Linton: Introduction to Medical-Surgical Nursing, 6th Edition
INTRODUCTION TO MEDICAL-
SURGICAL NURSING 6TH EDITION
LINTON TEST BANK
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
Chapter 01: The Health Care System
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE nCHOICE
1. An n89-year-old nman, nwho nwas nrecently ndischarged nfrom na nrehabilitation nhospital
nbecause nof nan ninability nto nconcentrate nand nfrequent nmemory nlapses, ncannot nbe nleft nalone
nwhile nhis nfamily nworks. nWhat noptions nshould nthe ndischarge nplanning nteam nsuggest nthat nwill
nsatisfy nsafety nconcerns nand ngive nthe ngreatest nquality nof nlife nto nthe npatient?
a. Placement nin na nday ncare ncenter nfrom n8 nAM nto n5 nPM ndaily
b. Placement nin na nlong-term npsychiatric nfacility
c. Placement nin na nhigh-security nnursing nhome
d. Admission nto na ngeneral nhospital nfor
nevaluation nANS: nA
Day ncare ncenters nprovide nsupervision, nsafety, nnutritious nmeals, nand nsocialization nwhile nthe
ncaregiving nfamily nworks.
DIF: Cognitive nLevel: nApplication nREF:Test nbank np. n7 OBJ: n5
TOP: nDay nCare nCenters KEY: nNursing nProcess nStep: nPlanning nMSC:
nNCLEX: nPhysiological nIntegrity: nReduction nof nRisk
2. A n66-year-old nhospitalized npatient nis nanxious nabout nhow nthe nphysician nwill nbe npaid
nnow nthat nhe nis non nMedicare nParts nA nand nB, ninstead nof nhis nprevious nprivately nfunded
ninsurance nplan. nWho nshould nthe nnurse nexplain nis nthe npayor nto nthe nphysician non nthis nplan?
a. Previous nprivately nfundedNinsRuraInceGplanB.C nM
b. Medicare nPart nA U
c. Medicare nPart nB
d. Patient nor npatient’s
nfamily nANS: nC
S nN nT n O
Part nA npays nskilled ncare nfacilities. nPart nB npays nfor nphysician’s nservices. nThe npreviously nheld
ninsurance nis nno nlonger navailable nbecause nof nthe npatient’s nage. nThe nfamily nor npatient nis nnot
nresponsible nbecause nPart nB nis nin neffect.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n11 n OBJ: n4
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
TOP: nHealth nCare nFunding KEY: nNursing nProcess nStep: nImplementation nMSC: nNCLEX:
nSafe, nEffective nCare nEnvironment: nCoordinated nCare
3. What nhealth ncare nplan nis nthe nbest nreferral nfor nan nunemployed n42-year-old npatient
nwith nrenal nfailure nwho nhas nlost nhis njob-related nprivate ninsurance?
a. Medicare
b. Medicaid
c. Public nhealth nfacility
d. Community-based noutpatient
nclinic nANS: nB
Medicaid nis navailable nto nneedy nlow-income npersons nyounger nthan n65 nyears nof nage nwho nhave na
npermanent ndisability. nMedicare nis nfor npersons n65 nyears nand nolder. nPublic nhealth nservices nare
ninvolved nwith nprevention nmore noften nthan nwith nchronic ncare.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n11 n OBJ: n4
TOP: nHealth nCare nFunding KEY: nNursing nProcess nStep: nImplementation nMSC: nNCLEX:
nSafe, nEffective nCare nEnvironment: nCoordinated nCare
4. A npatient nwith nterminal nlung ncancer nwith nextensive nmetastasis nis nrequesting na
nhospice ntransfer. nWhat ncriteria nare nincluded nas nrequirements nfor nthis ntransfer?
a. The npatient nrequests nand nagrees nto nthe nguidelines nof nhospice ncare nwithout
nrequiring na nphysician’s norder.
b. The nphysician nconfirms nthat nthe npatient nhas n6 nmonths nor nless nof nlife nremaining nand
nhas nprovided na nwritten norder nfor nhospice ncare.
c. Proof nconfirms nthat nthe nfamily ncan nno nlonger ncare nfor nthe npatient nat nhome.
d. The npatient’s nspecific ndiagnosis nis nincluded non na nlist nof naccepted ndiseases nthat nqualifies
nthe npatient nfor nhospice ncare.
