Deck 8: Home Healthcare

Question 1

Which of the following statements about the history of home healthcare nursing is most accurate?

A) Home healthcare nursing is a new area of nursing care.
B) There is little evidence of home healthcare nursing before 1995.
C) The predicted trend is that the demand for home healthcare will decrease.
D) Nursing is coming full circle and moving back to the home

Answer 1

D

Question 2

Which of the following statements accurately describes an aspect of home healthcare?

A) Home healthcare is illness care provided at home.
B) Home healthcare is setting up a hospital in the home.
C) Home healthcare is designed for people with chronic, not acute illness.
D) Home healthcare is provided for people of all ages in various settings.

Answer 2

D

Question 3

Which of the following home healthcare skills are considered skilled professional/paraprofessional services? Select all that apply.

A) nursing care
B) ventilator management
C) physical therapy
D) homemaking/housekeeping
E) live-in services
F) pain management

Answer 3

A, C

Question 4

A home healthcare nurse is caring for Louis, an 82-year-old patient with end-stage lung cancer who is on a ventilator. The primary caregiver is the 75-year-old wife of the patient. Which of the following questions would best assess the family's decision about end-of-life care for this patient?

A) "Where do you see yourself and your family in 5 years?"
B) "What are your goals for spending your remaining time?"
C) "How does being on a ventilator support your goals for healthcare?"
D) "What services do you need that are not currently being provided?"

Question 5

Which of the following home healthcare services is reimbursed by Medicare?

A) 150 home visits following a hospital stay
B) a visit to teach a patient how to change a sterile dressing
C) assessment of a chronic pre-existing illness
D) a visit from a social worker to discuss socioeconomic needs

Question 6

Following the death of a hospice patient, the nurse continues to care for the family. What is this type of care called?

A) family-centered care
B) palliative care
C) bereavement care
D) after-death care

Question 7

Which of the following statements accurately describe an element of hospice care in the United States? Select all that apply.

A) Most services and care are reimbursed by a Medicare hospice benefit.
B) Services are reimbursed by Medicare for an initial 90-day period followed by subsequent periods as needed.
C) Most hospice users have care episodes of more than 6 months, but the number of short hospice episodes is increasing.
D) Hospice services usually begin when the patient has 1 year or less to live.
E) Hospice services end with the family 1 year after the death of the patient.
F) Palliative care is a related area of care that has evolved out of the hospice experience.

Question 8

What is one essential difference between care of the patient in the hospital and care of the patient in the home?

A) Hospitalized patients follow the hospital's routine and schedule.
B) Hospitalized patients rarely need referrals or teaching.
C) Home care patients are more dependent on the nurse.
D) The nurse adapts care to the patient's schedule and customs.

Question 9

An infant who is on a ventilator is being cared for at home by her parents. What must the nurse know about the parents and care of the infant?

A) Family members may be taught any skill that they are able and willing to perform.
B) Only trained professionals can perform skills such as ventilator care.
C) The nurse will need to make a referral to secure more advanced skills.
D) The infant should be sent back to the acute care setting for care.

Question 10

A nurse visiting a patient at home follows guidelines for infection control when treating the patient. Which of the following are recommended guidelines to prevent the spread of infection in the home setting? Select all that apply.

A) wearing gloves when contacting body fluids
B) using standard precautions during home care visits
C) performing hand hygiene after reaching into the bag for supplies
D) using sterile technique when reaching into the bag for supplies
E) placing the bag on a liner before setting it down in the patient's home
F) cleaning any equipment removed from the bag before returning it to the bag

Question 11

What must the nurse include in the home visit progress notes to meet reimbursement requirements?

A) the nursing diagnoses established for the plan of care
B) findings from the health history and physical assessment
C) verbal reports from the caregiver about competence
D) indications that care requires professional nursing care