100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
COMPLETE TEST BANK Dewits Medical Surgical Nursing Concepts and Practice 5th Edition Stromberg / All Chapters 1-49 latest update $17.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Dewits Medical Surgical Nursing
  4.  
  5. Dewits Medical Surgical Nursing

Exam (elaborations)

COMPLETE TEST BANK Dewits Medical Surgical Nursing Concepts and Practice 5th Edition Stromberg / All Chapters 1-49 latest update
 0 purchase
  • Course
  • Dewits Medical Surgical Nursing
  • Institution
  • Dewits Medical Surgical Nursing

Medical Surgical Nursing Concepts and Dewits Medical Surgical Nursing Concepts and Practice 5th Edition Stromberg / All Chapters 1-49 latest update

Preview 4 out of 923  pages

Document information

  • October 31, 2024
  • 923
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

All for this textbook (95)

Written for

  • Dewits Medical Surgical Nursing
  • Dewits Medical Surgical Nursing

Seller

avatar-seller
Lectdavian

Reviews received

Content preview

Chapter 01: Caring for Medical-Surgical Patients
b b b b b



deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
b b b b b b b




MULTIPLE CHOICE b




Which statement accurately describes the primary purpose of the state nurse practice
b b b b b b b b b b b



act (NPA)?
b b



a. To test and license LPN/LVNs. b b b b



b. To define the scope of LPN/LVN b b b b b


practice.
c. To improve the quality of care b b b b b


provided by the LPN/LVN. b b b



d. To limit the LPN/LVN employment b b b b


placement.
ANS: B b



While improving quality of care provided by the LPN/LVN may be a result of the
b b b b b b b b b b b b b b



NPA, the primary purpose of the NPA of each state defines the scope of nursing
b b b b b b b b b b b b b b b



practice in that state.
b b b b




PTS: 1
Cognitive Level: Comprehension DIF: b b


REF: 2 b



OBJ:3 TOP: NPA KEY: Nursing Process Step: b b b b


Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
b b b b b b b b b b b b b b



that the vocational nurse has notbeen taught during her educational program. How
b b b b b b b b b b b b



bshould the vocational nurse respond?
b b b b



a. Ask a more experienced nurse to b b b b b


demonstrate the procedure. b b



b. Look up the procedure in the procedure b b b b b b


manual.
c. Attempt to perform the procedure with b b b b b


supervision.
d. Inform the charge nurse of her lack of b b b b b b b


training in this procedure. b b b



ANS: D b



The charge nurse should be informed of the lack of training to perform the procedure,
b b b b b b b b b b b b b b



and the vocational nurse should seek further training to gain proficiency. Although the
b b b b b b b b b b b b b



bother options might be helpful, they are not safe.
b b b b b b b b




PTS: 1 DIF: Cognitive Level: b 3

, Application REF: b



OBJ:1 TOP: Providing Safe Care Nursing Process b b b


KEY: Step: N/A b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




Which patient statement indicates a need for further discharge teaching that the
b b b b b b b b b b b



vocational nurse should address?
b b b b



a. “I have no idea of how this drug
b b b b b b b


will affect me.” b b



b. “Do you know if my physician is b b b b b b


coming back today?” b b



c. “Will my insurance pay for my b b b b b


stay?”
d. “Am I going to have to go to a b b b b b b b b


nursing home?” b



ANS: A b



Lack of knowledge at discharge about medication effects and side effects is a concern
b b b b b b b b b b b b b



that should be addressed by the vocationalnurse. The other concerns in the options are
b b b b b b b b b b b b b b



the responsibility of other departments to which the nurse might refer the patient.
b b b b b b b b b b b b b




PTS: 1
Cognitive Level: Application REF: DIF: b b


2
OBJ:1 TOP: Teaching KEY: Nursing Process b b


Step: Implementation b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




According to most state NPAs, the vocational nurse acting as charge nurse in a long-
b b b b b b b b b b b b b b



term care facility acts in which capacity?
b b b b b b b



a. Working under direct supervision of an RN on b b b b b b b


the unit b



b. Working with the RN in the building b b b b b b



c. Working under general supervision by the RN b b b b b b


available on site or by phone b b b b b



d. Working as an independent vocational nurse b b b b b



ANS: C b



The vocational nurse in the capacity of the charge nurse in a long-term care facility
b b b b b b b b b b b b b b



acts with the general supervision of an RNavailable on site or by phone.
b b b b b b b b b b b b b




