TEST BANK| Introduction to Medical-
Surgical Nursing, 6th Edition by
Adrianne Dill Linton
All Chapters 1-57| A+ GRADED Q&As
for the Study
TB
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, Chapter 01: The Health Care System
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
RIGHT ANSWER: A
Day care centers provide supervision, safety, nutritious meals, and socialization while the caregiving
family works.
DIF: Cognitive Level: Application REF: 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 pay or to the physician on this plan?
a. Previous privately funded insurance plan
b. Medicare Part A
c. Medicare Part B
d. Patient or patient‘s family
RIGHT ANSWER: C
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: p. 11 OBJ: 4
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: 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-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
RIGHT ANSWER: 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: 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.
RIGHT ANSWER: 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: 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 limiting hospital stay
TB
c. Cost containment related to a DRG diagnosis
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, d. Patient who should not have been admitted in the first place
RIGHT ANSWER: 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: p. 11-12 OBJ: 6 TOP:
Cost Containment per DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
MSC: NCLEX: N/A
6. 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.
RIGHT ANSWER: D
Medicare limitations are waived for patients who have undergone amputations.
DIF: Cognitive Level: Comprehension REF: 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
RIGHT ANSWER: 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: p. 11 OBJ: 4
TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step:
TB
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
Ac
Page | 4
er
Surgical Nursing, 6th Edition by
Adrianne Dill Linton
All Chapters 1-57| A+ GRADED Q&As
for the Study
TB
Ac
Page | 1
er
, Chapter 01: The Health Care System
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
RIGHT ANSWER: A
Day care centers provide supervision, safety, nutritious meals, and socialization while the caregiving
family works.
DIF: Cognitive Level: Application REF: 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 pay or to the physician on this plan?
a. Previous privately funded insurance plan
b. Medicare Part A
c. Medicare Part B
d. Patient or patient‘s family
RIGHT ANSWER: C
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: p. 11 OBJ: 4
TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective
Care Environment: Coordinated Care
TB
Ac
Page | 2
er
,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
RIGHT ANSWER: 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: 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.
RIGHT ANSWER: 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: 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 limiting hospital stay
TB
c. Cost containment related to a DRG diagnosis
Ac
Page | 3
er
, d. Patient who should not have been admitted in the first place
RIGHT ANSWER: 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: p. 11-12 OBJ: 6 TOP:
Cost Containment per DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
MSC: NCLEX: N/A
6. 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.
RIGHT ANSWER: D
Medicare limitations are waived for patients who have undergone amputations.
DIF: Cognitive Level: Comprehension REF: 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
RIGHT ANSWER: 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: p. 11 OBJ: 4
TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step:
TB
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
Ac
Page | 4
er
