Unit 2: Acute, Acute/Rehab, and LTAC questions with
accurate answers
•Social Security Amendment of 1965 Ans✓✓✓ On July 30, 1965: the
_____________:
•Original Medicare
•Part A and Part B
•Part A -Hospital insurance (some SNF, HH and hospice)
•Part B - Medical insurance (doctors, HH, DME, outpatient etc.)
•Low-income families -Medicaid
1972 Ans✓✓✓ in ________, •Medicare expansion
•Disabled and End Stage Renal Disease
2003 Ans✓✓✓ In ________, -Medicare Part D- prescription drug
benefit
Medicare advantage plan (part C)
Accessible communication Ans✓✓✓ - Acute rooms include:
Call light and phone
activity tolerance Ans✓✓✓ *areas to target in acute care*
positioning, toileting schedule, engagement in light ADLs
,Acute Care Hospital Ans✓✓✓ *secondary locations include:*
1. Inpatient rehab
2. Home Health
3. Long term care
4. SNF
5. Long term acute care
6. outpatient
admission assessment Ans✓✓✓ ¡Nursing captures section GG
information on days 1-3 of the resident's stay.
¡Therapy captures section GG information on evaluation.
¡Therapy/nursing collaboration on about day 3-4 of the resident's stay,
¡discuss section GG items and determine the level to be coded on the
admission assessment.
ALS Ans✓✓✓ *SLp case mix*
Traumatic brain injury
anterior hip Ans✓✓✓ No hip extension
No hip external rotation
apraxia Ans✓✓✓ *SLp case mix*
CVA, TIA, or stroke
,Bathroom aides Ans✓✓✓ - shower bench
- shower chair
o Toilet Riser
o Hand Held Shower
o 3 in 1 commode
o Long handled sponge
o non skid mat
case mix payment Ans✓✓✓ Patient classification for _____ ____
__________:
¡Each patient is classified into a group for each of the case mix adjusters
¡PT: Clinical Category, Functional Score
¡***OT: Clinical Category (primary reason for SNF care), Functional
Score
¡SLP: Clinical category, Cognitive status, Mechanically-altered Diet or
Swallowing Disorder, other SLP related comorbidities
¡Nursing: Same characteristics as under RUG-IV
¡ NTA Comorbidity Score
Central line Ans✓✓✓ An IV access into one of the major blood vessels.
*Venous and arterial access ports*
, Cognition Ans✓✓✓ •
•Therapist Goal: Increase level of alertness, orientation, problem solving
and judgement and following 1-3 step commands, sequence steps for
ADLs and functional mobility.
•Family pictures
•Use of a calendar
• Training nurses to provide tactile and verbal stimulation
•Start having pt... engage in routine grooming tasks, self feeding, leisure
games with rest periods
•Communicate via gentle and light touch.
•Speak at client's eye level.
•Incorporate massage and music in OT sessions
Cognitive levels Ans✓✓✓ ¡Cognitive status assessed using the
cognitive functional scale (CFS)
¡DO the brief inventory of mental status (BIMS) and convert to CFS
¡Assess for temporal orientation and memory
¡Scoring
¡CFS -scores 0-6
¡BIMS-scores0-17
¡CFS is consistent with Brief Inventory of Mental Status
Communication Ans✓✓✓ •Issues due to aphasia or ventilator
accurate answers
•Social Security Amendment of 1965 Ans✓✓✓ On July 30, 1965: the
_____________:
•Original Medicare
•Part A and Part B
•Part A -Hospital insurance (some SNF, HH and hospice)
•Part B - Medical insurance (doctors, HH, DME, outpatient etc.)
•Low-income families -Medicaid
1972 Ans✓✓✓ in ________, •Medicare expansion
•Disabled and End Stage Renal Disease
2003 Ans✓✓✓ In ________, -Medicare Part D- prescription drug
benefit
Medicare advantage plan (part C)
Accessible communication Ans✓✓✓ - Acute rooms include:
Call light and phone
activity tolerance Ans✓✓✓ *areas to target in acute care*
positioning, toileting schedule, engagement in light ADLs
,Acute Care Hospital Ans✓✓✓ *secondary locations include:*
1. Inpatient rehab
2. Home Health
3. Long term care
4. SNF
5. Long term acute care
6. outpatient
admission assessment Ans✓✓✓ ¡Nursing captures section GG
information on days 1-3 of the resident's stay.
¡Therapy captures section GG information on evaluation.
¡Therapy/nursing collaboration on about day 3-4 of the resident's stay,
¡discuss section GG items and determine the level to be coded on the
admission assessment.
ALS Ans✓✓✓ *SLp case mix*
Traumatic brain injury
anterior hip Ans✓✓✓ No hip extension
No hip external rotation
apraxia Ans✓✓✓ *SLp case mix*
CVA, TIA, or stroke
,Bathroom aides Ans✓✓✓ - shower bench
- shower chair
o Toilet Riser
o Hand Held Shower
o 3 in 1 commode
o Long handled sponge
o non skid mat
case mix payment Ans✓✓✓ Patient classification for _____ ____
__________:
¡Each patient is classified into a group for each of the case mix adjusters
¡PT: Clinical Category, Functional Score
¡***OT: Clinical Category (primary reason for SNF care), Functional
Score
¡SLP: Clinical category, Cognitive status, Mechanically-altered Diet or
Swallowing Disorder, other SLP related comorbidities
¡Nursing: Same characteristics as under RUG-IV
¡ NTA Comorbidity Score
Central line Ans✓✓✓ An IV access into one of the major blood vessels.
*Venous and arterial access ports*
, Cognition Ans✓✓✓ •
•Therapist Goal: Increase level of alertness, orientation, problem solving
and judgement and following 1-3 step commands, sequence steps for
ADLs and functional mobility.
•Family pictures
•Use of a calendar
• Training nurses to provide tactile and verbal stimulation
•Start having pt... engage in routine grooming tasks, self feeding, leisure
games with rest periods
•Communicate via gentle and light touch.
•Speak at client's eye level.
•Incorporate massage and music in OT sessions
Cognitive levels Ans✓✓✓ ¡Cognitive status assessed using the
cognitive functional scale (CFS)
¡DO the brief inventory of mental status (BIMS) and convert to CFS
¡Assess for temporal orientation and memory
¡Scoring
¡CFS -scores 0-6
¡BIMS-scores0-17
¡CFS is consistent with Brief Inventory of Mental Status
Communication Ans✓✓✓ •Issues due to aphasia or ventilator
