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Test Bank - for Medical-Surgical Nursing Focus on Clinical Judgment Third Edition by LINDA F. HONAN, All Chapters 1-56 Fully Covered ISBN:9781975190941 || NEW EDITION || Complete Guide A+ $17.99
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Test Bank - for Medical-Surgical Nursing Focus on Clinical Judgment Third Edition by LINDA F. HONAN, All Chapters 1-56 Fully Covered ISBN:9781975190941 || NEW EDITION || Complete Guide A+

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Test Bank - for Medical-Surgical Nursing Focus on Clinical Judgment Third Edition by LINDA F. HONAN, All Chapters 1-56 Complete Guide A+ Fully Covered ISBN:9781975190941 || NEW BEST EDITION Test Bank - for Medical-Surgical Nursing Focus on Clinical Judgment Third Edition by LINDA F. HONAN, All Chap...

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  • December 17, 2024
  • 613
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  • Medical-Surgical Nursing Focus On Clinical
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Prose1
,Chapter lh01: lhCaring lhfor lhMedical-Surgical lhPatients
deWit: lhMedical-Surgical lhNursing: lhConcepts lh& lhPractice, lh3rd lhEdition

MULTIPLE lhCHOICE

1. Which lhstatement lhaccurately lhdescribes lhthe lhprimary lhpurpose lhof lhthe lhstate lhnurse lhpractice lhact lh(NPA)?
a. To lhtest lhand lhlicense lhLPN/LVNs.
b. To lhdefine lhthe lhscope lhof lhLPN/LVN lhpractice.
c. To lhimprove lhthe lhquality lhof lhcare lhprovided lhby lhthe
lh LPN/LVN.
d. To lhlimit lhthe lhLPN/LVN lhemployment lhplacement.

ANS: B
While lhimproving lhquality lhof lhcare lhprovided lhby lhthe lhLPN/LVN lhmay lhbe lha lhresult lhof lhthe lhNPA, lhthe lh primary lhpurpose lhof
lhthe lh NPA lh of lh each lh state lh defines lh the lh scope lh of lh nursing lh practice lh in lhthat lh state.


PTS: 1 DIF: Cognitive lhLevel: lhComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing lhProcess lhStep:
lhImplementation
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

2. The lhcharge lhnurse lhasks lhthe lhnew lhvocational lhnurse lhto lhstart lhan lhintravenous lhinfusion, lha lhskill lhthat lhthe
lhvocational lh nurse lh has lh not lh been lhtaught lh during lh her lh educational lhprogram. lh How lh should lh the lh vocational lh nurse lh respond?

a. Ask lha lhmore lhexperienced lhnurse lhto lhdemonstrate lhthe
lhprocedure.
b. Look lhup lhthe lhprocedure lhin lhthe lhprocedure lhmanual.
c. Attempt lhto lhperform lhthe lhprocedure lhwith lhsupervision.
d. Inform lhthe lhcharge lhnurse lhof lhher lhlack lhof lhtraining lhin lhthis
lhprocedure.


ANS: D
The lhcharge lhnurse lhshould lhbe lhinformed lhof lhthe lhlack lhof lhtraining lhto lhperform lhthe lhprocedure, lhand lhthe lhvocational lhnurse
lhshould lh seek lhfurther lhtraining lh to lh gain lh proficiency. lh Although lh the lh other lh options lh might lh be lh helpful, lh they lh are lh not lh safe.


PTS: 1 DIF: Cognitive lhLevel: lhApplication REF:
lh lh 3
OBJ: 1 TOP: Providing lhSafe lhCare KEY:
Nursing lhProcess lhStep:
lhN/A
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

3. Which lhpatient lhstatement lhindicates lha lhneed lhfor lhfurther lhdischarge lhteaching lhthat lhthe lhvocational lhnurse lhshould lhaddress?
a. ―I lhhave lhno lhidea lhof lhhow lhthis lhdrug lhwill lhaffect
lh me.‖
b. ―Do lhyou lhknow lhif lhmy lhphysician lhis lhcoming lhback
lhtoday?‖
c. ―Will lhmy lhinsurance lhpay lhfor lhmy lhstay?‖
d. ―Am lhI lhgoing lhto lhhave lhto lhgo lhto lha lhnursing lhhome?‖

ANS: A
Lack lhof lhknowledge lhat lhdischarge lhabout lhmedication lheffects lhand lhside lheffects lhis lha lhconcern lhthat lhshould lhbe lhaddressed
lhby lh the lh vocational lh nurse. lh The lhother lh concerns lhin lhthe lh options lhare lhthe lhresponsibility lh of lh other lhdepartments lhto lh which

lhthe lh nurse lh might lh refer lhthe lh patient.


PTS: 1 DIF: Cognitive lhLevel: lhApplication l h l h REF: 2
OBJ: 1 TOP: Teaching l h KEY: Nursing lhProcess lhStep:
lhImplementation
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

4. According lhto lhmost lhstate lhNPAs, lhthe lhvocational lhnurse lhacting lhas lhcharge lhnurse lhin lha lhlong-term lhcare lhfacility
lhacts lhin lh which lh capacity?

a. Working lhunder lhdirect lhsupervision lhof lhan lhRN lhon lhthe lhunit
b. Working lhwith lhthe lhRN lhin lhthe lhbuilding
c. Working lhunder lhgeneral lhsupervision lhby lhthe lhRN lhavailable lhon lhsite lhor
lhby lh phone
d. Working lhas lhan lhindependent lhvocational lhnurse

ANS: C
The lhvocational lhnurse lhin lhthe lhcapacity lhof lhthe lhcharge lhnurse lhin lha lh long-term lhcare lhfacility lhacts lhwith lhthe lhgeneral
lhsupervision lh of lh an lh RN lh available lh on lh site lh or lh by lh phone.


