QUESTIONS AND CORRECT DETAILED ANSWERS WITH
(VERIFIED ANSWERS) | ALREADY GRADED A
Rehabilitation and Goals - ANSWER: Rehab is the philosophy of practice and an
attitude toward caring for people with disabilities and chronic heath problems. Goals
are to improve quality of life and help people who have disabilities and chronic
health problems.
Rehabilitation act of 1973- section 501& 505 - ANSWER: prohibit against qualified
people who work in federal government
ARN standards and scope of rehabilitation nursing practice - ANSWER: 1976
Capped Medicare Part B - ANSWER: *Rehab therapy for post acute delivery has a
limit
*combine outpatient PT and ST share same cap
*OT has its own cap
*Treatment must be medically necessary
Impairment - ANSWER: a loss or abnormality of a psychological, physiological, or
anatomical structures and function
*Occurs at the organ level DIABETES
Disability - ANSWER: A restriction or lack of ability to perform an activity in the
manner or within the range considered normal for a human being
*Occurs at the level of the person NEUROPATHY
Handicap - ANSWER: a disadvantage for a given individual resulting from impairment
or disability that limits or prevents fulfillment of a role that is normal for that
individual
*Occurs at the societal level AMPUTATION
Effective teams have a thorough understanding of - ANSWER: -collaborative practice
-Group dynamics
-conflict resolution
-Team functioning
Interdisciplinary model - ANSWER: HS-OT,PT,ST,NSG (team conference)
Most important member of rehab team - ANSWER: patient and family
Provision of services - ANSWER: -client centered care
-setting centered care
-provider centered care
,Rehab defintion - ANSWER: a process of helping a person to reach the fullest
physical, psychological, social, vocational, vocational and educational potential
consistent with his or her physiological or anatomic impairment, environment
limitations and desires and life plans
Perkins institute and the sheltered workshop - ANSWER: 1829
Disabled were the first to be killed in the Holocaust because they were flawed -
ANSWER: WW2
Head of American air force convalescent training program was a leader in organizing
rehab program - ANSWER: Dr. Howard Rusk
Goal of rehab - ANSWER: improve quality of life
Education of all Handicapped children - ANSWER: 1975
Self determination act (part of Omnibus Budget) 1990 - ANSWER: -advanced
directives copy should be on charts
-facilities must educate patients on their patients rights
Balanced Budget act 1997 - ANSWER: -called for Medicare spending cuts that
affected rehab
-required a prospective payment system PPS
-required the use of resource utilization groups
Americans with Disability Act of 1990 - ANSWER: *increased accessibility
*increased opportunity for employment, education, health care
-people with disabilities have equal opportunity, access, and accommodation
-litigation to define its implementation
-reinforced advocate role of rehab nurse
1990 ADA- Title I & Title IV - ANSWER: prohibit employment discrimination against
qualified people with disabilities in the private sector and in state & local
government
Title I-V - ANSWER: -address private employers, state, and local governments
-providers civil rights for qualified people with disability
-addresses the public sector and defines which private entity must meet ADA
-telecommunication
-provisions to cover legal fees and prohibit retaliation
Legislation ADA Title I-V - ANSWER: -protects the 54 million americans with
disabilities (physical or mental impairments)
-Title I- employment
-Title II- Public services
-Title III- public accommodations & services operated by private entities
, -Title IV- Telecommunications
-Title V- Misc provision
75% Rule to 60% Rule - ANSWER: -initiated in 1984 by CMS
-established 10 categories for admission to rehab which were later increased to 13
diagnoses in 2003
-enforcement began in 2004
Medical model - ANSWER: Doctors
Multidisciplinary model - ANSWER: OT, PT
Most important person on the rehab team - ANSWER: the patient and their family
Definition of Rehab - ANSWER: "...a process of helping a person to reach the fullest
physical, psychological, social, vocational, avocational and educational potential
consistent with his or her physiological or anatomic impairment, environmental
(home evals) limitations and desires and life plans"
Definition of Rehab - ANSWER: "...the diagnosis and treatment of human responses
of individuals and groups to actual or potential health problems relative to altered
functional ability and lifestyle"
Goal of rehabilitation - ANSWER: improvement in the quality of life
1829 - ANSWER: Perkins institute and the sheltered workshop
1965 - ANSWER: -Medicare an Medicaid established
-workers compensation and rehabilitation law
-1966-CARF (Commission on Accreditation Rehab Facilities)
CARF vs Joint Commission (TJC) - ANSWER: TJC CARF
-Deemed status -every 3 years
-every 3 yrs -six divisions
-random 5% -rehab specific requirements
-complaint investigation -scheduled surveys
-unannounced -submit quality improvement & annual plan
-mimics COP -no direct payment benefit in most states
-more stringent in some areas
-prevents annual CMS survery
**Voluntary Agencies (fee paid for survey & application)
WWII - ANSWER: disabled were the first to be killed in the holocaust because they
were flawed