INTRODUCTION TO MEDICAL-SURGICAL NURSING 6TH EDITION LINTON TEST BANK
UPDATED COPY
Unit I Patient Care Concepts 1. The Health Care System 2. Nursing in Varied Patient Care Settings 3. Legal and Ethical Considerations 4. The Leadership Role of the Licensed Practical Nurse 5. The Nurse-Patient Rela...
Introduction To Medical- Surgical Nursing 6th Edition Linton Test Bank
INTRODUCTION TO MEDICAL-
SURGICAL NURSING 6TH EDITION
LINTON TEST BANK
,Introduction To Medical- Surgical Nursing 6th Edition Linton Test Bank
,Introduction To Medical- Surgical Nursing 6th Edition Linton Test Bank
Chapter 01: The Health Care System
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. An 89-year-old man, who was recently discharged from a rehabilitation hospital because of
an inability to concentrate and frequent memory lapses, cannot be left alone while his family
works. What options should the discharge planning team suggest that will satisfy safety concerns
and give thegreatest quality of life to the patient?
a. Placement in a day care center from 8 AM to 5 PM daily
b. Placement in a long-term psychiatric facility
c. Placement in a high-security nursing home
d. Admission to a general hospital for evaluation
ANS: A
Day care centers provide supervision, safety, nutritious meals, andsocialization while the
caregiving family works.
DIF: Cognitive Level: Application REF: p. 7 OBJ: 5 TOP: Day Care CentersKEY: Nursing
Process Step: Planning MSC: NCLEX: Physiological Integrity: Reduction of Risk
2. A 66-year-old hospitalized patient is anxious about how the physician willbe paid now that
he is on Medicare Parts A and B, instead of his previous privately funded insurance plan. Who
should the nurse explain is the payor tothe physician on this plan?
a. Previous privately funded insurance plan
b. Medicare Part A
c. Medicare Part B
d. Patient or patient’s family
ANS: C
Part A pays skilled care facilities. Part B pays for physician’s services. The previously held
insurance is no longer available because of the patient’s age.The family or patient is not
responsible because Part B is in effect.
DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
TOP: Health Care Funding KEY: Nursing Process Step: ImplementationMSC: NCLEX:
Safe, Effective Care Environment: Coordinated Care
3. What health care plan is the best referral for an unemployed 42-year-oldpatient with renal
failure who has lost his job-related private insurance? a.
Medicare
b. Medicaid
c. Public health facility
d. Community-based outpatient clinic
ANS: B
Medicaid is available to needy low-income persons younger than 65 years ofage who have a
permanent disability. Medicare is for persons 65 years and older. Public health services are
involved with prevention more often than with chronic care.
DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
TOP: Health Care Funding KEY: Nursing Process Step: ImplementationMSC: NCLEX:
Safe, Effective Care Environment: Coordinated Care
, Introduction To Medical- Surgical Nursing 6th Edition Linton Test Bank
4. A patient with terminal lung cancer with extensive metastasis is requestinga hospice transfer.
What criteria are included as requirements for this transfer? a. The patient requests and agrees to
the guidelines of hospice care without requiring a physician’s order.
b. The physician confirms that the patient has 6 months or less of liferemaining and has
provided a written order for hospice care.
c. Proof confirms that the family can no longer care for the patient at home. d.The patient’s
specific diagnosis is included on a list of accepted diseases that qualifies the patient for hospice
care.
ANS: B
The four criteria for transfer to hospice care are (1) diagnosis of any terminalillness, (2) prognosis
of less than 6 months of life, (3) informed consent of patient, and (4) written physician’s order.
DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 5 TOP: Hospice CareKEY: Nursing
Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. A patient admitted yesterday with a diagnosis-related group (DRG) diagnosis of
abdominal pain of an unknown cause is being discharged this afternoon because all
diagnostic test results have been negative. What doesthis scenario exemplify?
a. Effective laboratory response
b. Medicare guidelines limiting hospital stay
c. Cost containment related to a DRG diagnosis
d. Patient who should not have been admitted in the first place
ANS: C
Cost containment is a means by which the cost of hospitalization time is reduced when the need
for acute hospital care is no longer necessary. DIF:Cognitive Level: Comprehension REF: p. 11-
12 OBJ: 6 TOP: Cost Containment per DRGs KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A
MSC: NCLEX: N/A
year-old patient diagnosed with diabetes and bilateral leg amputation. What should the nurse
inform the patient regarding the stay in the new facility? a. Itwill be limited to 25 days.
b. It will be limited to 50 days.
c. It will be limited to 75 days.
d. It is totally unlimited.
ANS: D
Medicare limitations are waived for patients who have undergoneamputations.
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 4
TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step: PlanningMSC: NCLEX: Safe,
Effective Care Environment: Coordinated Care
7. A patient is applying for Medicaid. What does the receipt of benefitsrequire? a.
Following a supervised health maintenance plan
b. Enrolling in the Medicare-Preferred Drug Plan
c. Qualifying for the food stamp program
d. Having an annual income of less than $10,000
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