Linton: Introduction to Medical-Surgical Nursing, 6th Edition Linton: Introduction to Medical-Surgical Nursing, 6th Edition
INTRODUCTION TO MEDICAL-
SURGICAL NURSING 6TH EDITION Chapter 01: The Health Care System
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
LINTON TEST BANK
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 Linton: Introduction to Medical-Surgical Nursing, 6th Edition
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, ANS: C
Effective Care Environment: Coordinated Care 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.
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? DIF: Cognitive Level: Comprehension REF:Test bank p. 11-12 OBJ: 6 TOP: Cost
a. Medicare Containment per DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b. Medicaid
c. Public health facility 6. A nurse is discussing discharge to a transitional subacute facility with a 72-year-old
d. Community-based outpatient clinic patient diagnosed with diabetes and bilateral leg amputation. What should the nurse inform the
ANS: B patient regarding the stay in the new facility?
Medicaid is available to needy low-income persons younger than 65 years of age who have a a. It will be limited to 25 days.
permanent disability. Medicare is for persons 65 years and older. Public health services are b. It will be limited to 50 days.
involved with prevention more often than with chronic care. c. It will be limited to 75 days.
d. It is totally unlimited.
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4 ANS: D
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Medicare limitations are waived for patients who have undergone amputations.
Effective Care Environment: Coordinated Care
DIF: Cognitive Level: Comprehension REF:Test bank p. 8 OBJ: 4
4. A patient with terminal lung cancer with extensive metastasis is requesting a hospice TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step: Planning
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 MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
physician’s order.
b. The physician confirms that the patient has 6 months or less of life remaining and has 7. A patient is applying for Medicaid. What does the receipt of benefits require?
provided a written order for hospice care. a. Following a supervised health maintenance plan
c. Proof confirms that the family can no longer care for the patient at home. b. Enrolling in the Medicare-Preferred Drug Plan
d. The patient’s specific diagnosis is included on a list of accepted diseases that qualifies the c. Qualifying for the food stamp program
patient for hospice care. d. Having an annual income of less than $10,000
ANS: B ANS: B
The four criteria for transfer to hospice care are (1) diagnosis of any terminal illness, (2) The Medicare-Preferred Drug Plan is a condition of Medicaid eligibility. Nonenrollment may
prognosis of less than 6 months of life, (3) informed consent of patient, and (4) written cause the loss of all health care benefits.
physician’s order.
DIF: Cognitive Level: Knowledge REF:Test bank p. 11 OBJ: 4
DIF: Cognitive Level: Comprehension REF:Test bank p. 7 OBJ: 5 TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step: Implementation MSC:
TOP: Hospice Care KEY: Nursing Process Step: Implementation MSC: NCLEX: NCLEX: Health Promotion and Maintenance: Coordinated Care
Physiological Integrity: Basic Care and Comfort
8. Which is true concerning proprietary agencies?
5. A patient admitted yesterday with a diagnosis-related group (DRG) diagnosis of a. They are organized to be nonprofit operations.
abdominal pain of an unknown cause is being discharged this afternoon because all diagnostic b. They are organized to make a profit on their operation.
test results have been negative. What does this scenario exemplify? c. Any profit they make is immediately used to purchase better equipment and services.
a. Effective laboratory response d. They must participate in Medicare.
b. Medicare guidelines limiNtinUgRhSosIpiNtaGl TstaBy.COM ANS: B
c. Cost containment related to a DRG diagnosis These agencies are usually owned by large corporations and established for the purpose of
d. Patient who should not have been admitted in the first place making a profit. Although most such agencies do participate in Medicare, it is not required.
INTRODUCTION TO MEDICAL-
SURGICAL NURSING 6TH EDITION Chapter 01: The Health Care System
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
LINTON TEST BANK
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 Linton: Introduction to Medical-Surgical Nursing, 6th Edition
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, ANS: C
Effective Care Environment: Coordinated Care 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.
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? DIF: Cognitive Level: Comprehension REF:Test bank p. 11-12 OBJ: 6 TOP: Cost
a. Medicare Containment per DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
b. Medicaid
c. Public health facility 6. A nurse is discussing discharge to a transitional subacute facility with a 72-year-old
d. Community-based outpatient clinic patient diagnosed with diabetes and bilateral leg amputation. What should the nurse inform the
ANS: B patient regarding the stay in the new facility?
Medicaid is available to needy low-income persons younger than 65 years of age who have a a. It will be limited to 25 days.
permanent disability. Medicare is for persons 65 years and older. Public health services are b. It will be limited to 50 days.
involved with prevention more often than with chronic care. c. It will be limited to 75 days.
d. It is totally unlimited.
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4 ANS: D
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Medicare limitations are waived for patients who have undergone amputations.
Effective Care Environment: Coordinated Care
DIF: Cognitive Level: Comprehension REF:Test bank p. 8 OBJ: 4
4. A patient with terminal lung cancer with extensive metastasis is requesting a hospice TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step: Planning
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 MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
physician’s order.
b. The physician confirms that the patient has 6 months or less of life remaining and has 7. A patient is applying for Medicaid. What does the receipt of benefits require?
provided a written order for hospice care. a. Following a supervised health maintenance plan
c. Proof confirms that the family can no longer care for the patient at home. b. Enrolling in the Medicare-Preferred Drug Plan
d. The patient’s specific diagnosis is included on a list of accepted diseases that qualifies the c. Qualifying for the food stamp program
patient for hospice care. d. Having an annual income of less than $10,000
ANS: B ANS: B
The four criteria for transfer to hospice care are (1) diagnosis of any terminal illness, (2) The Medicare-Preferred Drug Plan is a condition of Medicaid eligibility. Nonenrollment may
prognosis of less than 6 months of life, (3) informed consent of patient, and (4) written cause the loss of all health care benefits.
physician’s order.
DIF: Cognitive Level: Knowledge REF:Test bank p. 11 OBJ: 4
DIF: Cognitive Level: Comprehension REF:Test bank p. 7 OBJ: 5 TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step: Implementation MSC:
TOP: Hospice Care KEY: Nursing Process Step: Implementation MSC: NCLEX: NCLEX: Health Promotion and Maintenance: Coordinated Care
Physiological Integrity: Basic Care and Comfort
8. Which is true concerning proprietary agencies?
5. A patient admitted yesterday with a diagnosis-related group (DRG) diagnosis of a. They are organized to be nonprofit operations.
abdominal pain of an unknown cause is being discharged this afternoon because all diagnostic b. They are organized to make a profit on their operation.
test results have been negative. What does this scenario exemplify? c. Any profit they make is immediately used to purchase better equipment and services.
a. Effective laboratory response d. They must participate in Medicare.
b. Medicare guidelines limiNtinUgRhSosIpiNtaGl TstaBy.COM ANS: B
c. Cost containment related to a DRG diagnosis These agencies are usually owned by large corporations and established for the purpose of
d. Patient who should not have been admitted in the first place making a profit. Although most such agencies do participate in Medicare, it is not required.