ANS: nB
The nfour ncriteria nfor ntransfer nto nhospice ncare nare n(1) ndiagnosis nof nany nterminal nillness, n(2)
nprognosis nof nless nthan n6 nmonths nof nlife, n(3) ninformed nconsent nof npatient, nand n(4) nwritten
nphysician’s norder.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n7 OBJ: n5
TOP: nHospice nCare KEY: nNursing nProcess nStep: nImplementation nMSC:
nNCLEX: nPhysiological nIntegrity: nBasic nCare nand nComfort
5. A npatient nadmitted nyesterday nwith na ndiagnosis-related ngroup n(DRG) ndiagnosis nof
nabdominal npain nof nan nunknown ncause nis nbeing ndischarged nthis nafternoon nbecause nall
ndiagnostic ntest nresults nhave nbeen nnegative. nWhat ndoes nthis nscenario nexemplify?
a. Effective nlaboratory nresponse
b. Medicare nguidelines nlimiNtinUgRhSosIpiNtaGl nTstaBy.COM
c. Cost ncontainment nrelated nto na nDRG ndiagnosis
d. Patient nwho nshould nnot nhave nbeen nadmitted nin nthe nfirst nplace
, Linton: Introduction to Medical-Surgical Nursing, 6th Edition
ANS: nC
Cost ncontainment nis na nmeans nby nwhich nthe ncost nof nhospitalization ntime nis nreduced nwhen nthe
nneed nfor nacute nhospital ncare nis nno nlonger nnecessary.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n11-12 OBJ: n6 nTOP:
nCost nContainment nper nDRGs KEY: nNursing nProcess nStep: nN/A nMSC:
nNCLEX: nN/A
6. A nnurse nis ndiscussing ndischarge nto na ntransitional nsubacute nfacility nwith na n72-year-
old npatient ndiagnosed nwith ndiabetes nand nbilateral nleg namputation. nWhat nshould nthe nnurse
ninform nthe npatient nregarding nthe nstay nin nthe nnew nfacility?
a. It nwill nbe nlimited nto n25 ndays.
b. It nwill nbe nlimited nto n50 ndays.
c. It nwill nbe nlimited nto n75 ndays.
d. It nis ntotally
nunlimited. nANS: nD
Medicare nlimitations nare nwaived nfor npatients nwho nhave nundergone namputations.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n8 OBJ: n4
nTOP: nStay nin na nSkilled nCare nFacility n KEY: nNursing nProcess nStep:
nPlanning
MSC: nNCLEX: nSafe, nEffective nCare nEnvironment: nCoordinated nCare
7. A npatient nis napplying nfor nMedicaid. nWhat ndoes nthe nreceipt nof nbenefits nrequire?
a. Following na nsupervised nhealth nmaintenance nplan
b. Enrolling nin nthe nMedicare-Preferred nDrug nPlan
c. Qualifying nfor nthe nfood nstamp nprogram
d. Having nan nannual nincome nof nless nthan
n$10,000 nANS: nB
The nMedicare-Preferred nDrug nPlan nis na ncondition nof nMedicaid neligibility. nNonenrollment nmay
ncause nthe nloss nof nall nhealth ncare nbenefits.
DIF: Cognitive nLevel: nKnowledge n REF:Test nbank np. n11 n OBJ: n4
TOP: nMedicare-Preferred nDrug nPlan n KEY: nNursing nProcess nStep: nImplementation nMSC:
nNCLEX: nHealth nPromotion nand nMaintenance: nCoordinated nCare
8. Which nis ntrue nconcerning nproprietary nagencies?
a. They nare norganized nto nbe nnonprofit noperations.
b. They nare norganized nto nmake na nprofit non ntheir noperation.
c. Any nprofit nthey nmake nis nimmediately nused nto npurchase nbetter nequipment nand nservices.
d. They nmust nparticipate nin
nMedicare. nANS: nB
These nagencies nare nusually nowned nby nlarge ncorporations nand nestablished nfor nthe npurpose nof
nmaking na nprofit. nAlthough nmost nsuch nagencies ndo nparticipate nin nMedicare, nit nis nnot nrequired.
