8/12/25, 5:34 PM home health exam
OKLAHOMA NURSING HOME ADMINISTRATOR STATE TEST (NHA) latest
exam questions with verified 100% correct answers | LATEST
UPDATE STUDY GUIDE AND PRACTICE BANK 2025-2026
-increased age of the population
-increased cost of healthcare
factors influencing healthcare -increased number of people living with disabilities and
in the U.S. chronic illnesses in the community
-decreased length of hospital stays
1. case manager: delivers direct care
2. case coordinator: coordinates care provided by other
roles of the home health nurse disciplines
3. educator: teaches about self-management of acute
and chronic diseases, healthy lifestyles, health
promotion, and reimbursement for home care services
4. advocate: identifies and coordinates community resources
-a purposeful interaction in a home (or residence)
what is a home visit? directed at promoting and maintaining the health of
individuals and the family (or significant others)
-the professional goes to the client rather than the client coming
to the professional
1. promoting support systems: that are adequate and
effective and encouraging use of health-related
resources
2. promoting adequate, effective care of a family
goals of home visiting
member who has a specific problem related to
illness or disability
3. encouraging normal growth and development of
family members and the family and educating the
family about health promotion and illness
prevention
4. strengthening family functioning and relatedness
5. promoting a healthful environment
-an agency must be licensed by the state in which it operates
-if the agency wants to take care of medicare patients,
HHA standards and
they must meet the Medicare conditions of
ccredentials
participation (COPs)
-an agency may choose to become accredited
1/31
,8/12/25, 5:34 PM home health exam
-federal insurance program for older adults (>65 yo) and disabled
-funding is through the mandatory payroll deduction
what is medicare
-centers for medicare and medicaid services are the oversight
place
-home care payment is determined through OASIS
-outcomes and assessment information set
-data collection tool used by medicare to ensure
standard quality care is being provided by home
health agencies across the US
OASIS -data is collected at various points -- admission, recertification,
and discharge
-data is electronically transmitted in a timely manner to
CMS to provide evidence of the need for skilled care
-data drives reimbursement to the agency
-lengthy, completing the SOC OASIS will take an
experienced nurse 1-1.5 hours after the visit
-the HHA must be medicare-certified
-patient must be homebound, require skilled services,
and have needs that can be met on an intermittent and
criteria for medicare HH
services short term basis (NOT 24/7 skilled care)
-services must be resonable and necessary according to MC
-there must be a plan of treatment (POT) which is
physician ordered, signed, and overseen on a regular
basis
2/31
,8/12/25, 5:34 PM home health exam
-nursing
-speech, physical therapy, speech therapy, and occupational
who is part of the home health therapists
agency -medical social worker
-aide
-business office staff
-direct care: assessment and interventions
-documentation: clinical course of care
-coordination of care: communication
responsibilities of the home
-determine financial coverage
health nurse
-determine frequency and duration of care
-client advocacy-
-a systematic process by which a nurse assesses clients'
what is case management? needs, plans for and coordinates services, refers to
other appropriate providers, and monitors and
evaluates progress to ensure that clients' needs are
met
-sandwich generation: middle-aged people caring for parents
and children
caregiving and support -pool of caregivers is dwindling
services
-family members' significance in caregiving
-family support systems: assisting with community resources
1) observe and interview
2) seek family communicator and leader
3) gather information
family assessment
4) identify family needs
5) identify individual needs)
6) assess family subsystems
3/31
, 8/12/25, 5:34 PM home health exam
family maps diagram spatial and relationship qualities of a family system
a format for drawing a family tree with information about threee
generations
genograms -mapping family structure
-recording family information
-delineating family relationships
-family maps or genograms
assessing the family as a unit -after you assess the family and draw a genogram, you
can take a step further and look at outside resources -
-> eco-map
used to discover
ecomap -patterns of energy into and outside of the family
-relationships with community resources, activities, and agencies
-who is most able to respond to this crisis
determining family strengths -positive behaviors or qualities to help maintain family health
-nurse --> identifies, develops, calls forth strengths
-who will be involved in the care
determining targets of care
-identify most functional and willing members
-what is most crucial
-areas of concern requiring immediate action from the family and
determining priorities of nurse
identified needs
-top priorities --> life threatening and physical safety
-family identifies the most important
-can may be given in the home, community, or institutionalized
settings
-includes personal, health, and social services
families and caregivers to -physical, social, and emotional needs
older adults
-chronically ill and disabled
-functional impairment
-assistance with ADLs
-chronic diseases
-disabilities
-health promotion
-nutrition
common health needs of
-social isolation
older adults
-dementia
-hearing loss
-incontinence
-facilitator/collaborator/teacher
nurse responsibilties as a
-case manager -- goals, plan, coordinate and organize services
home health nurse
