Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 32, Clients Receiving Home Health
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse educator knows that the nursing student understands the contributions that Lillian Wald made to home care when the nursing student makes which one of the following statements? | |
| A) | “Lillian Wald made the earliest known effort to care for the sick poor at home.” | |
| B) | “Lillian Wald trained nurses so that wealthy women would hire them as visiting nurses.” | |
| C) | “Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses.” | |
| D) | “Lillian Wald approached congress with the idea of Medicare Home Health Benefit.” | |
| Ans: | C | |
| Feedback: | ||
| Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses. It was the Ladies Benevolent Society in Charleston, South Caroline who made the earliest known efforts to care for the sick at home. It was Florence Nightingale who trained nurses so that wealthy women would hire them as visiting nurses. Lillian Wald did establish insurance coverage for home care with the Metropolitan Life Insurance Company but this was in the early 1900s and the Medicare Home Health Benefit did not exist until 1965. | ||
| 2. | After reviewing the various events associated with the history of home health care, the students demonstrate understanding of the events when they state which of the following as the most significant influence on the growth of home care agencies? | |
| A) | Creation of the visiting nurse associations | |
| B) | Era of the Medicare Home Health Benefit | |
| C) | Enactment of the Balanced Budget Act | |
| D) | Discharge of nonacute clients | |
| Ans: | C | |
| Feedback: | ||
| The number of Medicare-certified home care agencies grew rapidly until enactment of the Balanced Budget Act of 1997 that sought explicitly to reduce federal payments for home health care by changing the payment from reimbursement for each visit to the Medicare Prospective Payment System that determined Medicare payment rates based on client characteristics and need for services. Visiting nurse associations, discharging of nonacute clients, and the Era of the Medicare Home Health Benefit had no effect on the growth of agencies. | ||
| 3. | Which one of the following statements best describes the family caregiver burdens of providing home care? | |
| A) | Family members are expected to contribute financially to cover all of the costs of home care. | |
| B) | Individuals recovering from severe illness or living with debilitating chronic illness rely on family members for unpaid assistance. | |
| C) | Informal caregivers assume a considerable physical, psychological, and economic burden in the care of their loved one at home. | |
| D) | Caregivers often describe themselves as emotionally and physically drained. | |
| Ans: | D | |
| Feedback: | ||
| The best description of family caregiver burdens is that caregivers have other responsibilities but that their caregiver tasks compete for time, energy, and attention leaving them emotionally and physically drained. Informal caregivers assume a considerable physical, psychological, and economic burden in the care of their loved one at home. Individuals recovering from severe illness or living with debilitating chronic illness rely on family members for unpaid assistance. The other two statements describe the burden in part but the best description is where caregivers often describe themselves as emotionally and physically drained. | ||
| 4. | When evaluating a client’s eligibility for Medicare-reimbursed home care, which of the following is crucial? | |
| A) | The client needs visits by a homemaker. | |
| B) | The client is homebound. | |
| C) | The client is a veteran. | |
| D) | The client is terminally ill. | |
| Ans: | B | |
| Feedback: | ||
| Homebound status is a requirement and means the person can only leave the home with difficulty and only for medical appointments or adult day care. Medicare requires that the recipient of reimbursable services need skilled services. The services of a homemaker are not considered a skilled service and are not a requirement for receiving services. There are no requirements that the client be associated with the military, either now or in the past. A client must be considered terminally ill to receive hospice services reimbursed by Medicare but not home health care—the person would just require skilled services. | ||
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