*Test Bank for Medical-Surgical Nursing in Canada 4th Edition Lewi

TEST BANK
M

,Chapter 01: Caring for Medical-Surgical Patients
M M M M M

Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
M M M M M M M




MULTIPLEMCHOICE

1. WhichMstatementMaccuratelyMdescribesMtheMprimaryMpurposeMofMtheMstateMn
urseMpracticeMactM(NPA)?
a. ToMtestMandMlicenseMLPN/LVNs
b. ToMdefineMtheMscopeMofMLPN/LVNMpractice
c. ToMimproveMtheMqualityMofMcareMprovidedMbyMtheMLPN/LVN
d. ToMlimitMtheMLPN/LVNMemploymentMplacement
ANS:MB
WhileMimprovingMqualityMofMcareMprovidedMbyMtheMLPN/LVNMmayMbeMaMr
esultMofMtheMNPA,MtheMprimarypurposeMofMtheMNPAMofMeachMstateMdefines
MtheMscopeMofMnursingMpracticeMinMthatMstate.



DIF: CognitiveMLevel:MComprehension REF:M p.M3
OBJ:M3MTOP:M NPA
KEY:MNursingMProcessMStep:MImplementationM MSC:MNCLEX:M
Safe,MEffectiveMCareMEnvironment:MCoordinatedMCare

2. TheMchargeMnurseMasksMtheMnewMvocationalMnurseMtoMstartManMintravenousMinfusion,MaMskillMthatMtheM
vocationalMnurseMhasMnotMbeenMtaughtMduringMherMeducationalMprogram.MHowMshouldMtheMvocationalM
nurseMrespond?
a. AskMaMmoreMexperiencedMnurseMtoMdemonstrateMtheMprocedure.
b. LookMupMtheMprocedureMinMtheMprocedureMmanual.
c. AttemptMtoMperformMtheMprocedureMwithMsupervision.
d. InformMtheMchargeMnurseMofMherMlackMofMtrainingMinMthisMprocedure.
ANS:MD
TheMchargeMnurseMshouldMbeMinformedMofMtheMlackMofMtrainingMtoMperformMtheMprocedure,MandMtheMv
ocationalMnurseMshouldMseekMfurtherMtrainingMtoMgainMproficiency.MAlthoughMtheMotherMoptionsMmight
MbeMhelpful,MtheyMareMnotMsafe.



DIF: CognitiveMLevel:MApplication REF:M p.M3
OBJ:M1MTOP:M ProvidingMSafeMCare
KEY:MNursingMProcessMStep:MN/AMMSC:MNCLEX:MSafe,MEffectiveMC
areMEnvironment:MCoordinatedMCare

3. WhichMpatientMstatementMindicatesMaMneedMforMfurtherMdischargeMteachingMthatMtheMvocationalM
nurseMshouldMaddress?
a. "IMhaveMnoMideaMofMhowMthisMdrugMwillMaffectMme."
b. "DoMyouMknowMifMmyMphysicianMisMcomingMbackMtoday?"
c. "WillMmyMinsuranceMpayMforMmyMstay?"
d. "AmMIMgoingMtoMhaveMtoMgoMtoMaMnursingMhome?"
ANS:MA
LackMofMknowledgeMatMdischargeMaboutMmedicationMeffectsMandMsideMeffectsMisMaMconcernMthatMshoul
dMbeMaddressedMbyMtheMvocationalMnurse.MTheMotherMconcernsMinMtheMoptionsMareMtheMresponsibilityM
ofMotherMdepartmentsMtoMwhichMtheMnurseMmightMreferMtheMpatient.

DIF: CognitiveMLevel:MApplication REF:M p.M2
OBJ:M1MTOP:M Teaching
KEY:MNursingMProcessMStep:MImplementationM MSC:MNCLEX:M
Safe,MEffectiveMCareMEnvironment:MCoordinatedMCare

,4. AccordingMtoMmostMstateMNPAs,MtheMvocationalMnurseMactingMasMchargeMnurseMinMaMlong-
termMcareMfacilityMactsMinMwhichMcapacity?
a. WorkingMunderMdirectMsupervisionMofManMRNMonMtheMunit
b. WorkingMwithMtheMRNMinMtheMbuilding
c. WorkingMunderMgeneralMsupervisionMbyMtheMRNMavailableMonMsiteMorMbyMphone
d. WorkingMasManMindependentMvocationalMnurse
ANS:MC
TheMvocationalMnurseMinMtheMcapacityMofMtheMchargeMnurseMinMaMlong-
termMcareMfacilityMactsMwithMtheMgeneralMsupervisionMofManMRNMavailableMonMsiteMorMbyMphone.

