjajhealthjmaintenancejorganizationj(HMO).jWhichjinformationjs
houldjthejnursejinclude?
a. Seekjthejopinionjofjanjalternatejhealthjcarejprovider.
b. Obtainjinsurancej approvalj forj medicalj servicesj priorj tojtreatment.
c. Providej detailedj documentationj ofjallj carej receivedj forj hisj condition.
d. Waitjatjleastj6jmonthsjtojseejajspecialist.
ANS: B
MostjHMOsjrequirejpreprocedurejauthorizationjforjtreatment.jPatientsjarejnotjrequiredjtojseekjajsecondjopinion,jprovidejdocume
ntationjofjcare,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. Anj annualj amountj ofj moneyj thej patientj mustj payjout-of-pocketj forj medicalj care
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. HMOsj permitj admissionj toj anyj facilityj thej memberj prefers.
d. HMOsj offerj unlimitedj diagnosticj testsj andj treatments.
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. Medicarej Partj Aj coversj inpatientj hospitalj costs.
b. Medicarej Partj Aj coversj reimbursementj tojthej physician.
c. Medicarej Partj Aj coversj outpatientj hospitalj services.
d. Medicarej Partj Aj coversj ambulancej transportation.
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)?
, a. Hospitalsj focusj onlyj onj thej specificj diagnosis.
b. Hospitalsj treatj andj dischargej patientsj quickly.
c. Reducedjcostj drugsj arej orderedj forj specificj diagnoses.
d. Diagnosticj groupj classificationj streamlinesj care.
ANS: B
DRGsjarejajprospectivejpaymentjplanjinjwhichjhospitalsjreceivejajflatjfeejforjeachjpatient’sjdiagnosticjcategoryjregardlessj ofjthejle
ngthjofjtimejinjthejhospital.jIfjhospitalsjcanjtreatjandjdischargejpatientsjbeforejthejallottedjtime,jhospitalsjgetjtojkeepj thejexcessjpa
yment;jcostjisjcontained,jandjthejpatientjisjdischargedjsooner.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 8
OBJ: 9 TOP: Government-SponsoredjHealthjInsurance
KEY:j j NursingjProcessjStep:jImplementation
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
10. Thej nursejisjassessingj ajgroupj ofjpatients.j Whichj patientj wouldj mostj likelyj qualifyjforj Medicaid?
a. Aj 35-year-oldj unemployedj singlej motherj withj diabetes
b. Aj 70-year-oldj Medicarej recipientj withj retirementj incomej whoj needsj toj bej inj aj long-termj carej facility
c. Anj 80-year-oldj blindj womanj livingj inj herj ownj homej whoj hasj inadequatej privatej insurance
d. Aj 67-year-oldjstrokej victimj withj Medicarej Partj Aj andj anj incomej fromj investments
ANS: A
Medicaidj isj ajjointj effortj ofj federalj andj statej governmentsj gearedj primarilyj forjlow-incomej peoplej withj noj insurance.
PTS:j j 1 DIF:j j CognitivejLevel:jApplicationj REF:j j 8,jBoxj1-
5jOBJ:j j 9 TOP:j Government-SponsoredjHealthjInsurance–
MedicaidjKEY:j j NursingjProcessjStep:jAssessment
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
11. WhichjareajisjthejmajorjfocusjofjHealthyjPeoplej2020jandjthejprimaryjmechanismjthroughjwhichjtojimprovejthejhealthj
ofjAmericansjinjthejsecondjdecadejofjthejcentury?
a. Researchj funding
b. Healthj informationj distribution
c. Healthyj lifestylej encouragement
d. Healthj improvementj programj designs
ANS: C
HealthyjPeoplej2020jfocusesjonjexpandingjongoingjprogramsjtojincludejsupportjandjinformationjtojreducejinfantjmortality,jcanc
er,jcardiovascularjdisease,jandjHIV/AIDS,jandjtojincreasejeffectivejimmunizations,jhealthyjeatingjhabits,jandjhealthyjweight.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 6
OBJ: 7 TOP: HealthyjPeoplej2020
KEY:j j j NursingjProcessjStep:jImplementation
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
12. Whichj termj explainsj thejtypej ofj carejthatj addressesj interventionsj forj allj dimensionsj ofj aj patient’sj life?
a. Focusedj care
b. Generalj care
c. Directedj care
d. Holisticj care
ANS: D
Holisticj carej addressesj thej physiologic,j psychological,j social,j cultural,j andj spiritualj needsj ofjthej patient.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 6
OBJ: 8 TOP: HolisticjCare
KEY:j j j NursingjProcessjStep:jPlanning
MSC:j j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation
13. Ajpatientjfuriouslyjsays,j“Myjdoctorjwasjsojbusyjgivingjmejinstructionsjthatjhejdidn’tjhearjwhatjIjwasjtryingjtojaskjh
im!”jWhichjresponsejisjmostjempathetic?
a. “Whenjpeoplejignorejme,jIjreallyjgetjmad.”
b. “I’mjsurejthatjthejdoctorjwasjrushedjandjunawarejofjyourjneeds.”
