Deck 36: Home Health Nursing

Question 1

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

Answer 1

Independence

Question 2

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

Answer 2

Restorative

Question 3

The LPN/LVN may provide many services to the patient in the home. Several of these are high-level skills. Under whose supervision should these high-level skills be directed and performed?

A) Physician
B) Family
C) Facility supervisor
D) RN

Answer 3

RN

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. What is the entry point for the home health care system called?

A) Recommendation
B) Survey
C) Referral
D) In-taking

Question 5

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

Question 6

During a time of acute illness, the family may become extremely distressed and neglect the needs of other family members. On what does the family seem to focus?

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

Question 7

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

Question 8

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

Question 9

If solely for this reason, Medicare will not cover home health aide visits. What is that reason?

A) Physical assistance
B) Physician orders
C) Personal care
D) Household chores

Question 10

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

Question 11

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 which disciplines?

A) Registered nurse
B) Physical therapist
C) Home health aide
D) LPN/LVN

Question 12

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

Question 13

How often must the homecare 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

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

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 20

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

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

Question 22

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

Question 23

What is the fastest-growing group in the U.S. 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

Question 24

By offering enteral, parenteral, intravenous, and blood transfusion therapies, what can home care services prevent?

A) Morbidity
B) Hospitalization
C) Hospice care
D) Mortality

Question 25

The home health nurse plans interventions to meet which general service goals? (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 26

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

Question 27

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 28

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

Question 29

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

Question 30

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 31

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