Question 1

Upon discharge from an acute care facility, the patient is referred to the hospital's home healthcare agency. This patient will be receiving services from which of the following types of agencies?

Accepted Answer

The patient is referred to the hospital's home healthcare agency, indicating that it is institution-based. Public, voluntary, and private home healthcare agencies are not affiliated with a hospital or healthcare institution.

Question 2

The nurse is considering working as a community-based nurse. The nurse knows this is a role that may have many contributing factors for providing care. Which of the following factors may affect the health of a community?  Select all that apply.

Accepted Answer

Social support systems, community healthcare structure, environmental factors, and economic resources can all affect the health of a community. Political affiliations may have some indirect impact, but are not as directly linked to community health outcomes as the other factors listed.

Question 3

A patient, receiving rehabilitation after a motor vehicle accident, plans to return to home to live alone independently. Which of the following would be a priority for the nurse to assess for this patient?

Accepted Answer

Assessing the patient's home environment is crucial for ensuring their safety and ability to live independently. This includes assessing for any environmental barriers or hazards such as stairs, narrow hallways, or poor lighting that could affect the patient's mobility and overall function. The other options may also be important to assess, but the patient's home environment should be the top priority for this particular situation.

Question 4

The nurse is completing the home health admission for a patient. Which one of the following initial actions should the nurse take with the plan of care created from the admission information?

Accepted Answer

The initial action the nurse should take with the plan of care created from the admission information is to send it to the physician for review and approval. This ensures that the care plan is appropriate and meets the patient's medical needs as assessed by a licensed physician.

Question 5

A patient is upset because he is unable to resume his previous activities since sustaining a leg injury that has reduced his ability to bear weight while walking independently. Which of the following can the nurse do to assist this patient?

Accepted Answer

Suggesting the patient works with physical therapy to regain a maximum level of independence would be the most appropriate choice to assist the patient in resuming his previous activities. This would allow the patient to work on regaining strength and balance, and potentially regain the ability to bear weight while walking independently. Option B is not directly related to the patient's concerns, as he is upset about not being able to resume his previous activities rather than his employment status. Option C minimizes the patient's concerns and does not provide a solution. Option D may be a consideration, but it is not the best immediate action to assist the patient.

Question 6

The nurse is caring for a patient who has had a reduction in the ability to move his left arm after surgery. At the present time, this patient is experiencing which of the following?

Accepted Answer

The patient is experiencing impairment, which refers to a loss or reduction in the ability to perform a task or activity. This is due to the surgery and can be temporary or permanent. Disability refers to a more permanent loss or reduction in function, while handicap refers to social or environmental barriers that prevent the individual from participating in activities. The reduction in ability to move the arm is not a side effect of surgery but rather a result of the surgical procedure.

Question 7

During a phone call to coordinate a time for the first home care visit, the nurse learns the patient is on home oxygen therapy, uses a walker for ambulation, and has minimal strength in her lower extremities. This information will be used for which of the following?

Accepted Answer

The nurse needs this information to plan appropriate nursing diagnoses and interventions for the patient's care.

Question 8

During the first home care visit, the nurse reviews with the patient all of the information about privacy and informed consent. Which of the following documents should the nurse include in this review?

Accepted Answer

The answer of During the first home care visit, the...

Question 9

The home care nurse is planning to visit a patient who is on Medicare. The nurse realizes that care can be provided if

Accepted Answer

To receive home care under Medicare, the patient must be considered homebound, meaning leaving the home requires a considerable and taxing effort for the patient. This is a requirement for reimbursement under Medicare. Meeting safety standards, being able to use a wheelchair, and living alone are not necessarily requirements for home care under Medicare.

Question 10

The nurse is teaching a patient about ways to increase personal safety in the home. During the interaction, the patient advises the nurse that he has no plans to make the recommended changes. Which of the following responses by the nurse is the most appropriate?

