The nurse is conducting a class on Medicare qualifications for home care. Which of the following criteria would the nurse discuss? (Select all that apply)
Requiring skilled care needs
Living alone
Having a defined plan of care
Being homebound
Having available supplemental insurance
Correct Answer : A,C,D
A. Medicare home care services require that the client has skilled care needs, such as nursing or therapy.
B. Living alone is not a Medicare criterion for home care qualification.
C. A defined plan of care is necessary for Medicare home care to ensure that the care provided meets specific needs.
D. Being homebound is a key criterion for qualifying for Medicare home care, meaning the individual is unable to leave the home without significant difficulty.
E. Supplemental insurance is not a criterion for Medicare home care eligibility, though it may cover additional costs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Understanding health promotion can lead to better health outcomes by encouraging preventive behaviors and lifestyle changes that reduce the risk of disease.
B. While serving as a community mentor is valuable, it is not the primary reason for understanding primary prevention strategies for personal health.
C. Emphasizing effort and change might be discouraging; instead, highlighting the benefits of health promotion is more motivating.
D. The geographic environment may influence health behaviors, but the focus should be on the personal benefits of understanding health promotion.
Correct Answer is C
Explanation
A. "An individual must qualify for disability insurance under Medicare." This is incorrect as Medicare coverage for hospice care does not depend on disability insurance; it is based on the diagnosis and eligibility for hospice care.
B. "The cost of the home hospice care does involve a copay with Medicare." This is incorrect because Medicare generally covers hospice care with minimal costs, including no copay for hospice care itself, though there may be small charges for some items or services.
C. "The cost of the home hospice care is covered under Medicare Part A." This is correct. Medicare Part A covers hospice care if the client meets eligibility requirements for terminal illness and hospice care.
D. "An individual must have supplemental insurance along with Medicare." This is incorrect as Medicare Part A provides coverage for hospice care, and supplemental insurance is not required for this specific coverage.
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