Nokea
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.
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The nurse can best confirm that the patient understands the communication by obtaining from the patient.
Correct Answer: feedback
Rationale: Feedback confirms that the patient has understood the communication.
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.
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 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.
What became effective in 1966 by an act of legislation that revolutionized home care?
- A. Life insurance
- B. Medicare
- C. Private insurance
- D. Social Security
Correct Answer: B
Rationale: When Medicare became effective in 1966, it revolutionized home care by changing it to a medical rather than nursing model of practice, defining and limiting services it would reimburse, and changing the payment source and even changing the reason home care was provided.