TEST BANK
Introduction to Medical Surgical Nursing Linton 6th Ed. All Chapters
Updated!!!
Wickyaplus Stuvia
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
Chapter 01: The Health Care System x x x x x
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
MULTIPLE CHOICE x
1. An 89-year-old man, who was recently discharged from a rehabilitation hospital
x x x x x x x x x x
because of an inability to concentrate and frequent memory lapses, cannot be left
x x x x x x x x x x x x x
alone while his family works. What options should the discharge planning team suggest
x x x x x x x x x x x x x
that will satisfy safety concerns and give the greatest quality of life to the patient?
x x x x x x x x x x x x x x x
a. Placement in a day care center from 8 AM to 5 PM daily x x x x x x x x x x x x
b. Placement in a long-term psychiatric facility x x x x x
c. Placement in a high-security nursing home x x x x x
d. Admission to a general hospital for x x x x x
evaluation ANS: A
x x x
Day care centers provide supervision, safety, nutritious meals, and socialization while the
x x x x x x x x x x x
caregiving family works.
x x x
DIF: Cognitive Level: Application REF:Test bank p. 7 OBJ: 5 x x x x x x x x
TOP: Day Care Centers
x KEY: Nursing Process Step: Planning MSC:
x x x x x x x
NCLEX: Physiological Integrity: Reduction of Risk
x x x x x x
2. A 66-year-old hospitalized patient is anxious about how the physician will be paid
x x x x x x x x x x x x
now that he is on Medicare Parts A and B, instead of his previous privately
x x x x x x x x x x x x x x x
funded insurance plan. Who should the nurse explain is the payor to the physician
x x x x x x x x x x x x x x
on this plan?
x x x
a. Previous privately fundedNinsRuraInceGplanB.C M x x x
b. Medicare Part A x x U
c. Medicare Part B x x
d. Patient or patient‘s x x
family ANS: C x x
S NT O
x x x
Part A pays skilled care facilities. Part B pays for physician‘s services. The previously
x x x x x x x x x x x x x
held insurance is no longer available because of the patient‘s age. The family or
x x x x x x x x x x x x x x
patient is not responsible because Part B is in effect.
x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x REF:Test bank p. 11 OBJ: 4 x x x x
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX:
x x x x x x x x x x
Safe, Effective Care Environment: Coordinated Care
x x x x x x
3. What health care plan is the best referral for an unemployed 42-year-old patient
x x x x x x x x x x x x
with renal failure who has lost his job-related private insurance?
x x x x x x x x x x
a. Medicare
b. Medicaid
c. Public health facility x x
d. Community-based outpatient x
clinic ANS: B
x x x
Medicaid is available to needy low-income persons younger than 65 years of age who have a
x x x x x x x x x x x x x x x
permanent disability. Medicare is for persons 65 years and older. Public health services are
x x x x x x x x x x x x x x
involved with prevention more often than with chronic care.
x x x x x x x x x
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4 x x x x x x
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX:
x x x x x x x x x x
Safe, Effective Care Environment: Coordinated Care
x x x x x x
4. A patient with terminal lung cancer with extensive metastasis is requesting a
x x x x x x x x x x x
hospice transfer. What criteria are included as requirements for this transfer?
x x x x x x x x x x x
a. The patient requests and agrees to the guidelines of hospice care without
x x x x x x x x x x x
requiring a physician‘s order.
x x x x
b. The physician confirms that the patient has 6 months or less of life remaining and
x x x x x x x x x x x x x x
has provided a written order for hospice care.
x x x x x x x x
c. Proof confirms that the family can no longer care for the patient at home.
x x x x x x x x x x x x x
d. The patient‘s specific diagnosis is included on a list of accepted diseases that qualifies
x x x x x x x x x x x x x
the patient for hospice care.
x x x x x
ANS: B x
The four criteria for transfer to hospice care are (1) diagnosis of any terminal illness, (2)
x x x x x x x x x x x x x x x
prognosis of less than 6 months of life, (3) informed consent of patient, and (4) written
x x x x x x x x x x x x x x x x
physician‘s order.
x x
DIF: Cognitive Level: Comprehension
x REF:Test bank p. 7 OBJ: 5 x x x x x x x x x
TOP: Hospice Care KEY: Nursing Process Step: Implementation MSC:
x x x x x x x x x
NCLEX: Physiological Integrity: Basic Care and Comfort
x x x x x x x
5. A patient admitted yesterday with a diagnosis-related group (DRG) diagnosis of
x x x x x x x x x x
abdominal pain of an unknown cause is being discharged this afternoon because all
x x x x x x x x x x x x x
diagnostic test results have been negative. What does this scenario exemplify?
x x x x x x x x x x x
a. Effective laboratory response x x
b. Medicare guidelines limiNtinUgRhSosIpiNtaGl TstaBy.COM x x x
c. Cost containment related to a DRG diagnosis
x x x x x x
d. Patient who should not have been admitted in the first place
x x x x x x x x x x
, Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
ANS: C x
Cost containment is a means by which the cost of hospitalization time is reduced when
x x x x x x x x x x x x x x
the need for acute hospital care is no longer necessary.
