Deck 11: Rehabilitation

Question 1

Acute rehabilitation programs are generally offered ________________

A) in a hospital
B) in a skilled nursing facility
C) in an outpatient setting
D) by a home health agency

Answer 1

in a hospital

Question 2

____________ scores provide a reliable and valid method of documenting the severity of disabilities as well as outcomes in rehabilitation. Scores are assigned in 13 motor areas and five cognitive areas.

A) CARF
B) ICF
C) FIM
D) WHO

Answer 2

ICF

Question 3

By definition, a(n) _____________________ limits or prevents the fulfilment of one or several roles that are regarded as normal (depending on age, sex, social, and cultural factors) for a given individual.

A) disability
B) handicap
C) injury
D) impairment

Answer 3

handicap

Question 4

A device that is designed to replace a missing extremity or partially missing extremity is a(n) ___________________.

A) orthosis
B) ambulation aid
C) prosthesis
D) environmental control unit

Question 5

The prospective payment system for inpatient rehabilitation is based on ________________.

A) impairments, disabilities, and handicaps (IDHs)
B) inpatient rehabilitation units (IRUs)
C) analysis of variances (ANOVAs)
D) case mix groups (CMGs)

Question 6

In an inpatient rehabilitation facility, the IRF-PAI differs from the UB-04 in that it requires submission of ___________________.

A) a code for "admission for rehabilitation"
B) CPT codes for durable medical equipment
C) the etiological diagnosis (what caused the disability)
D) codes from the International Classification of Functioning, Disability, and Health

Question 7

Environmental control units (ECUs) ______________________________________.

A) allow a person with a disability to navigate unfamiliar environments
B) allow a person who has limited mobility to perform many everyday functions in the home, at work, or school
C) are physical locations within rehabilitation hospitals in which the environment is carefully controlled for treatment purposes
D) are air-conditioning and heating units that also include air purification systems for individuals with compromised respiratory function

Question 8

A(n) __________________ is any temporary or permanent loss or abnormality of a body structure or function, whether physiological or psychological.

A) disability
B) handicap
C) njury
D) impairment

Question 9

Which of the following is NOT a factor in determining the case-mix group (CMG)?

A) International Classification of Functioning, Disability and Health (ICF) codes
B) comorbidities
C) FIM scores
D) age

Question 10

Devices that provide stability and support for individuals who have trouble walking are _____________________.

A) high-technology assistive devices
B) mobility devices
C) orthotic devices
D) ambulation aids

Question 11

External appliances that supplement an extremity's function or improve stability and positioning are ___________________.

A) high-technology assistive devices
B) mobility devices
C) orthotic devices
D) ambulation aids

Question 12

Devices that replace missing body parts are ______________.

A) ambulation aids
B) mobility devices
C) prosthetics
D) orthotics

Question 13

Wheeled chairs that assist those for whom ambulation is difficult or not possible are ______________.

A) high-technology assistive devices
B) mobility devices
C) ambulation aids
D) orthotics

Question 14

Computers that control environments and wheelchairs are ____________________.

A) high-technology assistive devices
B) mobility devices
C) ambulation aids
D) orthotics

Question 15

A restriction or inability to perform an activity in the manner or within the range considered to be normal for a human being is a(n) ____________________

A) Impairment
B) disability
C) handicap
D) injury

Question 16

A comprehensive outpatient rehabilitation facility receives reimbursement from Medicare under ________________.

A) Part A
B) Part B
C) Part D
D) Rehabilitation Impairment Categories (RICs)

Question 17

The Joint Commission and CARF are the nationally recognized agencies that review care provided in rehabilitation facilities for accreditation purposes.

Question 18

The Medicare prospective payment system reimburses rehabilitation services under DRGs.

Question 19

The admission history and physical performed on a rehabilitation patient includes a functional history, which covers the patient's functional status prior to the onset of illness or injury.

Question 20

The categories that form the basis of the inpatient rehabilitation facility prospective payment system are known as Impairments, Disabilities, and Handicaps (IDHs).

Question 21

National databases maintained on spinal cord and traumatic brain injuries facilitate research in rehabilitation and promote uniform treatment, leading to improved functional outcomes.

Question 22

The Glasgow Coma Scale is associated with the assessment of spinal cord injuries.

Question 23

The IRF-PAI utilizes the same coding rules as the UB-92.

Question 24

The FIM instrument for measuring independence has not yet been proven reliable or valid.

Question 25

The IMPACT Act of 2014 requires post-acute care providers to report standardized assessment data across post-acute settings for the purposes of patient assessment, quality comparisons, resource use measurement, and payment reform.

Question 26

A life-care plan lists the items required over a lifetime for the individual, their cost, and the frequency of replacement and serves as a medical legal document that may guide court decisions regarding a settlement.

Question 27

The Rancho Los Amigos Scale is beneficial in communicating to other members of the rehabilitation team the level of recovery of a patient with traumatic brain injury.

