Home Health Aide Exam Review |Latest Update With
A+ Graded Answers
Providers
Are people or organizations that provide health care, including doctors, nurses, clinics, and agencies.
facilities
are places where care is delivered or administered, including, hospitals, long-term care facilities or
nursing homes, and treatment centers.
Payers
people or organizations paying for healthcare services
long term care (LTC)
facilities, also called "nursing homes," "skilled nursing facilities," and "extended care facilities" are for
people who need 24-hour skilled care.
Skilled care
is medically necessary care given by a skilled nurse or therapist. Lo0ng-term care assists those with
on-going conditions
Assisted living
facilities are residences for people who need some help with daily care, such as showers, meals, and
dressing
(HHA typically work here)
Adult day services
are for people who need some help and supervision during certain hours, but who do not live in the
facility where care is provided
Acute care
24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-
term, immediate care for illnesses or injuries
Subacute care
Is care given in a hospital or in a long term care facility. It is used for people who need less care than
acute (sudden onset short-term) illness, but more care than for a chronic (long-term) illness.
Rehabilitation
is care given by specialists. Physical, occupational, and speech therapists help restore or improve
function after an illness or injury.
Hospice Care
is given in facilities or homes for people who have approximately six months or less to live
,traditional insurance companies
offer plans that pay for the heath care of plan members. Most people covered by traditional
insurance are part of plan at their place of work. The costs are paid for by the employer, the
employee, or shared by both.
Health Maintenance Organization (HMO)
Alternative means of health care in which people or their employers are charged a set amount and
the HMO provides health care and covers hospital costs. You must use a particular doctor or group of
doctors except in the case of an emergency.
Preferred Provider Organization (PPO)
a group of doctors and hospitals that agree to provide health care at rates approved by the insurer
Managed care
Cost-control strategies for health care (HMOs and PPOs). They replace traditional insurance plans.
Medicare
A program added to the Social Security system in 1965 that provides hospitalization insurance for the
elderly and permits older Americans to purchase inexpensive coverage for doctor fees and other
health expenses.
(4 Parts)
A: Helps pay for care in hospital or skilled nursing facility or for care from a home health agency or
hospice.
B: Helps pay for doctor services and other medical services and equipment
C: Allows private health insurance companies to provide medicare benefits.
D: Helps pay for medications prescribed for treatment.
-Covers more than 43 million people
-Pays for 37% of all home care
-Only pays for services if medically necessary
-Usually people that just got home from the hospital
Medicaid
Is a medical assistance program for low income people. It is funded by both the federal government
and each state. People must qualify for this program.
When were the first home health aides hired?
During The Great Depression in the 1930s, women were hired as "housekeeping aides." They were
paid by the government. Once the program discontinued, some aides continued to work for local
family and children services, which provided services to families in need.
In 1959...
A national conference on homemaker services was held. It was clear that there was a great need not
only for homemaker or housekeeping services, but for personal, in-home care for sick people.
In 1965...
,The Medicare program was created. Because many Medicare recipients need home care, home
health services have been growing ever since. Medicare first began referring to home makers as
"home health aides."
What are the basic methods of payment for home health services?
1. Medicare
2. Medicaid
3. State and local governments
4. Insurance company
5. Individual client or family
Home Health Agencies
businesses that provide health care and personal services in the home.
What are some of the healthcare services that are provided by home health agencies?
nursing care, specialized therapy, specific medical equipment, pharmacy, intravenous (IV) products,
and personal care.
Home Health Aide (HHA)
performs assigned tasks, such as taking vital signs, and provides or assists with routine personal care,
such as bathing clients or preparing meals. Spend the most time with clients than other members of
the health care team. They act as the "Eyes and ears" of the team.
Case Manager/Supervisor
Usually a registered nurse, a case manager, or supervisor is assigned to each client by the home
health agency. They create the basic care plan for each client. Monitors any changes that are
observed and reported by the HHA.
Registered Nurse
In a home health agency, a RN coordinates, manages, and provides care. RNs also supervise and train
home health aides. They develop the home health aide plan of care, or assignments. Graduated from
two/four year nursing programs and passed a licensing exam.
