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TEST BANK F0R MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 5TH EDITION STROMBERG |CHAPTERS 1-49 COMPLETE|
TEST BANK F0R MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 5TH EDITION STROMBERG |CHAPTERS 1-49 COMPLETE|
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TEST BANK F0R MEDICAL SURGICAL NURSING CONCEPTSAND PRACTICE 5TH EDITION STROMBERG
|CHAPTERS 1-49 COMPLETE|
,Chapter 01: Caring for Medical-Surgical Clients
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs
b. To define the scope of LPN/LVN practice
c. To improve the quality of care provided by the LPN/LVN
d. To limit the LPN/LVN employment placement
CORRECT CHOICE:- B
Feedback:->>>While improving quality of care provided by the LPN/LVN may be a result
of the NPA, theprimary purpose of the NPA of each state defines the scope of nursing
practice in that state.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOPIC: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge caregiver asks the new vocational caregiver to start an intravenous infusion, a
skill thatthe vocational caregiver has not been taught during her educational program. How
should the vocational caregiver respond?
a. Ask a more experienced caregiver to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge caregiver of her lack of training in this procedure.
CORRECT CHOICE:- D
Feedback:->>>The charge caregiver should be informed of the lack of training to
perform the procedure, and the vocational caregiver should seek further training to gain
proficiency. Although the other options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1
TOPIC: Providing Safe Care KEY: Nursing Process Step:
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
3. Which client statement indicates a need for further discharge teaching that the
vocational caregiver should address?
a. "I have no idea of how this drug will affect me."
b. "Do you know if my physician is coming back today?"
c. "Will my insurance pay for my stay?"
d. "Am I going to have to go to a nursing home?"
CORRECT CHOICE:- A
Feedback:->>>Lack of knowledge at discharge about medication effects and side effects
is a concern that should be addressed by the vocational caregiver. The other concerns in
the options are the responsibility of other departments to which the caregiver might refer
the client.
DIF: Cognitive Level: Application REF: p. 2 OBJ: 1
TOPIC: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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,4. According to most state NPAs, the vocational caregiver acting as charge caregiver in a
long-termcare facility acts in which capacity?
a. Working under direct supervision of an RN on the unit
b. Working with the RN in the building
c. Working under general supervision by the RN available on site or by phone
d. Working as an independent vocational caregiver
CORRECT CHOICE:- C
Feedback:->>>The vocational caregiver in the capacity of the charge caregiver in a
long-term care facility actswith the general supervision of an RN available on site or by
phone.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1
TOPIC: Charge Caregiver/Manager KEY: Nursing Process Step:
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
5. The caregiver is educating a client that is a member of a health maintenance
organization(HMO). Which information should the caregiver include?
a. Seek the opinion of an alternate primary care provider.
b. Contact the insurance company for coverage details as services may be limited.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
CORRECT CHOICE:- B
Feedback:->>>HMOs are a kind of managed care. This is accomplished by paying
providers to care for groups of clients for a set capitation fee and by limiting services.
Clients are not required to seek a second opinion, provide documentation of care, or wait
a specific time period before visiting a specialist.
DIF: Cognitive Level: Application REF: p. 9 OBJ: 9
TOPIC: Charge Caregiver/Manager KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. The client complains to the caregiver that he is confused about his "deductible" that he owes
thehospital. Which statement accurately explains a deductible?
a. An amount of money put aside for the payment of future medical bills
b. A one-time fee for service
c. An amount of money deducted from the bill by the insurance company
d. An annual amount of money the client must pay out-of-pocket for medical care
CORRECT CHOICE:- D
Feedback:->>>The deductible is the annual amount the insured must pay out-of-
pocket prior to theinsurance company assuming the cost. This practice improves
the profit of the insurance company.
DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 9
TOPIC: Primary care Financing KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
7. A client asks the caregiver what Medicare Part A covers. Which response is correct?
a. Medicare Part A covers inclient hospital costs.
b. Medicare Part A covers reimbursement to the physician.
c. Medicare Part A covers outclient hospital services.
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, d. Medicare Part A covers ambulance transportation.
CORRECT CHOICE:- A
Feedback:->>>Medicare Part A covers inclient hospital expenses, drugs, x-rays,
laboratory work, and intensive care. Medicare Part B pays the physician, ambulance
transport, and outclient services.
DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4
OBJ: 9 TOPIC: Government-Sponsored
Health Insurance KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. Which is the main cost-containment component of diagnosis-related groups (DRGs)?
a. Hospitals focus only on the specific diagnosis.
b. Hospitals treat and discharge clients quickly.
c. Reduced cost drugs are ordered for specific diagnoses.
d. Diagnostic group classification streamlines care.
CORRECT CHOICE:- B
Feedback:->>>DRGs are a prospective payment plan in which hospitals receive a flat fee
for each client's diagnostic category regardless of the length of time in the hospital. If
hospitals can treat and discharge clients before the allotted time, hospitals get to keep the
excess payment; cost is contained, and the client is discharged sooner.
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 9
TOPIC: Government-Sponsored Health Insurance
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
9. The caregiver is assessing a group of clients. Which client would most likely qualify for Medicaid?
a. A 35-year-old unemployed single mother with diabetes
b. A 70-year-old Medicare recipient with retirement income who needs to be in a
long-term care facility
c. An 80-year-old blind woman living in her own home who has inadequate
private insurance
d. A 67-year-old stroke victim with Medicare Part A and an income from investments
CORRECT CHOICE:- A
Feedback:->>>Medicaid is a joint effort of federal and state governments geared
primarily for low-income people with no insurance.
DIF: Cognitive Level: Application REF: p. 8, Box 1-5
OBJ: 9 TOPIC: Government-Sponsored Health
Insurance—Medicaid KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. Which area is the major focus of Healthy People 2020 and the primary mechanism through
which to improve the health of Americans in the second decade of the century?
a. Research funding
b. Health information distribution
c. Healthy lifestyle encouragement
d. Health improvement program designs
CORRECT CHOICE:- C
Feedback:->>>Healthy People 2020 focuses on expanding ongoing programs to include
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