ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 37 Questions
Question 1 of 5
What became effective in 1966 by an act of legislation that revolutionized home care?
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.
Question 2 of 5
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?
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).
Question 3 of 5
How often must the home care treatment plan be recertified in order for the patient to continue to receive services?
Correct Answer: B
Rationale: Medicare and Medicaid home care services are based on the medical model of treatment and depend on the health care provider for entry into the formalized system. Medicare requires a plan of treatment signed by the health care provider, outlining all disciplines, treatment, frequency, and duration. These orders must be recertified every 60 days.
Question 4 of 5
Nurses who work in home settings rather than a hospital setting require a different level of ability to be technically proficient, self-motivated, and innovative. This requires a higher level of what quality?
Correct Answer: C
Rationale: The independence of home care practice can be difficult for nurses who depend on the security of the institutional setting.
Question 5 of 5
The LPN/LVN may provide many services to the patient in the home including high-level skills. Under whose supervision should these high-level skills be directed and performed?
Correct Answer: D
Rationale: The LPN/LVN must always work under the supervision of an RN.