Test Bank For Essentials For Nursing Practice, 8th Edition By Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall.

Essentials For Nursing Practice, 8th Edition By Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall Test Bank. A nurse admits an older adult patient who states that he or she has no living relatives and only two close friends. Upon admission to the hospital, which action should the nurse initiate first? a. Implement a process of payment. b. Implement a discharge plan. c. Implement a visit with the family. d. Implement a resource utilization group. ANS: B Discharge planning with coordination of services begins the moment a patient is admitted to a health care facility. A resource utilization group is used in long-term care settings to manage patient costs. A visit with the family is not possible because the patient has no living relatives. Upon admission, a process of payment is not a priority for a nurse. PTS: 1 DIF: Cognitive Level: Analyzing (Analysis) REF: 35 OBJ: Discuss the role of nurses in different health care delivery settings. TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care 6. A nurse is asked the most frequently cited reason for death in the world. How should the nurse reply? a. Technological advances b. Old age c. Cancer d. Poverty ANS: D Poverty is still deadlier than any disease and is the most frequently cited reason for death in the world today. Technological advances, old age, and cancer are not the most cited reason for death. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: 45 OBJ: Discuss the implications that issues challenging the health care system have for nursing. TOP: Nursing Process: Implementation MSC: NCLEX: Reduction of Risk Potential 7. A nurse is teaching the staff about the Prospective Payment System (PPS). Which information should the nurse include in the teaching session? a. PPS establishes cost-based reimbursement for health care. b. PPS provides reimbursement for every service the patient receives. c. PPS establishes reimbursement rates based upon diagnosis-related groups (DRGs). d. PPS provides money to the patient for health promotion use. ANS: C PPS established diagnosis-related groups (DRGs). Established by Congress in 1983, the PPS eliminated cost-based reimbursement, which is reimbursement for every service the patient receives. Hospitals serving patients using Medicare were no longer paid for all costs incurred in delivering care to a patient. Instead, inpatient hospital services for patients using Medicare were combined into 468 DRGs. PPS provides a preset amount of money to hospitals and health care providers for DRGs, not for health promotion. Managed care focuses on health promotion. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: 32 OBJ: Compare the various methods for financing health care. TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care 8. A 74-year-old patient was admitted to the hospital with diabetic ketoacidosis. How will the hospital be reimbursed by Medicare? a. Based upon the diagnostic-related group b. Based upon the cost of care c. Based upon the actual length of stay d. Based upon the number of medications ANS: A Payment is based upon the diagnostic-related group. Established by Congress in 1983, the prospective payment system eliminated cost-based reimbursement. Hospitals serving patients using Medicare were no longer paid for all costs incurred to deliver care to a patient. Instead, inpatient hospital services for patients using Medicare were combined into 468 diagnosis-related groups. Hospitals receive a set dollar amount for each patient based on the assigned DRG, regardless of the patient’s length of stay or use of services in the hospital or the number of medications. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: 32 OBJ: Compare the various methods for financing health care. TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care 9. A patient tells the nurse that he or she does not understand the purpose of capitation. What is the nurse’s best response? a. To provide high-quality care at the highest cost to the hospital, not the patient b. To provide the least expensive care for patients regardless of outcomes c. To build a payment plan that includes the best standards of care at the lowest cost d. To ensure that all patients receive the same care for the same cost in all hospitals ANS: C The purpose of capitation is to build a payment plan for select diagnoses or surgical procedures that includes the best standards of care and essential diagnostic and treatment procedures at the lowest cost. Capitation does not cause the hospitals to pay the highest cost but to determine quality care for the lowest cost. Capitation does not provide the least expensive care for patients for outcomes because best standards are the outcome. Capitation does not make all patients receive the same care for the same cost in all hospitals. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: 32 OBJ: Explain the advantages and disadvantages of managed health care. TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care 10. A single mother with three children uses the public health department services in the county to immunize her children. Which level of health care did the mother use? a. Continuing care b. Preventative care c. Secondary acute care d. Restorative care ANS: B Preventative care includes services such as immunizations, screenings, poison control information, mental health counseling and crisis prevention, and community legislation. Continuing care is assisted living. Secondary acute care involves emergency and radiological procedures. Restorative care involves rehabilitation services and home care. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: 34 OBJ: Describe the six levels of health care. TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 11. A registered nurse working as a school nurse for a small poor rural school district has noticed an increase in children arriving at school without having eaten breakfast. The nurse has discussed this issue with the school principal and is working on a proposal to ask the school district to explore a school breakfast program. Which level of care did the nurse use?