Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 01: The Health Care System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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: p. 11 OBJ: 4
TOP: Health Care Funding KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| 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: p. 7 OBJ: 5
TOP: Hospice Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Effective laboratory response |
| b. | Medicare guidelines limiting hospital stay |
| c. | Cost containment related to a DRG diagnosis |
| d. | Patient who should not have been admitted in the first place |
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: p. 11-12 OBJ: 6
TOP: Cost Containment per DRGs KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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