After the patient is admitted to the home health services system, a treatment plan is drafted cooperatively with the health care provider and is signed. A separate, detailed care plan is always required for which disciplines?
- A. Registered nurse
- B. Physical therapist
- C. Home health aide
- D. LPN/LVN
Correct Answer: C
Rationale: A separate, detailed care plan is always required for the home health aide.
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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
Correct Answer: diem
Rationale: Medicare-supported hospice care is billed on a fee per diem.
During a time of acute illness, the family may become extremely distressed and neglect the needs of other family members. On what does the family seem to focus?
- A. The outcomes
- B. The disease
- C. The health care provider
- D. The patient
Correct Answer: D
Rationale: During times of acute illness, the family may become extremely distressed and focus only on the patient. The nurse can refer family members to an appropriate resource.
Medicare will not cover home health aide visits for the sole reason of:
- A. Physical assistance
- B. Health care provider orders
- C. Personal care
- D. Household chores
Correct Answer: D
Rationale: Medicare will not pay for visits made solely for household chores.
The initial evaluation and admission visit is made by an RN, who has been provided with general orders by a health care provider before the visit. This visit must be made within how many hours of the referral?
- A. 4 to 8
- B. 12 to 15
- C. 18 to 24
- D. 24 to 48
Correct Answer: D
Rationale: The initial evaluation and admission visit made by an RN must be made within 24 to 48 hours of the referral. In some cases, if nursing will not be providing any services, the physical therapist may conduct the admission visit.
The nurse describes a new technological service to the patient that will monitor several assessments remotely. This new intervention is known as services.
Correct Answer: telehealth
Rationale: A newer method of home care delivery is telehealth services. This approach allows for patient and care provider interaction and monitoring using telephone, computers, television, and two-way monitors.
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