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When implementing quality assurance-specific criteria, measurements are developed for three criteria: structural, process, and outcome. How is this method of assessment different from previous methods?
- A. It is objective.
- B. It is specific.
- C. It is subjective.
- D. It is generalized.
Correct Answer: A
Rationale: In the past, measurements of quality in an agency, the care delivered, and the staff were all subjective. The quality assurance-specific criteria measurements are objective.
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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.
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.
After the patient is admitted to the home health services system, a treatment plan is drafted cooperatively with the health care provider and is signed. A separate, detailed care plan is always required for which disciplines?
- A. Registered nurse
- B. Physical therapist
- C. Home health aide
- D. LPN/LVN
Correct Answer: C
Rationale: A separate, detailed care plan is always required for the home health aide.
A major change to Medicare reimbursement was implemented in 1983. The new system paid a set rate according to diagnosis. What was the new payment system based upon?
- A. Interim payment systems
- B. Diagnosis-related groups
- C. Title XVIII
- D. Title XIX
Correct Answer: B
Rationale: The new payment system introduced in 1983 provided reimbursement based upon set rates that were determined by diagnosis-related groups (DRGs).
Complete documentation is essential and must include an accurate picture of the type and quality of care given, as well as the effectiveness of the plan of care. Which model should be followed to best provide adequate documentation?
- A. Caretaker
- B. Nursing process
- C. Home health care
- D. Nursing efficiency
Correct Answer: B
Rationale: Documentation that follows the nursing process model provides an accurate picture of the type and quality of care.