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?
- A. Knowledge
- B. Performance
- C. Independence
- D. Cooperation
Correct Answer: C
Rationale: The independence of home care practice can be difficult for nurses who depend on the security of the institutional setting.
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What is an eligibility requirement for an individual to qualify for Medicare services?
- A. Retired
- B. At least 65 years old
- C. Low-income
- D. Poor health
Correct Answer: B
Rationale: Beneficiaries of service must be at least 65 years of age.
Because many illnesses are now controlled rather than cured, the number of people with chronic, debilitating illnesses has increased. What do home care nurses prevent by providing?
- A. Deaths
- B. Increased morbidity
- C. Increased hospitalization
- D. Acute episodes
Correct Answer: D
Rationale: Home care provides assessment and evaluation of chronic illnesses to prevent acute episodes.
Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities. To be reimbursed by Medicare, who must provide these services?
- A. Bachelor's-level clinician
- B. Speech therapist
- C. Master's-level clinician
- D. Physiatrist
Correct Answer: C
Rationale: To be reimbursed by Medicare, speech therapy must be provided by a master's-prepared clinician. Other payers will sometimes reimburse services provided by a bachelor's-level clinician.
The licensed nurse can delegate which tasks to the home health assistive personnel?
- A. Bathing the patient
- B. Assessing ability to void
- C. Administering an injection
- D. Teaching about medications
Correct Answer: A
Rationale: Bathing the patient is a task that can be delegated safely to the home health assistive personnel. Home health assistive personnel cannot assess, teach, or administer injections.
Medicaid pays for home care services for people who have low incomes. Who administers the Medicaid program?
- A. Federal government
- B. City government
- C. State government
- D. County government
Correct Answer: C
Rationale: Medicaid is administered by the state. Medicare is a federal program.
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