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.
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition Linton: Introduction to Medical-Surgical Nursing, 6th Edition
a. Vincent DePaul
b. William Rathbone
DIF: Cognitive Level: ComprNehenRsionI c. Florence Nightingale
d. Lillian Wald
GREBF:.Cp. 6 M ANS: D
Lillian Wald is recognized as the forerunner of modern public health nursing.
OBJ:Test bank 6
DIF: Cognitive Level: Knowledge REF:Test bank p. 4 OBJ: 1
TOP: Proprietary Agencies MSC: NCLEX: N/A TOP: Leaders and Founders of Public Health Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
U S N KTEY:Test bankNuOrsing Process Step: N/A
12. What is true about voluntary health care agencies?
a. They are supported by tax dollars.
9. Which patient should the nurse recognize as eligible for a referral to Medicaid? b. They are governed by boards made up of community members.
a. Military automobile mechanic with severe asthma c. They receive no fee for services.
b. Pregnant unmarried young woman employed at a discount retail store for 3 years d. They use volunteers as heNalthRcaIre pGroviBde.rsC. M
c. College student on scholarship who works part-time at the college library and who needs
medication for arthritis
d. Unemployed young mother on welfare who needs diabetic medication for one of her ANS: B
children
ANS: D USNT O
Medicaid covers medication and health care services for welfare recipients for child health and
long-term care. Voluntary agencies are governed by boards made up of community members and are supported
by a variety of sources. They are not supported by tax dollars.
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4
TOP: Medicaid Services Eligibility KEY: Nursing Process Step: Planning MSC: NCLEX: DIF: Cognitive Level: Comprehension REF:Test bank p. 5 OBJ: 5 TOP: Voluntary
Health Promotion and Maintenance: Coordinated Care Agencies KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and
Maintenance: Coordinated Care
10. Why was the Balanced Budget Act of 1997 the cause of closures of many proprietary
home health care agencies? 13. A client who is hospitalized for treatment after a stroke asks the nurse how long Medicare
a. It specified that all care be given by registered nurses (RNs). can be expected to cover his treatment. What is the nurse’s most informative response?
b. It listed specific diagnoses that could qualify a patient for home health care. a. “Your Part B will cover your hospital care as long as is necessary.”
c. It limited the amount of money that could be spent on a patient. b. “Your health care provider will determine how long your Medicare coverage will be in
effect.”
d. It increased the criteria for patient eligibility for home care. c. “You are allowed 50 days of inpatient care annually.”
ANS: C d. “You can receive skilled care for up to 100 days.”
The Balanced Budget Act of 1997 placed a limit on the amount of money that could be spent on ANS: D
a patient’s home health care regardless of diagnosis or needs. Persons hospitalized for skilled nursing care receive 100 days of Medicare coverage.
DIF: Cognitive Level: Comprehension REF:Test bank p. 6 OBJ: 6 TOP: Balanced DIF: Cognitive Level: Application REF:Test bank p. 11 OBJ: 4
Budget Act of 1997 KEY: Nursing Process Step: N/A MSC: NCLEX: N/A TOP: Skilled Care Limitation KEY: Nursing Process Step: Implementation MSC: NCLEX:
Health Promotion and Maintenance: Coordinated Care
11. Who is considered the forerunner of modern public health nursing in the United States?
, Linton: Introduction to Medical-Surgical Nursing, 6th Edition Linton: Introduction to Medical-Surgical Nursing, 6th Edition
14. What statement exemplifies that health care benefits are supported by both federal and
state funding? 17. What is the purpose of a long-term care facility?
a. Cost-containment prospective funding a. Rehabilitation of patients to their former level of functioning
b. Department of Health and Human Services (DHHS) Social Security benefits for dentures b. Restoration of patients to their optimal level of independence
c. Centers for Disease Control and Prevention (CDC) surveillance of persons at risk for
acquired immunodeficiency syndrome (AIDS) c. To offer care to patients who do not need hospitalization but cannot care for themselves
d. Medicaid provision for skilled care in the home d. Exclusive care for patients with dementia
ANS: D ANS: C
Federal and state cooperation are involved in home skilled care issues. Long-term care facilities care for patients who do not need to be hospitalized but who cannot
care for themselves. Although many patients with dementia are residents in a long-term care
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4 TOP: Coordinating facility, the purpose of such facilities is not to provide their care exclusively.
Medicaid/Medicare Benefits
KEY: Nursing Process Step: Implementation DIF: Cognitive Level: Comprehension REF:Test bank p. 9 OBJ: 5 TOP: Long-Term
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care Care Facilities KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
15. A nurse is assessing a 65-year-old patient scheduled for outpatient cataract removal
surgery in 10 days. What should the nurse stress this patient will need? 18. A resident in a long-term care facility has difficulty swallowing and frequently chokes on
a. Adequate insurance food and liquids. The nurse identifies an increased risk of aspiration. To whom should the nurse
b. Adequate postoperative care at home initiate a referral for a swallowing evaluation?
c. Specialized glasses a. Physician who specializes in throat disorders
d. Preservation and protection of vision b. Dietitian
ANS: B c. Nutritionist
Outpatient surgical patients are at great risk for postoperative complications in the absence of d. Speech therapist
professional monitoring. This risk emphasizes the need for preoperative teaching and the ANS: D
provision of postoperative suNppUoRrtSinItNheGhToBm.e.COM Speech therapists are qualified to evaluate swallowing disorders.
