Ch 23 Evolve 1. Which of the following patients is considered an outpatient but must meet the same hospital admissions criteria as routine admissions? Acute Correct Day-stay Emergent 24-hour observation Day-stay or same-day surgical patients are considered outpatients but still must meet the same admission criteria as routine hospital admissions. An acute patient is most likely an emergent admission to the hospital. An emergent patient may or may not be admitted to the hospital. A 24-hour observation status is not routinely used in hospitals. Page 391 2. Which of the following payment sources provides coverage in civilian facilities for military staff, family, and retirees? Correct TRICARE Managed care plan Health maintenance organization (HMO) Medicare TRICARE, previously called CHAMPUS, provides coverage for military staff, family, and retirees. Managed care plans are health care plans in which all medical care except emergency care is managed and must be preauthorized by the insuring group. Health maintenance organizations (HMOs) are organizations that provide most outpatient care at organization clinics and may provide inpatient care at organization hospitals, and they must authorize usage of outside services. Medicare is medical coverage provided through the Social Security Administration primarily for people age 65 and older. Page 392 3.Most payment plans will cover which of the following services? Rhinoplasty Cosmetic botox injections Breast augmentation Correct Emergent appendectomy Emergent appendectomy is likely to be covered by most payment plans as a result of the acute nature of the medical problem. Most plans do not cover procedures that are regarded as purely cosmetic, such as a rhinoplasty (or nose job), Botox injections, and breast augmentation. Page 392 4. The initial nursing assessment in an acute care facility is written by the: nursing assistant (NA). licensed practical nurse/licensed vocational nurse (LPN/LVN). Correct registered nurse (RN). mid-level provider. The initial nursing assessment is written by the RN. NAs and mid-level providers do not write the initial nursing assessment. LPNs/LVNs can assist the RN by gathering data during the initial contact. Page 393 5. Which of the following is a true statement regarding transcription of orders? Orders are always verified by the RN. Nurses most often transcribe orders. Correct The nurse who checks and signs the order is responsible for its accuracy. The unit secretary must verify that each order has been processed. The nurse who reviews the orders must verify that each order has been processed and that the transcription is accurate. In some facilities, the LPN/LVN may verify orders. Unit secretaries most often transcribe orders. Pages 393 394 6. An acutely ill patient must be transferred to the intensive care unit (ICU) for critical care monitoring. Which action should the nurse perform? In most cases, transfer the patient without a physicians order. Send the patient to the ICU without giving a report to the receiving nurse. Notify family the following day. Correct Document the transfer in the nursing notes. Documentation of transfer is required. In most cases, the patients physician must be notified and approve the transfer. A full report must be given to the receiving nurse when the patient arrives in the ICU. Family or significant other needs to be notified, preferably prior to the transfer. Page 395 7.A patient is being discharged from the hospital to an extended care facility. Which should occur? The nurse writes the actual discharge orders. Correct The discharge planner assists in making appropriate discharge arrangements for the patient. Incorrect The LPN/LVN completes an information sheet for the receiving facility. The nurse only sends a current list of medications and diagnoses. The discharge planner is an RN who implements and organizes the plan for patient discharge. Actual discharge orders are written by the physician. The RN completes the detailed information sheet. Information for the receiving facility includes diagnoses, medication, current orders, physician names and phone numbers, and a brief synopsis of the hospital stay. Page 395 8.Which is a true statement regarding a patient who leaves the hospital against medical advice? Correct The physician is notified immediately. The patient does not sign any forms. The patient is notified that he or she will not be liable for the hospital bill. The patient leaving is documented as a routine discharge to home. If the physician feels it is inappropriate for a discharge order to be written, the patient is asked to sign a form stating that he or she is leaving against medical advice. Notify patient that insurance carriers will sometimes refuse to pay the hospital bill and they may become liable for the bill. Document that the patient left the facility against medical advice, not as a routine discharge. Page 396 9. A nurse orienting a newly admitted male patient to an acute medical unit should: (Select all that apply.) Correct address the patient by his last name. address the patient by his first name. Correct show the location of the call light. Correct allow the patient to ask questions. Never assume a patient wishes to be called by his or her first name. A good example for addressing a patient is, Hello, Mr. Jones. Show the call light to the patient and demonstrate its use. Give ample opportunity for the patient to ask questions and/or voice concerns 10. Medicaid is state medical care coverage for low-income individuals and families.
Posted on: Tue, 12 Nov 2013 00:15:34 +0000
Trending Topics
Recently Viewed Topics
© 2015