Medical-Surgical Nursing: Concepts & Practice
j j j j
by Holly K. Stromberg
j j j
5th Edition
j
FULL TEST BANK!!!
j j
,Chapterj 01:j Caringj forj Medical-Surgicalj Patients
deWit:j Medical-Surgicalj Nursing:j Conceptsj &jPractice, 5thj Edition
MULTIPLEjCHOICE
1. Whichjstatementj accuratelyj describesj thej primaryj purposej ofjthej statejnursej practicej actj (NPA)?
a. TojtestjandjlicensejLPN/LVNs.
b. TojdefinejthejscopejofjLPN/LVNjpractice.
c. TojimprovejthejqualityjofjcarejprovidedjbyjthejLPN/LVN.
d. Toj limitj thej LPN/LVNj employmentj placement.
ANS: B
WhilejimprovingjqualityjofjcarejprovidedjbyjthejLPN/LVNjmayjbejajresultjofjthejNPA,jthejprimaryjpurposejofjthejNPAjofjeachjs
tatejdefinesjthejscopejofjnursingjpracticejinjthatjstate.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 2
OBJ: 3 TOP: NPA KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
2. Thejchargejnursejasksjthejnewjvocationaljnursejtojstartjanjintravenousjinfusion,jajskilljthatjthejvocationaljnursejhasjnotj
beenjtaughtjduringjherjeducationaljprogram.jHowjshouldjthejvocationaljnursejrespond?
a. Askj aj morej experiencedj nursej toj demonstratej thej procedure.
b. Lookjupjthejprocedurejinjthejprocedurejmanual.
c. Attemptj toj performj thej procedurej withj supervision.
d. Informjthejchargejnursejofjherjlackjofjtrainingjinjthisjprocedure.
ANS: D
Thejchargejnursejshouldjbejinformedjofjthejlackjofjtrainingjtojperformjthejprocedure,jandjthejvocationaljnursejshouldjseekjfurther
jtrainingjtojgainjproficiency.jAlthoughjthejotherjoptionsjmightjbejhelpful,jtheyjarejnotjsafe.
PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 3
OBJ: 1 TOP: ProvidingjSafejCare KEY: NursingjProcessjStep:jN/A
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
3. Whichjpatientj statementj indicatesj aj needjforj furtherj dischargej teachingj thatj thej vocationalj nursej shouldj address?
a. “Ijhavejnojideajofjhowjthisjdrugjwilljaffectjme.”
b. “Dojyoujknowjifjmyjphysicianjisjcomingjbackjtoday?”
c. “Willjmyjinsurancejpayjforjmyjstay?”
d. “AmjIjgoingjtojhavejtojgojtojajnursingjhome?”
ANS: A
Lackjofjknowledgejatjdischargejaboutjmedicationjeffectsjandjsidejeffectsjisjajconcernjthatjshouldjbejaddressedjbyjthejvocationaljn
urse.jThejotherjconcernsjinjthejoptionsjarejthejresponsibilityjofjotherjdepartmentsjtojwhichjthejnursejmightjreferjthejpatiejnt.
PTS: 1 DIF: CognitivejLevel:jApplicationj REF: 2
OBJ: 1 TOP: Teachingj KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
4. AccordingjtojmostjstatejNPAs,jthejvocationaljnursejactingjasjchargejnursejinjajlong-
termjcarejfacilityjactsjinjwhichjcapacity?
a. WorkingjunderjdirectjsupervisionjofjanjRNjonjthejunit
b. WorkingjwithjthejRNjinjthejbuilding
c. WorkingjunderjgeneraljsupervisionjbyjthejRNjavailablejonjsitejorjbyjphone
d. Workingj asj anj independentj vocationalj nurse
ANS: C
Thejvocationaljnursejinjthejcapacityjofjthejchargejnursejinjajlong-
termjcarejfacilityjactsjwithjthejgeneraljsupervisionjofjanjRNjavailablejonjsitejorjbyjphone.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 2
OBJ: 1 TOP: ChargejNurse/Manager KEY: Nursing ProcessjStep:jN/A
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
,5. Thejnursejisjeducatingjajpatientjthatjisjajmemberjofjajhealthjmaintenancejorganizationj(HMO).jWhichjinformationjs
houldjthejnursejinclude?
a. Seekjthejopinionjofjanjalternatejhealthjcarejprovider.
b. Obtainjinsurancej approvalj forj medicalj servicesj priorj tojtreatment.
c. Providej detailedj documentationj ofjallj carej receivedj forj hisj condition.
d. Waitjatjleastj6jmonthsjtojseejajspecialist.
