MEDICAL j
SURGICALNUR j
SING CONCEPTS
j j
AND PRACTICE
j j
3THEDITION DE
j j
WIT TESTBAN j j
K
MedjC
,Chapterj 01:j Caringj forj Medical-Surgicalj Patients
deWit:j Medical-Surgicalj Nursing:j Conceptsj &j Practice,j 3rdj Edition
MULTIPLEjCHOICE
1. Whichjstatementjaccuratelyjdescribesjthejprimaryjpurposejofjthejstatejnursejpracticejactj(NPA)?
a. TojtestjandjlicensejLPN/LVNs.
b. TojdefinejthejscopejofjLPN/LVNjpractice.
c. TojimprovejthejqualityjofjcarejprovidedjbyjthejLPN/LVN.
d. TojlimitjthejLPN/LVNjemploymentjplacement.
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,jajskilljthatjthejvocationaljnursejhasjnotjb
eenjtaughtjduringjherjeducationaljprogram.jHowjshouldjthejvocationaljnursejrespond?
a. Askjajmorejexperiencedjnursejtojdemonstratejthejprocedure.
b. Lookjupjthejprocedurejinjthejprocedurejmanual.
c. Attemptjtojperformjthejprocedure jwithjsupervision.
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. Whichjpatientjstatementjindicatesjajneedjforjfurtherjdischargejteachingjthatjthejvocationaljnursejshouldjaddress?
a. “Ijhavejnojideajofjhowjthisjdrugjwilljaffectjme.”
b. “Dojyoujknowjifjmyjphysicianjisjcomingjbackjtoday?”
c. “Willjmyjinsurancejpayjforjmyjstay?”
d. “AmjIjgoingjtojhavejtojgojtojajnursingjhome?”
ANS: A
Lackjofjknowledgejatjdischargejaboutjmedicationjeffectsjandjsidejeffectsjisjajconcernjthatjshouldjbejaddressedjbyjthejvocationalj
nurse.jThejotherjconcernsjinjthejoptionsjarejthejresponsibilityjofjotherjdepartmentsjtojwhichjthejnursejmightjreferjthejpatient.
PTS: 1 DIF: CognitivejLevel:jApplicationj j 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. Workingjasjanjindependentjvocationaljnurse
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
MedjC
, 5. Thejnursejisjeducatingjajpatientjthatjisjajmemberjofjajhealthjmaintenancejorganizationj(HMO).jWhichjinformationjs
houldjthejnursejinclude?
a. Seekjthejopinionjofjanjalternatejhealthjcarejprovider.
b. Obtainjinsurancejapprovaljforjmedicaljservicesjpriorjtojtreatment.
c. Providejdetailedjdocumentationjofjalljcarejreceivedjforjhisjcondition.
d. Waitjatjleastj6jmonthsjtojseejajspecialist.
ANS: B
MostjHMOsjrequirejpreprocedure jauthorizationjforjtreatment.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. 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-Sponsoredj Healthj Insurance
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
9. Whichjisjthejmainjcost-containmentjcomponentjofjdiagnosis-relatedjgroupsj(DRGs)?
MedjC
, a. Hospitalsjfocusjonlyjonjthejspecificjdiagnosis.
b. Hospitalsjtreatjandjdischargejpatientsjquickly.
c. Reducedjcostjdrugsjarejorderedjforjspecificjdiagnoses.
d. Diagnosticjgroupjclassificationjstreamlinesjcare.
ANS: B
DRGsjarejajprospectivejpaymentjplanjinjwhichjhospitalsjreceivejajflatjfeejforjeachjpatient’sjdiagnosticjcategoryjregardlessjofjthejle
ngthjofjtimejinjthejhospital.jIfjhospitalsjcanjtreatjandjdischargejpatientsjbeforejthejallottedjtime,jhospitalsjgetjtojkeepj thejexcessjpa
yment;jcostjisjcontained,jandjthejpatientjisjdischargedjsooner.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 8
OBJ: 9 TOP: Government-Sponsoredj Healthj Insurance
KEY:j j NursingjProcessjStep:jImplementation
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
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:jCoordinatedjCare
11. WhichjareajisjthejmajorjfocusjofjHealthyjPeoplej2020jandjthejprimaryjmechanismjthroughjwhichjtojimprovejthejhealthj
ofjAmericansjinjthejsecondjdecadejofjthejcentury?
a. Researchjfunding
b. Healthjinformationjdistribution
c. Healthyjlifestylejencouragement
d. Healthjimprovementjprogramjdesigns
ANS: C
HealthyjPeoplej2020jfocusesjonjexpandingjongoingjprogramsjtojincludejsupportjandjinformationjtojreducejinfantjmortality,jcanc
er,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. Focusedjcare
b. Generaljcare
c. Directedjcare
d. Holisticjcare
ANS: D
Holisticjcarejaddressesjthejphysiologic,jpsychological,jsocial,jcultural,jandjspiritualjneedsjofjthejpatient.
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.”
b. “I’mjsurejthatjthejdoctorjwasjrushedjandjunawarejofjyourjneeds.”
