Question 1

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

Accepted Answer

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

Question 2

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?

Accepted Answer

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

Question 3

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?

Accepted Answer

A)   Interim payment systems
B)   Diagnosis-related groups
C)   Title XVIII
D)   Title XIX B

Question 4

For physical therapy services to be reimbursed by Medicare, what must be the goal of the therapy?

Accepted Answer

A)   Preventive
B)   Restorative
C)   Maintenance
D)   Educational

Question 5

How long is the average home health care visit by the skilled nurse?

Accepted Answer

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

Question 6

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?

Accepted Answer

A)   Caretaker
B)   Nursing process
C)   Home health care
D)   Nursing efficiency

Question 7

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?

Accepted Answer

A)   4 to 8
B)   12 to 15
C)   18 to 24
D)   24 to 48

Question 8

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?

Accepted Answer

A)   It is objective
B)   It is specific
C)   It is subjective
D)   It is generalized

Question 9

What became effective in 1966 by an act of legislation that revolutionized home care?

Accepted Answer

A)   Life insurance
B)   Medicare
C)   Private insurance
D)   Social Security

Question 10

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

Accepted Answer

The answer of The nurse can best confirm that the...

Question 11

What is the fastest-growing group in the U.S. population today?

Accepted Answer

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

Question 12

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?

Accepted Answer

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

Question 13

What should be the focus when the family and the patient work with the nurse to plan interventions?

Accepted Answer

A)   Determining actions
B)   Participating in care
C)   Setting goals
D)   Celebrating achievements

Question 14

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?

Accepted Answer

A)   Active participants
B)   Effective caregivers
C)   Encouraged supporters
D)   Active providers

Question 15

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 _________."

Accepted Answer

The answer of When the decision is made with the...

Question 16

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

Accepted Answer

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

Question 17

When should discharge planning begin for a patient receiving home care services?

Accepted Answer

A)   A week before discharge
B)   Two days before discharge
C)   The day of discharge
D)   On admission

Question 18

Medicaid pays for home care services for people who have low incomes. Who administers the Medicaid program?

Accepted Answer

A)   Federal government
B)   City government
C)   State government
D)   County government

Question 19

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?

Accepted Answer

A)   Knowledge
B)   Performance
C)   Independence
D)   Cooperation

Question 20

Medical social services focus on the emotional and social aspects of illness. What is another area of service?

Accepted Answer

A)   Home problems
B)   Marriage problems
C)   Crisis intervention
D)   Work problems

Exam 36: Home Health Nursing