Accepted Answer

The most appropriate response by the nurse is to offer more information and support rather than using threats or coercion. The nurse can provide resources and education to help the patient understand the importance of making changes and encourage them to reconsider their decision. Threats or coercion can create resistance and harm the therapeutic relationship between the patient and the nurse.

Question 11

During a visit with a patient, the home care nurse becomes concerned about criminal activity in the home. Which of the following initial actions by the nurse is the most appropriate?

Accepted Answer

Leaving the home is the most appropriate initial action for the nurse if there is concern about criminal activity. This ensures the nurse's safety, which is paramount. After ensuring personal safety, the nurse can then take further actions, such as contacting authorities or the nursing supervisor to address the situation appropriately.

Question 12

A patient who is being prepared for discharged from the hospital is identified as needing more care. The family is refusing a transfer to a skilled nursing facility. Which of the following can the nurse do to help this patient?

Accepted Answer

The nurse can suggest home care as an option for the patient who needs more care but the family is refusing transfer to a skilled nursing facility. It is important to discuss the patient's needs and the feasibility of home care with the family, including the availability of support from family members or private caregivers. It may be necessary to provide education to the family to ensure the patient's safety and well-being at home.

Question 13

During the admission of a home care patient, the nurse learns the patient is married, has no pets, and has two daughters who live nearby and a mother who is in a nursing home in a suburb across town. Which of the following would the nurse consider as the patient's family?

Accepted Answer

The patient's family includes their spouse and daughters who live nearby, as they are likely to be involved in the patient's care and support. The mother who is in a nursing home may also be considered part of the patient's family, but may not be directly involved in the patient's home care. Pets are not considered family members in this context.

Question 14

The home care nurse is preparing to begin a series of visits with a patient who is expected to require home care for the next two months. Which of the following tasks should take place first?

Accepted Answer

Establishing trust and rapport is crucial as the first step in any patient-caregiver relationship, especially in a home care setting, to ensure effective communication and cooperation throughout the care period.

Question 15

The home care nurse observes several small, round bruises on the back side of an elderly patient's arms. What action by the nurse is indicated first?

Accepted Answer

The first action indicated is to question the patient about the cause of the bruises. It is important to gather information and assess the situation before taking further action or reporting to a supervisor.

Question 16

After mass on Sunday the nurse is measuring blood pressures in the church greeting room. This nurse is most likely practicing which of the following?

Accepted Answer

Parish nursing involves providing healthcare services to members of a faith community within a religious setting, such as a church. Measuring blood pressures after mass is a common practice within parish nursing, as it allows nurses to screen for and identify potential health issues among church members. B, C, and D are not related to the practice of parish nursing.

Question 17

A 79-year-old patient is planning to have a laminectomy. In which of the following healthcare settings is this patient most likely going to have this procedure?

Accepted Answer

Laminectomy is a surgical procedure that involves removal of the lamina (part of the spinal canal) to relieve pressure on the spinal cord or nerve roots. This is most commonly performed in an acute care hospital setting. Skilled nursing facilities, ambulatory care centers, and outpatient clinics are not equipped to handle this type of surgical procedure.

Question 18

The patient is in need of home care, is on oxygen therapy, weak from surgery, has a small surgical incision, and needs to increase activity to gain independence. Which of the following home care providers will the nurse most likely suggest for this patient?

Accepted Answer

Physical therapy is most appropriate for this patient as it focuses on increasing activity levels and improving physical strength and mobility, which are crucial for gaining independence after surgery.

Question 19

The nurse is teaching a group of patients at a senior center about ways to reduce their blood pressure through exercise and recreation. What type of care is this nurse is providing?

Accepted Answer

Community-based care is provided in a community setting, such as a senior center, and focuses on promoting health and preventing illness.

Question 20

A patient receiving home care since discharge from an extended care facility is also to begin home physical therapy. Which of the following should the nurse assess for this patient?

Accepted Answer

The nurse should assess the patient's needs to ensure that the home physical therapy plan is tailored to address specific health requirements and goals.

Quiz 3: Community and Home-Based Care of Adults