MedjC
SURGICALNUR j
SING CONCEPTS
j j
AND PRACTICE
j j
3THEDITION DE
j j
WIT TESTBAN j j
K
MedjC
,Chapterj 01:j Caringj forj Medical-Surgicalj Patients
deWit:j Medical-Surgicalj Nursing:j Conceptsj &j Practice,j 3rdj Edition
MULTIPLEjCHOICE
1. Whichjstatementjaccuratelyjdescribesjthejprimaryjpurposejofjthejstatejnursejpracticejactj(NPA)?
a. TojtestjandjlicensejLPN/LVNs.
b. TojdefinejthejscopejofjLPN/LVNjpractice.
c. TojimprovejthejqualityjofjcarejprovidedjbyjthejLPN/LVN.
d. TojlimitjthejLPN/LVNjemploymentjplacement.
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,jajskilljthatjthejvocationaljnursejhasjnotjb
eenjtaughtjduringjherjeducationaljprogram.jHowjshouldjthejvocationaljnursejrespond?
a. Askjajmorejexperiencedjnursejtojdemonstratejthejprocedure.
b. Lookjupjthejprocedurejinjthejprocedurejmanual.
c. Attemptjtojperformjthejprocedure jwithjsupervision.
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. Whichjpatientjstatementjindicatesjajneedjforjfurtherjdischargejteachingjthatjthejvocationaljnursejshouldjaddress?
a. “Ijhavejnojideajofjhowjthisjdrugjwilljaffectjme.”
b. “Dojyoujknowjifjmyjphysicianjisjcomingjbackjtoday?”
c. “Willjmyjinsurancejpayjforjmyjstay?”
d. “AmjIjgoingjtojhavejtojgojtojajnursingjhome?”
ANS: A
Lackjofjknowledgejatjdischargejaboutjmedicationjeffectsjandjsidejeffectsjisjajconcernjthatjshouldjbejaddressedjbyjthejvocationalj
nurse.jThejotherjconcernsjinjthejoptionsjarejthejresponsibilityjofjotherjdepartmentsjtojwhichjthejnursejmightjreferjthejpatient.
PTS: 1 DIF: CognitivejLevel:jApplicationj j 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. Workingjasjanjindependentjvocationaljnurse
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
MedjC
, 5. Thejnursejisjeducatingjajpatientjthatjisjajmemberjofjajhealthjmaintenancejorganizationj(HMO).jWhichjinformationjs
houldjthejnursejinclude?
a. Seekjthejopinionjofjanjalternatejhealthjcarejprovider.
b. Obtainjinsurancejapprovaljforjmedicaljservicesjpriorjtojtreatment.
c. Providejdetailedjdocumentationjofjalljcarejreceivedjforjhisjcondition.
d. Waitjatjleastj6jmonthsjtojseejajspecialist.
ANS: B
MostjHMOsjrequirejpreprocedure jauthorizationjforjtreatment.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. 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-Sponsoredj Healthj Insurance
KEY: NursingjProcessjStep:jImplementation
MSC: NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
9. Whichjisjthejmainjcost-containmentjcomponentjofjdiagnosis-relatedjgroupsj(DRGs)?
MedjC
, a. Hospitalsjfocusjonlyjonjthejspecificjdiagnosis.
b. Hospitalsjtreatjandjdischargejpatientsjquickly.
c. Reducedjcostjdrugsjarejorderedjforjspecificjdiagnoses.
d. Diagnosticjgroupjclassificationjstreamlinesjcare.
ANS: B
DRGsjarejajprospectivejpaymentjplanjinjwhichjhospitalsjreceivejajflatjfeejforjeachjpatient’sjdiagnosticjcategoryjregardlessjofjthejle
ngthjofjtimejinjthejhospital.jIfjhospitalsjcanjtreatjandjdischargejpatientsjbeforejthejallottedjtime,jhospitalsjgetjtojkeepj thejexcessjpa
yment;jcostjisjcontained,jandjthejpatientjisjdischargedjsooner.
PTS: 1 DIF: CognitivejLevel:jComprehension REF: 8
OBJ: 9 TOP: Government-Sponsoredj Healthj Insurance
KEY:j j NursingjProcessjStep:jImplementation
MSC:j j NCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
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:jCoordinatedjCare
11. WhichjareajisjthejmajorjfocusjofjHealthyjPeoplej2020jandjthejprimaryjmechanismjthroughjwhichjtojimprovejthejhealthj
ofjAmericansjinjthejsecondjdecadejofjthejcentury?
a. Researchjfunding
b. Healthjinformationjdistribution
c. Healthyjlifestylejencouragement
d. Healthjimprovementjprogramjdesigns
ANS: C
HealthyjPeoplej2020jfocusesjonjexpandingjongoingjprogramsjtojincludejsupportjandjinformationjtojreducejinfantjmortality,jcanc
er,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. Focusedjcare
b. Generaljcare
c. Directedjcare
d. Holisticjcare
ANS: D
Holisticjcarejaddressesjthejphysiologic,jpsychological,jsocial,jcultural,jandjspiritualjneedsjofjthejpatient.
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.”
b. “I’mjsurejthatjthejdoctorjwasjrushedjandjunawarejofjyourjneeds.”
MedjC
