Home Health Pre-Test Module 2

1.

A Medicare patient is considered homebound when:

A.

The patient can drive the car to the doctor even when it is very difficult.
B.

The patient can ride in the car with a family member and push the cart in the grocery store for balance.
C.

The patient can leave the home for non-medical reasons for a very short period of time.
D.

The patient can walk around the block with the walker.

Correct Answer
C. The patient can leave the home for non-medical reasons for a very short period of time.

2.

To be eligible to receive care under Medicare, the patient must:

A.

Be eligible for for Medicare and have a supplemental insurance policy.
B.

Need a caregiver in the home at least 18 hours a day.
C.

Be under the care of a physician and need skilled nursing or therapy services.
D.

Be able to ride in a car to visit the physician.

Correct Answer
C. Be under the care of a pHysician and need skilled nursing or therapy services.

Explanation
The correct answer is "Be under the care of a physician and need skilled nursing or therapy services." This is because Medicare is a health insurance program that primarily covers medical services provided by healthcare professionals. To be eligible for Medicare, a patient must be under the care of a physician and require skilled nursing or therapy services. Having a supplemental insurance policy or needing a caregiver at home for a certain number of hours per day are not requirements for Medicare eligibility. The ability to ride in a car to visit the physician is also not a determining factor for Medicare eligibility.

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3.

The Medicare Plan of Care contains all of the following except:

A.

A list of all current medications.
B.

The patient's living will.
C.

Treatment instructions.
D.

All pertinent diagnoses.

Correct Answer
B. The patient's living will.

Explanation
The Medicare Plan of Care is a document that outlines the treatment and care plan for a Medicare patient. It includes a list of all current medications, treatment instructions, and all pertinent diagnoses. However, it does not include the patient's living will, which is a separate legal document that outlines the patient's preferences for end-of-life care.

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4.

The qualifying services for Medicare can stand alone in a case. Which of the follwoing are qulifying services.

A.

PT, HHA, RN
B.

RN, OT, ST
C.

MSW, RN, ST
D.

RN, PT, ST

Correct Answer
D. RN, PT, ST

Explanation
The services that qualify for Medicare can be provided independently without the need for any other services. Among the given options, the combination of RN (Registered Nurse), PT (Physical Therapist), and ST (Speech Therapist) can all be provided as standalone services and are considered qualifying services for Medicare.

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2

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5.

All of the following are true statements about PPS except:

A.

PPS stands for Prospective Payment System.
B.

An episode of care is a 90 day period.
C.

A mistake in documentation can result in a payment denial.
D.

PPS payment is based on the Home Health Resource Group (HHRG).

Correct Answer
B. An episode of care is a 90 day period.

Explanation
An episode of care is not a 90 day period.

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6.

If the home health nurse feels threatened in any way in the home, the nurse should:

A.

Stay with the patient until help comes.
B.

Phone the office for help.
C.

Call 911.
D.

Leave the house immediately and call the supervisor.

Correct Answer
D. Leave the house immediately and call the supervisor.

Explanation
If the home health nurse feels threatened in any way in the home, it is important for their safety to leave the house immediately. By removing themselves from the potentially dangerous situation, they can protect themselves from harm. They should then call their supervisor to report the incident and seek further guidance on how to handle the situation. This ensures that the nurse's safety is prioritized and that appropriate measures can be taken to address the threat.

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7.

Violence may include:

A.

Physical contact.
B.

Verbal and written threats.
C.

Sexual harassment.
D.

All of the above.

Correct Answer
D. All of the above.

Explanation
The correct answer is "All of the above" because violence can encompass various forms, including physical contact, verbal and written threats, and sexual harassment. These different actions can all be considered as acts of violence, as they involve the use of force or intimidation to cause harm or distress to others.

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8.

Advanced directives include all of the following except:

A.

CPR directive
B.

Plan of Care
C.

Medical Durable Power of Attorney.
D.

Living Will.

Correct Answer
B. Plan of Care

Explanation
Advanced directives are legal documents that outline a person's preferences for medical treatment in the event they are unable to communicate their wishes. They include a CPR directive, which specifies whether or not the person wants to receive cardiopulmonary resuscitation, a Medical Durable Power of Attorney, which designates someone to make medical decisions on behalf of the person, and a Living Will, which outlines specific medical treatments the person does or does not want. However, a "Plan of Care" is not typically considered an advanced directive as it refers to the specific care and treatment plan developed by healthcare professionals.

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9.

Patient confidentiality is a basic patient right and includes all of the following except.

A.

Keeping written patient information out of sight in the car.
B.

Phoning the physician about the patient at another patient's house.
C.

Sharing patient information with family members, only with the patient's consent.
D.

Discussing patient information only with other caregivers that have a need to know.

Correct Answer
B. pHoning the pHysician about the patient at another patient's house.

Explanation
Patient confidentiality is a fundamental right that ensures the privacy and protection of a patient's personal information. It means that healthcare professionals should not disclose any patient information to unauthorized individuals. Keeping written patient information out of sight in the car, sharing patient information with family members with the patient's consent, and discussing patient information with other caregivers who have a need to know are all examples of maintaining patient confidentiality. However, phoning the physician about the patient at another patient's house could potentially breach patient confidentiality as it involves discussing patient information with someone who is not directly involved in the patient's care.

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10.

Which of the following is the payer of "last resort"?

A.

Medicaid
B.

Medicare
C.

Managed care company
D.

Private payment

Correct Answer
A. Medicaid

Explanation
Medicaid is the payer of "last resort" because it is a government program that provides healthcare coverage to low-income individuals and families. When individuals do not have any other form of health insurance or are unable to afford private insurance, Medicaid steps in to provide coverage. It is designed to be a safety net for those who cannot afford healthcare, making it the payer of last resort.

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Home Health Pre-test Module 2

A Medicare patient is considered homebound when:

To be eligible to receive care under Medicare, the patient must:

The Medicare Plan of Care contains all of the following except:

The qualifying services for Medicare can stand alone in a case. Which of the follwoing are qulifying services.

All of the following are true statements about PPS except:

If the home health nurse feels threatened in any way in the home, the nurse should:

Violence may include:

Advanced directives include all of the following except:

Patient confidentiality is a basic patient right and includes all of the following except.

Which of the following is the payer of "last resort"?