PTS: 1 DIF: Cognitive lhLevel: lhComprehension REF: 2
OBJ: 1 TOP: Charge lhNurse/Manager KEY: Nursing Process lhStep:

, N/A
lh

MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

, 5. The lhnurse lhis lheducating lha lhpatient lhthat lhis lha lhmember lhof lha lhhealth lhmaintenance lhorganization lh(HMO).
lh Which lh information lh should lhthe lhnurse lh include?

a. Seek lhthe lhopinion lhof lhan lhalternate lhhealth lhcare lhprovider.
b. Obtain lhinsurance lhapproval lh for lhmedical lhservices lhprior lhto
lhtreatment.
c. Provide lhdetailed lhdocumentation lhof lhall lhcare lhreceived lhfor lhhis
lhcondition.
d. Wait lhat lhleast lh6 lhmonths lhto lhsee lha lhspecialist.

ANS: B
Most lhHMOs lhrequire lhpreprocedure lhauthorization lhfor lhtreatment. lhPatients lhare lhnot lhrequired lhto lhseek lh a lhsecond lhopinion,
lhprovide lh documentation lh of lh care, lh or lh wait lha lhspecific lhtime lh period lh before lh visiting lh a lh specialist.


PTS: 1 DIF: Cognitive lhLevel: lhApplication l h 9
l h REF:
OBJ: 9 TOP: Charge lhNurse/Manager
KEY: Nursing lhProcess lhStep: lhImplementation
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

6. The lhpatient lhcomplains lhto lhthe lhnurse lhthat lhhe lhis lhconfused lhabout lhhis lh―deductible‖ lhthat lhhe lhowes lhthe
lhhospital. lh Which lh statement lh accurately lhexplains lh a lh deductible?

a. An lhamount lhof lhmoney lhput lh aside lhfor lhthe lhpayment lhof lhfuture lhmedical lhbills
b. A lhone-time lhfee lhfor lhservice
c. An lhamount lhof lhmoney lhdeducted lhfrom lhthe lhbill lhby lhthe lhinsurance lhcompany
d. An lhannual lhamount lhof lhmoney lhthe lhpatient lhmust lhpay lhout-of-pocket lhfor
lh medical lh care


ANS: D
The lhdeductible lhis lhthe lhannual lhamount lhthe lhinsured lhmust lhpay lhout-of-pocket lhprior lhto lhthe lhinsurance lh company lhassuming
lhthe lh cost. lh This lh practice lhimproves lh the lh profit lh of lh the lhinsurance lhcompany.


PTS: 1 DIF: Cognitive lhLevel: lhComprehension REF: 7
OBJ: 9 TOP: Health lhCare lhFinancing
KEY: Nursing lhProcess lhStep: lhImplementation
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

7. The lhnurse lhcompares lhthe lhcharacteristics lhof lha lhhealth lhmaintenance lhorganization lh(HMO) lhand lha
lhpreferred lh provider lh organization lh(PPO). lh Which lhinformation lh should lh the lh nurse lh include lh about lh HMOs?

a. HMOs lhrequire lha lhset lhfee lhof lheach lhmember lhmonthly.
b. HMOs lhallow lhthe lhmember lh to lhselect lhhis lhhealth lhcare
lhprovider.
c. HMOs lhpermit lhadmission lhto lhany lhfacility lhthe lhmember
lhprefers.
d. HMOs lhoffer lhunlimited lhdiagnostic lhtests lhand lhtreatments.

ANS: A
HMOs lhrequire lha lhset lhfee lhfrom lheach lhmember lhmonthly lh(capitation). lhThe lhpatient lhwill lhbe lhtreated lhby lhthe lhHMO lhstaff lhin
lh HMO-approved lh facilities. lh Excessive lh use lh of lh diagnostic lh tests lhand lh treatments lh is lh discouraged lh by lh the lh HMO.


PTS: 1 DIF: Cognitive lhLevel: lhApplication l h 9
l h REF:
OBJ: 9 TOP: Managed lhCare
KEY: Nursing lhProcess lhStep: lhImplementation
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

8. A lhpatient lhasks lhthe lhnurse lhwhat lhMedicare lhPart lhA lhcovers. lhWhich lhresponse lhis lhcorrect?
a. Medicare lhPart lhA lhcovers lhinpatient lhhospital lhcosts.
b. Medicare lhPart lhA lhcovers lhreimbursement lhto lhthe
lhphysician.
c. Medicare lhPart lhA lhcovers lhoutpatient lhhospital lhservices.
d. Medicare lhPart lhA lhcovers lhambulance lhtransportation.

ANS: A
Medicare lhPart lhA lhcovers lhinpatient lhhospital lhexpenses, lhdrugs, lhx-rays, lhlaboratory lhwork, lhand lhintensive lhcare. lhMedicare lhPart lhB
lhpays lh the lh physician, lh ambulance lhtransport, lh and lh outpatient lhservices.


PTS: 1 DIF: Cognitive lhLevel: lhComprehension REF: 7, lhBox lh1-
4
OBJ: 9 TOP: Government-Sponsored lh Health
lh Insurance
KEY: Nursing lhProcess lhStep: lhImplementation
MSC: NCLEX: lhSafe, lhEffective lhCare lhEnvironment: lhCoordinated lhCare

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