Physician or Doctor (MD or DO)
Diagnoses disease or disability and prescribes treatment
Physical Therapist (PT)
evaluates a person and develops a treatment plan to increase movement, improve circulation,
promote healing, reduce pain, prevent disability, and help the resident regain or maintain mobility
speech-language pathologist (Speech therapist)
identifies communication disorders, addresses factors involved in recovery, and develops a plan of
care to meet recovery goals.
Occupational Therapist (OT)
Helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities
, activities of daily living (ADLs)
basic self-care tasks such as eating, bathing, toileting, walking, and dressing
Registered Dietitian (RDT)
teaches clients and their families about special diets to improve their health and help manage their
illnesses.
Medical Social Worker (MSW)
determines residents' needs and helps get them support services, such as counseling or financial
assistance
client
Make decisions and choices about his or her own care. The client's family may also be involved in the
decision making. The care team revolves around the client and his or her condition, treatment, and
progress. Without the client, there is no care team.
Whats the role of the home health aide?
To improve or maintain the independence, health, and well-being of clients.
This is accomplished by providing or assisting with personal care, assisting with activities of daily living
(ADLs), and performing assigned tasks, and promoting self-care.
What might a care plan include?
Bathing, dressing, grooming, toileting, assisting with range of motion (ROM) exercises and ambulation
(walking), transferring from bed to chair or wheelchair, feeding, measuring vitals, giving skin care,
using medical supplies and equipment such as wheelchairs and walkers, changing of simple dressings,
making and changing beds, light housekeeping, and teaching home management and safety
scope of practice
defines the tasks you're allowed to do and how to do them correctly.
How do live ins pay?
Usually pay out of pocket or have long-term care
Outside the scope of practice
Tasks that HHAs are not allowed to to perform under any circumstances
What should you do if you're asked to perform a task that's outside of your scope of practice?
1. Do not honor the request.
2. Politely explain that you can not perform the task requested.
3. Report the request to a supervisor.
What are are some things that are out of the scope of practice for a HHA?
1. DO NOTinsert or remove tubes or objects (other than a thermometer) in a client's body. These
procedures are considered "invasive" and are only to be performed by a licensed professional
A+ Graded Answers
Providers
Are people or organizations that provide health care, including doctors, nurses, clinics, and agencies.
facilities
are places where care is delivered or administered, including, hospitals, long-term care facilities or
nursing homes, and treatment centers.
Payers
people or organizations paying for healthcare services
long term care (LTC)
facilities, also called "nursing homes," "skilled nursing facilities," and "extended care facilities" are for
people who need 24-hour skilled care.
Skilled care
is medically necessary care given by a skilled nurse or therapist. Lo0ng-term care assists those with
on-going conditions
Assisted living
facilities are residences for people who need some help with daily care, such as showers, meals, and
dressing
(HHA typically work here)
Adult day services
are for people who need some help and supervision during certain hours, but who do not live in the
facility where care is provided
Acute care
24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-
term, immediate care for illnesses or injuries
Subacute care
Is care given in a hospital or in a long term care facility. It is used for people who need less care than
acute (sudden onset short-term) illness, but more care than for a chronic (long-term) illness.
Rehabilitation
is care given by specialists. Physical, occupational, and speech therapists help restore or improve
function after an illness or injury.
Hospice Care
is given in facilities or homes for people who have approximately six months or less to live
,traditional insurance companies
offer plans that pay for the heath care of plan members. Most people covered by traditional
insurance are part of plan at their place of work. The costs are paid for by the employer, the
employee, or shared by both.
Health Maintenance Organization (HMO)
Alternative means of health care in which people or their employers are charged a set amount and
the HMO provides health care and covers hospital costs. You must use a particular doctor or group of
doctors except in the case of an emergency.
Preferred Provider Organization (PPO)
a group of doctors and hospitals that agree to provide health care at rates approved by the insurer
Managed care
Cost-control strategies for health care (HMOs and PPOs). They replace traditional insurance plans.
Medicare
A program added to the Social Security system in 1965 that provides hospitalization insurance for the
elderly and permits older Americans to purchase inexpensive coverage for doctor fees and other
health expenses.
(4 Parts)
A: Helps pay for care in hospital or skilled nursing facility or for care from a home health agency or
hospice.
