NCLEX RN test bank - Chapter 1 The Health Care System
Study online at https://quizlet.com/_3j6p6r
1. ANS: 1 1. An 89-year-old man, recently discharged from
Day care centers provide supervision, a rehabilitation hospital because of his inability to
safety, nutritious meals, and socializa- concentrate and frequent memory lapses, cannot
tion while the caregiving family works. be left alone while his family works because of
safety concerns. What options can the discharge
planning team suggest that will give the greatest
quality of life to the patient?
1. Placement in a day care center from 8 AM to 5
PM daily
2. Placement in a long-term psychiatric facility
3. Placement in a high-security nursing home
4. Admission to a general hospital for evaluation
2. ANS: 3 2. A 66-year-old hospitalized patient is anxious
Part A pays skilled care facilities; Part B about how the physician will be paid now that the
pays for physician's services. The pre- patient is on Medicare Part A and Part B, instead
vious insurance is no longer available of his previous privately funded insurance plan.
because of the patient's age. The family The nurse explains that the physician will be paid
or patient is not responsible, because by:
Part B is in effect. 1. the previously private funded insurance.
2. Medicare Part A.
3. Medicare Part B.
4. the patient or his family.
3. ANS: 2 3. A nurse could best refer an unemployed
Medicaid is available to needy low-in- 42-year-old renal failure patient who has lost
come persons under 65 who have a his job-related private insurance to which health
permanent disability. Medicare is for care plan for his medical care?
persons over 65. Public health services 1. Medicare
are involved with prevention more than 2. Medicaid
with chronic care. 3. Public health facility
4. Community-based outpatient clinic
1/9
, NCLEX RN test bank - Chapter 1 The Health Care System
Study online at https://quizlet.com/_3j6p6r
4. ANS: 2 4. A 50-year-old woman with terminal cancer of
The four criteria for transfer to hospice the lung with extensive metastasis is requesting a
care are diagnosis of any terminal ill- hospice transfer. The requirements for this trans-
ness, prognosis of less than 6 months fer include:
of life, informed consent of patient, and 1. the patient requesting and agreeing to the
written physician's order. guidelines of hospice care, but not requiring a
physician's order.
2. physician confirmation that the patient has 6
months or less of life remaining and a written
order for hospice care.
3. proof that the family can no longer care for the
patient at home.
4. a specific diagnosis on a list of accepted dis-
eases that qualifies the patient for hospice care.
5. ANS: 3 5. A 42-year-old patient admitted yesterday with
Cost containment is a means by which a DRG (diagnosis-related group) diagnosis of
the cost of hospitalization time is re- Abdominal Pain, cause unknown, is being dis-
duced when the need for acute hospital charged this afternoon, because all diagnostic
care is no longer necessary. tests have been negative. This is an example of:
1. effective laboratory response.
2. Medicare guidelines limiting hospital stay.
3. cost containment related to DRG.
4. a patient who should not have been admitted
in the first place.
6. ANS: 4 6. In discussing the discharge to a transitional
Medicare limitations are waived in the sub-acute facility with a 72-year-old diabetic who
case of amputations. has had both legs amputated, the nurse informs
the patient that his stay in the new facility will be:
1. limited to 25 days.
2/9
Study online at https://quizlet.com/_3j6p6r
1. ANS: 1 1. An 89-year-old man, recently discharged from
Day care centers provide supervision, a rehabilitation hospital because of his inability to
safety, nutritious meals, and socializa- concentrate and frequent memory lapses, cannot
tion while the caregiving family works. be left alone while his family works because of
safety concerns. What options can the discharge
planning team suggest that will give the greatest
quality of life to the patient?
1. Placement in a day care center from 8 AM to 5
PM daily
2. Placement in a long-term psychiatric facility
3. Placement in a high-security nursing home
4. Admission to a general hospital for evaluation
2. ANS: 3 2. A 66-year-old hospitalized patient is anxious
Part A pays skilled care facilities; Part B about how the physician will be paid now that the
pays for physician's services. The pre- patient is on Medicare Part A and Part B, instead
vious insurance is no longer available of his previous privately funded insurance plan.
because of the patient's age. The family The nurse explains that the physician will be paid
or patient is not responsible, because by:
Part B is in effect. 1. the previously private funded insurance.
2. Medicare Part A.
3. Medicare Part B.
4. the patient or his family.
3. ANS: 2 3. A nurse could best refer an unemployed
Medicaid is available to needy low-in- 42-year-old renal failure patient who has lost
come persons under 65 who have a his job-related private insurance to which health
permanent disability. Medicare is for care plan for his medical care?
persons over 65. Public health services 1. Medicare
are involved with prevention more than 2. Medicaid
with chronic care. 3. Public health facility
4. Community-based outpatient clinic
1/9
, NCLEX RN test bank - Chapter 1 The Health Care System
Study online at https://quizlet.com/_3j6p6r
4. ANS: 2 4. A 50-year-old woman with terminal cancer of
The four criteria for transfer to hospice the lung with extensive metastasis is requesting a
care are diagnosis of any terminal ill- hospice transfer. The requirements for this trans-
ness, prognosis of less than 6 months fer include:
of life, informed consent of patient, and 1. the patient requesting and agreeing to the
written physician's order. guidelines of hospice care, but not requiring a
physician's order.
2. physician confirmation that the patient has 6
months or less of life remaining and a written
order for hospice care.
3. proof that the family can no longer care for the
patient at home.
4. a specific diagnosis on a list of accepted dis-
eases that qualifies the patient for hospice care.
5. ANS: 3 5. A 42-year-old patient admitted yesterday with
Cost containment is a means by which a DRG (diagnosis-related group) diagnosis of
the cost of hospitalization time is re- Abdominal Pain, cause unknown, is being dis-
duced when the need for acute hospital charged this afternoon, because all diagnostic
care is no longer necessary. tests have been negative. This is an example of:
1. effective laboratory response.
2. Medicare guidelines limiting hospital stay.
3. cost containment related to DRG.
4. a patient who should not have been admitted
in the first place.
6. ANS: 4 6. In discussing the discharge to a transitional
Medicare limitations are waived in the sub-acute facility with a 72-year-old diabetic who
case of amputations. has had both legs amputated, the nurse informs
the patient that his stay in the new facility will be:
1. limited to 25 days.
2/9
