Deck 98: Home Care Nursing

Question 1

The student nurse is thinking of specializing in home healthcare. Which describes a trend in this field of nursing?

A) Home care is one of the fastest-growing fields in nursing today.
B) In 2008, there were more than 900 Medicare-certified home health agencies in the United States.
C) In 2006, more than 1 million clients were served, by nearly 104 million home visits.
D) Only hospital healthcare employment is expanding faster than home care employment.

Answer 1

Home care is one of the fastest-growing fields in nursing today.

Question 2

The nurse administrating home care services researches quality indicators of home care. What is vital in order for the home care agencies to maintain funding?

A) Avoidance of malpractice lawsuits
B) Emphasis on safety in the home
C) Avoidance of rehospitalization of clients
D) Reliance on clients with private insurance

Answer 2

Avoidance of rehospitalization of clients

Question 3

The home care nurse explains to the student nurse the primary reasons for the increase in the provision of home care. Which factors would the nurse cite? Select all that apply.

A) Longer hospital stays
B) Discharge of clients with complicated equipment
C) Higher number of hospital admissions
D) Greater autonomy of clients
E) Decreasing aging population
F) Existence of Telehealth

Answer 3

Discharge of clients with complicated equipment
Greater autonomy of clients
Existence of Telehealth

Question 4

The home care nurse is speaking to senior citizens about home care in the community. Which statements accurately describe the advantages and disadvantages of home care? Select all that apply.

A) Home care is more expensive than hospital care.
B) Continuous care from hospital to home is provided.
C) Home care agencies can provide hospice care.
D) Clients and families experience more emotional strain with home care.
E) Many people are more comfortable in their homes surrounded by loved ones.
F) Surroundings and foods are more familiar and comfortable in the home.

Question 5

The visiting nurse is a member of an agency that has been certified by Medicare as a Community Nursing Organization (CNO). For what type of agency does this nurse work?

A) Home health agency
B) Palliative care agency
C) Visiting healthcare professionals
D) Long-term home care agency

Question 6

A client being discharged to home with a central intravenous catheter in place. What should the nurse mention is a benefit of home care?

A) Prevention of infection
B) Shortened recovery time
C) Reduced emotional strain
D) Reduced medical expenses

Question 7

What benefit is available to those who qualify for Medicare insurance?

A) Treatment provided at senior care centers
B) Decreasing the amount of care provided by the family
C) Availability of skilled nursing or therapy
D) Reimbursement for personal care services

Question 8

A woman who lives several miles away from her aging father seeks the help of a home care agency to look after him. What expenses will be covered by Medicare?

A) Spiritual support provided by chaplains
B) Home delivery of meals
C) Personal care services by a housekeeper
D) Visits by a physical therapist

Question 9

Which client would be the best candidate for long-term home care?

A) A 42-year-old discharged in spinal traction
B) A 28-year-old diagnosed with pancreatic cancer
C) A 79-year-old with left-side paralysis following a stroke
D) A newborn diagnosed with Downs syndrome

Question 10

Which services are provided by short-term home care nurses? Select all that apply.

A) Drawing blood two to three times per week
B) A weekly visit to set up medications
C) Dressing changes following surgery for up to one month
D) Daily visits to provide personal hygiene for an elderly client with emphysema
E) Administration of IV medications
F) Administration of a periodic electrocardiogram

Question 11

A nurse works in a home care agency that uses a center of excellence (COE) concept and functions to assist local home care nurses. Which services would be provided by these nurses? Select all that apply.

A) Cooking meals for clients
B) Light housekeeping
C) Wound care
D) Psychiatric management
E) Continence care
F) Daily medications

Question 12

A nurse is providing short-term home care to a child being treated for pneumonia. What nursing measure must be adopted when caring for the client?

A) Educate caregivers on administering antibiotic injections.
B) Visit the client once a week to assess the child's progress.
C) Teach family caregivers how to maintain the client's personal hygiene.
D) Educate caregivers on the diet prescribed for the client.

Question 13

The visiting nurse is explaining payment systems for home care to an older adult client. Which accurately describes how payment is made in one of these plans?

A) Fee for Service (FFS) is now charged by visit as opposed to by episode.
B) Payment per day is more expensive for the client.
C) Pay for performance (P4P) is based on diagnosis and how well the agency provides care.
D) With outcome and Assessment information set (OASIS), payment is based on standard diagnoses.

