Chapter 01: The Health Care System(FREE)

Chapter 01: The Health Care System

Linton: Introduction to Medical-Surgical Nursing, 6th Edition

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: 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 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

 2 / 4

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

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

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.

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

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?

 3 / 4

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

MSC: NCLEX: N/A

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.

ANS: 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

ANS: 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:

Powered by qwivy(www.qwivy.org)

 4 / 4

TEST BANK; Introduction to Medical Surgical Nursing Linton 6th Ed. All Chapters 1-57 Q&A in 710 Pages. Chapter 01: The Health Care System(FREE) Chapter 01: The Health Care System Chapter 0 2: Nursing in Varied Patient Care Settings(FREE) Chapter 02: Nursing in Varied Patient Care Settings Introduction to Medical-Surgical Nursing, 6th Edition Chapter 03: Legal and Ethical Considerations(FREE) Chapter 03: Legal and Ethical Considerations Introduction to Medical-Surgical Nursing, 6th Edition Chapter 04: The Leadership Role of the Licensed Practical Nurse(FREE) Chapter 04: The Leadership Role of the Licensed Practical Nurse Chapter 05: The Nurse-Patient Relationship Chapter 05: The Nurse-Patient Relationship Chapter 06: Cultural Aspects of Nursing Care Chapter 06: Cultural Aspects of Nursing Care Chapter 07: The Nurse and the Family Chapter 07: The Nurse and the Family Chapter 08: Health and Illness Chapter 08: Health and Illness Chapter 09: Nutrition Chapter 09: Nutrition Introduction to Medical-Surgical Nursing, 6th Edition Chapter 10: Developmental Processes Chapter 10: Developmental Processes Chapter 11: The Older Patient Chapter 11: The Older Patient Chapter 12: The Nursing Process and Critical Thinking Chapter 12: The Nursing Process and Critical Thinking Introduction to Medical-Surgical Nursing, 6th Edition Chapter 13: Immunity, Inflammation, and Infection Chapter 13: Immunity, Inflammation, and Infection Introduction to Medical-Surgical Nursing, 6th Edition Chapter 14: Fluids and Electrolytes Chapter 14: Fluids and Electrolytes Chapter 15: Pain Management Chapter 15: Pain Management Chapter 17: Surgical Care Chapter 17: Surgical Care Introduction to Medical-Surgical Nursing, 6th Edition Chapter 18: Intravenous Therapy Chapter 18: Intravenous Therapy Chapter 19: Shock Chapter 19: Shock Introduction to Medical-Surgical Nursing, 6th Edition Chapter 21: Immobility Chapter 21: Immobility Introduction to Medical-Surgical Nursing, 6th Edition Chapter 22: Delirium and Dementia Chapter 22: Delirium and Dementia Chapter 23: Incontinence Chapter 23: Incontinence Introduction to Medical-Surgical Nursing, 6th Edition Chapter 24: Loss, Death, and End-of-Life Care Chapter 24: Loss, Death, and End-of-Life Care Chapter 25: The Patient with Cancer Chapter 25: The Patient with Cancer Chapter 27: Neurologic Disorders Chapter 27: Neurologic Disorders Chapter 28: Cerebrovascular Accident Chapter 28: Cerebrovascular Accident Chapter 29: Spinal Cord Injury Chapter 29: Spinal Cord Injury Chapter 30: Disorders of the Upper Respiratory Tract Chapter 30: Disorders of the Upper Respiratory Tract Introduction to Medical-Surgical Nursing, 6th Edition Chapter 31: Acute Disorders of the Lower Respiratory Tract Chapter 31: Acute Disorders of the Lower Respiratory Tract Introduction to Medical-Surgical Nursing, 6th Edition Chapter 32: Chronic Disorders of the Lower Respiratory Tract Chapter 32: Chronic Disorders of the Lower Respiratory Tract Introduction