Question 28

The ________________________ rule is one of the criteria for defining a hospital as an inpatient rehabilitation facility (IRF) and requires that a certain percent of the patients treated have at least one of 13 qualifying medical conditions.​

Question 29

________________________ are devices that provide additional stability and support for an individual who has trouble walking.​

Question 30

A dynamic document that details current and future health care needs based on published standards of practice is a ________________________.​

Question 31

With regard to the IRF-PAI, ________________ refers to using a specified computer program to enter data that will subsequently be transmitted to the Centers for Medicare & Medicaid Services (CMS).​

Question 32

_________________________________ is an instrument used to gather data regarding each patient stay that will be used to determine the payment for that stay under the Medicare inpatient rehabilitation facility prospective payment system.​

Question 33

________________________ is the software provided by CMS for entry of IRF-PAI data.​

Question 34

______________________ is the development of a person to the fullest physical, psychological, social, vocational, avocational, and educational potential consistent with his or her physiological or anatomic impairment and environmental limitations.​

Question 35

________________________ are therapists who address activities of daily living, upper extremity movement, higher cognitive, and community skills, among other areas of rehabilitation.​

Question 36

________________________ are therapists who help patients improve their strength, range of motion, balance, and mobility, among other things.​

Question 37

A physical medicine and rehabilitation physician is a ________________________.​

Question 38

The ___________________ approach to rehabilitation teams means that the team members work together in a synergistic fashion to solve specific problems for the patient.​

Question 39

A(n) _______________________________________ is established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services to outpatients for the rehabilitation of injured, disabled, or sick persons at a single fixed location by or under the supervision of a physician​

Question 40

Match each description with the correct item

- An inpatient facility that provides acute medical care

A) long term acute care hospitals
B) acute care hospital
C) skilled rehabilitation programs
D) outpatient rehabilitation
E) freestanding rehabilitation center
F) home health rehabilitation

Question 41

Match each description with the correct item

- A center for rehabilitation that is not physically part of another facility

A) long term acute care hospitals
B) acute care hospital
C) skilled rehabilitation programs
D) outpatient rehabilitation
E) freestanding rehabilitation center
F) home health rehabilitation

Question 42

Match each description with the correct item

- Rehabilitation services provided to patients in their home by an agency

A) long term acute care hospitals
B) acute care hospital
C) skilled rehabilitation programs
D) outpatient rehabilitation
E) freestanding rehabilitation center
F) home health rehabilitation

Question 43

Match each description with the correct item

- Provide inpatient rehabilitation services for patients with acute illness superimposed on chronic disability or for medically complicated patients

A) long term acute care hospitals
B) acute care hospital
C) skilled rehabilitation programs
D) outpatient rehabilitation
E) freestanding rehabilitation center
F) home health rehabilitation

Question 44

Match each description with the correct item

- Rehabilitation therapy provided to patients who do not stay overnight

A) long term acute care hospitals
B) acute care hospital
C) skilled rehabilitation programs
D) outpatient rehabilitation
E) freestanding rehabilitation center
F) home health rehabilitation

Question 45

Match each description with the correct item

- Inpatient rehabilitation for patients who are progressing too slowly to meet criteria for standard rehabilitation programs

A) long term acute care hospitals
B) acute care hospital
C) skilled rehabilitation programs
D) outpatient rehabilitation
E) freestanding rehabilitation center
F) home health rehabilitation

Question 46

Match each description with the correct item

- Teaches patients activities of daily living, such as dressing, bathing, grooming, etc.

A) speech-language pathologist
B) occupational therapist
C) social worker
D) psychologist
E) Physiatrist

Question 47

Match each description with the correct item

- Physical medicine/rehabilitation physician specialist who heads the rehabilitation team

A) speech-language pathologist
B) occupational therapist
C) social worker
D) psychologist
E) Physiatrist

Question 48

Match each description with the correct item

- Assists the newly disabled person and family in adjusting to the disability

A) speech-language pathologist
B) occupational therapist
C) social worker
D) psychologist
E) Physiatrist

Question 49

Match each description with the correct item

- Coordinates funding resources for the patient

A) speech-language pathologist
B) occupational therapist
C) social worker
D) psychologist
E) Physiatrist

Question 50

Match each description with the correct item

- Evaluates and treats aphasia, apraxia, dysarthria, etc.

A) speech-language pathologist
B) occupational therapist
C) social worker
D) psychologist
E) Physiatrist

Question 51

Describe the main functions of an occupational therapist and physical therapist.​

Question 52

Describe the role of a kinesiotherapist in rehabilitation patients.​

Question 53

What three criteria must be met for a comprehensive inpatient rehabilitation program medical director??

Question 54

List three conditions that count towards the 60 percent rule.?

Question 55

What areas does the Glasgow Coma Scale measure and how is it used??