Question 1

The nurse discusses home care options with an 85-year-old client who recently fractured her humerus in a fall in her house. The client is recovering well now but says the experience has made her see that it is time for her to change her living arrangements. The client can still bathe herself and cook meals on occasion but says she would like to live where nursing care is available onsite and where communal dining and recreation options are offered. Which living arrangements should the nurse point out will best fit the situation?

Accepted Answer

An assisted living facility provides the level of care the client is seeking, offering onsite nursing care, help with daily activities as needed, and communal dining and recreation options, fitting the client's desires and needs.

Question 2

A community care nurse at a healthcare agency assists in coordinating a plan for providing health services in the most cost-effective way possible to a large number of members living in the region. Which type of work is this nurse exhibiting?

Accepted Answer

Care management involves coordinating and managing health services to ensure they are delivered in a cost-effective manner to a large population, which aligns with the nurse's role described.

Question 3

The case manager works with a client who has type 2 diabetes and heart disease. In this role, which actions would be most appropriate for the nurse to take in assisting the client to manage diseases? (Select all that apply.)

Accepted Answer

These actions are appropriate for a case manager working with a client who has type 2 diabetes and heart disease because they involve education and support for managing the conditions at home. Weekly coaching sessions can help the client stay on track with blood glucose management, demonstrating the use of a glucose meter empowers the client to monitor their condition effectively, and reviewing heart-healthy and diabetic-friendly food options supports dietary management, which is crucial for both conditions. Supervising cardiac stress tests and administering emergency insulin are more clinical tasks that would typically be performed by specialized healthcare providers in a hospital setting, not by a case manager in a supportive role.

Question 4

The case manager works with a 10-year-old girl who has asthma. Because the client's family has trouble affording inhalers, the case manager researches client assistance programs through which they could receive free medications. Which aspect of case management is this nurse portraying with this action?

Accepted Answer

The case manager is acting as an advocate for the client by researching assistance programs to help the family afford necessary medications, demonstrating a key role of case managers in advocating for their clients' needs and rights.

Question 5

The case manager for a 12-year-old boy who is obese and prediabetic. To help the client develop a diet that will promote weight loss and control of his glucose level, the case manager decides to consult with a dietitian, who provides several current journal articles that present findings on various diets. Which aspect of case management is employed with this action?

Accepted Answer

Consulting with a dietitian and using current journal articles to inform dietary recommendations involves interdisciplinary collaboration. This approach utilizes the expertise of professionals from different disciplines (in this case, case management and dietetics) to address the client's health needs comprehensively.

Question 6

A student is considering becoming a home health nurse. In researching this type of nursing, the student finds that several key factors have played a part in the development of home healthcare as it is today. Which key factors has this student most likely discovered? (Select all that apply.)

Accepted Answer

The development of health insurance, rising costs in healthcare, and an increase in medical and nursing specialization have significantly contributed to the growth of home healthcare. Health insurance development has made home healthcare more accessible to patients. Rising healthcare costs have made home care a cost-effective alternative to hospital stays. Increased specialization in medicine and nursing has allowed for more complex and specialized care to be provided at home.

Question 7

The nurse has recently been appointed to a community-based advisory board of an agency that is interested in providing fiscally sound, high-quality care for clients they decide will be their service population. Any profit margin that is acquired is reinvested in the operations of the home healthcare service. Which type of agency is this?

Accepted Answer

This agency is described as a private/voluntary organization because it is focused on providing high-quality care, reinvests any profit margin back into the operations, and is not primarily driven by profit-making, which differentiates it from proprietary agencies that operate for profit.

Question 8

The nurse recently took a position in a national chain of home healthcare agencies directed at caring for clients who are on home hemodialysis. The services provided are often paid for privately by families, and any profit margin is used to benefit the owner of the agency. Which type of agency is this?

Accepted Answer

This describes a proprietary agency, which is a for-profit business where services are provided for a fee and profits benefit the owner(s) of the agency.

