NURS 1130: Exam 2 Questions With Complete Solutions
Skilled care
Provision of services and supplies that can be given only by or
under the supervision of skilled or licensed medical personnel,
medically necessary when provided to improve the quality of
health care of patients or to maintain or slow the
decompensation of a patient's condition, including palliative
treatment, prescribed for settings that have the capability to
deliver such services safely and effectively, nurse being able to
assess, give medication, change dressings, and assessing wound
when dressing is changed (skilled and assessment go together)
Custodial care
Provision of services and supplies that can be given safely and
reasonably by individuals who are neither skilled nor licensed
medical personnel, a patient may have skilled and custodial
needs at the same time. In these circumstances, only those
services and supplies provided in connection with the skilled
care are to be considered as such
Long term care: 60% of all individuals will need help in one or
more areas
Walking
Bathing
Dressing
Using the bathroom
Helping with incontinence
,Managing Pain
Preventing unsafe behavior
Preventing wandering
Providing comfort and assurance
Providing physical or occupational therapy
Attending to medical needs
Counseling
Feeding
Answering the phone
Meeting doctors' appointments
Providing meals
Maintaining the household
Shopping and running errands
Providing transportation
Administering medications
Managing money
Paying bills
Doing the laundry
Attending to personal hygiene
Helping with personal grooming
Writing letters or notes
Making repairs to the home
Maintaining a yard
Removing snow
Minimum data set
Standardized, primary screening and assessment toll of health
status which forms the foundation of the comprehensive
assessment for all residents (regardless of payer) of long term
,care facilities certified to participate in Medicare and Medicaid,
contains items that measure: physical, clinical, psychological,
psycho-social functioning, life care wishes, similar to HCAPS in
hospital
Providers in long term care facility
ASSISTANTS (number one provider), housekeeping, nurses,
therapists, physicians, social workers, technicians
Other inpatient facilities
Assisted living facilities, hospice care (end of life, home or
inpatient, must be identified by provider that you are within 6
months of end of life), respite care (for caretaker, not person
receiving care, allows caretaker to get away from situation),
prison health systems
Services profited when you stay at home
ANYTHING THAT DOES NOT REQUIRE AN OVERNIGHT
STAY
-Home care agencies (care in home), provider's office, adult or
child day care, outpatient clinic (therapies, urgent care center,
FQHC), school based clinic, emergency department, same day
surgery, migrant worker clinics (FQHC), minute clinics,
ambulatory surgical centers, employee assistance programs,
senior center, planned parenthood, meals on wheels,
telemedicine/telehealth
Outpatient services
, Much more costly, accessible, not usually overnight, staff
working less hours, not open at night (no bedding, linen costs,
security), labor cost that you are saving by outpatient
OASIS
Formal reimbursed services
-Outcome and assessment information set
-Home health care agencies
-Quality improvement and quality monitoring
Providers in outpatient care
FAMILIES (dominant player in scene, not reimbursed, unpaid
worker in outpatient settings), nurses, assistants, housekeeping,
physicians, therapists, social workers, technicians
CON addresses:
Capital expenditures, state level, not federal required
Proprietary hospitals are not for profit. True or false?
False
A certified hospital enables them to receive insurance money
from private payers. True or false?
False: Medicare and Medicaid, only ones, not private payers,
governmental resources, private payor=you and I, agency
involved, no longer private, insurance mechanism may pay
hospital, not private payers
Hospice care is for individuals with a life threatening illness and
focuses on palliative care. True or false?
Skilled care
Provision of services and supplies that can be given only by or
under the supervision of skilled or licensed medical personnel,
medically necessary when provided to improve the quality of
health care of patients or to maintain or slow the
decompensation of a patient's condition, including palliative
treatment, prescribed for settings that have the capability to
deliver such services safely and effectively, nurse being able to
assess, give medication, change dressings, and assessing wound
when dressing is changed (skilled and assessment go together)
Custodial care
Provision of services and supplies that can be given safely and
reasonably by individuals who are neither skilled nor licensed
medical personnel, a patient may have skilled and custodial
needs at the same time. In these circumstances, only those
services and supplies provided in connection with the skilled
care are to be considered as such
Long term care: 60% of all individuals will need help in one or
more areas
Walking
Bathing
Dressing
Using the bathroom
Helping with incontinence
,Managing Pain
Preventing unsafe behavior
Preventing wandering
Providing comfort and assurance
Providing physical or occupational therapy
Attending to medical needs
Counseling
Feeding
Answering the phone
Meeting doctors' appointments
Providing meals
Maintaining the household
Shopping and running errands
Providing transportation
Administering medications
Managing money
Paying bills
Doing the laundry
Attending to personal hygiene
Helping with personal grooming
Writing letters or notes
Making repairs to the home
Maintaining a yard
Removing snow
Minimum data set
Standardized, primary screening and assessment toll of health
status which forms the foundation of the comprehensive
assessment for all residents (regardless of payer) of long term
,care facilities certified to participate in Medicare and Medicaid,
contains items that measure: physical, clinical, psychological,
psycho-social functioning, life care wishes, similar to HCAPS in
hospital
Providers in long term care facility
ASSISTANTS (number one provider), housekeeping, nurses,
therapists, physicians, social workers, technicians
Other inpatient facilities
Assisted living facilities, hospice care (end of life, home or
inpatient, must be identified by provider that you are within 6
months of end of life), respite care (for caretaker, not person
receiving care, allows caretaker to get away from situation),
prison health systems
Services profited when you stay at home
ANYTHING THAT DOES NOT REQUIRE AN OVERNIGHT
STAY
-Home care agencies (care in home), provider's office, adult or
child day care, outpatient clinic (therapies, urgent care center,
FQHC), school based clinic, emergency department, same day
surgery, migrant worker clinics (FQHC), minute clinics,
ambulatory surgical centers, employee assistance programs,
senior center, planned parenthood, meals on wheels,
telemedicine/telehealth
Outpatient services
, Much more costly, accessible, not usually overnight, staff
working less hours, not open at night (no bedding, linen costs,
security), labor cost that you are saving by outpatient
OASIS
Formal reimbursed services
-Outcome and assessment information set
-Home health care agencies
-Quality improvement and quality monitoring
Providers in outpatient care
FAMILIES (dominant player in scene, not reimbursed, unpaid
worker in outpatient settings), nurses, assistants, housekeeping,
physicians, therapists, social workers, technicians
CON addresses:
Capital expenditures, state level, not federal required
Proprietary hospitals are not for profit. True or false?
False
A certified hospital enables them to receive insurance money
from private payers. True or false?
False: Medicare and Medicaid, only ones, not private payers,
governmental resources, private payor=you and I, agency
involved, no longer private, insurance mechanism may pay
hospital, not private payers
Hospice care is for individuals with a life threatening illness and
focuses on palliative care. True or false?