DIF: CognitiveMLevel:MComprehension REF:M p.M3
OBJ:M1MTOP:M ChargeMNurse/Manager
KEY:MNursingMProcessMStep:MN/AMMSC:MNCLEX:MSafe,MEffectiveMC
areMEnvironment:MCoordinatedMCare

5. TheMnurseMisMeducatingMaMpatientMthatMisMaMmemberMofMaMhealthMmaintenanceMorganizationM(HMO).M
WhichMinformationMshouldMtheMnurseMinclude?
a. SeekMtheMopinionMofManMalternateMhealthMcareMprovider.
b. ContactMtheMinsuranceMcompanyMforMcoverageMdetailsMasMservicesMmayMbeMlimited.
c. ProvideMdetailedMdocumentationMofMallMcareMreceivedMforMhisMcondition.
d. WaitMatMleastM6MmonthsMtoMseeMaMspecialist.
ANS:MB
HMOsMareMaMkindMofMmanagedMcare.MThisMisMaccomplishedMbyMpayingMprovidersMtoMcareMforMgro
upsMofMpatientsMforMaMsetMcapitationMfeeMandMbyMlimitingMservices.MPatientsMareMnotMrequiredMtoMs
eekMaMsecondMopinion,MprovideMdocumentationMofMcare,MorMwaitMaMspecificMtimeMperiodMbeforeMvi
sitingMaMspecialist.

DIF:M M CognitiveMLevel:MApplication REF:M M p.M9 OBJ:M 9
TOP:M ChargeMNurse/Manager
KEY:MNursingMProcessMStep:MImplementatio
nMMSC:MNCLEX:MSafe,MEffectiveMCareMEnvironment:MCoordinatedMCare

6. TheMpatientMcomplainsMtoMtheMnurseMthatMheMisMconfusedMaboutMhisM"deductible"MthatMheMowesMtheMho
spital.MWhichMstatementMaccuratelyMexplainsMaMdeductible?
a. AnMamountMofMmoneyMputMasideMforMtheMpaymentMofMfutureMmedicalMbills
b. AMone-timeMfeeMforMservice
c. AnMamountMofMmoneyMdeductedMfromMtheMbillMbyMtheMinsuranceMcompany
d. AnMannualMamountMofMmoneyMtheMpatientMmustMpayMout-of-pocketMforMmedicalMcare
ANS:MD
TheMdeductibleMisMtheMannualMamountMtheMinsuredMmustMpayMout-of-
pocketMpriorMtoMtheMinsuranceMcompanyMassumingMtheMcost.MThisMpracticeMimprovesMtheMprofitMofMth
eMinsuranceMcompany.

DIF:M M CognitiveMLevel:MComprehensionM M REF:M M p.M7 OBJ:M 9
TOP:M HealthMCareMFinancing
KEY:MNursingMProcessMStep:MImplementatio
nMMSC:MNCLEX:MSafe,MEffectiveMCareMEnvironment:MCoordinatedMCare

7. AMpatientMasksMtheMnurseMwhatMMedicareMPartMAMcovers.MWhichMresponseMisMcorrect?
a. MedicareMPartMAMcoversMinpatientMhospitalMcosts.
b. MedicareMPartMAMcoversMreimbursementMtoMtheMphysician.
c. MedicareMPartMAMcoversMoutpatientMhospitalMservices.
d. MedicareMPartMAMcoversMambulanceMtransportation.
ANS:MA
MedicareMPartMAMcoversMinpatientMhospitalMexpenses,Mdrugs,Mx-
rays,MlaboratoryMwork,MandMintensiveMcare.MMedicareMPartMBMpaysMtheMphysician,MambulanceMtranspo
rt,MandMoutpatientMservices.

