TEST BANK For Introduction to Medical-Surgical Nursing 6th Edition by Adrianne Dill Linton BSN MN PhD Latest Update Graded A+

,Chapter 01: The Health Care System(FREE) j j j j j


Chapter 01: The Health Care System j j j j j


Linton: Introduction to Medical- j j j


Surgical Nursing, 6th EditionMULTIPLE CHOICE j j j j j




1. An 89-year- j


old man, who was recently discharged from a rehabilitation hospital because of a
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n inability to concentrate and frequent memory lapses, cannot be left alone while
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his family works. What options should the discharge planning team suggest that w
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ill satisfy safety concerns and give thegreatest quality of life to the patient?
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a. Placement in a day care center from 8 AM to 5 PM daily j j j j j j j j j j j j


b. Placement in a long-term psychiatric facility j j j j j


c. Placement in a high-security nursing home j j j j j


d. Admission to a general hospital for evaluation j j j j j j


ANS: A j


Day care centers provide supervision, safety, nutritious meals, andsocializati
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on while the caregiving family works.
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DIF: Cognitive Level: Application REF: p. 7 OBJ: 5 TOP: Day Care CentersKEY
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: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Reduc
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tion of Risk j j




2. A 66-year- j


old hospitalized patient is anxious about how the physician willbe paid now that h
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e is on Medicare Parts A and B, instead of his previous privately funded insurance
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plan. Who should the nurse explain is the payor tothe physician on this plan?
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a. Previous privately funded insurance plan j j j j


b. Medicare Part A j j


c. Medicare Part B j j


d. Patient or patient’s family j j j


ANS: C j


Part A pays skilled care facilities. Part B pays for physician’s services. The previo
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usly held insurance is no longer available because of the patient’s age.The family o
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r patient is not responsible because Part B is in effect.
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DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
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TOP: Health Care Funding KEY: Nursing Process Step: ImplementationMS
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C: NCLEX: Safe, Effective Care Environment: Coordinated Care
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,3. What health care plan is the best referral for an unemployed 42-year-
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oldpatient with renal failure who has lost his job-related private insurance? a.
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Medicare
b. Medicaid
c. Public health facility j j


d. Community-based outpatient clinic j j


ANS: B j


Medicaid is available to needy low- j j j j j


income persons younger than 65 years ofage who have a permanent disability. M
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edicare is for persons 65 years and older. Public health services are involved with
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prevention more often than with chronic care. j j j j j j




DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
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TOP: Health Care Funding KEY: Nursing Process Step: ImplementationMS
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C: NCLEX: Safe, Effective Care Environment: Coordinated Care
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4. A patient with terminal lung cancer with extensive metastasis is requestinga ho
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spice transfer. What criteria are included as requirements for this transfer? a. The
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patient requests and agrees to the guidelines of hospice care without requiring a p
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hysician’s order. j


b. The physician confirms that the patient has 6 months or less of liferemainin
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g and has provided a written order for hospice care.
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c. Proof confirms that the family can no longer care for the patient at home. d.The p
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atient’s specific diagnosis is included on a list of accepted diseases that qualifies th
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e patient for hospice care.
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ANS: B j


The four criteria for transfer to hospice care are (1) diagnosis of any terminalillness,
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(2) prognosis of less than 6 months of life, (3) informed consent of patient, and (4) w
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ritten physician’s order. j j




DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 5 TOP: Hospice CareKEY:
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Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: B
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asic Care and Comfortj j j




5. A patient admitted yesterday with a diagnosis-
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related group (DRG) diagnosis of abdominal pain of an unknown cause is bein
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g discharged this afternoon because all diagnostic test results have been negativ
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e. What doesthis scenario exemplify?
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, a. Effective laboratory response j j


b. Medicare guidelines limiting hospital stay j j j j


c. Cost containment related to a DRG diagnosis
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d. Patient who should not have been admitted in the first place j j j j j j j j j j


ANS: C j


Cost containment is a means by which the cost of hospitalization time is reduced
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when the need for acute hospital care is no longer necessary. DIF:Cognitive Level
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: Comprehension REF: p. 11-
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12 OBJ: 6 TOP: Cost Containment per DRGs KEY: Nursing Process Step: N/A
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MSC: NCLEX:N/A j j




MSC: NCLEX: N/A j j




year-
old patient diagnosed with diabetes and bilateral leg amputation. What should the n
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urse inform the patient regarding the stay in the new facility? a. Itwill be limited to 2
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5 days.
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b. It will be limited to 50 days.
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c. It will be limited to 75 days.
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d. It is totally unlimited.
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ANS: D j


Medicare limitations are waived for patients who have undergoneamputatio
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ns.

DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 4
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TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step: PlanningMSC: N
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CLEX: Safe, Effective Care Environment: Coordinated Care
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7. A patient is applying for Medicaid. What does the receipt of benefitsrequ
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ire? a. Following a supervised health maintenance plan
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b. Enrolling in the Medicare-Preferred Drug Plan j j j j j


c. Qualifying for the food stamp program j j j j j


d. Having an annual income of less than $10,000 j j j j j j j


ANS: B j


The Medicare- j


Preferred Drug Plan is a condition of Medicaid eligibility.Nonenrollment may caus
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e the loss of all health care benefits.
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DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: 4
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TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step:
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