DIF: Cognitive Level: Application REF:Test bank p. 4 OBJ: 6
TOP: Postoperative Care for Outpatients KEY: Nursing Process Step: Assessment MSC: DIF: Cognitive Level: Comprehension REF:Test bank p. 6 OBJ: 5
NCLEX: Health Promotion and Maintenance: Coordinated Care TOP: Swallowing DifficultiesKEY: Nursing Process Step: Implementation MSC: NCLEX:
Physiological Integrity: Coordinated Care
16. With what type of professionals are skilled nursing facilities mandated to staff facilities? 19. What did the 2003 report from the Institute of.Medicine (IOM), “Health Professions
a. Licensed health professionals around the clock Education: A Bridge to Quality,” outline?
b. RN in charge on each shift a. Specific software technology to increase efficiency in health care
c. RNs to supervise the patient care given by aides b. Evaluation tool to evaluate the quality of health care
d. Only RNs to provide complex care c. Recommendations for curriculum changes in professional health care schools
ANS: A d. Five core competencies for health care professionals
A skilled facility must have licensed health care professionals around the clock. Licensed ANS: D
practical nurses (LPNs) may supervise nursing assistants (NAs), who are the major caregivers. The 2003 IOM report “Health Professions Education: A Bridge to Quality” stressed the need for
LPNs can provide wound care and ostomy care and monitor intravenous therapies. health professionals to be proficient in five areas: (1) providing patient-centered care, (2)
working as a member of a team, (3) using evidence-based medicine, (4) focusing on quality
DIF: Cognitive Level: Knowledge REF:Test bank p. 9 OBJ: 5 TOP: Skilled Nursing improvement, and (5) using information technology.
Facilities Staffing Requirements
KEY: Nursing Process Step: Implementation DIF: Cognitive Level: Knowledge REF:Test bank p. 12 OBJ: 8
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care TOP: IOM Report KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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.
,Linton: Introduction to Medical-Surgical Nursing, 6th Edition Linton: Introduction to Medical-Surgical Nursing, 6th Edition
a. Vincent DePaul
b. William Rathbone
DIF: Cognitive Level: ComprNehenRsionI c. Florence Nightingale
d. Lillian Wald
GREBF:.Cp. 6 M ANS: D
Lillian Wald is recognized as the forerunner of modern public health nursing.
OBJ:Test bank 6
DIF: Cognitive Level: Knowledge REF:Test bank p. 4 OBJ: 1
TOP: Proprietary Agencies MSC: NCLEX: N/A TOP: Leaders and Founders of Public Health Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
U S N KTEY:Test bankNuOrsing Process Step: N/A
12. What is true about voluntary health care agencies?
a. They are supported by tax dollars.
9. Which patient should the nurse recognize as eligible for a referral to Medicaid? b. They are governed by boards made up of community members.
a. Military automobile mechanic with severe asthma c. They receive no fee for services.
b. Pregnant unmarried young woman employed at a discount retail store for 3 years d. They use volunteers as heNalthRcaIre pGroviBde.rsC. M
c. College student on scholarship who works part-time at the college library and who needs
medication for arthritis
d. Unemployed young mother on welfare who needs diabetic medication for one of her ANS: B
children
ANS: D USNT O
Medicaid covers medication and health care services for welfare recipients for child health and
long-term care. Voluntary agencies are governed by boards made up of community members and are supported
by a variety of sources. They are not supported by tax dollars.
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4
TOP: Medicaid Services Eligibility KEY: Nursing Process Step: Planning MSC: NCLEX: DIF: Cognitive Level: Comprehension REF:Test bank p. 5 OBJ: 5 TOP: Voluntary
Health Promotion and Maintenance: Coordinated Care Agencies KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and
Maintenance: Coordinated Care
10. Why was the Balanced Budget Act of 1997 the cause of closures of many proprietary
home health care agencies? 13. A client who is hospitalized for treatment after a stroke asks the nurse how long Medicare
a. It specified that all care be given by registered nurses (RNs). can be expected to cover his treatment. What is the nurse’s most informative response?
b. It listed specific diagnoses that could qualify a patient for home health care. a. “Your Part B will cover your hospital care as long as is necessary.”
c. It limited the amount of money that could be spent on a patient. b. “Your health care provider will determine how long your Medicare coverage will be in
effect.”
d. It increased the criteria for patient eligibility for home care. c. “You are allowed 50 days of inpatient care annually.”