to Medical-Surgical Nursing, 6th Edition Chapter 33: Hematologic Disorders Chapter 33: Hematologic Disorders Chapter 34: Immunologic Disorders Chapter 34: Immunologic Disorders Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome Chapter 36: Cardiac Disorders Chapter 36: Cardiac Disorders Chapter 37: Vascular Disorders Chapter 37: Vascular Disorders Chapter 38: Hypertension Chapter 38: Hypertension Introduction to Medical-Surgical Nursing, 6th Edition Chapter 39: Upper Digestive Tract Disorders Chapter 39: Upper Digestive Tract Disorders Chapter 40: Lower Digestive Tract Disorders Chapter 40: Lower Digestive Tract Disorders Chapter 41: Liver, Gallbladder, and Pancreatic Disorders Chapter 41: Liver, Gallbladder, and Pancreatic Disorders Introduction to Medical-Surgical Nursing, 6th Edition Chapter 42: Urologic Disorders Chapter 42: Urologic Disorders Chapter 43: Connective Tissue Disorders Chapter 43: Connective Tissue Disorders Chapter 44: Fractures Chapter 44: Fractures Introduction to Medical-Surgical Nursing, 6th Edition Chapter 45: Amputations Chapter 45: Amputations Introduction to Medical-Surgical Nursing, 6th Edition Chapter 46: Pituitary and Adrenal Disorders Chapter 46: Pituitary and Adrenal Disorders Chapter 47: Thyroid and Parathyroid Disorders Chapter 47: Thyroid and Parathyroid Disorders Introduction to Medical-Surgical Nursing, th Edition Chapter 49: Female Reproductive Disorders Chapter 49: Female Reproductive Disorders Chapter 50: Male Reproductive Disorders Chapter 50: Male Reproductive Disorders Chapter 51: Sexually Transmitted Infections Chapter 51: Sexually Transmitted Infections Chapter 52: Skin Disorders Chapter 52: Skin Disorders Introduction to Medical-Surgical Nursing, 6th Edition Chapter 53: Eye and Vision Disorders Chapter 53: Eye and Vision Disorders Chapter 54: Ear and Hearing Disorders Chapter 54: Ear and Hearing Disorders Chapter 55: Psychologic Responses to Illness Chapter 55: Psychologic Responses to Illness Introduction to Medical-Surgical Nursing, 6th Edition Chapter 56: Psychiatric Disorders Chapter 56: Psychiatric Disorders Chapter 57: Substance-Related and Addictive Disorders Chapter 57: Substance-Related and Addictive Disorders Introduction to Medical-Surgical Nursing, 6th Edition Page : 2 Chapter 01: The Health Care System(FREE) Chapter 01: ) Chapter 01: The Health Care System Introduction to MedicalPage : 13 Environment Chapter 02: Nursing in Varied Patient Care Settings(FREE) Chapter ) Chapter 02: Nursing in Varied Patient Care Settings Introduction to Page : 25 Comfort Chapter 03: Legal and Ethical Considerations(FREE) Chapter 03: ) Chapter 03: Legal and Ethical Considerations Introduction to MedicalPage : 33 A Chapter 04: The Leadership Role of the Licensed Practical Nurse(FREE ) Chapter 04: The Leadership Role of the Licensed Practical Nurse Page : 44 Integrity Chapter 05: The Nurse-Patient Relationship Chapter 05: The Nurse Relationship Chapter 05: The Nurse-Patient Relationship ntroduction to Medical Page : 56 Adaptation Chapter 06: Cultural Aspects of Nursing Care Chapter 06: Cultural Aspects Care Chapter 06: Cultural Aspects of Nursing Care Introduction to Medical Page : 68 Adaptation Chapter 07: The Nurse and the Family Chapter 07: The Nurse Family Chapter 07: The Nurse and the Family Introduction to Medical Page : 79 Adaptation Chapter 08: Health and Illness Chapter 08: Health and Illness Linton Illness Chapter 08: Health and Illness Introduction to Medical-Surgical Page : 90 Adaptation Chapter 09: Nutrition Chapter 09: Nutrition Introduction to Medical Nutrition Chapter 09: Nutrition Introduction to Medical-Surgical Nursing, Page : 106 A Chapter 10: Developmental Processes Page : 107 Chapter 10: Developmental Processes Introduction to Medical-Surgical Nursing Page : 118 Development Chapter 11: The Older Patient Chapter 11: The Older