B: Helps pay for doctor services and other medical services and equipment
C: Allows private health insurance companies to provide medicare benefits.
D: Helps pay for medications prescribed for treatment.
-Covers more than 43 million people
-Pays for 37% of all home care
-Only pays for services if medically necessary
-Usually people that just got home from the hospital
Medicaid
Is a medical assistance program for low income people. It is funded by both the federal government
and each state. People must qualify for this program.
When were the first home health aides hired?
During The Great Depression in the 1930s, women were hired as "housekeeping aides." They were
paid by the government. Once the program discontinued, some aides continued to work for local
family and children services, which provided services to families in need.
In 1959...
A national conference on homemaker services was held. It was clear that there was a great need not
only for homemaker or housekeeping services, but for personal, in-home care for sick people.
In 1965...
,The Medicare program was created. Because many Medicare recipients need home care, home
health services have been growing ever since. Medicare first began referring to home makers as
"home health aides."
What are the basic methods of payment for home health services?
1. Medicare
2. Medicaid
3. State and local governments
4. Insurance company
5. Individual client or family
Home Health Agencies
businesses that provide health care and personal services in the home.
What are some of the healthcare services that are provided by home health agencies?
nursing care, specialized therapy, specific medical equipment, pharmacy, intravenous (IV) products,
and personal care.
Home Health Aide (HHA)
performs assigned tasks, such as taking vital signs, and provides or assists with routine personal care,
such as bathing clients or preparing meals. Spend the most time with clients than other members of
the health care team. They act as the "Eyes and ears" of the team.
Case Manager/Supervisor
Usually a registered nurse, a case manager, or supervisor is assigned to each client by the home
health agency. They create the basic care plan for each client. Monitors any changes that are
observed and reported by the HHA.
Registered Nurse
In a home health agency, a RN coordinates, manages, and provides care. RNs also supervise and train
home health aides. They develop the home health aide plan of care, or assignments. Graduated from
two/four year nursing programs and passed a licensing exam.
Physician or Doctor (MD or DO)
Diagnoses disease or disability and prescribes treatment
Physical Therapist (PT)
evaluates a person and develops a treatment plan to increase movement, improve circulation,
promote healing, reduce pain, prevent disability, and help the resident regain or maintain mobility
speech-language pathologist (Speech therapist)
identifies communication disorders, addresses factors involved in recovery, and develops a plan of
care to meet recovery goals.
Occupational Therapist (OT)
Helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities
, activities of daily living (ADLs)
basic self-care tasks such as eating, bathing, toileting, walking, and dressing
Registered Dietitian (RDT)
teaches clients and their families about special diets to improve their health and help manage their
illnesses.
Medical Social Worker (MSW)
determines residents' needs and helps get them support services, such as counseling or financial
assistance
client
Make decisions and choices about his or her own care. The client's family may also be involved in the
decision making. The care team revolves around the client and his or her condition, treatment, and
progress. Without the client, there is no care team.
Whats the role of the home health aide?
To improve or maintain the independence, health, and well-being of clients.
This is accomplished by providing or assisting with personal care, assisting with activities of daily living
(ADLs), and performing assigned tasks, and promoting self-care.
What might a care plan include?
Bathing, dressing, grooming, toileting, assisting with range of motion (ROM) exercises and ambulation
(walking), transferring from bed to chair or wheelchair, feeding, measuring vitals, giving skin care,
using medical supplies and equipment such as wheelchairs and walkers, changing of simple dressings,
making and changing beds, light housekeeping, and teaching home management and safety
scope of practice
defines the tasks you're allowed to do and how to do them correctly.
How do live ins pay?
Usually pay out of pocket or have long-term care
Outside the scope of practice
Tasks that HHAs are not allowed to to perform under any circumstances
What should you do if you're asked to perform a task that's outside of your scope of practice?
1. Do not honor the request.
2. Politely explain that you can not perform the task requested.
3. Report the request to a supervisor.
What are are some things that are out of the scope of practice for a HHA?
1. DO NOTinsert or remove tubes or objects (other than a thermometer) in a client's body. These
procedures are considered "invasive" and are only to be performed by a licensed professional
