OASIS D

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Q.1

Your Name

First Name

Last Name

Q.2

email *

Email

Q.3

Your Address - Optional but appreciated.

Agency Name

Address Line 2

City

State

Zip Code

Q.4

Which of the following is not included in GG0010 - Prior Device Use *

Cane
Stairlift
Pick-up Walker
Prosthetic limb

Q.5

The Start of Care/Resumption of Care version of GG0130. Self-Care cues the nurse or therapist to include at least one goal. What is true about the established goal.

It should be higher than the performance at SOC/ROC
It should be the same as the performance at SOC/ROC
It may be the same, higher or lower than performance at SOC
It should be lower than SOC/ROC performance

Q.6

If the patient’s ability varies during the assessment time frame, you should: *

Document your patient's highest level of performance
Omit the question and call your supervisor
Document what the patient is able to do greater than 50 percent of the time
Document your patient's lowest level of performance

Q.7

If your patient has a feeding tube and does not take any food by mouth, you should code the 'eating' section of GG0130 - self-care -relative to the patient's ability to participate in tube maintenance. *

True
False

Q.8

The time-frame for a discharge assessment is: *

The last day of the episode
The last five days of an episode
Until Christmas
The last visit by a clinician qualified to perform OASIS assessments
the five days following the end of an episode

Q.9

Your patient is home alone when you visit. He is able to get to the restroom using his walker and moving very slowly. How would you score the toileting section of GG0170? *

Partial/moderate assistance – Helper does LESS THAN HALF the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)
06. Independent – Patient completes the activity by him/herself with no assistance from a helper.
00. Not assessed - no helper available.

Q.10

Mrs. Anderson lives with her family in a home that has a single bathroom. After she bathes, her daughter removes the bath bench from the tub so that the rest of the family can bathe comfortably. When Mrs. Anderson is ready to bathe, her daughter replaces the bench and Mrs. Anderson then takes a bath without assistance.. How would you code the bathing section of GG0170? *

06. Independent – Patient completes the activity by him/herself with no assistance from a helper.
05. Setup or clean-up assistance – Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.
04. Supervision or touching assistance – Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.
03. Partial/moderate assistance – Helper does LESS THAN HALF the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.

Q.11

Your patient lives in a single story home with four steps leading to the front door and this has been her home since she married in 1952. She rarely goes out but when she does, it is to the MD office where there is an elevator or to church or the store with her family. None of these places has more than a curb or a couple of steps to navigate. On discharge, how would you answer GG0170: O. 12 steps: The ability to go up and down 12 steps with or without a rail. *

Based on her ability to navigate 4 steps independently, 06. Independent – Patient completes the activity by him/herself with no assistance from a helper.
12. Patient does not attend 12 step meetings and is on no opioid medications.
07. Patient refused
09. Not applicable – Not attempted and the patient did not perform this activity prior to the current illness, exacerbation or injury.

Q.12

Use of assistive device(s) to complete an activity should not affect coding of activities in GG0170

True
False

Q.13

When assessing a patient rolling from right to left, the patient must be laying down. Mrs. Smith must stay at a 30 degree angle to prevent aspiration. How would you code this activity in GG 0170? *

Respond with a dash if the patient refuses to try.
Respond Code 10 if the activity was not attempted due to environmental limitations.
The response that describes Ms. Smith's ability to roll to the left and to the right from a 30 degree angle.
Code 77. The patient expired prior to attempting the activity.

Q.14

When assessing if the patient can walk 10, 50 or 150 feet in the mobility question, which is true? *

The activity should start with the patient in a seated position.
The patient should use their usual assist device, if any while walking.
The activity should be stopped if it is taking too long even if the patient is not complaining of pain.
The patient should be told that you will catch him if he falls.

Q.15

Mr. Novella uses a wheelchair to navigate to his patio since his son built a ramp for him. While in the house, he sits in the wheelchair because he feels supported by the arm and foot rests but walks from room to room using his walker. In the context of OASIS D, question GG0170, does Mr. Novella use a wheelchair?

Yes
No

Q.16

OASIS D question J1800 asks if a patient has had a fall. What is a fall? *

A controlled lowering of the body from an elevated position to one that is considerably lower.
The act of throwing oneself to the ground; usually in an emotional display to gain attention of medical personnel
Unintentional change in position coming to rest on the ground, floor, or onto the next lower surface (such as a bed or chair). The fall may be witnessed or unwitnessed, reported by the patient or an observer, or identified when a patient is found on the floor or ground. Falls are not a result of an overwhelming external force (such as, a person pushes a patient).
Any witnessed displacement of position from high to low.

Q.17

When a patient loses balance and is falling but is caught by another person prior to hitting the ground, this would be meet the criteria for an intercepted fall and counted in J1800.

True
False

Q.18

Which of the following would be considered a fall according to OASIS D, J1800? *

Mr. Rayburn slips on a bath rug and bumps into the wall which stops him from hitting the ground.
Ms. Olano is working with a therapist on balancing exercises and loses his balance. The therapist who is providing contact guard assistance helps Mr. Olano regain balance and continue with therapy.
Ms. Roberts is attempting to transfer from a car to a wheelchair and loses her balance. Her son is next to the car with a wheelchair and reaches across and catches her under her arms and pulls her into the wheelchair.
Ms. Anand is found on the floor upon arrival and claims that she was meditating in the Hindu tradition.