x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x REF:Test bank p. 11-12 OBJ: 6 TOP: x x x x x
Cost Containment per DRGs
x x x x KEY: Nursing Process Step: N/A MSC:
x x x x x
NCLEX: N/A
x x
6. A nurse is discussing discharge to a transitional subacute facility with a 72-
x x x x x x x x x x x x
year- old patient diagnosed with diabetes and bilateral leg amputation. What should the
x x x x x x x x x x x x
nurse inform the patient regarding the stay in the new facility?
x x x x x x x x x x x
a. It will be limited to 25 days.
x x x x x x
b. It will be limited to 50 days.
x x x x x x
c. It will be limited to 75 days.
x x x x x x
d. It is totally x x
unlimited. ANS: D
x x x
Medicare limitations are waived for patients who have undergone amputations.
x x x x x x x x x
DIF: Cognitive Level: Comprehension REF:Test bank p. 8 OBJ: 4 x x x x x x
TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step:
x x x x x x x x x x
Planning
x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
x x x x x x x
7. A patient is applying for Medicaid. What does the receipt of benefits require?
x x x x x x x x x x x x
a. Following a supervised health maintenance plan x x x x x
b. Enrolling in the Medicare-Preferred Drug Plan x x x x x
c. Qualifying for the food stamp program x x x x x
d. Having an annual income of less than x x x x x x
$10,000 ANS: B x x
The Medicare-Preferred Drug Plan is a condition of Medicaid eligibility. Nonenrollment may
x x x x x x x x x x x
cause the loss of all health care benefits.
x x x x x x x x
DIF: Cognitive Level: Knowledge REF:Test bank p. 11 OBJ: 4 x x x x x x x
TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step: Implementation MSC:
x x x x x x x x x
NCLEX: Health Promotion and Maintenance: Coordinated Care
x x x x x x x
8. Which is true concerning proprietary agencies? x x x x x
a. They are organized to be nonprofit operations. x x x x x x
b. They are organized to make a profit on their operation.
x x x x x x x x x
c. Any profit they make is immediately used to purchase better equipment and services.
x x x x x x x x x x x x
d. They must participate in x x x
Medicare. ANS: B
x x x
These agencies are usually owned by large corporations and established for the purpose of
x x x x x x x x x x x x x
making a profit. Although most such agencies do participate in Medicare, it is not required.
x x x x x x x x x x x x x x x
Introduction to Medical Surgical Nursing Linton 6th Ed. All Chapters
Updated!!!
Wickyaplus Stuvia
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
Chapter 01: The Health Care System x x x x x
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
MULTIPLE CHOICE x
1. An 89-year-old man, who was recently discharged from a rehabilitation hospital
x x x x x x x x x x
because of an inability to concentrate and frequent memory lapses, cannot be left
x x x x x x x x x x x x x
alone while his family works. What options should the discharge planning team suggest
x x x x x x x x x x x x x
that will satisfy safety concerns and give the greatest quality of life to the patient?
x x x x x x x x x x x x x x x
a. Placement in a day care center from 8 AM to 5 PM daily x x x x x x x x x x x x
b. Placement in a long-term psychiatric facility x x x x x
c. Placement in a high-security nursing home x x x x x
d. Admission to a general hospital for x x x x x
evaluation ANS: A
x x x
Day care centers provide supervision, safety, nutritious meals, and socialization while the
x x x x x x x x x x x
caregiving family works.
x x x
DIF: Cognitive Level: Application REF:Test bank p. 7 OBJ: 5 x x x x x x x x
TOP: Day Care Centers
x KEY: Nursing Process Step: Planning MSC:
x x x x x x x
NCLEX: Physiological Integrity: Reduction of Risk
x x x x x x
2. A 66-year-old hospitalized patient is anxious about how the physician will be paid
x x x x x x x x x x x x
now that he is on Medicare Parts A and B, instead of his previous privately
x x x x x x x x x x x x x x x
funded insurance plan. Who should the nurse explain is the payor to the physician
x x x x x x x x x x x x x x
on this plan?
x x x
a. Previous privately fundedNinsRuraInceGplanB.C M x x x
b. Medicare Part A x x U
c. Medicare Part B x x
d. Patient or patient‘s x x
family ANS: C x x
S NT O
x x x
Part A pays skilled care facilities. Part B pays for physician‘s services. The previously
x x x x x x x x x x x x x
held insurance is no longer available because of the patient‘s age. The family or
x x x x x x x x x x x x x x
patient is not responsible because Part B is in effect.
x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x REF:Test bank p. 11 OBJ: 4 x x x x
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX:
x x x x x x x x x x
Safe, Effective Care Environment: Coordinated Care
x x x x x x
3. What health care plan is the best referral for an unemployed 42-year-old patient
x x x x x x x x x x x x
with renal failure who has lost his job-related private insurance?
