Nokea
The home health nurse plans interventions to meet which general service goals?
- A. Restore function as is appropriate.
- B. Improve level of function.
- C. Maintain current health level.
- D. Ensure return of health.
- E. Teach healthy lifestyle.
Correct Answer: A,B,C,E
Rationale: The general service goals are restoration, improvement, maintenance, and promotion of health.
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When should discharge planning begin for a patient receiving home care services?
- A. A week before discharge
- B. Two days before discharge
- C. The day of discharge
- D. On admission
Correct Answer: D
Rationale: Discharge planning for home care begins on admission.
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.
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.
For physical therapy services to be reimbursed by Medicare, what must be the goal of the therapy?
- A. Preventive
- B. Restorative
- C. Maintenance
- D. Educational
Correct Answer: B
Rationale: The goals of treatment must be restorative in order for Medicare to provide reimbursement. In some cases, the goals can be preventive or maintenance for other payer sources.
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.