___ is a government-run insurance program for poor people and some people who are disabled.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: B
Rationale: Medicaid supports low-income individuals and those with disabilities.
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Which of the following is a criterion for admission to a skilled nursing facility?
- A. The patient has made maximum progress and is considered stable.
- B. The patient has been hospitalized within the last 30 days.
- C. The patient requires intensive physical therapy.
- D. The patient will not be able to return to independent living and will be a resident.
Correct Answer: B
Rationale: A recent hospitalization (within 30 days) is a common criterion for SNF admission under Medicare.
Collaboration and teamwork are closely associated with patient safety.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Collaboration and teamwork enhance patient safety through coordinated care.
Fill in the blank with the correct health-care practitioner: The personnel who help diagnose swallowing difficulties are called
- A. Occupational therapists
- B. Physical therapists
- C. Speech therapists
- D. Social workers
Correct Answer: C
Rationale: Speech therapists diagnose and treat swallowing difficulties.
For Medicare to pay for home health services, which of the following two criteria must be met?
- A. Skilled services required; patient is homebound
- B. Nursing care only is required; patient is homebound
- C. Nonskilled services required; patient is not necessarily homebound
- D. Physical, occupational, or speech therapy required; patient is not necessarily homebound
Correct Answer: A
Rationale: Medicare requires skilled services and homebound status for home health coverage.
Explain why patients should know the details of their insurance plans.
- A. To understand coverage limits and out-of-pocket costs.
- B. To ensure they receive necessary treatments.
- C. To avoid unexpected medical bills.
- D. To coordinate care with providers.
Correct Answer: A,C
Rationale: Knowing insurance details helps patients manage costs and avoid unexpected bills.
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