x x x x x x x x x x
a. Medicare
b. Medicaid
c. Public health facility x x
d. Community-based outpatient x
clinic ANS: B
x x x
Medicaid is available to needy low-income persons younger than 65 years of age who have a
x x x x x x x x x x x x x x x
permanent disability. Medicare is for persons 65 years and older. Public health services are
x x x x x x x x x x x x x x
involved with prevention more often than with chronic care.
x x x x x x x x x
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4 x x x x x x
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX:
x x x x x x x x x x
Safe, Effective Care Environment: Coordinated Care
x x x x x x
4. A patient with terminal lung cancer with extensive metastasis is requesting a
x x x x x x x x x x x
hospice transfer. What criteria are included as requirements for this transfer?
x x x x x x x x x x x
a. The patient requests and agrees to the guidelines of hospice care without
x x x x x x x x x x x
requiring a physician‘s order.
x x x x
b. The physician confirms that the patient has 6 months or less of life remaining and
x x x x x x x x x x x x x x
has provided a written order for hospice care.
x x x x x x x x
c. Proof confirms that the family can no longer care for the patient at home.
x x x x x x x x x x x x x
d. The patient‘s specific diagnosis is included on a list of accepted diseases that qualifies
x x x x x x x x x x x x x
the patient for hospice care.
x x x x x
ANS: B x
The four criteria for transfer to hospice care are (1) diagnosis of any terminal illness, (2)
x x x x x x x x x x x x x x x
prognosis of less than 6 months of life, (3) informed consent of patient, and (4) written
x x x x x x x x x x x x x x x x
physician‘s order.
x x
DIF: Cognitive Level: Comprehension
x REF:Test bank p. 7 OBJ: 5 x x x x x x x x x
TOP: Hospice Care KEY: Nursing Process Step: Implementation MSC:
x x x x x x x x x
NCLEX: Physiological Integrity: Basic Care and Comfort
x x x x x x x
5. A patient admitted yesterday with a diagnosis-related group (DRG) diagnosis of
x x x x x x x x x x
abdominal pain of an unknown cause is being discharged this afternoon because all
x x x x x x x x x x x x x
diagnostic test results have been negative. What does this scenario exemplify?
x x x x x x x x x x x
a. Effective laboratory response x x
b. Medicare guidelines limiNtinUgRhSosIpiNtaGl TstaBy.COM x x x
c. Cost containment related to a DRG diagnosis
x x x x x x
d. Patient who should not have been admitted in the first place
x x x x x x x x x x
, Linton: Introduction to Medical-Surgical Nursing, 6th Edition
x x x x x x
ANS: C x
Cost containment is a means by which the cost of hospitalization time is reduced when
x x x x x x x x x x x x x x
the need for acute hospital care is no longer necessary.
x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x REF:Test bank p. 11-12 OBJ: 6 TOP: x x x x x
Cost Containment per DRGs
x x x x KEY: Nursing Process Step: N/A MSC:
x x x x x
NCLEX: N/A
x x
6. A nurse is discussing discharge to a transitional subacute facility with a 72-
x x x x x x x x x x x x
year- old patient diagnosed with diabetes and bilateral leg amputation. What should the
x x x x x x x x x x x x
nurse inform the patient regarding the stay in the new facility?
x x x x x x x x x x x
a. It will be limited to 25 days.
x x x x x x
b. It will be limited to 50 days.
x x x x x x
c. It will be limited to 75 days.
x x x x x x
d. It is totally x x
unlimited. ANS: D
x x x
Medicare limitations are waived for patients who have undergone amputations.
x x x x x x x x x
DIF: Cognitive Level: Comprehension REF:Test bank p. 8 OBJ: 4 x x x x x x
TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step:
x x x x x x x x x x
Planning
x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
x x x x x x x
7. A patient is applying for Medicaid. What does the receipt of benefits require?
x x x x x x x x x x x x
a. Following a supervised health maintenance plan x x x x x
b. Enrolling in the Medicare-Preferred Drug Plan x x x x x
c. Qualifying for the food stamp program x x x x x
d. Having an annual income of less than x x x x x x
$10,000 ANS: B x x
The Medicare-Preferred Drug Plan is a condition of Medicaid eligibility. Nonenrollment may
x x x x x x x x x x x
cause the loss of all health care benefits.
x x x x x x x x
DIF: Cognitive Level: Knowledge REF:Test bank p. 11 OBJ: 4 x x x x x x x
TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step: Implementation MSC:
x x x x x x x x x
NCLEX: Health Promotion and Maintenance: Coordinated Care
x x x x x x x
8. Which is true concerning proprietary agencies? x x x x x
a. They are organized to be nonprofit operations. x x x x x x
b. They are organized to make a profit on their operation.
x x x x x x x x x
c. Any profit they make is immediately used to purchase better equipment and services.
x x x x x x x x x x x x
d. They must participate in x x x
Medicare. ANS: B
x x x
These agencies are usually owned by large corporations and established for the purpose of
x x x x x x x x x x x x x
making a profit. Although most such agencies do participate in Medicare, it is not required.
x x x x x x x x x x x x x x x
