Deck 41: The Nurse in Home Health, Palliative Care, and Hospice

Question 1

Which organization publishes the current scope and standards of home care practice?

A) Centers for Medicare and Medicaid Services
B) American Nurses Association (ANA)
C) Robert Wood Johnson Foundation
D) Visiting Nurse Association

Answer 1

American Nurses Association (ANA)

Question 2

Official agencies are financed primarily by:

A) charities.
B) individual clients.
C) third-party payers.
D) tax funds.

Answer 2

tax funds.

Question 3

A nurse is trying to facilitate interprofessional collaboration.Which of the following actions should be taken by the nurse?

A) Understand who is in charge of the client's care
B) Make appropriate referrals
C) Recognize what other professionals do and how they view their roles
D) Request assistance when performing complex skills

Answer 3

Recognize what other professionals do and how they view their roles

Question 4

A community health nurse is using the Omaha System.Which of the following best describes the rationale for using this system?

A) To define each health care provider's role
B) To use nursing diagnoses in community health nursing practice
C) To foster collaborative practice
D) To provide practitioners a method for communication

Question 5

A nurse is employed in home health nursing practice.Which of the following terms best describes the care that is being provided?

A) Intermittent nursing care
B) Custodial care
C) Family caregiving
D) Palliative care

Question 6

A nurse has referred a home care client to hospice care.Which of the following best explains the rationale for this referral?

A) To provide comfort and peace at a difficult time
B) To reduce the cost of care for the terminally ill
C) To keep clients at home until the end of life
D) To provide care for terminally ill clients expected to live longer than 6 months

Question 7

Which historical event caused dramatic changes in home care nursing?

A) Passage of Medicare legislation
B) Establishment of Visiting Nurse Associations
C) Creation of the Montefiore Hospital Home Care Program
D) Provision of funds by the Civil Works Administration

Question 8

A nurse is implementing a population-focused model of home care delivery.Which of the following actions would most likely be taken by the nurse?

A) Use an assessment protocol when conducting visits
B) Collaborate with other disciplines
C) Provide care for a specific population
D) Apply high-intensity interventions

Question 9

Which concepts are used to evaluate client outcomes when using the Omaha System Problem Rating Scale for Outcomes?

A) Problem, Intervention, and Outcome
B) Knowledge, Behavior, and Status
C) Knowledge, Skill, and Attitude
D) Problem, Category, and Modifiers

Question 10

A nurse is using telehealth technology in the home setting.Which of the following best describes the intervention that is being used by the nurse?

A) Uses Web TV to teach clients about their health
B) Shares health information using electronic communications
C) Makes regular visits to clients to check the technology
D) Risks violation of the Health Insurance Portability and Accountability Act

Question 11

A home care agency has applied for accreditation from the Joint Commission.What is the next step the agency will take?

A) Attend a conference to learn more about the accreditation process
B) Schedule a site visit with the Joint Commission
C) Complete a self-study of the agency
D) Improve methods of documentation of client visits

Question 12

A home care nurse is employed by a proprietary agency.What does this mean?

A) The agency is exempt from federal income taxes.
B) The agency is governed by a board of directors.
C) The agency is a profit-making agency.
D) The agency is reimbursed primarily by tax funds.

Question 13

The nurse provides direct care services to a stroke victim to avoid complications.Which of the following levels of prevention is being implemented?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Question 14

A nurse is coordinating care to ensure a comfortable and peaceful death.Which of the following factors should be an important consideration for the nurse?

A) The unique stress dying patients often experience
B) The cultural values, expectations, and preferences of the family
C) The communication style of each family member
D) The abilities of the nurse and health care team

Question 15

A nurse is providing a skilled nursing service.Which of the following best describes the intervention the nurse is performing?

A) Teaching the client and family about medication administration
B) Consulting with other nurses about the care of a client in the home
C) Coordinating services for maximum benefit at minimal cost
D) Reviewing nursing assistant charting at the end of each day

Question 16

A nurse is using the first stage of the Outcomes and Assessment Information Set (OASIS)outcomes analysis.Which of the following best describes what the nurse is doing?

A) Comparing an agency's performance to a national sample
B) Reporting data on patient care to a national registry
C) Stabilizing a client's condition to continue to receive funding
D) Documenting client assessment data and findings

Question 17

After conducting a comprehensive client assessment,the nurse would organize information about the client's medication regimen into which domain of the Omaha System Problem Classification Scheme?

A) Environmental
B) Psychosocial
C) Physiological
D) Health-related behaviors

Question 18

A nurse has discovered that a client should be receiving Meals on Wheels.Which of the following steps of the nursing process is the nurse performing?

A) Diagnosis
B) Planning
C) Assessment
D) Implementation

Question 19

A nurse is using the Omaha System Problem Classification Scheme.Which of the following situations is the nurse most likely experiencing?

A) Measuring client outcomes
B) Collaborating with other professionals
C) Providing health education
D) Organizing a comprehensive assessment

Question 20

Medicare-certified home health agencies place emphasis on _____ care.

A) chronic
B) distributive
C) intermittent
D) primary

Question 21

Which illegal and unethical activities have occurred in health care systems in the past? (Select all that apply.)

A) Inappropriate use of home health services
B) Inaccurate billing for services
C) Excessive administrative staff
D) "Kickbacks" for referrals
E) Primary care services provided in the home

Question 22

A nurse is coordinating care through a high-intensity transitional care program.Which of the following best describes the populations that the nurse is working with? (Select all that apply.)

A) Adults with cognitive impairments
B) Women with high-risk pregnancies
C) Older adults with heart failure
D) People who are moving from one state to another
E) Men who have just experienced divorce

Question 23

Which are categories of classifying interventions according to the Omaha System Intervention Scheme? (Select all that apply.)

A) Health education
B) Case management
C) Treatments and procedures
D) Direct care services
E) Skilled nursing care