Deck 1: Caring for Medical surgical Patients

Question 1

The nurse who plans interventions for all dimensions of the patient's life is practicing _____ care.

A)focused
B)general
C)directed
D)holistic

Answer 1

holistic

Question 2

The nurse explains that a therapeutic relationship differs from a social relationship in that the therapeutic relationship:

A)has no boundaries.
B)is goal directed.
C)meets the needs of each person in the relationship.
D)extends past the hospitalization period.

Answer 2

is goal directed.

Question 3

The nurse explains that the major focus of Healthy People 2020 is to improve the health of Americans in the second decade of the century by:

A)funding research.
B)distributing health information.
C)encouraging healthy lifestyles.
D)designing programs for health improvement.

Answer 3

encouraging healthy lifestyles.

Question 4

A female patient who has recently been diagnosed with an inoperable brain tumor asks the nurse,"Do you think God punishes us?" The nurse's most helpful approach would be to:

A)sit down with the patient and ask, "What do you think?"
B)touch the patient's shoulder and say, "God loves you."
C)ask the patient if she would like to speak with the chaplain.
D)say, "God will not give you more than you can bear."

Question 5

The most effective nursing approach in caring for a depressed 80-year-old newly admitted resident to a long-term care facility would be to:

A)encourage the resident to engage in an activity.
B)remind the resident of reasons to be positive.
C)point out episodes of negative behavior.
D)present a bright and cheerful behavior.

Question 6

The nurse explains that the main cost containment component of diagnosis-related groups (DRGs)is that:

A)hospitals focus only on the specific diagnosis.
B)hospitals treat and discharge patients quickly.
C)reduced-cost drugs are ordered for the specific diagnosis.
D)diagnostic group classification streamlines care.

Question 7

An overweight male patient rips off his hospital gown,throws it out the door,and shouts,"I'm not wearing this stupid gown.It is too small,too short,and exposes my backside to the world." The nurse's best approach would be to:

A)remind patient of the need to wear the gown for convenience in care.
B)confer with the patient for methods to acquire a larger gown.
C)replace the torn gown with another.
D)inform the charge nurse of the hostile behavior.

Question 8

The nurse reminds the patient who is a member of a health maintenance organization that prior to treatment he will need to:

A)seek the opinion of another physician.
B)have medical services approved by his insurance.
C)provide documentation of all care received for his condition.
D)wait 6 months to see a specialist.

Question 9

The nurse is communicating with a patient who has voiced concern regarding an upcoming high-risk procedure.The nurse demonstrates empathy by stating:

A)"Would you like to talk about your feelings regarding the procedure?"
B)"My mother had the same procedure and did very well."
C)"I can't imagine how you feel."
D)"It must be difficult preparing for the procedure; how are you feeling?"

Question 10

The patient furiously says,"My doctor was so busy giving me instructions that he didn't hear what I was trying to ask him." The most empathetic response would be:

A)"Boy! When people do that to me, I really get mad."
B)"I'm sure the doctor was rushed and unaware of your needs."
C)"I'll bet that made you feel very frustrated."
D)"Take a deep breath and plan what you will say to him tomorrow."

Question 11

The patient complains to the nurse that he is confused about his "deductible" that he owes the hospital.The nurse explains that the deductible is a(n):

A)amount of money put aside for the payment of future medical bills.
B)one-time fee for service.
C)amount of money deducted from the bill by the insurance company.
D)annual amount of money the patient must pay out-of-pocket for medical care.

Question 12

According to most state NPAs,the vocational nurse acting as charge nurse in a long-term care facility is acting in which capacity?

A)Under direct supervision of an RN on the unit
B)With the RN in the building
C)Under general supervision by the RN available on site or by phone
D)As an independent vocational nurse

Question 13

The charge nurse asks the new vocational nurse to start an intravenous infusion.Because the vocational nurse has not been taught this skill during her educational program,the vocational nurse should:

A)ask a more experienced nurse 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 nurse of her lack of training in this procedure.

