Deck 37: Home Health Nursing

Question 1

One of the most rapidly growing segments in home health care occurred as a result of the reduced cost compared to the same therapy in a hospital.This service is:

A) physical therapy.
B) infusion therapy.
C) psychiatric therapy.
D) homemaker therapy.

Answer 1

infusion therapy.

Question 2

The occupational therapist performs an evaluation of the patient's functional level and then provides therapy to restore functional levels.This therapist must possess which degree?

A) Associate
B) Bachelor's
C) Master's
D) Doctorate

Answer 2

Bachelor's

Question 3

To enter into Medicare and Medicaid services,which are based on the medical model,a treatment plan signed by a physician is required.This treatment plan must be recertified every:

A) 3 days.
B) 60 days.
C) 10 days.
D) 2 weeks.

Answer 3

60 days.

Question 4

The patient,family,social service agency,hospital,physician,or another agency all can provide the entry point to the home health care system,which is known as a:

A) recommendation.
B) survey.
C) referral.
D) in-taking.

Question 5

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:

A) knowledge.
B) performance.
C) independence.
D) cooperation.

Question 6

Patient and family participation in discharge planning of home care are encouraged.The purpose of discharge planning is to promote continuity of care and begins:

A) a week before discharge.
B) two days before discharge.
C) the day of discharge.
D) on admission.

Question 7

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.The model that provides this is the:

A) caretaker.
B) nursing process.
C) home health care.
D) nursing efficiency.

Question 8

The LPN/LVN may provide many services to the patient in the home.Several of these are high-level skills,but all of them must be performed under the direction and supervision of the:

A) physician.
B) family.
C) facility supervisor.
D) RN.

Question 9

Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities.To be reimbursed by Medicare,these services must be provided by a:

A) bachelor's-level clinician.
B) speech therapist.
C) master's-level clinician.
D) physiatrist.

Question 10

When implementing quality assurance-specific criteria,measurements are developed for three criteria: structural,process,and outcome.This new method of assessment is different from the previous method because it is:

A) objective.
B) specific.
C) subjective.
D) generalized.

Question 11

The first visiting nurse service in the United States was directed by nurses and provided care to people of all ages with both acute and chronic care needs.This service was offered in:

A) Washington.
B) New York City.
C) Philadelphia.
D) New Jersey.

Question 12

Visits to the patient receiving home health care services vary depending on patient needs.Several visits per week are typical.The skilled nursing visits usually last:

A) 10 to 15 minutes.
B) 20 to 30 minutes.
C) 30 to 45 minutes.
D) 45 to 60 minutes.

Question 13

Home health aide services fall into three main categories: personal care,physical assistance,and household chores.Medicare will not cover visits made solely for:

A) physical assistance.
B) physician orders.
C) personal care.
D) household chores.

Question 14

A major influence on home care came as a result of a change in the payment system for hospitalized patients,paying a set rate according to diagnosis.This new payment method is called:

A) OAC.
B) DRGs.
C) Title XVIII.
D) Title XIX.

Question 15

For physical therapy services to be reimbursed by Medicare,the services must be:

A) preventive.
B) restorative.
C) maintenance.
D) educational.

Question 16

Medical social services focus on the emotional and social aspects of illness.Another part of social workers' services involves dealing with:

A) home problems.
B) financial problems.
C) crisis intervention.
D) emotional problems.

Question 17

Home care was revolutionized by changing from a nursing model to a medical model of practice,defining and limiting services it would reimburse,and changing the payment source and reason home care was provided.These changes came about because of:

A) life insurance.
B) Medicare.
C) Medicaid.
D) Social Security.

Question 18

The initial evaluation and admission visit is made by an RN,who has been provided with general orders by a physician 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

Question 19

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.The admission process normally takes a minimum of:

A) 30 minutes.
B) 1 hour.
C) 2 hours.
D) 3 hours.

Question 20

After the patient is admitted to the home health services system,a treatment plan is drafted cooperatively with the physician and is signed.A separate,detailed care plan is always required for the:

A) registered nurse.
B) physical therapist.
C) home health aide.
D) LPN/LVN.

Question 21

The licensed nurse can delegate which task(s)to the home health assistive personnel?

A) Bathing the patient
B) Assessing ability to void
C) Administering an injection
D) Teaching about medications
E) Prescribing medications

Question 22

The nurse recognizes that the fastest-growing group in the U.S.population is:

A) 30- to 40-year-olds.
B) 40- to 50-year-olds.
C) 50- to 65-year-olds.
D) those 85 and older.

Question 23

Nurses who work in home care offering enteral,parenteral,intravenous,and blood transfusion services can prevent:

A) morbidity.
B) hospitalization.
C) hospice care.
D) mortality.

Question 24

The nurse should provide the patient and family with accurate health information concerning diagnoses and progress.This will help the family understand and be effective:

A) participants.
B) caregivers.
C) supporters.
D) providers.

Question 25

Because many illnesses are now controlled rather than cured,the number of people with chronic,debilitating illnesses has increased.Home care nurses provide needed assessment and evaluations of these illnesses to prevent:

A) deaths.
B) increased morbidity.
C) increased hospitalization.
D) acute episodes.

Question 26

The nurse describes a new technological service to the patient that will monitor several assessments remotely.This new intervention is known as ___________ home visits.

Question 27

Medicare is a federal program that has federal requirements concerning organization,staffing,training,types of services covered,and agency evaluation.Regulations mandate eligibility requirements,one of which is that beneficiaries of service must be:

A) retired.
B) at least 65 years old.
C) low-income.
D) in poor health.

Question 28

When the decision is made with the family to place the patient on hospice care,the home health nurse explains that the reimbursement changes from "fee per visit" to "fee per _________."

Question 29

During a time of acute illness,the family may become extremely distressed and neglect the needs of other family members.It seems as if the family focuses only on the:

A) outcomes.
B) disease.
C) physician.
D) patient.

Question 30

The increase in home health providers supporting healthy living and illness prevention and a movement toward deinstitutionalization of technology-dependent children and adults are the result of Medicare and third-party payers changing:

A) criteria for admission.
B) age of eligibility.
C) reimbursement criteria.
D) length of financial support.

Question 31

The home health nurse plans interventions to meet which general service goal(s)? (Select all that apply.)

A) Restore function as is appropriate.
B) Improve level of function.
C) Maintain current health level.
D) Ensure return of health.
E) Teach healthy lifestyle.

Question 32

When the nurse is planning interventions for the patient,it is important to work with the family and patient so that they can all agree on setting:

A) actions.
B) participation.
C) goals.
D) achievements.

Question 33

A nurse who arranges for a combination of home care,therapies,counseling,supplies,and equipment for a patient is called a(n):

A) discharge planner.
B) outpatient coordinator.
C) home health organizer.
D) case manager.

Question 34

The nurse can best confirm that the patient understands the communication by obtaining ____________ from the patient.

Question 35

Medicaid pays for home care services for people who have low incomes.Some states require Medicare enrollment to be eligible for Medicaid.This program is administered by the:

A) federal government.
B) city government.
C) state government.
D) county government.