The OASIS was implemented to provide the format for a comprehensive assessment in the home health care setting. How is this assessment tool used? (Select all that apply.)
To improve the quality of care
To evaluate the level of client disability
To improve the communication about the individual
To serve as a guide for reimbursement
Correct Answer : A,B,C,D
A. To improve the quality of care
Explanation: The OASIS assessment is designed to gather information about a patient's health status, functional abilities, and service needs. This information is crucial for developing individualized care plans and providing high-quality care.
B. To evaluate the level of client disability
Explanation: OASIS includes items that assess various aspects of a patient's health, including their functional abilities and disabilities. This evaluation helps healthcare providers understand the client's level of disability and tailor care accordingly.
C. To improve communication about the individual
Explanation: OASIS serves as a standardized tool for collecting and communicating essential information about a patient's health and care needs. This promotes effective communication among healthcare providers, ensuring that everyone involved in the patient's care has access to relevant and consistent information.
D. To serve as a guide for reimbursement
Explanation: OASIS is used in the home health care setting to guide reimbursement. The data collected through OASIS is used to determine the patient's case-mix classification, which, in turn, influences the reimbursement rates for home health services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Keeps room temperature at 72°F.
Explanation: Maintaining a room temperature of 72°F is generally considered comfortable and is not likely to contribute to hyperthermia, especially when compared to higher temperatures. However, it's essential to consider individual preferences and comfort levels.
B. Has a history of osteoarthritis.
Explanation: Osteoarthritis itself is not directly associated with an increased risk of hyperthermia. However, limitations in mobility or difficulties with self-care due to osteoarthritis might indirectly impact the ability to stay cool and hydrated, so comprehensive care should consider the overall health status of the individual.
C. Takes furosemide 40 mg daily.
Explanation: Furosemide is a diuretic that increases urine production, leading to fluid loss. Dehydration or electrolyte imbalances resulting from diuretic use can contribute to an increased risk of hyperthermia, especially in hot weather. It's important for healthcare providers to monitor and manage medications, considering their potential effects on fluid balance and thermoregulation.
D. Bathes daily with a hot shower.
Explanation: While taking hot showers may contribute to temporary elevation of body temperature, bathing alone may not be a significant contributor to hyperthermia. However, if an older adult has difficulty tolerating heat or maintaining hydration, it's essential to consider the cumulative impact of various factors.
Correct Answer is A
Explanation
A. A standard assessment tool will increase the likelihood of obtaining accurate data.
Explanation: Standardized assessment tools, like the Mini-Cog, are designed to provide consistent and objective measures of specific aspects of a client's health, in this case, mental status. Using such tools helps ensure a standardized and systematic approach to data collection, increasing the reliability and accuracy of the information gathered. This, in turn, contributes to a more comprehensive understanding of the client's health status.
B. A standard assessment tool is required by Medicare and Medicaid.
Explanation: While some standardized assessment tools may be recommended or required by certain healthcare agencies or institutions, there isn't a broad requirement from Medicare and Medicaid for a specific tool. The use of assessment tools may vary based on clinical judgment and institutional policies.
C. A standard assessment tool will increase reimbursement by Medicare and Medicaid.
Explanation: The use of a specific assessment tool is not a direct factor that influences reimbursement by Medicare and Medicaid. Reimbursement is typically based on the overall care provided and documented, rather than the specific assessment tool used.
D. A standard assessment tool will increase the client's confidence in the nurse.
Explanation: While utilizing a standard assessment tool may contribute to the overall professionalism and thoroughness of care, the primary purpose is to obtain accurate and objective data rather than specifically increasing the client's confidence in the nurse. Confidence is often influenced by the nurse's communication, empathy, and overall competence in providing care.
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