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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.
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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?
- A. Interim payment systems
- B. Diagnosis-related groups
- C. Title XVIII
- D. Title XIX
Correct Answer: B
Rationale: The new payment system introduced in 1983 provided reimbursement based upon set rates that were determined by diagnosis-related groups (DRGs).
The nurse should provide the patient and family with accurate health information concerning diagnoses and progress. What will accurate information help the family to become?
- A. Active participants
- B. Effective caregivers
- C. Encouraged supporters
- D. Active providers
Correct Answer: B
Rationale: Providing accurate information about the diagnosis and progress helps the family to be effective caregivers.
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.
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.
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.