Exam 36: Home Health Nursing

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

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 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?

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

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

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?

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?

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?

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

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

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

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?

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

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?

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 _________."

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

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

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

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?

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