1. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member
... [Show More] indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
ANS: B
DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. When discussing extended care with a patient who has had a hip replacement and needs physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed professionals such as nurses, physical therapists, speech therapists, and occupational therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. The 80-year-old woman who is recovering from a stroke is being sent to an extended-care facility. She is concerned about the expense. The nurse can allay anxiety by explaining that Medicare will cover extended-care facility costs:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.
ANS: C
Medicare will cover extended-care costs for 100 days while skilled care is being applied to the resident. After 100 days, the resident must revert to private pay or ancillary long-term care insurance.
DIF: Cognitive Level: Application REF: 16 OBJ: 8
TOP: Extended Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. The senior citizen political action group that uses volunteers and lobbyists to advance the interests of older adults is the:
a. American Association of Retired Persons (AARP).
b. National Council of Senior Citizens (NCSC).
c. National Alliance of Senior Citizens (NASC).
d. Gray Panthers.
ANS: A [Show Less]