Deck 41: The Nurse in Home Health and Hospice

Question 1

Why would a nurse use the Omaha 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

Answer 1

To foster collaborative practice

Question 2

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

Answer 2

Passage of Medicare legislation

Question 3

A nurse who implements a population-focused model of home care delivery would most likely:

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.

Answer 3

Use an assessment protocol when conducting visits.

Question 4

Which nursing intervention is an example of a skilled nursing service?

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 5

A nurse using telehealth technology in the home setting:

A) Uses WebTV 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 6

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 7

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 8

What action should a nurse take to facilitate interprofessional collaboration?

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) Work in isolation when performing complex skills.

Question 9

A nurse employed in home health nursing practice provides:

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

Question 10

A nurse uses the first stage of the Outcomes and Assessment Information Set (OASIS)outcomes analysis to:

A) Compare an agency's performance to a national sample.
B) Report data on patient care to a national registry.
C) Stabilize a client's condition to continue to receive funding.
D) Document client assessment data and findings.

Question 11

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

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

Question 12

During the performance of which standard of care would the nurse discover the need for Meals on Wheels?

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

Question 13

Official agencies are financed primarily by:

A) Charities
B) Individual clients
C) Third-party payers
D) Tax funds

Question 14

The nurse provides direct care services to a stroke victim to avoid complications.This is an example of which level of prevention?

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

Question 15

In which situation would a nurse use the Omaha System Problem Classification Scheme?

A) When measuring client outcomes
B) When collaborating with other professionals
C) When providing health education
D) When organizing a comprehensive assessment

Question 16

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 17

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

A) Chronic
B) Distributive
C) Intermittent
D) Primary

Question 18

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 19

What is the primary objective of hospice programs?

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 20

Which factor is important for the nurse to consider when coordinating care to ensure a comfortable and peaceful death?

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 21

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

Question 22

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) "Kick-backs" for referrals
E) None of above

Question 23

Which populations may require a high-intensity transitional care program? 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