ANS: B
MostjHMOsjrequirejpreprocedurejauthorizationjforjtreatment.jPatientsjarejnotjrequiredjtojseekjajsecondjopinion,jprovidejdocume
ntationjofjcare,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. Anj annualj amountj ofj moneyj thej patientj mustj payjout-of-pocketj forj medicalj care
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. HMOsj permitj admissionj toj anyj facilityj thej memberj prefers.
d. HMOsj offerj unlimitedj diagnosticj testsj andj treatments.
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. Medicarej Partj Aj coversj inpatientj hospitalj costs.
b. Medicarej Partj Aj coversj reimbursementj tojthej physician.
c. Medicarej Partj Aj coversj outpatientj hospitalj services.
d. Medicarej Partj Aj coversj ambulancej transportation.
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)?
, a. Hospitalsj focusj onlyj onj thej specificj diagnosis.
b. Hospitalsj treatj andj dischargej patientsj quickly.
c. Reducedjcostj drugsj arej orderedj forj specificj diagnoses.
d. Diagnosticj groupj classificationj streamlinesj care.
ANS: B
DRGsjarejajprospectivejpaymentjplanjinjwhichjhospitalsjreceivejajflatjfeejforjeachjpatient’sjdiagnosticjcategoryjregardlessj ofjthejle
ngthjofjtimejinjthejhospital.jIfjhospitalsjcanjtreatjandjdischargejpatientsjbeforejthejallottedjtime,jhospitalsjgetjtojkeepj thejexcessjpa
yment;jcostjisjcontained,jandjthejpatientjisjdischargedjsooner.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 8
OBJ: 9 TOP: Government-SponsoredjHealthjInsurance
KEY:j j NursingjProcessjStep:jImplementation
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
10. Thej nursejisjassessingj ajgroupj ofjpatients.j Whichj patientj wouldj mostj likelyj qualifyjforj Medicaid?
a. Aj 35-year-oldj unemployedj singlej motherj withj diabetes
b. Aj 70-year-oldj Medicarej recipientj withj retirementj incomej whoj needsj toj bej inj aj long-termj carej facility
c. Anj 80-year-oldj blindj womanj livingj inj herj ownj homej whoj hasj inadequatej privatej insurance
d. Aj 67-year-oldjstrokej victimj withj Medicarej Partj Aj andj anj incomej fromj investments
ANS: A
Medicaidj isj ajjointj effortj ofj federalj andj statej governmentsj gearedj primarilyj forjlow-incomej peoplej withj noj insurance.
PTS:j j 1 DIF:j j CognitivejLevel:jApplicationj REF:j j 8,jBoxj1-
5jOBJ:j j 9 TOP:j Government-SponsoredjHealthjInsurance–
MedicaidjKEY:j j NursingjProcessjStep:jAssessment
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
11. WhichjareajisjthejmajorjfocusjofjHealthyjPeoplej2020jandjthejprimaryjmechanismjthroughjwhichjtojimprovejthejhealthj
ofjAmericansjinjthejsecondjdecadejofjthejcentury?
a. Researchj funding
b. Healthj informationj distribution
c. Healthyj lifestylej encouragement
d. Healthj improvementj programj designs
ANS: C
HealthyjPeoplej2020jfocusesjonjexpandingjongoingjprogramsjtojincludejsupportjandjinformationjtojreducejinfantjmortality,jcanc
er,jcardiovascularjdisease,jandjHIV/AIDS,jandjtojincreasejeffectivejimmunizations,jhealthyjeatingjhabits,jandjhealthyjweight.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 6
OBJ: 7 TOP: HealthyjPeoplej2020
KEY:j j j NursingjProcessjStep:jImplementation
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
12. Whichj termj explainsj thejtypej ofj carejthatj addressesj interventionsj forj allj dimensionsj ofj aj patient’sj life?
a. Focusedj care
b. Generalj care
c. Directedj care
d. Holisticj care
ANS: D
Holisticj carej addressesj thej physiologic,j psychological,j social,j cultural,j andj spiritualj needsj ofjthej patient.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 6
OBJ: 8 TOP: HolisticjCare
KEY:j j j NursingjProcessjStep:jPlanning
MSC:j j NCLEX:jPsychosocialjIntegrity:jCopingjandjAdaptation
13. Ajpatientjfuriouslyjsays,j“Myjdoctorjwasjsojbusyjgivingjmejinstructionsjthatjhejdidn’tjhearjwhatjIjwasjtryingjtojaskjh
im!”jWhichjresponsejisjmostjempathetic?
a. “Whenjpeoplejignorejme,jIjreallyjgetjmad.”
b. “I’mjsurejthatjthejdoctorjwasjrushedjandjunawarejofjyourjneeds.”
