Chapter 37: Home Health Nursing

Chapter 37: Home Health Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The first visiting nurse service in the United States was directed by nurses and provided care to people of all ages with both acute and chronic care needs. This service was offered in:

a.	Washington.
b.	New York City.
c.	Philadelphia.
d.	New Jersey.

 

ANS:   C

The first visiting nurse service in the United States was formed in Philadelphia.

 

DIF:    Cognitive Level: Application             REF:    Page 1178       OBJ:    1

TOP:    Home health   KEY:   Nursing Process Step: N/A                MSC:   NCLEX: N/A

 

2. Home care was revolutionized by changing from a nursing model to a medical model of practice, defining and limiting services it would reimburse, and changing the payment source and reason home care was provided. These changes came about because of:

a.	life insurance.
b.	Medicare.
c.	Medicaid.
d.	Social Security.

 

ANS:   B

When Medicare became effective in 1966, it revolutionized home care by changing it to a medical rather than nursing model of practice, defining and limiting services it would reimburse, and changing the payment source and even changing the reason home care was provided.

 

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TOP:    Home health   KEY:   Nursing Process Step: N/A                MSC:   NCLEX: N/A

 

3. A major influence on home care came as a result of a change in the payment system for hospitalized patients, paying a set rate according to diagnosis. This new payment method is called:

a.	OAC.
b.	DRGs.
c.	Title XVIII.
d.	Title XIX.

 

ANS:   B

The next major influence on home care after Medicare was DRGs.

 

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TOP:    Home health   KEY:   Nursing Process Step: N/A                MSC:   NCLEX: N/A

 

4. One of the most rapidly growing segments in home health care occurred as a result of the reduced cost compared to the same therapy in a hospital. This service is:

a.	physical therapy.
b.	infusion therapy.
c.	psychiatric therapy.
d.	homemaker therapy.

 

ANS:   B

One of the most rapidly growing segments in home health is home infusion therapy.

 

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TOP:    Home health   KEY:   Nursing Process Step: N/A                MSC:   NCLEX: N/A

 

5. To enter into Medicare and Medicaid services, which are based on the medical model, a treatment plan signed by a physician is required. This treatment plan must be recertified every:

a.	3 days.
b.	60 days.
c.	10 days.
d.	2 weeks.

 

ANS:   B

Medicare and Medicaid home care services are based on the medical model of treatment and depend on the physician for entry into the formalized system. Medicare requires a plan of treatment signed by the physician, outlining all disciplines, treatment, frequency, and duration. These orders must be recertified every 60 days.

 

DIF:    Cognitive Level: Application             REF:    Page 1182       OBJ:    2

TOP:    Home health    KEY:   Nursing Process Step: N/A