FUNDAMENTALS OF NURSING CARE 3RD

 EDITION BURTON TEST BANK

TEST BANK

 1 / 3

Copyright © 2019 F. A. Davis Company

Chapter 2: Health-Care Delivery, Settings, and Economics

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. A client has a federal government’s health insurance program for people older than 65 years. Which type of

health insurance should the nurse expect to see documented in the client’s medical record?

1. Medicaid

2. Medicare

3. Social security

4. Private insurance

____ 2. The health-care organization uses a system of health-care delivery aimed at managing the cost and quality of

access to health care. Which type of delivery system should the nurse review prior to arriving for an interview

for a position?

1. Medicaid

2. Medicare

3. Managed care

4. Private insurance

____ 3. The nurse reviews the purpose and functions of a skilled nursing facility (SNF) with a new nurse colleague.

Which statement by the new nurse indicates that additional teaching about an SNF is required?

1. “Medicare will most likely pay for my client’s care at the SNF.”

2. “I hope that my client gets to return home after going to the SNF.”

3. “My client will never get to go home again if he’s transferred to an SNF.”

4. “My client will receive skilled nursing care, such as physical therapy as needed.”

____ 4. The nurse is preparing to transfer a client to a skilled nursing facility (SNF). For which reason will this

client’s Medicare policy pay for the care at the SNF?

1. The client stays longer than 100 days per year.

2. The client enters the SNF within 60 days of a hospitalization.

3. The client has been hospitalized for at least 1 day before admission.

4. The client makes regular progress as documented by medical professionals.

____ 5. The charge nurse observes a staff nurse prepare to transfer a client to a rehabilitation facility. For which

statement will the charge nurse intervene when hearing the staff member explain about this type of care

setting?

1. “You will receive intense therapy services while you’re here.”

2. “You must participate in at least 6 hours of therapy each day.”

3. “You will be seen by a physician who specializes in rehabilitation.”

4. “If you get sick while you’re here, we can transfer you to the hospital.”

____ 6. An infant is brought into a medical center and diagnosed with measles, a communicable disease. Which

action should the nurse take?

1. Refer to a rehabilitation facility

2. Notify the local police department

3. Prepare the client for hospice care

4. Notify the health department

____ 7. The nurse begins caring for clients who arrive at the health maintenance organization (HMO) office for an

appointment. In which way will the care providers be reimbursed for the care provided?

1. Capitation

 2 / 3

Copyright © 2019 F. A. Davis Company

2. Medicaid

3. Medicare

4. Single payer

____ 8. The spouse of a client with a terminal illness asks about hospice. Which information should the nurse include

when responding to the spouse?

1. “It is a service that provides care to the terminally ill client only.”

2. “This type of care is warranted when the client still seeks a cure for the terminal illness.”

3. “It is a program that focuses on palliative treatment and emotional support.”

4. “It is appropriate when the client is expected to live for fewer than 9 months.”

____ 9. The instructor reviews the delivery approach of client-centered care before taking the students to the clinical

area. For which student statement should the instructor review the information again?

1. “It fosters a feeling of dependence.”

2. “This type of care is often seen in a rehabilitation setting.”

3. “It empowers the client to manage his or her care.”

4. “This type of care empowers the client to have a voice in establishing goals.”

____ 10. The nurse is working in a critical care unit where the focus is on primary care nursing. Which action will the

nurse take to demonstrate understanding of this care delivery approach?

1. Ask an unlicensed assistant to give a bed bath.

2. Ask another nurse to call the physician for orders.

3. Provide all aspects of nursing care for assigned patients.

4. Instruct the nursing assistant to take the client’s vital signs.

____ 11. The nurse asks the case manager to explain the benefits a client on Medicaid has while hospitalized. What

should the case manager explain about Medicaid?

1. It offers the same benefits in every state.

2. It is funded by the city health department.

3. It is a county government-matching funding program.

4. It offers assistance for poor and medically indigent individuals.

____ 12. A case manager is giving an in-service about public health insurance to a group of nursing students. For

which student comment should the case management provide more information?

1. “Aetna is an example of public health insurance.”

2. “Medicaid is an example of public health insurance.”

3. “Medicare is an example of public health insurance.”

4. “Indian Health Service is an example of public health insurance.”

____ 13. The instructor is reviewing the scope of practice for the licensed practical/vocational nurse (LPN/LVN) with a

group of students. For which student statement should the instructor provide more information about the role?

1. “The LPN/LVN can practice independently.”

2. “The LPN/LVN can practice under the supervision of a dentist.”

3. “The LPN/LVN can practice under the supervision of a physician.”

4. “The LPN/LVN can practice under the supervision of a registered nurse.”

____ 14. The nurse is caring for a client with increasing difficulty breathing. With which health-care worker should the

nurse collaborate to address this client’s health problem?

1. Physical therapist

2. Respiratory therapist

3. Occupational therapist

4. Speech and language therapist

Powered by qwivy(www.qwivy.org)

 3 / 3