Question 1

Which of the following is a true statement about the history of home health care in the United States?&#10;A)Home health care did not exist as a concept until after World War II.&#10;B)Home health care emerged at the time of the signing of the U.S.constitution.&#10;C)Home health care was brought to the United States from Europe with the early settlers.&#10;D)Home health care emerged in the early 1800s.

Accepted Answer

Home health care emerged in the early 1800s in response to the need for medical care for people in their homes, particularly those who were unable to travel to see a doctor. During this time, doctors would visit patients in their homes to provide medical care, and this practice continued to develop throughout the 19th and 20th centuries.

Question 2

Which of the following is NOT a standard for assessment by OT or PT?&#10;A)Evidence of improved functional status&#10;B)Confirmation of homebound status&#10;C)Measureable and attainable goals&#10;D)Response to treatment

Accepted Answer

A

Question 3

The instrument used in home health to measure baseline and outcome data is the:&#10;A)Canadian Occupational Performance Measure&#10;B)Functional Independence Measure&#10;C)Outcome and Assessment Information Set&#10;D)Satisfaction with Life Inventory

Accepted Answer

The Outcome and Assessment Information Set (OASIS) is the instrument used in home health to measure baseline and outcome data. It is a standardized tool used to collect information on a patient's health status, functional abilities, and service needs. It is used by home health agencies to determine eligibility for Medicare reimbursement and to track patient progress over time. The other options mentioned are valid assessment tools but are not specific to home health or outcome measurement.

Question 4

Which part of the Medicare Act is LEAST directly relevant to delivery of occupational therapy and physical therapy (OT/PT)services in home health?&#10;A)Part A&#10;B)Part B&#10;C)Part C&#10;D)Part D

Accepted Answer

Part D of the Medicare Act pertains to prescription drug coverage, which is typically not directly relevant to the delivery of OT/PT services in home health. Parts A, B, and C are more directly related to payment and coverage for these services.

Question 5

The rules requiring that an individual must be homebound to receive home health services has what impact on OT/PT services?&#10;A)They increase the need for OT and PT.&#10;B)They interfere with important OT and PT functional goals.&#10;C)They reduce the need for OT and PT.&#10;D)They have no impact on OT and PT services but inhibit nursing care.

Accepted Answer

The rules requiring an individual to be homebound to receive home health services can interfere with important OT and PT functional goals because the individual's ability to leave the home may be restricted. This could limit their ability to participate in community-based therapy, which is an important aspect of OT and PT services.

Question 6

Which of the following would,based on Medicare criteria,mean that an individual is NOT homebound?&#10;A)The individual cannot leave the home for any reason.&#10;B)The individual is not confined to bed.&#10;C)The individual leaves the home only to go to work.&#10;D)The individual leaves the home only for medical appointments.

Accepted Answer

Medicare criteria defines homebound as an individual who has a condition that makes it extremely difficult to leave home and requires assistance, or the individual has a condition that could worsen due to leaving the home. Leaving the home for work would indicate that the individual is not confined to the home and is therefore not homebound.

Question 7

Of the following,which legislation is not relevant to delivery of home health services?&#10;A)Medicare&#10;B)Affordable Care Act&#10;C)Balanced Budget Act&#10;D)All have implications for home health

Accepted Answer

All of the legislation listed have implications for home health services. Medicare is a major payer for home health services, the Affordable Care Act includes provisions related to home health and the Balanced Budget Act had provisions affecting home health reimbursement rates.

Question 8

Which of the following would NOT be an acceptable goal for OT in home health?&#10;A)Back-to-work evaluation&#10;B)Managing cooking and cleaning in the home&#10;C)Dressing and grooming&#10;D)Medication management

Accepted Answer

Back-to-work evaluations are not typically within the scope of home health occupational therapy. The other options listed are all common goals for OT in home health.

Question 9

The initial comprehensive assessment of clients in home health must be done by:&#10;A)Registered nurse&#10;B)Occupational or physical therapist&#10;C)Physician&#10;D)Home health aide

Accepted Answer

Only a registered nurse is qualified to conduct a comprehensive assessment of clients in home health. They have the knowledge and skills to evaluate the client's status and develop a care plan based on their findings. Occupational or physical therapists, physicians, and home health aides may be involved in the care team, but only the registered nurse can perform the initial assessment.

Question 10

Medicare would allow for all the following PT interventions in home health EXCEPT:&#10;A)Prescribing durable medical equipment&#10;B)Practicing transfers to and from bed,chair,commode&#10;C)Focusing on increased physical capacity&#10;D)Managing exterior steps and sidewalks

Accepted Answer

Medicare does not cover modifications to the exterior of the home, such as managing exterior steps and sidewalks. However, Medicare can cover durable medical equipment, transfers, and interventions focused on increasing physical capacity.

Deck 31: Home Health Care