Oasis Test - Quarter 2 2016

15 Questions | Total Attempts: 65

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Oasis Test - Quarter 2 2016

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Questions and Answers
  • 1. 
    A client's current 485 ends 5/15/16 and you will be re-certifying for another 60 days of home health with a new 485 that starts 5/16/16. What days can the re-cert OASIS and re-cert visit be completed?
    • A. 

      5/9/16

    • B. 

      5/10/16

    • C. 

      5/11/16

    • D. 

      5/12/16

    • E. 

      5/13/16

    • F. 

      5/14/16

    • G. 

      5/15/16

    • H. 

      5/16/16

    • I. 

      5/17/16

  • 2. 
    A client discharges from the hospital 5/1/16 with orders for home care. When you call to schedule their admission visit, they refuse admission until 5/3/16. What should you do?
    • A. 

      Place call log with documentation of conversation

    • B. 

      Tell the client that they cannot receive home care if they refuse admission today

    • C. 

      Immediately send an IPO to the physician requesting a physician ordered SOC date of 5/3/16 due to patient refusal

  • 3. 
    A client that we have had on services was admitted to the hospital on 5/1/16. You are notified on 5/5/16 that they will be discharging from the hospital today. When can you complete their ROC visit and ROC OASIS?
    • A. 

      5/5/16

    • B. 

      5/6/16

    • C. 

      5/8/16

    • D. 

      5/9/16

  • 4. 
    What is your responsibility as the clinician completing the OASIS and plan of care in regards to diagnosis codes?
    • A. 

      Codes must be reviewed to ensure they are pertinent and in correct order of importance to patient's care

    • B. 

      Codes must be reviewed and additional codes must be requested if items appear to be missing

    • C. 

      Codes and plan of care must be reviewed to ensure that the top 6 diagnosis codes are addressed in interventions and goals

  • 5. 
    You admit a client for therapy who has peritoneal dialysis in the home. They complete all cares related to their dialysis independently. (M1030) Therapies the patient receives at home: (Mark all that apply.)
    • A. 

      1 - Intravenous or infusion therapy (excludes TPN)

    • B. 

      2 - Parenteral nutrition (TPN or lipids)

    • C. 

      3 - Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal)

    • D. 

      4 - None of the above

  • 6. 
    You admit a client for new tube feeding education. Client recently had a G tube placed for nutrition. Client also has an implanted port that she receives chemo for her at the clinic. Clinic staff administer chemo and flush port.(M1030 Therapies the patient receives at home: (Mark all that apply.) 
    • A. 

      1 - Intravenous or infusion therapy (excludes TPN)

    • B. 

      2 - Parenteral nutrition (TPN or lipids)

    • C. 

      3 - Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal)

    • D. 

      4 - None of the above

  • 7. 
    You admit a client who lives alone in their own home. They have no one that provides them with assistance other than home care agency staff. (M1100) Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?
    • A. 

      1: Patient lives alone - Around the clock

    • B. 

      2: Patient lives alone - Regular daytime

    • C. 

      3: Patient lives alone - Regular nighttime

    • D. 

      4: Patient lives alone - Occasional / short-term assistance

    • E. 

      5: Patient lives alone - No assistance available

    • F. 

      6: Patient lives with other person(s) in the home - Around the clock

    • G. 

      7: Patient lives with other person(s) in the home - Regular daytime

    • H. 

      8: Patient lives with other person(s) in the home - Regular nighttime

    • I. 

      9: Patient lives with other person(s) in the home - Occasional / short-term assistance

    • J. 

      10: Patient lives with other person(s) in the home - No assistance available

    • K. 

      11: Patient lives in congregate situation (for example, assisted living, residential care home) - Around the clock

    • L. 

      12: Patient lives in congregate situation (for example, assisted living, residential care home) - Regular daytime

    • M. 

      13: Patient lives in congregate situation (for example, assisted living, residential care home) - Regular nighttime

    • N. 

      14: Patient lives in congregate situation (for example, assisted living, residential care home) - Occasional / short-term assistance

    • O. 

      15: Patient lives in congregate situation (for example, assisted living, residential care home) - No assistance available

  • 8. 
    You admit a client who is unable to verbally communicate due to surgery on the throat. He is able to write notes to communicate without difficulties.(M1230) Speech and Oral (Verbal) Expression of Language (in patient's own language):
    • A. 

      0 - Expresses complex ideas, feelings, and needs clearly, completely, and easily in all situations with no observable impairment.

    • B. 

      1 - Minimal difficulty in expressing ideas and needs (may take extra time: makes occasional errors in word choice, grammar or speech intelligibility; needs minimal prompting or assistance).

    • C. 

      2 - Expresses simple ideas or needs with moderate difficulty (needs prompting or assistance, errors in word choice, organization or speech intelligibility). Speaks in phrases or short sentences.

    • D. 

      3 - Has severe difficulty expressing basic ideas or needs and requires maximal assistance or guessing by listener. Speech limited to single words or short phrases.

    • E. 

      4 - Unable to express basic needs even with maximal prompting or assistance but is not comatose or unresponsive (for example, speech is nonsensical or unintelligible).

    • F. 

      5 - Patient nonresponsive or unable to speak

  • 9. 
    You are completing a SOC on a patient with severe dementia that lives in a memory care unit. They are unable to answer your questions with an appropriate response. How do you complete a pain assessment?
    • A. 

      Ask the patient to rate their pain on a 0-10 scale. When they do not answer, chart that they denied pain.

    • B. 

      Ask the staff to rate the patients pain

    • C. 

      Complete the Pain AD form to assess for non-verbal signs of pain

  • 10. 
    When assessing a clients pain, client states that the pain does "slow them down" every day and they have to take a pain pill during the middle of the night to get back to sleep due to the pain. (M1242) Frequency of Pain Interfering with patient's activity or movement:
    • A. 

      0 - Patient has no pain

    • B. 

      1 - Patient has pain that does not interfere with activity or movement

    • C. 

      2 - Less often than daily

    • D. 

      3 - Daily, but not constantly

    • E. 

      4 - All of the time

  • 11. 
    A client has a shallow pressure ulcer on coccyx that is 25% slough, 75% red tissue. What stage is this pressure ulcer?
    • A. 

      Stage I

    • B. 

      Stage II

    • C. 

      Stage III

    • D. 

      Stage IV

  • 12. 
    A client is admitted with a stage III pressure ulcer for wound care. After performing wound care, the client is being discharged due to the wound being closed. How would you answer this question on their DC OASIS?(M1306) Does this patient have at least one Unhealed Pressure Ulcer at Stage II or Higher or designated as Unstageable? (Excludes Stage I pressure ulcers and healed Stage II pressure ulcers) 
    • A. 

      0 - No

    • B. 

      1 - Yes

  • 13. 
    Please mark ALL that are included as surgical wounds on the OASIS.
    • A. 

      Orthopedic pin sites

    • B. 

      Surgical incisions

    • C. 

      Surgical excision of a pressure ulcer

    • D. 

      Muscle flap repair to pressure ulcer

    • E. 

      Central lines, implanted infusion devices

  • 14. 
    Mark all types of skin issues that can be captured under: (M1350) Does this patient have a skin lesion or open wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?
    • A. 

      Diabetic Ulcers

    • B. 

      Chest Tubes

    • C. 

      Edema

    • D. 

      Burns

    • E. 

      Cellulitis

    • F. 

      Arterial Ulcers

    • G. 

      Traumatic Wounds

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