Question 1

A patient hospitalized with diabetes mellitus is being referred to a certified home health care agency on discharge from the hospital.Which of the following people will coordinate the care?&#10;A) A case manager&#10;B) A community registered nurse&#10;C) The patient's family physician&#10;D) A certified diabetic educator from the hospital

Accepted Answer

A case manager is responsible for coordinating care between different healthcare providers, including home health care agencies. They work with the patient and their family to develop a care plan and ensure that all healthcare needs are met. A community registered nurse may provide direct care but may not be responsible for coordinating all aspects of the patient's care. The patient's family physician may be involved in the care plan but may not necessarily coordinate the care. A certified diabetic educator from the hospital may be involved in education and management of the patient's diabetes, but may not necessarily coordinate all aspects of the patient's care.

Question 2

A 78-year-old woman hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength.In planning continued care for the patient,in which setting would the nurse consider that the patient's needs would best be met?

A) A public health unit
B) A community health centre
C) The patient's home
D) An occupational health facility

The patient's home

Accepted Answer

The patient's home would be the best setting to meet her needs, as she has already recovered from surgery but still has impaired physical mobility. Being in her own familiar environment can promote better recovery and reduce the risk of additional complications. Hospitalization or institutional care may not be necessary in this case. The other options are not appropriate as they are not tailored to the patient's specific needs.

Question 3

Primary health care is increasingly being embraced as a strategy to shift the health system's focus from treatment of disease to health promotion.This shift is known as which of the following?&#10;A) Economic shift&#10;B) Reforming the system&#10;C) Enhancing primary health care&#10;D) Chronic disease management in home care settings

Accepted Answer

Reforming the system

Question 4

Health care services by a specific institution are often implemented through case management.Which of the following is an activity related to case management?&#10;A) Each member of the health care team performs specific tasks for patient care under the supervision of a case manager.&#10;B) One nurse manages all interventions required to meet the needs of the patient in the hospital and the community.&#10;C) The patient's nurse collaborates with other health care disciplines to plan and implement coordinated patient care.&#10;D) A professional nurse assesses the patient's needs and plans and coordinates patient care with other nurses under the direction of a physician.

Accepted Answer

The answer of Health care services by a specific institution...

Question 5

Which of the following is a current trend in home health nursing?&#10;A) Increased numbers of registered nurses (RNs)are being employed as home health nurses.&#10;B) Decreased numbers of licensed practical nurses (LPNs)are being employed as home health nurses.&#10;C) There are more employment opportunities for newly graduated nurses.&#10;D) A minimum of two years of acute care experience is required before employment as a home health nurse.

Accepted Answer

The answer of Which of the following is a current...

Question 6

Home health care nurses deliver care to a variety of patients with acute and chronic illnesses as part of their nursing practice.These nurses would explain to their patients that they are practising which type of nursing?

A) Public health nursing
B) Long-term care nursing
C) Community-based nursing
D) Community health nursing

Accepted Answer

Community-based nursing focuses on providing care to individuals and families in their homes or community settings, which aligns with the role of home health care nurses.

Question 7

On average,what is the approximate national percentage of provincial/territorial budgets in Canada that are expended on health care costs?&#10;A) 19%&#10;B) 29%&#10;C) 39%&#10;D) 49%

Accepted Answer

On average, approximately 39% of provincial/territorial budgets in Canada are expended on health care costs. This reflects the significant portion of budgetary allocations dedicated to maintaining and improving the health care system within the provinces and territories.

Question 8

Which of the following is considered a foundational concept of home health nursing?&#10;A) Acute care management&#10;B) Health promotion&#10;C) Chronic disease management&#10;D) Health restoration

Accepted Answer

Health promotion is considered a foundational concept of home health nursing as it focuses on promoting and maintaining health and preventing illness. Home health nurses work with patients and their families to establish healthy practices and lifestyles that will help them remain independent and minimize the need for medical intervention. While acute care management, chronic disease management, and health restoration are also important aspects of home health nursing, they build upon the foundation of health promotion.

Question 9

Which of the following is a key principle of primary health care?&#10;A) Universal access to health care on an economic basis&#10;B) Focus on acute illness and cure&#10;C) Partnership with other professions and sectors for health&#10;D) Individuals as passive recipients of health care

Accepted Answer

The principle of partnership with other professions and sectors for health is a key principle of primary health care. This principle emphasizes the need for collaboration and coordination among healthcare providers, community groups, policymakers, and other stakeholders to promote health and well-being. This principle acknowledges that healthcare is multifaceted and requires input from various sectors to address the social determinants of health, such as education, housing, and employment.

A) Universal access to healthcare on an economic basis is also a key principle of primary healthcare, but it is not the only principle. 
B) Focus on acute illness and cure is not a key principle of primary healthcare. Primary healthcare focuses on prevention, promotion, and management of chronic illnesses. 
D) Individuals as passive recipients of healthcare is not a key principle of primary healthcare. Primary healthcare emphasizes the need for active participation of individuals and communities in their health and well-being.

Question 10

How should the nurse describe home care services to a patient requiring extended care?&#10;A) Home care services are limited to visits by nurses or home health aides.&#10;B) For the expenses of home care to be covered,the patient must be confined to bed.&#10;C) The patient's family will need to be included in planning and teaching about the patient's care.&#10;D) Technologically complex therapies,such as parenteral chemotherapy and mechanical ventilators,cannot be managed at home.

Accepted Answer

Home care services typically involve a team of healthcare professionals who work with the patient and their family to develop and implement a care plan. It is important for the patient's family to be involved in the planning and implementation of care to ensure that the patient receives the best possible care at home. Additionally, home care services may include a range of therapies and interventions, including technologically complex therapies such as parenteral chemotherapy and mechanical ventilators, depending on the patient's specific needs. The statement in option A is incorrect as home care services may also include physical therapists, occupational therapists, and speech therapists in addition to nurses or home health aides. The statement in option B is incorrect as there is no requirement for a patient to be confined to bed for home care services to be covered.

Deck 6: Community-Based Nursing and Home Care