C1 - Chapter 1: The Health Care System MULTIPLE CHOICE 1....

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Chapter 1: The Health Care System MULTIPLE CHOICE 1. An 89-year-old man, recently discharged from a rehabilitation hospital because of his inabil- ity to concentrate and frequent memory lapses, cannot be left alone while his family works because of safety concerns. What options can the discharge planning team suggest that will give the greatest quality of life to the patient? 1. Placement in a day care center from 8 AM to 5 PM daily 2. Placement in a long-term psychiatric facility 3. Placement in a high-security nursing home 4. Admission to a general hospital for evaluation ANS: 1 Day care centers provide supervision, safety, nutritious meals, and socialization while the caregiving family works. PTS: 1 DIF: Cognitive Level: Application REF: 9 OBJ: 5 TOP: Day Care Centers KEY: Nursing Process Step: Planning MSC: NCLEX: Physiologic Integrity 2. A 66-year-old hospitalized patient is anxious about how the physician will be paid now that the patient is on Medicare Part A and Part B, instead of his previous privately funded insur- ance plan. The nurse explains that the physician will be paid by: 1. the previously private funded insurance. 2. Medicare Part A. 3. Medicare Part B. 4. the patient or his family. ANS: 3 Part A pays skilled care facilities; Part B pays for physician’s services. The previous insur- ance is no longer available because of the patient’s age. The family or patient is not respons- ible, because Part B is in effect. PTS: 1 DIF: Cognitive Level: Comprehension REF: 4 OBJ: 4 TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 3. A nurse could best refer an unemployed 42-year-old renal failure patient who has lost his job-related private insurance to which health care plan for his medical care? 1. Medicare 2. Medicaid 3. Public health facility 4. Community-based outpatient clinic ANS: 2 Medicaid is available to needy low-income persons under 65 who have a permanent disabil- ity. Medicare is for persons over 65. Public health services are involved with prevention more than with chronic care.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 5 OBJ: 4 TOP: Health Care Funding KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 4. A 50-year-old woman with terminal cancer of the lung with extensive metastasis is request- ing a hospice transfer. The requirements for this transfer include: 1. the patient requesting and agreeing to the guidelines of hospice care, but not re- quiring a physician’s order. 2. physician confirmation that the patient has 6 months or less of life remaining and a written order for hospice care. 3. proof that the family can no longer care for the patient at home. 4.
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C1 - Chapter 1: The Health Care System MULTIPLE CHOICE 1....

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