, Chapter 2: Patient Care Settings
MULTIPLE CHOICE
1. While the home health nurse is doing the entry to service assessment on a home-bound
patient, the wife of the patient asks whether Medicare will cover the patient’s ventilator
therapy and his insulin injections. The nurse responds:
1. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
2. “No, Medicare will not cover either of these ongoing therapies.”
3. “Medicare will cover ventilator therapy but not insulin injections.”
4. “Medicare will cover ongoing insulin therapy, but not a highly technical skill such
as ventilator therapy.”
ANS: 3
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that
can be taught to the family or the patient are not covered.
PTS: 1 DIF: Cognitive Level: Application REF: 16
OBJ: 3 TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
2. The wife of a patient asks the nurse whether her husband would be considered for placement
in a skilled nursing care facility when he is discharged from the general hospital. The patient
is incontinent, has mild dementia but is able to ambulate with a walker, and must have help to
eat and dress himself. The nurse’s most appropriate reply is:
1. “Yes, your husband would qualify for a skilled care facility because of his inability
to feed and dress himself.”
2. “No, your husband’s disabilities would not qualify him for a skilled facility.”
3. “Yes, because of his dementia your husband qualifies for placement in a skilled care
facility.”
4. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
ANS: 2
Placement in a skilled nursing facility must be authorized by the physician, there must be a
clear need for rehabilitation or severe deficits in self-care that have a potential for
improvement.
PTS: 1 DIF: Cognitive Level: Analysis REF: 14
OBJ: 9 TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. The nurse has noted that a newly admitted resident to an extended care facility stays in her
room, does not take active part in activities, and leaves the meal table after having eaten very
little. The nurse analyzes this relocation response as:
1. regression.
2. social withdrawal.
3. depersonalization.
MULTIPLE CHOICE
1. While the home health nurse is doing the entry to service assessment on a home-bound
patient, the wife of the patient asks whether Medicare will cover the patient’s ventilator
therapy and his insulin injections. The nurse responds:
1. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
2. “No, Medicare will not cover either of these ongoing therapies.”
3. “Medicare will cover ventilator therapy but not insulin injections.”
4. “Medicare will cover ongoing insulin therapy, but not a highly technical skill such
as ventilator therapy.”
ANS: 3
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that
can be taught to the family or the patient are not covered.
PTS: 1 DIF: Cognitive Level: Application REF: 16
OBJ: 3 TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
2. The wife of a patient asks the nurse whether her husband would be considered for placement
in a skilled nursing care facility when he is discharged from the general hospital. The patient
is incontinent, has mild dementia but is able to ambulate with a walker, and must have help to
eat and dress himself. The nurse’s most appropriate reply is:
1. “Yes, your husband would qualify for a skilled care facility because of his inability
to feed and dress himself.”
2. “No, your husband’s disabilities would not qualify him for a skilled facility.”
3. “Yes, because of his dementia your husband qualifies for placement in a skilled care
facility.”
4. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
ANS: 2
Placement in a skilled nursing facility must be authorized by the physician, there must be a
clear need for rehabilitation or severe deficits in self-care that have a potential for
improvement.
PTS: 1 DIF: Cognitive Level: Analysis REF: 14
OBJ: 9 TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. The nurse has noted that a newly admitted resident to an extended care facility stays in her
room, does not take active part in activities, and leaves the meal table after having eaten very
little. The nurse analyzes this relocation response as:
1. regression.
2. social withdrawal.
3. depersonalization.