-advocate
4/31
OKLAHOMA NURSING HOME ADMINISTRATOR STATE TEST (NHA) latest
exam questions with verified 100% correct answers | LATEST
UPDATE STUDY GUIDE AND PRACTICE BANK 2025-2026
-increased age of the population
-increased cost of healthcare
factors influencing healthcare -increased number of people living with disabilities and
in the U.S. chronic illnesses in the community
-decreased length of hospital stays
1. case manager: delivers direct care
2. case coordinator: coordinates care provided by other
roles of the home health nurse disciplines
3. educator: teaches about self-management of acute
and chronic diseases, healthy lifestyles, health
promotion, and reimbursement for home care services
4. advocate: identifies and coordinates community resources
-a purposeful interaction in a home (or residence)
what is a home visit? directed at promoting and maintaining the health of
individuals and the family (or significant others)
-the professional goes to the client rather than the client coming
to the professional
1. promoting support systems: that are adequate and
effective and encouraging use of health-related
resources
2. promoting adequate, effective care of a family
goals of home visiting
member who has a specific problem related to
illness or disability
3. encouraging normal growth and development of
family members and the family and educating the
family about health promotion and illness
prevention
4. strengthening family functioning and relatedness
5. promoting a healthful environment
-an agency must be licensed by the state in which it operates
-if the agency wants to take care of medicare patients,
HHA standards and
they must meet the Medicare conditions of
ccredentials
participation (COPs)
-an agency may choose to become accredited
1/31
,8/12/25, 5:34 PM home health exam
-federal insurance program for older adults (>65 yo) and disabled
-funding is through the mandatory payroll deduction
what is medicare
-centers for medicare and medicaid services are the oversight
place
-home care payment is determined through OASIS
-outcomes and assessment information set
-data collection tool used by medicare to ensure
standard quality care is being provided by home
health agencies across the US
OASIS -data is collected at various points -- admission, recertification,
and discharge
-data is electronically transmitted in a timely manner to
CMS to provide evidence of the need for skilled care
-data drives reimbursement to the agency
-lengthy, completing the SOC OASIS will take an
experienced nurse 1-1.5 hours after the visit
-the HHA must be medicare-certified
-patient must be homebound, require skilled services,
and have needs that can be met on an intermittent and
criteria for medicare HH
services short term basis (NOT 24/7 skilled care)
-services must be resonable and necessary according to MC
-there must be a plan of treatment (POT) which is
physician ordered, signed, and overseen on a regular
basis
2/31
,8/12/25, 5:34 PM home health exam
-nursing
-speech, physical therapy, speech therapy, and occupational
who is part of the home health therapists
agency -medical social worker
-aide
-business office staff
-direct care: assessment and interventions
-documentation: clinical course of care
-coordination of care: communication
responsibilities of the home
-determine financial coverage
health nurse
-determine frequency and duration of care
-client advocacy-
-a systematic process by which a nurse assesses clients'
what is case management? needs, plans for and coordinates services, refers to
other appropriate providers, and monitors and
evaluates progress to ensure that clients' needs are
met
-sandwich generation: middle-aged people caring for parents
and children
caregiving and support -pool of caregivers is dwindling
services
-family members' significance in caregiving
-family support systems: assisting with community resources
1) observe and interview
2) seek family communicator and leader
3) gather information
family assessment
4) identify family needs
5) identify individual needs)
6) assess family subsystems
3/31
, 8/12/25, 5:34 PM home health exam
family maps diagram spatial and relationship qualities of a family system
a format for drawing a family tree with information about threee
generations
genograms -mapping family structure
-recording family information
-delineating family relationships
-family maps or genograms
assessing the family as a unit -after you assess the family and draw a genogram, you
can take a step further and look at outside resources -
-> eco-map
used to discover
ecomap -patterns of energy into and outside of the family
-relationships with community resources, activities, and agencies
-who is most able to respond to this crisis
determining family strengths -positive behaviors or qualities to help maintain family health
-nurse --> identifies, develops, calls forth strengths
-who will be involved in the care
determining targets of care
-identify most functional and willing members
-what is most crucial
-areas of concern requiring immediate action from the family and
determining priorities of nurse
identified needs
-top priorities --> life threatening and physical safety
-family identifies the most important
-can may be given in the home, community, or institutionalized
settings
-includes personal, health, and social services
families and caregivers to -physical, social, and emotional needs
older adults
-chronically ill and disabled
-functional impairment
-assistance with ADLs
-chronic diseases
-disabilities
-health promotion
-nutrition
common health needs of
-social isolation
older adults
-dementia
-hearing loss
-incontinence
-facilitator/collaborator/teacher
nurse responsibilties as a
-case manager -- goals, plan, coordinate and organize services
home health nurse
-advocate
4/31
