m
,Chapterm01:mCaringmformMedical-SurgicalmPatients
deWit:mMedical-
SurgicalmNursing:mConceptsm&mPractice,m5thmEditionmMULTIPLEm
CHOICE
1. Whichmstatementmaccuratelymdescribesmthemprimarympurposemofmthemstatemnurse
practicemactm(NPA)?
a. TomtestmandmlicensemLPN/LVNs.
b. TomdefinemthemscopemofmLPN/LVN
practice.
c. To improve the quality of care
providedmbymthemLPN/LVN.
d. TomlimitmthemLPN/LVNmemployment
placement.
ANS:m B
WhilemimprovingmqualitymofmcaremprovidedmbymthemLPN/LVNmmaymbemamresultmofm
themNPA,mthemprimarympurposemofmthemNPAmofmeachmstatemdefinesmthemscopemofm
nursingmpracticeminmthatmstate.
PTS: 1 DIF:mCognitivemLevel:mComprehensionmREF: 2
OBJ: 3
TOP:m NPAm KEY:mNursingmProcessmStep:mImplementationmM
SC:mNCLEX:mSafe,mEffectivemCaremEnvironment:mCoordinatedmCare
2.
Themchargemnursemasksmthemnewmvocationalmnursemtomstartmanmintravenous
minfusion,ma mskillmthatmthemvocational mnursemhasmnotmbeenmtaughtmduringmherme
ducationalmprogram.mHowmshouldmthemvocationalmnursemrespond?
a. Askmammoremexperiencedmnursemto
demonstratemthemprocedure.
b. Lookmupmthemprocedureminmthemprocedure
mmanual.
c. Attemptmtomperformmthemproceduremwith
supervision.
d. Informmthemchargemnursemofmhermlackmofmt
rainingminmthismprocedure.
, ANS:m D
Themchargemnursemshouldmbeminformedmofmthemlackmofmtrainingmtomperformmthemp
rocedure,mandmthemvocationalmnursemshouldmseekmfurthermtrainingmtomgainmprofici
ency.mAlthoughmthemothermoptionsmmightmbemhelpful,mtheymaremnotmsafe.
PTS: 1 DIF:mCognitivemLevel:mApplicationmREF:m 3
OBJ: 1
TOP:mProvidingmSafemCaremKEY:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:mSafe,mEffectivemCaremEnvironment:mCoordinatedmCare
3.
Whichmpatientmstatementmindicatesmamneedmformfurthermdischargemteachin
gmthatmthemvocationalmnursemshouldmaddress?
a. “Imhavemnomideamofmhowmthismdrug
willmaffectmme.”
b. “Dom youm knowm ifm mym physicianm
is
comingmbackmtoday?”
c. “Willmmyminsurancempaymformmy
stay?”
d. “AmmImgoingmtomhavemtomgomtoma
nursingmhome?”
ANS:m A
Lackmofmknowledgematmdischargemaboutmmedicationmeffectsmandmsidemeffectsmismam
concernmthatmshouldmbemaddressedmbymthemvocationalmnurse.mThemothermconcernsmin
mthemoptions maremthemresponsibilitymofmothermdepartments mtomwhichmthemnursemmig
htmrefermthempatient.
PTS: 1 DIF:mCognitivemLevel:mApplicationmREF:m 2
OBJ: 1
TOP:mTeachingmKEY:mNursingmProcessmStep:mImplementationmM
SC:mNCLEX:mSafe,mEffectivemCaremEnvironment:mCoordinatedmCare
4.
AccordingmtommostmstatemNPAs,mthemvocationalmnursemactingmasmchargem
nurseminmamlong-termmcaremfacilitymactsminmwhichmcapacity?
, a. WorkingmundermdirectmsupervisionmofmanmRNmon
themunit
b. WorkingmwithmthemRNminmthembuilding
c. WorkingmundermgeneralmsupervisionmbymthemRN
availablemonmsitemormbymphone
d. Workingmasmanmindependentmvocationalmnurse
ANS:m C
Themvocationalmnurseminmthemcapacitymofmthemchargemnurseminmamlong-
termmcaremfacilitymactsmwithmthemgeneralmsupervisionmofmanmRNmavailablemonmsitemor
mbymphone.
PTS: 1 DIF:mCognitivemLevel:mComprehensionmREF: 2
OBJ: 1 TOP:mChargemNurse/Manager KEY:
NursingmProcessmStep:mN/A
MSC:mNCLEX:mSafe,mEffectivemCaremEnvironment:mCoordinatedmCare
5.
Themnursemismeducatingmampatientmthatmismammembermofmamhealthmma
intenancemorganizationm(HMO).mWhichminformationmshouldmthemnursemi
nclude?
a. Seekmthemopinionmofmanmalternatemhealthmcar
e
provider.
b. Obtainminsurancemapprovalmformmedical
servicesmpriormtomtreatment.
c. Providemdetailedmdocumentationmofmallmcare
receivedmformhismcondition.
d. Waitmatmleastm6mmonthsmtomseemamspecialist.
ANS:m B
MostmHMOsmrequirempreproceduremauthorizationmformtreatment.mPatientsmaremnotm
requiredmtomseekmamsecondmopinion,mprovidemdocumentationmofmcare,mormwaitmams
pecificmtimemperiodmbeforemvisitingmamspecialist.
PTS: 1
DIF:mCognitivemLevel:mApplicationmREF:m 9mO
BJ: 9 TOP:mChargemNurse/Manager
KEY:mNursingmProcessmStep:mImplementation