Question 9

A nurse is relocating to a new community and is trying to decide where to seek employment. The nurse has learned that there are several similar agencies providing care, some of which are nonprofit and others are for-profit. Which type of agency is the nurse considering for employment?

Accepted Answer

The answer of A nurse is relocating to a new...

Question 10

The nurse takes care of a dependent family member whose husband is in the military. Which government funding is most likely going to be used for home healthcare services for this client?

Accepted Answer

TRICARE is the health care program for uniformed service members, retirees, and their families around the world. Since the dependent family member's husband is in the military, TRICARE is the most likely source of government funding for home healthcare services.

Question 11

The nurse is researching the latest provisions governing home healthcare. Who should the nurse check with to discover if any new regulations have been passed to regulate the provisions of home healthcare? (Select all that apply.)

Accepted Answer

The state and federal governments are responsible for regulating home healthcare.

Question 12

The nurse is assisting a client to apply for home healthcare. Which criteria must an individual meet to receive Medicare for home health services? (Select all that apply.)

Accepted Answer

To receive Medicare for home health services, an individual must be homebound, have a specific plan of care, require skilled healthcare needs, and have intermittent care needs. Continuous 24-hour care is not a requirement for Medicare home health services, which typically cover part-time or intermittent skilled nursing care.

Question 13

The nurse provides care covered by Medicare for a client over 2 hours during the day, 3 days during the week, for 60 days. Which type of care is the nurse providing?

Accepted Answer

Intermittent care is defined as care provided for less than 8 hours each day and for 28 or fewer hours each week. This scenario fits the definition of intermittent care, as the nurse provides care for 2 hours during the day, 3 days a week, for 60 days.

Question 14

The client wants to know how long Medicare will pay for skilled needs. How long can the nurse continue to provide this care before she must seek a renewal if skilled needs continue to exist?

Accepted Answer

Medicare covers skilled nursing care under a benefit period of up to 60 days, after which a renewal or new assessment is required if skilled needs continue to exist.

Question 15

The nurse reviews the official document called the Scope and Standards of Home Health Nursing Practice. Which factors will the nurse anticipate being included in the standards of care? (Select all that apply.)

Accepted Answer

The Scope and Standards of Home Health Nursing Practice typically includes standards related to assessment (collecting data about clients), diagnosis (analysis of data), outcome identification (identifying nurse-sensitive measures), and planning (nurse-sensitive interventions directed at identified outcomes). Implementation is focused on patient-centered actions rather than nurse-centered actions, making option B incorrect.

Question 16

The clinic is preparing a program which will provide telehealth to the clinics. What services will most likely be available after telehealth is implemented? (Select all that apply.)

Accepted Answer

The answer of The clinic is preparing a program which...

Question 17

A nurse graduate is seeking a position of a faith community nurse. Which interventions will this nurse most likely be performing in this position? (Select all that apply.)

Accepted Answer

Faith community nurses often focus on health education (A), providing health counseling (B), and making referrals to other health professionals (C). They typically do not perform clinical tasks like assisting in childbirth (D) or administering vaccinations (E).

Question 18

The home care agency has just received a client referral from a healthcare provider and assigned the case. How soon should the client expect to be contacted by the nurse for the initial visit?

Accepted Answer

Typically, after receiving a client referral, a home care agency aims to make contact within 24 hours to schedule the initial visit. This ensures timely assessment and initiation of care.

Question 19

The community health nurse can receive a referral to a home health agency at any time. Which phases will this nurse most likely utilize in this process? (Select all that apply.)

Accepted Answer

The phases a community health nurse will utilize in the process of receiving a referral to a home health agency include initiating a visit, preparation, the actual visit, and termination of the visit. Planning personal safety is not a phase but rather a consideration within these phases.

Question 20

The home health nurse has to ensure that a safety plan is in place to address falls. Based on statistics that 55% of fall-related injuries occur inside the home, which areas should the nurse prioritize for safety concerns?

Accepted Answer

The answer of The home health nurse has to ensure...

Quiz 12: Care Management, Case Management, and Home Healthcare