Question 1

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. A

Question 2

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 B

Question 3

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 C

Question 4

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)  Health care provider
B)  Family
C)  Facility supervisor
D)  RN

Question 5

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 6

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

Question 7

Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities.To be reimbursed by Medicare,who must provide these services?

Accepted Answer

A)  Bachelor's-level clinician
B)  Speech therapist
C)  Master's-level clinician
D)  Physiatrist

Question 8

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?

Accepted Answer

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

Question 9

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 10

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 11

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?

Accepted Answer

A)  Deaths
B)  Increased morbidity
C)  Increased hospitalization
D)  Acute episodes

Question 12

How often must the home care treatment plan be recertified in order for the patient to continue to receive services?

Accepted Answer

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

Question 13

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 14

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?

Accepted Answer

A)  Criteria for admission
B)  Age of eligibility
C)  Reimbursement criteria
D)  Length of financial support

Question 15

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 16

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?

Accepted Answer

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

Question 17

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 18

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

Question 19

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?

Accepted Answer

A)  The outcomes
B)  The disease
C)  The health care provider
D)  The patient

Question 20

What is the fastest-growing group in the US 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

Exam 37: Home Health Nursing