Firstly, in short, yes it will work.
Here's what I used: A Cirago BTA-3210 bluetooth dongle for my laptop ($20 at newegg), and a Motorla H350 headset (I wanted a cheap deal, especially since I wasn't sure if this would work. eCost $20 after shipping). I'm also running Vista and using the Toshiba Bluetooth drivers (I don't think either matters).
Now, I originally got my headset to pair immediatley, but it wouldn't work as a headset (i.e. no music or anything would go through the headset ot anything), I could only get it to work with Skype. I found my issue was because I was pairing it in "Express Mode" (on my laptop) which chooses the fastest way to get you set up. Don't do that. Use Custom Mode. When it gets to the point to choose what kind of device you'd like to set it up as, you should get two options: Handsfree Device, or Headset. Choose Headset. I'm assuming Express mode sets it as handsfreewhich is really only proper for cell phones or VoIP programs.
Headset should (at least for me) caused to act, 100% like a regular headset. If you had a mind to, you could play any sound through the headset, just as if you plugged in a standard headset. Now, incoming sound, because of the samll speaker, is rather poor for gaming, so I recommend (as you say you want to) setting your speakers to your standard speakers, and just leaving your recording device on the bluetooth headset (which, you may need to do after you set it up anyways. Simply do this in Windows Control Panel, or if running vista right-click the speaker icon in the corner and select either recording devices or playback devices).
I tested the device playing Day of Defeat: Source, and everyone said they could hear me fine (though some ventrilo users said they needed to really jack up their sound on me in order to hear me well).
If you have ANY other questions, I'm by no means an expert, but I might be able to help. I could find almost no help on Google and had to figure this out myself, so I hope this will pop up on some Google queries.
I have no idea if this will work with all bluetooth adapters, and it may well not work on all bluetooth headsets, but I'm using it on mine now! :D
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