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