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For Introduction to Medical-Surgical Nursing 6th Edition
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, CHAPTER 01: THE HEALTH CARE SYSTEM
Linton: Introduction To Medical-Surgical Nursing, 6th EditionMultiple
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 TheGreatest 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: 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
WillBe 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 ToThe Physician On This Plan?
a. Previous Privately Funded Insurance Plan
b. Medicare Part A
c. Medicare Part B
d. Patient Or Patient’s Family
Ans: 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
, 3. What Health Care Plan Is The Best Referral For An Unemployed 42-
Year-OldPatient 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 OfAge 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
RequestingA 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
LifeRemaining 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
TerminalIllness, (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 CareKey:
Nursing Process Step: Implementation msc: nclex: physiological integrity:
basic care and comfort
5. a patient admitted yesterday with a diagnosis-related group (drg)
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