Test Bank deWits Medical Surgical Nursing Concepts and Practice 4th edition (Stromberg, 2021) Chapter 1-48 All Chapters

Test Bank for Dewits Medical Surgical Nursing Co
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ncepts and Practice 4th Edition Stromberg / All Ch
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apters 1-49 / Full Complete 2022 - 2023
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Chapterg01:gCaringgforgMedical-SurgicalgPatients
deWit:gMedical-SurgicalgNursing:gConceptsg&gPractice,g4thgEdition


MULTIPLEgCHOICE

1. Whichgstatementgaccuratelygdescribesgthegprimarygpurposegofgthegstategnursegpracticega
ctg(NPA)?
a. TogtestgandglicensegLPN/LVNs.
b. TogdefinegthegscopegofgLPN/LVNgpractice.
c. TogimprovegthegqualitygofgcaregprovidedgbygthegLPN/LVN.
d. ToglimitgthegLPN/LVNgemploymentgplacement.
ANS:gB
WhilegimprovinggqualitygofgcaregprovidedgbygthegLPN/LVNgmaygbegagresultgofgthegNPA,gtheg
primarygpurposegofgthegNPAgofgeachgstategdefinesgthegscopegofgnursinggpracticegingthatgstate.

PTS:g 1 DIF: CognitivegLevel:gComprehension REF:g 2
OBJ:g3 TOP:gNPA
KEY:gNursinggProcessgStep:gImplementationgMSC:gNCLEX:gSaf
e,gEffectivegCaregEnvironment:gCoordinatedgCare

,2. Thegchargegnursegasksgthegnewgvocationalgnursegtogstartgangintravenousginfusion,gagskillgth
atgthegvocationalgnurseghasgnotgbeengtaughtgduringghergeducationalgprogram.gHowgshouldg
thegvocationalgnursegrespond?
a. Askgagmoregexperiencedgnursegtogdemonstrategthegprocedure.
b. Lookgupgthegproceduregingthegproceduregmanual.
c. Attemptgtogperformgthegproceduregwithgsupervision.
d. Informgthegchargegnursegofgherglackgofgtraininggingthisgprocedure.
ANS:gD
Thegchargegnursegshouldgbeginformedgofgtheglackgofgtraininggtogperformgthegprocedure,gandgt
hegvocationalgnursegshouldgseekgfurthergtraininggtoggaingproficiency.gAlthoughgthegothergopti
onsgmightgbeghelpful,gtheygaregnotgsafe.

PTS:g1 DIF: CognitivegLevel:gApplication REF:g 3
OBJ:g1 TOP:gProvidinggSafegCare
KEY:gNursinggProcessgStep:gN/AgMSC:gNCLEX:gSafe,gEffectivegCaregEnviro
nment:gCoordinatedgCare

3. Whichgpatientgstatementgindicatesgagneedgforgfurthergdischargegteachinggthatgthegvocation
algnursegshouldgaddress?
a. “Ighavegnogideagofghowgthisgdruggwillgaffectgme.”
b. “Dog yougknowgifgmygphysiciangisgcominggbackgtoday?”
c. “Willgmyginsurancegpaygforgmygstay?”
d. “AmgIggoinggtoghavegtoggogtogagnursingghome?”
ANS:gA
Lackgofgknowledgegatgdischargegaboutgmedicationgeffectsgandgsidegeffectsgisgagconcerngth
atgshouldgbegaddressedgbygthegvocationalgnurse.gThegothergconcernsgingthegoptionsgaregth
egresponsibilitygofgothergdepartmentsgtogwhichgthegnursegmightgrefergthegpatient.

PTS:g 1 DIF: CognitivegLevel:gApplication REF:g 2
OBJ:g 1 TOP:gTeaching
KEY:gNursinggProcessgStep:gImplementationgMSC:gNCLEX:gSaf
e,gEffectivegCaregEnvironment:gCoordinatedgCare

4. AccordinggtogmostgstategNPAs,gthegvocationalgnursegactinggasgchargegnursegingaglong-
termgcaregfacilitygactsgingwhichgcapacity?
a. WorkinggundergdirectgsupervisiongofgangRNgongthegunit
b. WorkinggwithgthegRNgingthegbuilding
c. WorkinggunderggeneralgsupervisiongbygthegRNgavailablegongsitegorgbygphone
d. Workinggasgangindependentgvocationalgnurse
ANS:gC
Thegvocationalgnursegingthegcapacitygofgthegchargegnursegingaglong-
termgcaregfacilitygactsgwithgtheggeneralgsupervisiongofgangRNgavailablegongsitegorgbygphone.

