The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which information should the nurse include?
a. Seek the opinion of an alternate health care provider.
b. Obtain insurance approval for medical services prior to treatment.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
Question 2According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care 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 nurse
Question 3Which patient statement indicates a need for further discharge teaching that the vocational nurse should address?
a. I have no idea of how this drug will af-fect 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 4The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not been taught during her educational program. How should the vocational nurse respond?
a. Ask a more experienced nurse to demon-strate 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 5Which 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.
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