Dewit’s Medical Surgical Nursing Concepts and Practice 4th Edition
Stromberg Test Bank
Chapter 1. Caring for Medical-Surgical Patients
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a home-bound
patient, the spouse of the patient asks whether Medicare will cover the patients ventilator therapy
and insulin injections. What is the best response by the nurse?
a. Yes, Medicare will cover both the ventilator therapy and the insulin injections.
b. No, Medicare will not cover either of these ongoing therapies.
c. Medicare will cover the ventilator therapy, but it does not cover the insulin injections.
d. Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill
such as ventilator therapy.
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can
be taught to the family or the patient are not covered.
DIF: Cognitive Level: Application REF: p. 18 OBJ: 3
TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement
in a skilled nursing care facility when he is discharged from the general hospital. The patient is
incontinent, has mild dementia but is able to ambulate with a walker, and must have help to eat
and dress himself. What is the nurses most appropriate response?
a. Yes, your husband would qualify for a skilled care facility because of his inability to feed and
dress himself.
b. No, your husbands disabilities would not qualify him for a skilled facility.
c. Yes, your husband qualifies for placement in a skilled care facility because of his dementia.
d. Yes, anyone who is willing to pay can be placed in a skilled nursing facility.
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for
rehabilitation must be evident, or severe deficits in self-care that have a potential for
improvement and require the services of a registered nurse, physical therapist, or speech therapist
must exist.
DIF: Cognitive Level: Analysis REF: p. 19 OBJ: 9
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
WWW.NURSINGTESTBANKSWORLD.COM
MSC: NCLEX: Safe, Effective Care Environment
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room,
does not take active part in activities, and leaves the meal table after having eaten very little. The
nurse should analyze this relocation response as
a. regression.
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