Patient Linton Patient Chapter 11: The Older Patient Introduction to Medical-Surgical Page : 128 Comfort Chapter 12: The Nursing Process and Critical Thinking Chapter 12: The Thinking Chapter 12: The Nursing Process and Critical Thinking Introduction to Page : 138 A Chapter 13: Immunity, Inflammation, and Infection Chapter 13: Immunity Infection Chapter 13: Immunity, Inflammation, and Infection Introduction to Page : 152 A Chapter 14: Fluids and Electrolytes Chapter 14: Fluids and Electrolytes Linton Electrolytes Chapter 14: Fluids and Electrolytes Introduction to Medical-Surgical Page : 163 Disease Chapter 15: Pain Management Chapter 15: Pain Management Introduction Management Chapter 15: Pain Management Introduction to Medical-Surgical Nursing Page : 175 A Chapter 16: First Aid, Emergency Care, and Disaster Management Chapter Management Chapter 16: First Aid, Emergency Care, and Disaster Management Linton Page : 188 Comfort Chapter 17: Surgical Care Chapter 17: Surgical Care Introduction Care Chapter 17: Surgical Care Introduction to Medical-Surgical Nursing Page : 201 Disease Chapter 18: Intravenous Therapy Chapter 18: Intravenous Therapy Introduction Therapy Chapter 18: Intravenous Therapy Introduction to Medical-Surgical Nursing Page : 213 Comfort Chapter 19: Shock Chapter 19: Shock Introduction to Medical Shock Chapter 19: Shock Introduction to Medical-Surgical Nursing, Page : 225 Risk Chapter 20: Falls Chapter 20: Falls Introduction to Medical Falls Chapter 20: Falls Introduction to Medical-Surgical Nursing, Page : 238 Adaptation Chapter 21: Immobility Chapter 21: Immobility Introduction to Medical Immobility Chapter 21: Immobility Introduction to Medical-Surgical Nursing, Page : 251 A Chapter 22: Delirium and Dementia Chapter 22: Delirium and Dementia Linton Dementia Chapter 22: Delirium and Dementia Introduction to Medical-Surgical Page : 264 Adaptation Chapter 23: Incontinence Chapter 23: Incontinence Introduction to Medical Incontinence Chapter 23: Incontinence Introduction to Medical-Surgical Nursing, Page : 284 Adaptation Chapter 24: Loss, Death, and End-of-Life Care Chapter 24: Loss, Death, and End-of-Life Page : 297 Adaptation Chapter 25: The Patient with Cancer Chapter 25: The Patient with Cancer Chapter 25: The Patient with Cancer Introduction to MedicalPage : 312 A Chapter 26: The Patient with an Ostomy Chapter 26: The Patient Ostomy Chapter 26: The Patient with an Ostomy Introduction to Medical Page : 325 Comfort Chapter 27: Neurologic Disorders Chapter 27: Neurologic Disorders Introduction Disorders Chapter 27: Neurologic Disorders Introduction to Medical-Surgical Nursing Page : 339 Disease Chapter 28: Cerebrovascular Accident Chapter 28: Cerebrovascular Accident Introduction Accident Chapter 28: Cerebrovascular Accident Introduction to Medical-Surgical Nursing Page : 352 Adaptation Chapter 29: Spinal Cord Injury Chapter 29: Spinal Cord Injury Linton Injury Chapter 29: Spinal Cord Injury Introduction to Medical-Surgical Page : 365 Adaptation Chapter 30: Disorders of the Upper Respiratory Tract Chapter 30: Disorders Tract Chapter 30: Disorders of the Upper Respiratory Tract Introduction to Page : 377 Maintenance Chapter 31: Acute Disorders of the Lower Respiratory Tract Chapter 31: Tract Chapter 31: Acute Disorders of the Lower Respiratory Tract Introduction Page : 389 Adaptation Chapter 32: Chronic Disorders of the Lower Respiratory Tract Chapter 32: Tract Chapter 32: Chronic Disorders of the Lower Respiratory Tract Introduction Page : 402 Adaptation Chapter 33: Hematologic Disorders Chapter 33: Hematologic isorders Disorders Chapter 33: Hematologic Disorders Page : 415 Control Chapter 34: Immunologic Disorders Chapter 34: Immunologic Disorders Introduction Disorders Chapter 34: Immunologic Disorders Introduction to Medical-Surgical Nursing Page : 427 A Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome Chapter 35: Syndrome Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome Introduction Page : 439 Disease Chapter 36: Cardiac Disorders Chapter 36: Cardiac Disorders Introduction Disorders Chapter 36: Cardiac Disorders Introduction to Medical-Surgical Nursing Page : 455 Adaptation Chapter 37: Vascular Disorders Page : 456 Chapter 37: Vascular Disorders Introduction to Medical-Surgical Nursing Page : 468 Adaptation Chapter 38: Hypertension Chapter 38: Hypertension Introduction to Medical Hypertension Chapter 38: Hypertension Introduction to Medical-Surgical Nursing, Page : 481 Adaptation Chapter 39: Upper Digestive Tract Disorders Chapter 39: Upper Digestive Tract Disorders Chapter 39: Upper Digestive Tract Disorders Introduction to MedicalPage : 491 Comfort Chapter 40: Lower Digestive Tract Disorders Chapter 40: Lower Digestive Tract Disorders Chapter 40: Lower Digestive Tract Disorders Introduction to MedicalPage : 499 Comfort Chapter 41: Liver, Gallbladder, and Pancreatic Disorders Chapter 41: Disorders Chapter 41: Liver, Gallbladder, and Pancreatic Disorders Introduction Page : 511 Disease Chapter 42: Urologic Disorders Chapter 42: Urologic Disorders Introduction Disorders Chapter 42: Urologic Disorders Introduction to Medical-Surgical Nursing Page : 524 Disease Chapter 43: Connective Tissue Disorders Page : 525 Chapter 43: Connective Tissue Disorders Introduction to Medical-Surgical Page : 537 Therapies Chapter 44: Fractures Chapter 44: Fractures Introduction to Medical Fractures Chapter 44: Fractures Introduction to Medical-Surgical Nursing, Page : 550 A Chapter 45: Amputations Chapter 45: Amputations Introduction to Medical Amputations Chapter 45: Amputations Introduction to Medical-Surgical Nursing, Page : 562 A Chapter 46: Pituitary and Adrenal Disorders Page : 563 Chapter 46: Pituitary and Adrenal Disorders Introduction to MedicalPage : 575 Comfort Chapter 47: Thyroid and Parathyroid Disorders Chapter 47: Thyroid and Parathyroid Disorders Chapter 47: Thyroid and Parathyroid Disorders Introduction to MedicalPage : 588 A Chapter 48: Diabetes Mellitus and Hypoglycemia Chapter 48: Diabetes Mellitus and Hypoglycemia Chapter 48: Diabetes Mellitus and Hypoglycemia Introduction to Page : 602 Adaptation Chapter 49: Female Reproductive Disorders Chapter 49: Female Reproductive Disorders Linton Disorders Chapter 49: Female Reproductive Disorders Introduction to Medical-Surgical Page : 614 Disease Chapter 50: Male Reproductive Disorders Chapter 50: Male Reproductive Disorders Linton Disorders Chapter 50: Male Reproductive Disorders Introduction to Medical-Surgical Page : 626 Adaptation Chapter 51: Sexually Transmitted Infections Chapter 51: Sexually Transmitted Infections Linton Infections Chapter 51: Sexually Transmitted Infections Introduction to Medical-Surgical Page : 637 Therapies Chapter 52: Skin Disorders Chapter 52: Skin Disorders Introduction Disorders Chapter 52: Skin Disorders Introduction to Medical-Surgical Nursing Page : 649 Adaptation Chapter 53: Eye and Vision Disorders Chapter 53: Eye and Vision Disorders Chapter 53: Eye and Vision Disorders Introduction to MedicalPage : 661 Disease Chapter 54: Ear and Hearing Disorders Chapter 54: Ear and Hearing Disorders Chapter 54: Ear and Hearing Disorders Introduction to MedicalPage : 674 Adaptation Chapter 55: Psychologic Responses to Illness Chapter 55: Psychologic Responses to Illness Chapter 55: Psychologic Responses to Illness Introduction to MedicalPage : 685 Adaptation Chapter 56: Psychiatric Disorders Chapter 56: Psychiatric Disorders Introduction Disorders Chapter 56: Psychiatric Disorders Introduction to Medical-Surgical Nursing Page : 698 Chapter 57: Substance-Related and Addictive Disorders Chapter 57: Substance Disorders Chapter 57: Substance-Related and Addictive Disorders Introduction to