What is the goal for services provided by home health care agencies?
- A. Self-care
- B. Assisted living
- C. Rehabilitation
- D. Improved function
Correct Answer: C
Rationale: Services provided by home health care agencies are aimed at rehabilitation.
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How often does the Omnibus Budget Reconciliation Act (OBRA) require that a summary (including vital signs and weight) be obtained in the long-term care setting?
- A. Daily
- B. Weekly
- C. Monthly
- D. Yearly
Correct Answer: C
Rationale: A summary, including vital signs and weight, is only required on a monthly basis.
The family caring for an older adult in their home feels that they need assistance from a hospice service. What is necessary for hospice service to be initiated?
- A. A family request
- B. A patient request
- C. Medical certification
- D. A referral by a hospice nurse
Correct Answer: C
Rationale: Hospice agencies provide care at the end of life. Medical certification is required for terminal care.
Which statement is true concerning a 50-year-old patient recovering from a stroke who is going to a long-term care facility for a short stay?
- A. Her regular hospitalization insurance will pay for the care.
- B. She will still have daily health care provider visits.
- C. She will need to contract outside physical therapy services.
- D. She will probably be discharged within 6 months.
Correct Answer: D
Rationale: A short-stay resident in a long-term care facility for rehabilitation will have residential physical therapy services and will usually be discharged within 6 months. Regular hospitalization insurance does not cover long-term care. Daily health care provider visits do not occur in the long-term care facility.
The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age. What fraction of the US population live in a home setting?
- A. 1/4
- B. 1/2
- C. 1/3
- D. 3/4
Correct Answer: B
Rationale: Approximately (11.3 million) of the US population over the age of 65 live in a home or family setting.
A 48-year-old long-term care facility resident expresses concern that the cost of his care has used up his assets. For what program should the nurse suggest that the resident apply to cover the continued cost of living in a long-term facility?
- A. Medicare
- B. Hospitalization insurance
- C. Medicaid
- D. Public health funds
Correct Answer: C
Rationale: When adults have used all of their assets, they may then qualify for Medicaid. Medicaid is a federally funded, state-operated program of medical assistance for people with low incomes.
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