ANS: C d. “You can receive skilled care for up to 100 days.”
The Balanced Budget Act of 1997 placed a limit on the amount of money that could be spent on ANS: D
a patient’s home health care regardless of diagnosis or needs. Persons hospitalized for skilled nursing care receive 100 days of Medicare coverage.
DIF: Cognitive Level: Comprehension REF:Test bank p. 6 OBJ: 6 TOP: Balanced DIF: Cognitive Level: Application REF:Test bank p. 11 OBJ: 4
Budget Act of 1997 KEY: Nursing Process Step: N/A MSC: NCLEX: N/A TOP: Skilled Care Limitation KEY: Nursing Process Step: Implementation MSC: NCLEX:
Health Promotion and Maintenance: Coordinated Care
11. Who is considered the forerunner of modern public health nursing in the United States?
, Linton: Introduction to Medical-Surgical Nursing, 6th Edition Linton: Introduction to Medical-Surgical Nursing, 6th Edition
14. What statement exemplifies that health care benefits are supported by both federal and
state funding? 17. What is the purpose of a long-term care facility?
a. Cost-containment prospective funding a. Rehabilitation of patients to their former level of functioning
b. Department of Health and Human Services (DHHS) Social Security benefits for dentures b. Restoration of patients to their optimal level of independence
c. Centers for Disease Control and Prevention (CDC) surveillance of persons at risk for
acquired immunodeficiency syndrome (AIDS) c. To offer care to patients who do not need hospitalization but cannot care for themselves
d. Medicaid provision for skilled care in the home d. Exclusive care for patients with dementia
ANS: D ANS: C
Federal and state cooperation are involved in home skilled care issues. Long-term care facilities care for patients who do not need to be hospitalized but who cannot
care for themselves. Although many patients with dementia are residents in a long-term care
DIF: Cognitive Level: Comprehension REF:Test bank p. 11 OBJ: 4 TOP: Coordinating facility, the purpose of such facilities is not to provide their care exclusively.
Medicaid/Medicare Benefits
KEY: Nursing Process Step: Implementation DIF: Cognitive Level: Comprehension REF:Test bank p. 9 OBJ: 5 TOP: Long-Term
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care Care Facilities KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
15. A nurse is assessing a 65-year-old patient scheduled for outpatient cataract removal
surgery in 10 days. What should the nurse stress this patient will need? 18. A resident in a long-term care facility has difficulty swallowing and frequently chokes on
a. Adequate insurance food and liquids. The nurse identifies an increased risk of aspiration. To whom should the nurse
b. Adequate postoperative care at home initiate a referral for a swallowing evaluation?
c. Specialized glasses a. Physician who specializes in throat disorders
d. Preservation and protection of vision b. Dietitian
ANS: B c. Nutritionist
Outpatient surgical patients are at great risk for postoperative complications in the absence of d. Speech therapist
professional monitoring. This risk emphasizes the need for preoperative teaching and the ANS: D
provision of postoperative suNppUoRrtSinItNheGhToBm.e.COM Speech therapists are qualified to evaluate swallowing disorders.
DIF: Cognitive Level: Application REF:Test bank p. 4 OBJ: 6
TOP: Postoperative Care for Outpatients KEY: Nursing Process Step: Assessment MSC: DIF: Cognitive Level: Comprehension REF:Test bank p. 6 OBJ: 5
NCLEX: Health Promotion and Maintenance: Coordinated Care TOP: Swallowing DifficultiesKEY: Nursing Process Step: Implementation MSC: NCLEX:
Physiological Integrity: Coordinated Care
16. With what type of professionals are skilled nursing facilities mandated to staff facilities? 19. What did the 2003 report from the Institute of.Medicine (IOM), “Health Professions
a. Licensed health professionals around the clock Education: A Bridge to Quality,” outline?
b. RN in charge on each shift a. Specific software technology to increase efficiency in health care
c. RNs to supervise the patient care given by aides b. Evaluation tool to evaluate the quality of health care
d. Only RNs to provide complex care c. Recommendations for curriculum changes in professional health care schools
ANS: A d. Five core competencies for health care professionals
A skilled facility must have licensed health care professionals around the clock. Licensed ANS: D
practical nurses (LPNs) may supervise nursing assistants (NAs), who are the major caregivers. The 2003 IOM report “Health Professions Education: A Bridge to Quality” stressed the need for
LPNs can provide wound care and ostomy care and monitor intravenous therapies. health professionals to be proficient in five areas: (1) providing patient-centered care, (2)
working as a member of a team, (3) using evidence-based medicine, (4) focusing on quality
DIF: Cognitive Level: Knowledge REF:Test bank p. 9 OBJ: 5 TOP: Skilled Nursing improvement, and (5) using information technology.
Facilities Staffing Requirements
KEY: Nursing Process Step: Implementation DIF: Cognitive Level: Knowledge REF:Test bank p. 12 OBJ: 8
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care TOP: IOM Report KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