PTS: 1
Cognitive Level: REF: 2 DIF: b


Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process b


KEY: ng Step: N/A b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b

,The nurse is educating a patient that is a member of a health maintenance organization
b b b b b b b b b b b b b b



(HMO). Which informationshould the nurse include?
b b b b b b



a. Seek the opinion of an alternate health care b b b b b b b


provider.
b. Obtain insurance approval for medical b b b b


services prior to treatment. b b b



c. Provide detailed documentation of all care b b b b b


received for his condition. b b b



d. Wait at least 6 months to see a specialist. b b b b b b b b



ANS: B b



Most HMOs require preprocedure authorization for treatment. Patients are not
b b b b b b b b b



required to seek a second opinion, providedocumentation of care, or wait a specific
b b b b b b b b b b b b b



time period before visiting a specialist.
b b b b b b




PTS: 1
Cognitive Level: 9 DIF: b


Application REF: b



OBJ:9 TOP: Charge Nurse/Manager b



KEY: Nursing Process Step: Implementation
b b b b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




The patient complains to the nurse that he is confused about his “deductible” that he
b b b b b b b b b b b b b b



owes the hospital. Whichstatement accurately explains a deductible?
b b b b b b b b



a. An amount of money put aside for the payment of
b b b b b b b b b


future medical bills b b



b. A one-time fee for service b b b b



c. An amount of money deducted from the bill by
b b b b b b b b


the insurance company b b



d. An annual amount of money the patient must pay
b b b b b b b b


out-of-pocket for medical care b b b



ANS: D b



The deductible is the annual amount the insured must pay out-of-pocket prior to the
b b b b b b b b b b b b b



insurance company assuming the cost. This practice improves the profit of the
b b b b b b b b b b b b



binsurance company. b




PTS: 1
Cognitive Level: REF: 7 DIF: b


Comprehension
OBJ:9 TOP: Health Care Financing b b



KEY: Nursing Process Step: Implementation
b b b b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




The nurse compares the characteristics of a health maintenance organization (HMO)
b b b b b b b b b b



and a preferred providerorganization (PPO). Which information should the nurse
b b b b b b b b b b



include about HMOs?
b b b

, a. HMOs require a set fee of each b b b b b b


member monthly. b



b. HMOs allow the member to select b b b b b


his health care provider. b b b



c. HMOs permit admission to any b b b b


facility the member prefers. b b b



d. HMOs offer unlimited diagnostic b b b


tests and treatments. b b



ANS: A b



HMOs require a set fee from each member monthly (capitation). The patient will be
b b b b b b b b b b b b b



treated by the HMO staff in HMO-approvedfacilities. Excessive use of diagnostic
b b b b b b b b b b b



btests and treatments is discouraged by the HMO.
b b b b b b b




PTS: 1
Cognitive Level: 9 DIF: b


Application REF: b



OBJ:9 TOP: Managed Care b



KEY: Nursing Process Step: Implementation
b b b b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




A patient asks the nurse what Medicare Part A covers. Which response is correct?
b b b b b b b b b b b b b



a. Medicare Part A covers inpatient b b b b


hospital costs. b



b. Medicare Part A covers b b b


reimbursement to the physician. b b b



c. Medicare Part A covers outpatient b b b b


hospital services. b



d. Medicare Part A covers ambulance b b b b


transportation.
ANS: A b



Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work,
b b b b b b b b b b



and intensive care. Medicare Part B pays thephysician, ambulance transport, and
b b b b b b b b b b b



outpatient services.
b b




PTS: 1
Cognitive Level: REF 7, Box DIF: b b


Comprehension : 1-4
OBJ:9 TOP: Government-Sponsored
Health Insurance b



KEY: Nursing Process Step: Implementation
b b b b



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




Which is the main cost-containment component of diagnosis-related groups (DRGs)?
b b b b b b b b b

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Lectdavian. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$17.99
  • (0)
Add to cart
Added