What has been influenced by the increase in home health providers supporting healthy living and illness prevention, and a movement toward deinstitutionalization of technology-dependent children and adults?
- A. Criteria for admission
- B. Age of eligibility
- C. Reimbursement criteria
- D. Length of financial support
Correct Answer: C
Rationale: The increase in home health providers supporting healthy living and illness prevention and the movement toward deinstitutionalization of technology-dependent children and adults resulted from Medicare and third-party payers changing reimbursement criteria.
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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.
Medical social services focus on the emotional and social aspects of illness. What is another area of service?
- A. Home problems
- B. Marriage problems
- C. Crisis intervention
- D. Work problems
Correct Answer: C
Rationale: Coping with stress and crisis intervention are also part of medical social workers' services.
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.
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.
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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