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COMPLETE TEST BANK Dewits Medical Surgical Nursing Concepts and Practice 5th Edition Stromberg / All Chapters 1-49 latest update $17.99   Add to cart

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

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  • Dewits Medical Surgical Nursing
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  • 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

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  • October 31, 2024
  • 923
  • 2024/2025
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  • Dewits Medical Surgical Nursing
  • Dewits Medical Surgical Nursing
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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

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