Question 1

The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen. He recently began walking around furniture. He is spoon-fed by his parents and eats some finger foods. Which of the following is the most appropriate goal to promote normal development?

A)Encourage mobility.
B)Encourage assistance in self-care.
C)Promote oral-motor development.
D)Provide opportunities for socialization.

Encourage mobility.

Accepted Answer

Encouraging mobility is the most appropriate goal to promote normal development in a 3-year-old child with Down syndrome who has recently begun walking around furniture. This will help improve his gross motor skills and independence.

Question 2

Home care is being considered for a young child who is ventilator dependent. Which of the following factors is most important in deciding home care is appropriate?&#10;A)Level of education of parents&#10;B)Presence of two parents in the home&#10;C)Preparation and training of family&#10;D)Family's ability to assume all health care costs&#10;

Accepted Answer

Preparation and training of the family is the most important factor in deciding if home care is appropriate for a ventilator-dependent child. This ensures the family is capable of providing the necessary care and handling emergencies.

Question 3

A family wants to begin oral feeding of their 4-year-old son, who is ventilator dependent and currently tube-fed. They ask the home health nurse to feed him the baby food orally. The nurse recognizes a high risk of aspiration and an already compromised respiratory status. The most appropriate nursing action is which of the following?

A)Refuse to feed him orally, because the risk is too high.
B)Explain the risks involved, and then let the family decide what should be done.
C)Feed him orally because the family has the right to make this decision for their child.
D)Acknowledge their request, explain the risks, and explore with the family the available options.

Accepted Answer

The most appropriate action is to acknowledge the family's request while explaining the risks involved with oral feeding in a child who is ventilator dependent and tube-fed. This approach respects the family's wishes and concerns, provides them with necessary information for informed decision-making, and encourages a collaborative discussion on the best course of action, considering the child's health and safety.

Question 4

The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should do which of the following?

A)Determine why the mother is so suspicious.
B)Determine what the mother doesn't want to tell.
C)Explain who will have access to the information.
D)Explain that everything is confidential and that no one else will know what is said.

Accepted Answer

C) Explaining who will have access to the information directly addresses the mother's concern about privacy and confidentiality, ensuring she understands the purpose and scope of the information sharing.

Question 5

One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers. The nurse should recognize this as which of the following?&#10;A)Inappropriate, unless nurses are able to evaluate family&#10;B)Appropriate to improve quality of care&#10;C)Inappropriate, unless nurses and other providers agree to participate&#10;D)Inappropriate, because family lacks knowledge necessary to evaluate professionals&#10;

Accepted Answer

Surveys evaluating nurses and other service providers are a common and appropriate method to improve the quality of care by gathering feedback from families on their experiences and satisfaction with the services provided. This feedback is crucial for identifying areas of strength and areas needing improvement.

Question 6

The home health nurse outlines short- and long-term goals for a 10-year-old child with many complex health problems. Who should agree on these goals?&#10;A)Family and nurse&#10;B)Child, family, and nurse&#10;C)All professionals involved&#10;D)Child, family, and all professionals involved&#10;

Accepted Answer

The goals for a child with complex health problems should be agreed upon by the child (when appropriate), the family, and all professionals involved in the child's care to ensure a comprehensive and collaborative approach to the child's health management. This inclusive strategy ensures that the care plan is holistic, personalized, and has the support of all stakeholders.

Question 7

The home health nurse is caring for a child who requires complex care. The family expresses frustration related to obtaining accurate information about their child's illness and its management. Which of the following is the best action for the nurse?

A)Determine why family is easily frustrated.
B)Refer family to child's primary care practitioner.
C)Clarify family's request, and provide information they want.
D)Answer only questions that family needs to know about.

Accepted Answer

Clarifying the family's request and providing the information they want is the best action because it directly addresses the family's expressed need for accurate information about their child's illness and its management. This approach ensures that the family receives relevant and specific information tailored to their concerns and questions, thereby supporting effective care and decision-making.

Question 8

An adolescent with long-term, complex health care needs will soon be discharged. A nurse case manager will be assigned to the teen and family. The adolescent's care will involve physical therapy, occupational therapy, and speech therapy in addition to medical and nursing care. Who should be decision-maker in the adolescent's care?

A)Adolescent
B)Nurse case manager
C)Adolescent and family
D)Multidisciplinary health care team

Accepted Answer

The adolescent and family should be the decision-makers in the adolescent's care, as it ensures that care is centered around the patient's and family's needs, preferences, and values, promoting a holistic and collaborative approach to health care.

Question 9

The home care nurse has been visiting an adolescent with recently acquired quadriplegia. The teen's mother tells the nurse, "I'm sick of providing all the care while my husband does whatever he wants to, whenever he wants to do it." Which of the following should be the initial action of the nurse?

A)Refer mother for counseling.
B)Listen and reflect mother's feelings.
C)Ask father, in private, why he doesn't help.
D)Suggest ways the mother can get her husband to help.

Accepted Answer

Listening and reflecting the mother's feelings is the initial action the nurse should take. It provides emotional support and validates the mother's feelings, which is crucial in establishing trust and understanding the family dynamics better before taking further steps.

Question 10

For case management to be the most effective, who is the most appropriate case manager?&#10;A)One nurse&#10;B)The insurance company&#10;C)A panel of experts&#10;D)A multidisciplinary team&#10;

Accepted Answer

The answer of For case management to be the most...

Question 11

When communicating with other professionals, it is important for home care nurses to:&#10;A)Ask others what they want to know.&#10;B)Share everything known about the family.&#10;C)Restrict communication to clinically relevant information.&#10;D)Recognize that confidentiality is not possible.&#10;

Accepted Answer

The answer of When communicating with other professionals, it is...

Deck 20: Family-Centered Home Care