, DIF: CognitiveMLevel:MComprehension REF:Mp.M8,MBoxM1-4
OBJ:M 9 TOP:MGovernment-
SponsoredMHealthMInsuranceMKEY:MNursingMProcessMStep:MImpleme
ntation
MSC:MNCLEX:MSafe,MEffectiveMCareMEnvironment:MCoordinatedMCare

8. WhichMisMtheMmainMcost-containmentMcomponentMofMdiagnosis-relatedMgroupsM(DRGs)?
a. HospitalsMfocusMonlyMonMtheMspecificMdiagnosis.
b. HospitalsMtreatMandMdischargeMpatientsMquickly.
c. ReducedMcostMdrugsMareMorderedMforMspecificMdiagnoses.
d. DiagnosticMgroupMclassificationMstreamlinesMcare.
ANS:MB
DRGsMareMaMprospectiveMpaymentMplanMinMwhichMhospitalsMreceiveMaMflatMfeeMforMeachMpatient'sMdiag
nosticMcategoryMregardlessMofMtheMlengthMofMtimeMinMtheMhospital.MIfMhospitalsMcanMtreatMandMdischarg
eMpatientsMbeforeMtheMallottedMtime,MhospitalsMgetMtoMkeepMtheMexcessMpayment;McostMisMcontained,Man
dMtheMpatientMisMdischargedMsooner.

DIF: CognitiveMLevel:MComprehension REF:M p.M8
OBJ:M9MTOP:MGovernment-SponsoredMHealthMInsurance
KEY:MNursingMProcessMStep:MImplementation
MSC:MNCLEX:MSafe,MEffectiveMCareMEnvironment:MCoordinatedMCare

9. TheMnurseMisMassessingMaMgroupMofMpatients.MWhichMpatientMwouldMmostMlikelyMqualifyMforMMedicaid?
a. AM35-year-oldMunemployedMsingleMmotherMwithMdiabetes
b. AM70-year-oldMMedicareMrecipientMwithMretirementMincomeMwhoMneedsMtoMbeMinMaMlong-
termMcareMfacility
c. AnM80-year-
oldMblindMwomanMlivingMinMherMownMhomeMwhoMhasMinadequateMprivateMinsuran
ce
d. AM67-year-oldMstrokeMvictimMwithMMedicareMPartMAMandManMincomeMfromMinvestments
ANS:MA
MedicaidMisMaMjointMeffortMofMfederalMandMstateMgovernmentsMgearedMprimarilyMforMlow-
incomeMpeopleMwithMnoMinsurance.

DIF: CognitiveMLevel:MApplication REF:Mp.M8,MBoxM1-5
OBJ:M 9 TOP:MGovernment-SponsoredMHealthMInsurance—
MedicaidMKEY:MNursingMProcessMStep:MAssessment
MSC:MNCLEX:MSafe,MEffectiveMCareMEnvironment:MCoordinatedMCare

10. WhichMareaMisMtheMmajorMfocusMofMHealthyMPeopleM2020MandMtheMprimaryMmechanismMthroughMwh
ichMtoMimproveMtheMhealthMofMAmericansMinMtheMsecondMdecadeMofMtheMcentury?
a. ResearchMfunding
b. HealthMinformationMdistribution
c. HealthyMlifestyleMencouragement
d. HealthMimprovementM programMdesigns
ANS:MC
HealthyMPeopleM2020MfocusesMonMexpandingMongoingMprogramsMtoMincludeMsupportMandMinformation
MtoMreduceMinfantMmortality,Mcancer,McardiovascularMdisease,MandMHIV/AIDS,MandMtoMincreaseMeffecti

veMimmunizations,MhealthyMeatingMhabits,MandMhealthyMweight.

DIF: CognitiveMLevel:MComprehension REF:M M p.M6 OBJ:M 7
TOP:M HealthyMPeopleM2020
KEY:MNursingMProcessMStep:MImplementatio
nMMSC:MNCLEX:MSafe,MEffectiveMCareMEnvironment:MCoordinatedMCare