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What should be the focus when the family and the patient work with the nurse to plan interventions?
- A. Determining actions
- B. Participating in care
- C. Setting goals
- D. Celebrating achievements
Correct Answer: C
Rationale: When planning interventions, it is important that the nurse work with the patient and the family on setting goals.
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Because many illnesses are now controlled rather than cured, the number of people with chronic, debilitating illnesses has increased. What do home care nurses prevent by providing?
- A. Deaths
- B. Increased morbidity
- C. Increased hospitalization
- D. Acute episodes
Correct Answer: D
Rationale: Home care provides assessment and evaluation of chronic illnesses to prevent acute episodes.
Medicare will not cover home health aide visits for the sole reason of:
- A. Physical assistance
- B. Health care provider orders
- C. Personal care
- D. Household chores
Correct Answer: D
Rationale: Medicare will not pay for visits made solely for household chores.
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.
When the decision is made with the family to place the patient on hospice care, the home health nurse explains that the reimbursement changes from 'fee per visit' to 'fee per
Correct Answer: diem
Rationale: Medicare-supported hospice care is billed on a fee per diem.
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.