Deck 5: Home Health Nursing in Canada

Question 1

An important role of the home health nurse is to assess the family's coping. It continues to be an expectation that

A) Only Registered Nurses and Licensed Practical Nurses will provide care in the home
B) Friends who can help may not do so as they are under qualified
C) Family and friends will provide care to supplement the care provided by home health nurses
D) Family hire additional care providers as home health nurses have minimal time

Answer 1

Family and friends will provide care to supplement the care provided by home health nurses

Question 2

The Canada Health Act (1984) sets the requirements that must be met by all provinces and territories in or to ensure:

A) Reasonable access to medically necessary hospital and doctors' services anywhere in Canada
B) Reasonable access to all services related to healthcare anywhere in Canada
C) Reasonable access to medically necessary hospital, doctors' and nurses' services anywhere in Canada
D) Reasonable access to medically necessary hospital nurses' services anywhere in Canada

Answer 2

Reasonable access to medically necessary hospital and doctors' services anywhere in Canada

Question 3

The Competencies for Home Health Nursing place a strong emphasis on the highly independent and autonomous, flexible, and adaptive nature of home health nursing in the context of:

A) Being a guest in the home
B) Being the expert in the home
C) Being the most qualified health professional in the home
D) Being licensed to practice in the home

Answer 3

Being a guest in the home

Question 4

Which of the following statements best reflects the definition of home health nursing:

A) Home health nursing focuses on the provision of care to only chronically ill patients of all ages
B) Home health nurses work in isolation from other health care providers
C) Home health nursing is delivered in the client's home, school, workplace or other setting that requires nurses to travel from place to place to care for individuals
D) Home health nursing focuses on health promotion initiatives only

Question 5

Home health nurses practise person- and family-centred care (PFCC). Which of the following statements is true of person- and family-centred care? Select all that apply.

A) PFCC acknowledges the expertise and experience that those receiving and providing care both bring to the relationship
B) PFCC is achieved by treating clients and their families with compassion, dignity, and respect
C) PFCC ensures clients have the information they need to make informed decisions about their care
D) PFCC ensures that the care that is provided reflects the client's and family's needs and goals
E) None of the above

Question 6

Which of the following statements is true of home care spending in Canada? Select all that apply.

A) 70% of home care is funded by the government
B) 30% of home care is funded by the government
C) 70% of home care is funded through extended benefits and out-of-pocket spending
D) 30% of home care is funded through extended benefits and out-of-pocket spending

Question 7

According to the Ontario Home Care Association (2011), the unique contribution of home health nurses is their ability to:

A) Combine knowledge from primary health care, nursing science, and social science to focus on prevention of illness and disease and health restoration
B) Combine knowledge from secondary health care and social science to focus on health maintenance and end of life care
C) Combine knowledge from medical science and nursing science to work on the pathophysiology of illness in the home environment
D) Combine knowledge from secondary health care to work with well populations in the community

Question 8

Which of the following documents highlight the need for further focus and investment in home care? Select all that apply.

A) The Canada Health Act
B) The Romanow Report
C) The Declaration of Alma Ata
D) The Kirby Report

Question 9

The diversity of home visiting interventions carried out by home health nurses can:

A) Decrease functional status and mortality rates
B) Increase depression and functional status
C) Support people to live independently for as long as possible
D) Decreased functional status and quality of life

Question 10

What must home health nurses do in order to achieve equitable health outcomes of their clients?

A) Limit the number of student nurses in home health settings
B) Work collaboratively with other members of the health team
C) Include family members only when medically necessary
D) Communicate only with other members of the health team

Question 11

According to the Canada Health Act (1984), home care is recognized as:

A) An essential service that is insured under the Canada Health Act
B) An extended health service that is not insured under the Canada Health Act
C) An essential service but the principles of the Canada Health Act do not apply
D) An extended health service but the principles of the Canada Health Act do apply

Question 12

Which of the following statements is true of the demographic of Canadians who use home health services? Select all that apply.

A) In 2012 45% of home health clients were 85 years or older
B) In 2012 75% of home health clients were 85 years or older
C) Clients are now being discharged home earlier including those with mental health issues
D) Clients are now being discharged home earlier including those who wish to die at home

Question 13

Where does funding for home health nursing come from?

A) The national health budget
B) Private companies
C) It differs by province
D) Only through the provincial health budget

Question 14

Which of the following are occupational hazards that home care nurses experience? Select all that apply.

A) Dangerous or aggressive pets
B) Winter or night driving conditions
C) Ergonomic issues
D) Environmental tobacco smoke exposure
E) None of the above

Question 15

Which of the following is true of the features of home health nursing?

A) Home health nurses work on their terms with clients and families
B) Home health nurses do not need to know about cultural diversity as they work with the same clients over time
C) Home health nurses lack exposure to home health in their education
D) Home health nurses identify their own needs for the client

Question 16

What proportion of home care services are currently being provided by unregulated workers?

A) 30%
B) 50%
C) 70%
D) 90%

Question 17

The home health nurse works with many clients who are dealing with end-of-life issues. In these cases, what is the role of the home health nurse? Select all that apply

A) Assess need for additional services
B) Liaise with the funeral home
C) Psychological support for family members
D) Medication pain management for the patient

Question 18

Which of the following groups do not receive equitable home health services in Canada? Select all that apply.

A) People who live in rural and remote areas
B) Indigenous people
C) People who are homeless or vulnerably housed
D) People experiencing mental illness
E) None of the above

Question 19

What does the home health nurse's workload depend on?

A) The clients with the same condition who require the same nursing care
B) The number of clients in the same neighbourhood
C) The type of clients who request the nurse
D) The client's condition and the nursing care required

Question 20

Why is it important to articulate the contributions of nurses in home health?

A) Because the population is decreasing in age
B) Because there are more regulated workers in the home setting
C) Because there are more unregulated workers in the home setting
D) Because there are too many registered nurses in the home setting

Question 21

Which of the following are systemic issues regarding home health nursing? Select all that apply.

A) There is a lack of a national home health strategy
B) There is inadequate funding for home health services
C) There is a shift to informal caregivers
D) There is a lack of home health nursing role clarity
E) None of the above

Question 22

There is some evidence that home health nurses play a major role in health promotion at the individual level. This is due to:

A) Providing health assessment, support, and access to resources through regular home visits
B) Providing health interventions and support based on nurse led initiatives
C) Providing access to resources though irregular home visits
D) Providing health assessment and mediocre interventions that not all team members agree on

Question 23

Discuss what home health nurses do.

Question 24

Over the last 10 years, nursing outcomes for home health have been captured through "Health Outcomes for Better Information and Care." One of the uses is to better assess the needs of clients. This is important because:

A) We can identify resources in other countries that we can copy
B) We can identify which types of people our clients need to avoid
C) We can determine different types of unhealthy snack food are okay to eat
D) We can develop a more comprehensive view of client health

Question 25

What is the definition of a service provider organization?

Question 26

Which of the following is the most important part of the care delivered in home health?

A) Identifying evidence that only relates to the experience of colleagues
B) Evidence-informed decision making
C) Basing evidence on the client experience
D) Using research evidence only

Question 27

What is required in order to maintain high-quality clinical care and a positive work environment in home health?

A) A suggestion box and complaint phone line
B) Appropriate vehicles to reach various clients
C) Appropriate support and infrastructure
D) Enough time to fit in breaks daily

Question 28

Discuss what is important for leaders to do in order to successfully implement home health setting services.

Question 29

Discuss the future of home health nursing.