PTS:g 1 DIF: CognitivegLevel:gComprehension REF:g 2
OBJ:g1 TOP:gChargegNurse/Manager
KEY:gNursinggProcessgStep:gN/AgMSC:gNCLEX:gSafe,gEffectivegCaregEnviro
nment:gCoordinatedgCare

,5. Thegnursegisgeducatinggagpatientgthatgisgagmembergofgaghealthgmaintenancegorganizatio
ng(HMO).gWhichginformationgshouldgthegnurseginclude?
a. Seekgthegopiniongofgangalternateghealthgcaregprovider.
b. Obtainginsurancegapprovalgforgmedicalgservicesgpriorgtogtreatment.
c. Providegdetailedgdocumentationgofgallgcaregreceivedgforghisgcondition.
d. Waitgatgleastg6gmonthsgtogseegagspecialist.
ANS:gB
MostgHMOsgrequiregpreproceduregauthorizationgforgtreatment.gPatientsgaregnotgrequiredgto
gseekgagsecondgopinion,gprovidegdocumentationgofgcare,gorgwaitgagspecificgtimegperiodgbefo

regvisitinggagspecialist.

PTS:g1 DIF: CognitivegLevel:gApplication REF:g9
OBJ:g9
TOP:gChargegNurse/Manage
rgKEY:gNursinggProcessgStep:gImplementation
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

6. Thegpatientgcomplainsgtogthegnursegthatghegisgconfusedgaboutghisg“deductible”gthatghegowesgt
heghospital.gWhichgstatementgaccuratelygexplainsgagdeductible?
a. Angamountgofgmoneygputgasidegforgthegpaymentgofgfuturegmedicalgbills
b. Agone-timegfeegforgservice
c. Angamountgofgmoneygdeductedgfromgthegbillgbygtheginsurancegcompany
d. Angannualgamountgofgmoneygthegpatientgmustgpaygout-of-pocketgforgmedicalgcare
ANS:gD
Thegdeductiblegisgthegannualgamountgtheginsuredgmustgpaygout-of-
pocketgpriorgtogtheginsurancegcompanygassuminggthegcost.gThisgpracticegimprovesgthegprofitgofgthegin
surancegcompany.

PTS:g1 DIF: CognitivegLevel:gComprehension REF:g7
OBJ:g9
TOP:gHealthgCaregFinancin
ggKEY:gNursinggProcessgStep:gImplementation
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

, 7. Theg nursegcomparesgthegcharacteristicsgofgaghealthgmaintenancegorganizationg(HMO)gandg
agpreferredgprovidergorganizationg(PPO).gWhichginformationgshouldgthegnursegincludegabo
utgHMOs?
a. HMOsgrequiregagsetgfeegofgeachgmembergmonthly.
b. HMOsgallowgthegmembergtogselectghisghealthgcaregprovider.
c. HMOsgpermitgadmissiongtoganygfacilitygthegmembergprefers.
d. HMOsgoffergunlimitedgdiagnosticgtestsgandgtreatments.
ANS:gA
HMOsgrequiregagsetgfeegfromgeachgmembergmonthlyg(capitation).gThegpatientgwillgbegtreatedgb
ygthegHMOgstaffgingHMO-
approvedgfacilities.gExcessivegusegofgdiagnosticgtestsgandgtreatmentsgisgdiscouragedgbygthegH
MO.

PTS:g1 DIF: CognitivegLevel:gApplication REF:g9
OBJ:g9
TOP:gManagedgCareg
KEY:gNursinggProcessgStep:gImplementatio
n
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

8. AgpatientgasksgthegnursegwhatgMedicaregPartgAgcovers.gWhichgresponsegisgcorrect?
a. MedicaregPartgAgcoversginpatientghospitalgcosts.
b. MedicaregPartgAgcoversgreimbursementgtogthegphysician.
c. MedicaregPartgAgcoversgoutpatientghospitalgservices.
d. MedicaregPartgAgcoversgambulancegtransportation.
ANS:gA
MedicaregPartgAgcoversginpatientghospitalgexpenses,gdrugs,gx-
rays,glaboratorygwork,gandgintensivegcare.gMedicaregPartgBgpaysgthegphysician,gambula
ncegtransport,gandgoutpatientgservices.

PTS:g1 DIF: CognitivegLevel:gComprehension REF:g7,gBoxg1-
4gOBJ:g9 TOP:gGovernment-SponsoredgHealthgInsurance
KEY:gNursinggProcessgStep:gImplementation
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

9. Whichgisgthegmaingcost-containmentgcomponentgofgdiagnosis-relatedggroupsg(DRGs)?
a. Hospitalsgfocusgonlygongthegspecificgdiagnosis.
b. Hospitalsgtreatgandgdischargegpatientsgquickly.
c. Reducedgcostgdrugsgaregorderedgforgspecificgdiagnoses.
d. Diagnosticggroupgclassificationgstreamlinesgcare.
ANS:gB
DRGsgaregagprospectivegpaymentgplangingwhichghospitalsgreceivegagflatgfeegforgeachgpatient
’sgdiagnosticgcategorygregardlessgofgtheglengthgofgtimegingtheghospital.gIfghospitalsgcangtreatg
andgdischargegpatientsgbeforegthegallottedgtime,ghospitalsggetgtogkeepgthegexcessgpayment;gc
ostgisgcontained,gandgthegpatientgisgdischargedgsooner.

PTS:g1 DIF: CognitivegLevel:gComprehension REF:g8
OBJ:g9 TOP:gGovernment-
SponsoredgHealthgInsurancegKEY:gNursinggProcessgStep:gImplement
ation