Question 14

The nurse researching the provision of home healthcare finds that national programs are aimed at improvement of quality of home healthcare. What is the goal for improvement instituted by INTERACT II?

A) Decrease avoidable hospital readmissions.
B) Improve client's self-management of oral medications.
C) Improve care and transfers from one setting to another.
D) Ensure beneficiaries receive the right care in the right setting.

Question 15

A RN working in home healthcare is assigned to be the case manager (CM) for a 78- year-old male client who has uncontrolled diabetes and pressure wounds in various stages of healing. Which roles would this CM perform? Select all that apply.

A) Perform an initial home assessment visit.
B) Evaluate the safety of the home.
C) Set up and dispense the client's medication.
D) Evaluate the competency of available caregivers.
E) Determine the client's eligibility for services.
F) Provide wound care for the pressure wounds.

Question 16

A new nurse graduate is considering employment in home care. Which type of skills is most important in this area of nursing?

A) Communication
B) Clinical
C) Interpersonal
D) Legal/ethical

Question 17

A care-providing agency has appointed a nurse to provide home care to an older adult client. What should the nurse do to ensure that the agency is reimbursed for the cost of providing care?

A) Understand the client's rights when receiving care.
B) Get along well with the client's family members.
C) Fill out all necessary documents and submit them to the agency.
D) Document all teachings and procedures for home care.

Question 18

A nursing instructor discusses with students the advantages of working in home care. Which would the instructor include? Select all that apply.

A) The unique opportunity to care for many clients in their own homes
B) Ability to get to know the client and family members better
C) Being able to assist the client to remain at home
D) Not being required to be on call
E) Less documentation than in other settings
F) Greater flexibility in planning the workday

Question 19

When a client is to be transitioned from one care site to another, communication between sites is vital, to ensure safe and appropriate care and follow-up. Which agency was established to promote increased use of technology to improve management of chronic diseases and reduce avoidable rehospitalizations?

A) Centers for Medicare and Medicaid (CMS)
B) Quality Improvement Organizations (QIO)
C) Outcome and Assessment Information Set (OASIS)
D) Home Health Resource Group (HHRG)

Question 20

A nurse is providing home care to a client. What safety guideline should the nurse follow during home visits?

A) Carry a fully charged cell phone.
B) Run in the other direction if a family dog seems aggressive.
C) Wear a badge with one's full name readily visible.
D) Provide the family with your residence's phone number.

Question 21

A nurse is to provide home care for a frail client. What measure should the nurse implement to ensure the client's safety?

A) Suggest the use of an alarm system to summon help.
B) Provide the client with soft soles to minimize falls.
C) Instruct family members to use rugs to cover the floors.
D) Do a fall risk assessment of the client's bedroom.

Question 22

A nurse appointed to provide home care to a client feels it is not safe to visit the client on a particular day. What should the nurse do in such a situation?

A) Ignore the instincts, because the client needs assistance.
B) Inform a physician and ask for assistance on the home visit.
C) Inform client and family caregivers about not visiting them.
D) Take assistance from a colleague when on the home visit.

Question 23

Which measure should the home health nurse take when driving to, or walking into, the client's home?

A) Use isolated stairs instead of the elevator in apartment buildings.
B) Lock the car doors after putting things away in the car.
C) Check agency guidelines before giving a ride to anyone.
D) Park the car on a side street, not right in front of the client's residence.

Question 24

A nurse is providing short-term home care for an older adult client diagnosed with depression. What should the nurse suggest that a caregiver do when taking respite from caring for the client?

A) Participate in recreational activities every day.
B) Eat a large breakfast with a smaller lunch and dinner.
C) Avoid sleeping during the day or taking short naps.
D) Instruct client's friends to avoid visits during home care.

Question 25

The nurse is counseling the caregiver of a home care client with a feeding tube who requires constant attention. Which measures would the nurse suggest? Select all that apply.

A) Manage stress to avoid seeking outside counseling.
B) Listen to loud music while at the bedside.
C) Take a vitamin or mineral supplement, as prescribed.
D) Get plenty of rest and take naps.
E) Encourage the client's friends and family to visit.
F) Attend a support group.