98-100

A woman who lives several miles away from her aging father seeks the help of a home care agency to look after him. What expenses should the nurse say are covered by Medicare?

• Spiritual support provided by chaplains

• Home delivery of meals

• Personal care services by a housekeeper

• Visits by a physical therapist

The visiting nurse is explaining payment systems for home care to an older adult client. Which of the following accurately describes how payment is made in one of these plans?

• Fee for Service (FFS) is now charged by visit as opposed to by episode.

• Payment per day is more expensive for the client.

• P4P is based on diagnosis and how well the agency provides care.

• With OASIS, payment is based on standard diagnoses

A nurse is providing home care to a client. What safety guideline should the nurse follow during home visits?

• Carry a fully charged cell phone.

• Run in the other direction if a family dog seems aggressive.

• Wear a badge with the full name.

• Give the family members your residence phone number.

The nurse is making a first visit with a client receiving home care for COPD. Which of the following safety measures should the nurse take when driving to, and walking into, the client's home?

• Use isolated stairs instead of the elevator in apartment buildings.

• Lock the car doors after putting things away in the car.

• Check agency guidelines before giving a ride to a client.

• Park the car on a side street, not right in front of the client's residence.

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• A & E

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• A & D

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• D