Chapter 36: Home Health Nursing

Chapter 36: Home Health Nursing

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

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

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.

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

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

2. 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?

ANS:  B

The new payment system introduced in 1983 provided reimbursement based upon set rates that were determined by diagnosis-related groups (DRGs).

DIF:    Cognitive Level: Application           REF:   Page 1179      OBJ:   2

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

3. How often must the homecare treatment plan be recertified in order for the patient to continue to receive services?

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: Knowledge            REF:   Page 1182      OBJ:   2

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

4. 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?

ANS:  C

The independence of home care practice can be difficult for nurses who depend on the security of the institutional setting.

DIF:    Cognitive Level: Application           REF:   Pages 1182-1183

OBJ:   7                    TOP:   Home health   KEY:  Nursing Process Step: N/A

MSC:   NCLEX: N/A