MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
dd dd dd dd dd dd dd
According to most state NPAs, the vocational nurse acting as charge nurse in a
dd dd dd dd dd dd dd dd dd dd dd dd dd
long- term care facility acts in which capacity?
dd dd dd dd dd dd dd dd
a. Working under direct supervision of an RN on dd dd dd dd dd dd dd
the unit dd
b. Working with the RN in the building dd dd dd dd dd dd
c. Working under general supervision by the RN dd dd dd dd dd dd
available on site or by phone dd dd dd dd dd
d. Working as an independent vocational nurse dd dd dd dd dd
ANS: C dd
The vocational nurse in the capacity of the charge nurse in a long-term care facility
dd dd dd dd dd dd dd dd dd dd dd dd dd dd
acts with the general supervision of an RNavailable on site or by phone.
dd dd dd dd dd dd dd dd dd dd dd dd dd
PTS: 1
Cognitive Level: REF: 2 DIF: dd
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process dd
KEY: ng Step: N/A dd
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
dd dd dd dd dd dd dd
, The nurse is educating a patient that is a member of a health maintenance
dd dd dd dd dd dd dd dd dd dd dd dd dd
organization (HMO). Which informationshould the nurse include?
dd dd dd dd dd dd dd
a. Seek the opinion of an alternate health
dd dd dd dd dd dd
care dd
provider.
b. Obtain insurance approval for medical dd dd dd dd
services prior to treatment. dd dd dd
c. Provide detailed documentation of all care dd dd dd dd dd
received for his condition. dd dd dd
d. Wait at least 6 months to see a specialist.
dd dd dd dd dd dd dd dd
ANS: B dd
Most HMOs require preprocedure authorization for treatment. Patients are not
dd dd dd dd dd dd dd dd dd
required to seek a second opinion, providedocumentation of care, or wait a
dd dd dd dd dd dd dd dd dd dd dd dd
specific time period before visiting a specialist.
dd dd dd dd dd dd dd
PTS: 1 Cognitive Level: 9 DIF: dd
Application REF: dd
OBJ: 9 TOP: Charge Nurse/Manager dd
KEY: Nursing Process Step: Implementation
dd dd dd dd
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
dd dd dd dd dd dd dd
The patient complains to the nurse that he is confused about his ―deductible‖ that he
dd dd dd dd dd dd dd dd dd dd dd dd dd dd
owes the hospital. Whichstatement accurately explains a deductible?
dd dd dd dd dd dd dd dd
a. An amount of money put aside for the payment
dd dd dd dd dd dd dd dd
of dd
future medical bills dd dd
b. A one-time fee for service
dd dd dd dd
c. An amount of money deducted from the bill by
dd dd dd dd dd dd dd dd
the insurance company dd dd
d. An annual amount of money the patient must
dd dd dd dd dd dd dd
pay dd
out-of-pocket for medical care dd dd dd
ANS: D dd
The deductible is the annual amount the insured must pay out-of-pocket prior to
dd dd dd dd dd dd dd dd dd dd dd dd
the insurance company assuming the cost. This practice improves the profit of the
dd dd dd dd dd dd dd dd dd dd dd dd dd
insurance company.
dd dd
PTS: 1 Cognitive Level: REF: 7 DIF: dd
Comprehension
OBJ: 9 TOP: Health Care Financing dd dd
KEY: Nursing Process Step: Implementation
dd dd dd dd
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
dd dd dd dd dd dd dd
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