Question 14

While assessing a group of patients,the nurse recognizes the patient who could qualify for Medicaid benefits is the:

A)35-year-old unemployed single mother with diabetes.
B)70-year-old Medicare recipient with retirement income who needs to be in a long-term care facility.
C)80-year-old blind woman living in her own home who has inadequate private insurance.
D)67-year-old stroke victim with Medicare Part A and an income from investments.

Question 15

The new nurse demonstrates an understanding of the primary purpose of the state nurse practice act (NPA)by explaining that it acts to:

A)test and license LPN/LVNs.
B)define the scope of LPN/LVN practice.
C)improve the quality of care provided by the LPN/LVN.
D)limit the LPN/LVN employment placement.

Question 16

The nurse compares the characteristics of a health maintenance organization (HMO)and a preferred provider organization (PPO),pointing out that an HMO:

A)requires a set fee of each member monthly.
B)allows the member to select his health care provider.
C)permits admission to any facility the member prefers.
D)offers unlimited diagnostics tests and treatments.

Question 17

A manipulative patient states,"You are the only nurse who understands about my pain.Can't you give me an extra dose of pain medication?" The nurse should:

A)be matter-of-fact and explain that dosage schedules are by physician's orders.
B)ignore the request.
C)point out that such manipulative behavior is ineffective.
D)give the extra dose.

Question 18

The nurse recognizes the need for further discharge education when the patient says:

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?"

Question 19

The patient who has been on antidepressants for 3 days tearfully says,"I still feel rotten.I don't think anything can help how I feel." Which is the best response by the nurse?

A)"I will tell the charge nurse how you are feeling."
B)"You will need to be patient and give your medicine some time to work."
C)"Look how much you have improved since you were admitted to the facility."
D)"It must be frustrating to be going through this difficult time."

Question 20

When the patient asks the nurse what his Medicare Part A covers,the nurse responds that it covers:

A)inpatient hospital costs.
B)reimbursement to the physician.
C)outpatient hospital services.
D)ambulance transportation.

Question 21

When an insurance company directly reimburses a licensed health care provider for services,the form of financing is called ______________.

Question 22

The newly licensed LPN/LVN demonstrates an understanding of employment opportunities when applying to a position in which of the following areas? (Select all that apply.)

A)An outpatient clinic
B)A home health care agency
C)An intravenous therapy team
D)A long-term care facility
E)An ambulatory care unit

Question 23

Following an in-service regarding cost containment within the health care facility,the LPN/LVN demonstrates understanding by: (Select all that apply.)

A)telling patients that they must limit the amount of supplies they use.
B)asking the UAP to be sure to correctly charge for patient care items.
C)using only necessary items for patient care.
D)using and charging for extra patient care items that the patient may take home upon discharge.
E)documenting supplies used for patients in their patient care record.

Question 24

The new LPN/LVN reminds a coworker that clear guidelines for upholding clinical standards for safe and competent care can be found in information from: (Select all that apply.)

A)the state's nurse practice act (NPA).
B)the State Board of Nurse Examiners (BNE).
C)the National Association for Practical Nurse Education and Service (NAPNES).
D)institutional policies.
E)the National Federation of Licensed Practical Nurses, Inc. (NFLPN).

Question 25

The LPN/LVN clarifies that the role of the LPN/LVN,regardless of employment placement,is to: (Select all that apply.)

A)uphold clinical standards.
B)educate patients.
C)communicate effectively.
D)collaborate with the health care team.
E)initiate a care plan immediately after admission.

Question 26

When an LPN/LVN delegates a task to unlicensed assistive personnel (UAP),there is: (Select all that apply.)

A)a need for the UAP to voluntarily accept the task delegated.
B)continued accountability for the task by the LPN/LVN.
C)no further need for supervision of the UAP.
D)the understanding that the task is in the job description of the UAP.
E)a transfer of authority to the UAP.

Question 27

The nurse explains that the term _____________ refers to the severity of illness.