Nokea
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.
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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 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.
By offering enteral, parenteral, intravenous, and blood transfusion therapies, what can home care services prevent?
- A. Morbidity
- B. Hospitalization
- C. Hospice care
- D. Mortality
Correct Answer: B
Rationale: Home care services can prevent hospitalization by offering enteral, parenteral, intravenous, and blood transfusion therapies. Morbidity, mortality, and hospice care cannot be prevented.
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.