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TERM 3 > Test 4 (Ch 37) > Flashcards

Test 4 (Ch 37) Flashcards

1
Q

What became effective in 1966 by an act of legislation that revolutionized home care?
a. Life insurance
b. Medicare
c. Private insurance
d. Social Security

A

ANS: B

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2
Q

A major change to Medicare reimbursement was implemented in 1983. The new system paid a set rate according to diagnosis. What was the new payment system based upon?
a. Interim payment systems
b. Diagnosis-related groups
c. Title XVIII
d. Title XIX

A

ANS: B

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3
Q

How often must the home care treatment plan be recertified in order for the patient to continue to receive services?
a. Every 3 days
b. Every 60 days
c. Every 10 days
d. Every 2 weeks

A

ANS: B

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4
Q

Nurses who work in home settings rather than a hospital setting require a different level of ability to be technically proficient, self-motivated, and innovative. This requires a higher level of what quality?
a. Knowledge
b. Performance
c. Independence
d. Cooperation

A

ANS: C

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5
Q

The LPN/LVN may provide many services to the patient in the home including high-level skills. Under whose supervision should these high-level skills be directed andperformed?
a. Health care provider
b. Family
c. Facility supervisor
d. RN

A

ANS: D

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6
Q

For physical therapy services to be reimbursed by Medicare, what must be the goal of the therapy?
a. Preventive
b. Restorative
c. Maintenance
d. Educational

A

ANS: B

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7
Q

Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities. To be reimbursed by Medicare, who must provide these services?
a. Bachelor’s-level clinician
b. Speech therapist
c. Master’s-level clinician
d. Physiatrist

A

ANS: C

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8
Q

Medical social services focus on the emotional and social aspects of illness. What is another area of service?
a. Home problems
b. Marriage problems
c. Crisis intervention
d. Work problems

A

ANS: C

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9
Q

Medicare will not cover home health aide visits for the sole reason of:
a. Physical assistance
b. Health care provider orders
c. Personal care
d. Household chores

A

ANS: D

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10
Q

The patient, family, social service agency, hospital, health care provider, or another agency all can provide the entry point to the home health care system. What is the entry point for the home health care system called?
a. Recommendation
b. Survey
c. Referral
d. In-taking

A

ANS: C

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11
Q

The initial evaluation and admission visit is made by an RN, who has been provided with general orders by a health care provider before the visit. This visit must be made within how many hours of the referral?
a. 4 to 8
b. 12 to 15
c. 18 to 24
d. 24 to 48

A

ANS: D

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12
Q

The evaluation and admission process for entry to the home health care system includes physical and psychosocial examination, explanation of the patient’s rights, and evaluation of family, home, and nursing interventions. What is the normal minimum time for the admission visit?
a. 30 minutes
b. 1 hour
c. 2 hours
d. 3 hours

A

ANS: B

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13
Q

After the patient is admitted to the home health services system, a treatment plan is drafted cooperatively with the health care provider and is signed. A separate, detailed care plan is always required for which disciplines?
a. Registered nurse
b. Physical therapist
c. Home health aide
d. LPN/LVN

A

ANS: C

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14
Q

How long is the average home health care visit by the skilled nurse?
a. 10 to 15 minutes
b. 20 to 30 minutes
c. 30 to 45 minutes
d. 45 to 60 minutes

A

ANS: C

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15
Q

Complete documentation is essential and must include an accurate picture of the type and quality of care given, as well as the effectiveness of the plan of care. Which model should be followed to best provide adequate documentation?
a. Caretaker
b. Nursing process
c. Home health care
d. Nursing efficiency

A

ANS: B

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16
Q

When should discharge planning begin for a patient receiving home care services?
a. A week before discharge
b. Two days before discharge
c. The day of discharge
d. On admission

A

ANS: D

17
Q

When implementing quality assurance–specific criteria, measurements are developed for three criteria: structural, process, and outcome. How is this method of assessment different from previous methods?
a. It is objective.
b. It is specific.
c. It is subjective.
d. It is generalized.

A

ANS: A

18
Q

What is an eligibility requirement for an individual to qualify for Medicare services? a. Retired
b. At least 65 years old
c. Low-income
d. Poor health

A

ANS: B

19
Q

Medicaid pays for home care services for people who have low incomes. Who administers the Medicaid program?
a. Federal government
b. City government
c. State government
d. County government

A

ANS: C

20
Q

During a time of acute illness, the family may become extremely distressed and neglectthe needs of other family members. On what does the family seem to focus?
a. The outcomes
b. The disease
c. The health care provider
d. The patient

A

ANS: D

21
Q

What should be the focus when the family and the patient work with the nurse to plan interventions?
a. Determining actions
b. Participating in care
c. Setting goals
d. Celebrating achievements

A

ANS: C

22
Q

The nurse should provide the patient and family with accurate health information concerning diagnoses and progress. What will accurate information help the family to become?
a. Active participants
b. Effective caregivers
c. Encouraged supporters
d. Active providers

A

ANS: B

23
Q

Because many illnesses are now controlled rather than cured, the number of people with chronic, debilitating illnesses has increased. What do home care nurses prevent by providing?
a. Deaths
b. Increased morbidity
c. Increased hospitalization
d. Acute episodes

A

ANS: D

24
Q

What is the fastest-growing group in the US population today?
a. 30- to 40-year-olds
b. 40- to 50-year-olds
c. 50- to 65-year-olds
d. Those 85 and older

A

ANS: D

25
Q

By offering enteral, parenteral, intravenous, and blood transfusion therapies, what can home care services prevent?
a. Morbidity
b. Hospitalization
c. Hospice care
d. Mortality

A

ANS: B

26
Q

What has been influenced by the increase in home health providers supporting healthy living and illness prevention, and a movement toward deinstitutionalization of technology-dependent children and adults?
a. Criteria for admission
b. Age of eligibility
c. Reimbursement criteria
d. Length of financial support

A

ANS: C

27
Q

The licensed nurse can delegate which tasks to the home health assistive personnel?
a. Bathing the patient
b. Assessing ability to void
c. Administering an injection
d. Teaching about medications

A

ANS: A

TERM 3 (16 decks)

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