INTRODUCTION TO MEDICAL-
SURGICAL NURSING 6TH EDITION
LINTON TEST BANK
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
Chapter 01: The Health Care System
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE nCHOICE
1. An n89-year-old nman, nwho nwas nrecently ndischarged nfrom na nrehabilitation nhospital
nbecause nof nan ninability nto nconcentrate nand nfrequent nmemory nlapses, ncannot nbe nleft nalone
nwhile nhis nfamily nworks. nWhat noptions nshould nthe ndischarge nplanning nteam nsuggest nthat nwill
nsatisfy nsafety nconcerns nand ngive nthe ngreatest nquality nof nlife nto nthe npatient?
a. Placement nin na nday ncare ncenter nfrom n8 nAM nto n5 nPM ndaily
b. Placement nin na nlong-term npsychiatric nfacility
c. Placement nin na nhigh-security nnursing nhome
d. Admission nto na ngeneral nhospital nfor
nevaluation nANS: nA
Day ncare ncenters nprovide nsupervision, nsafety, nnutritious nmeals, nand nsocialization nwhile nthe
ncaregiving nfamily nworks.
DIF: Cognitive nLevel: nApplication nREF:Test nbank np. n7 OBJ: n5
TOP: nDay nCare nCenters KEY: nNursing nProcess nStep: nPlanning nMSC:
nNCLEX: nPhysiological nIntegrity: nReduction nof nRisk
2. A n66-year-old nhospitalized npatient nis nanxious nabout nhow nthe nphysician nwill nbe npaid
nnow nthat nhe nis non nMedicare nParts nA nand nB, ninstead nof nhis nprevious nprivately nfunded
ninsurance nplan. nWho nshould nthe nnurse nexplain nis nthe npayor nto nthe nphysician non nthis nplan?
a. Previous nprivately nfundedNinsRuraInceGplanB.C nM
b. Medicare nPart nA U
c. Medicare nPart nB
d. Patient nor npatient’s
nfamily nANS: nC
S nN nT n O
Part nA npays nskilled ncare nfacilities. nPart nB npays nfor nphysician’s nservices. nThe npreviously nheld
ninsurance nis nno nlonger navailable nbecause nof nthe npatient’s nage. nThe nfamily nor npatient nis nnot
nresponsible nbecause nPart nB nis nin neffect.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n11 n OBJ: n4
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
TOP: nHealth nCare nFunding KEY: nNursing nProcess nStep: nImplementation nMSC: nNCLEX:
nSafe, nEffective nCare nEnvironment: nCoordinated nCare
3. What nhealth ncare nplan nis nthe nbest nreferral nfor nan nunemployed n42-year-old npatient
nwith nrenal nfailure nwho nhas nlost nhis njob-related nprivate ninsurance?
a. Medicare
b. Medicaid
c. Public nhealth nfacility
d. Community-based noutpatient
nclinic nANS: nB
Medicaid nis navailable nto nneedy nlow-income npersons nyounger nthan n65 nyears nof nage nwho nhave na
npermanent ndisability. nMedicare nis nfor npersons n65 nyears nand nolder. nPublic nhealth nservices nare
ninvolved nwith nprevention nmore noften nthan nwith nchronic ncare.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n11 n OBJ: n4
TOP: nHealth nCare nFunding KEY: nNursing nProcess nStep: nImplementation nMSC: nNCLEX:
nSafe, nEffective nCare nEnvironment: nCoordinated nCare
4. A npatient nwith nterminal nlung ncancer nwith nextensive nmetastasis nis nrequesting na
nhospice ntransfer. nWhat ncriteria nare nincluded nas nrequirements nfor nthis ntransfer?
a. The npatient nrequests nand nagrees nto nthe nguidelines nof nhospice ncare nwithout
nrequiring na nphysician’s norder.
b. The nphysician nconfirms nthat nthe npatient nhas n6 nmonths nor nless nof nlife nremaining nand
nhas nprovided na nwritten norder nfor nhospice ncare.
c. Proof nconfirms nthat nthe nfamily ncan nno nlonger ncare nfor nthe npatient nat nhome.
d. The npatient’s nspecific ndiagnosis nis nincluded non na nlist nof naccepted ndiseases nthat nqualifies
nthe npatient nfor nhospice ncare.
