Nokea
The LPN/LVN may provide many services to the patient in the home including high-level skills. Under whose supervision should these high-level skills be directed and performed?
- A. Health care provider
- B. Family
- C. Facility supervisor
- D. RN
Correct Answer: D
Rationale: The LPN/LVN must always work under the supervision of an RN.
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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.
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.
The patient, family, social service agency, hospital, health care provider, or another agency all can provide the entry point to the home health care system. What is the entry point for the home health care system called?
- A. Recommendation
- B. Survey
- C. Referral
- D. In-taking
Correct Answer: C
Rationale: The entry point for home health care system is by referral. This can come from the patient, family, social service agency, hospital, health care provider, or another agency.
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.
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.