ANS: nB
The nfour ncriteria nfor ntransfer nto nhospice ncare nare n(1) ndiagnosis nof nany nterminal nillness, n(2)
nprognosis nof nless nthan n6 nmonths nof nlife, n(3) ninformed nconsent nof npatient, nand n(4) nwritten
nphysician’s norder.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n7 OBJ: n5
TOP: nHospice nCare KEY: nNursing nProcess nStep: nImplementation nMSC:
nNCLEX: nPhysiological nIntegrity: nBasic nCare nand nComfort
5. A npatient nadmitted nyesterday nwith na ndiagnosis-related ngroup n(DRG) ndiagnosis nof
nabdominal npain nof nan nunknown ncause nis nbeing ndischarged nthis nafternoon nbecause nall
ndiagnostic ntest nresults nhave nbeen nnegative. nWhat ndoes nthis nscenario nexemplify?
a. Effective nlaboratory nresponse
b. Medicare nguidelines nlimiNtinUgRhSosIpiNtaGl nTstaBy.COM
c. Cost ncontainment nrelated nto na nDRG ndiagnosis
d. Patient nwho nshould nnot nhave nbeen nadmitted nin nthe nfirst nplace
, Linton: Introduction to Medical-Surgical Nursing, 6th Edition
ANS: nC
Cost ncontainment nis na nmeans nby nwhich nthe ncost nof nhospitalization ntime nis nreduced nwhen nthe
nneed nfor nacute nhospital ncare nis nno nlonger nnecessary.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n11-12 OBJ: n6 nTOP:
nCost nContainment nper nDRGs KEY: nNursing nProcess nStep: nN/A nMSC:
nNCLEX: nN/A
6. A nnurse nis ndiscussing ndischarge nto na ntransitional nsubacute nfacility nwith na n72-year-
old npatient ndiagnosed nwith ndiabetes nand nbilateral nleg namputation. nWhat nshould nthe nnurse
ninform nthe npatient nregarding nthe nstay nin nthe nnew nfacility?
a. It nwill nbe nlimited nto n25 ndays.
b. It nwill nbe nlimited nto n50 ndays.
c. It nwill nbe nlimited nto n75 ndays.
d. It nis ntotally
nunlimited. nANS: nD
Medicare nlimitations nare nwaived nfor npatients nwho nhave nundergone namputations.
DIF: Cognitive nLevel: nComprehension REF:Test nbank np. n8 OBJ: n4
nTOP: nStay nin na nSkilled nCare nFacility n KEY: nNursing nProcess nStep:
nPlanning
MSC: nNCLEX: nSafe, nEffective nCare nEnvironment: nCoordinated nCare
7. A npatient nis napplying nfor nMedicaid. nWhat ndoes nthe nreceipt nof nbenefits nrequire?
a. Following na nsupervised nhealth nmaintenance nplan
b. Enrolling nin nthe nMedicare-Preferred nDrug nPlan
c. Qualifying nfor nthe nfood nstamp nprogram
d. Having nan nannual nincome nof nless nthan
n$10,000 nANS: nB
The nMedicare-Preferred nDrug nPlan nis na ncondition nof nMedicaid neligibility. nNonenrollment nmay
ncause nthe nloss nof nall nhealth ncare nbenefits.
DIF: Cognitive nLevel: nKnowledge n REF:Test nbank np. n11 n OBJ: n4
TOP: nMedicare-Preferred nDrug nPlan n KEY: nNursing nProcess nStep: nImplementation nMSC:
nNCLEX: nHealth nPromotion nand nMaintenance: nCoordinated nCare
8. Which nis ntrue nconcerning nproprietary nagencies?
a. They nare norganized nto nbe nnonprofit noperations.
b. They nare norganized nto nmake na nprofit non ntheir noperation.
c. Any nprofit nthey nmake nis nimmediately nused nto npurchase nbetter nequipment nand nservices.
d. They nmust nparticipate nin
nMedicare. nANS: nB
These nagencies nare nusually nowned nby nlarge ncorporations nand nestablished nfor nthe npurpose nof
nmaking na nprofit. nAlthough nmost nsuch nagencies ndo nparticipate nin nMedicare, nit nis nnot nrequired.
