Deck 41: The Nurse in Home Health and Hospice

Question 1

Which of the following is an indirect care function of the home health nurse?

A) Advising a hospital nurse regarding the client's usual method of care
B) Administration of medications
C) Assessing a wound
D) Teaching the client's family how to change a dressing

Answer 1

Advising a hospital nurse regarding the client's usual method of care

Question 2

Which of the following types of agencies was responsible for the initial development of nursing in the home?

A) Official
B) Voluntary
C) Proprietary
D) Combination

Answer 2

Voluntary

Question 3

Proprietary agencies are:

A) Exempt from federal income taxes
B) Governed by a board of directors
C) Profit-making agencies
D) Reimbursed primarily by tax funds

Answer 3

Profit-making agencies

Question 4

The monitoring of quality of care is often a mandate from federal agencies in order for home health agencies to be certified. The Outcomes and Assessment Information Set (OASIS) measures outcomes for quality improvement and client satisfaction with care. The first stage, data analysis:

A) Enables an agency to compare its performance to a national sample
B) Forces home health agencies to report their data on patient care to a national registry
C) Requires stabilization of a patient's condition in order to continue to receive funding
D) Allows home health nurses a program to record data and findings

Question 5

Official agencies are financed primarily by:

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

Question 6

Medicare places emphasis on:

A) Chronic care
B) Distributive care
C) Episodic care
D) Primary prevention

Question 7

Which of the following is an example of direct care?

A) Teaching clients how to perform a procedure
B) Consulting with other nurses
C) Advocating for clients
D) Supervising home health aides

Question 8

Research has demonstrated that home-based approaches to care delivery produce better outcomes for certain populations. Population-focused home care is directed toward:

A) The needs of specific groups of people with high-risk health needs
B) Acutely ill adults in the home
C) Clients who are on home ventilators
D) People in rural areas with no access to care

Question 9

To determine whether a service performed by the nurse is skilled care, several factors must be evaluated and adequately documented. Which of the following is an example of skilled nursing service?

A) Teaching the client and family to implement a therapeutic plan such as taking medications
B) Consulting with other nurses about the care of a patient in the home
C) Coordinating services for maximum benefit at minimal cost
D) Reviewing nursing assistant charting at the end of each day

Question 10

Voluntary home health agencies are:

A) Government organizations
B) Exempt from federal income tax
C) Profit-making agencies
D) Governed by the owner of the agency

Question 11

The incentives and pressures for cost control and improved health outcomes have increased the development and use of telehealth technology in the home setting. Telehealth:

A) Uses WebTV to teach clients about their health
B) Includes sharing health information between the client and clinicians using electronic communications
C) Requires home health nurses to make regular visits to clients to check the technology
D) Often violates the Health Insurance Portability and Accountability Act (HIPAA) laws because information can be shared easily

Question 12

The Omaha System was designed to guide practice decisions, sort and document pertinent client data uniformly, and provide a framework for agency-wide, multidisciplinary clinical information. One of the goals of the Omaha System is to:

A) Define each health care provider's role
B) Use nursing diagnoses in community health nursing practice
C) Foster collaborative practice
D) Allow practitioners a way to communicate with each other

Question 13

From a historical perspective, home care reached a turning point when:

A) Medicare legislation was passed
B) Visiting Nurse Associations were established
C) The Montefiore Hospital Home Care Program in New York was established
D) The Civil Works Administration provided funds for the use of nurses who were unemployed

Question 14

Successful interprofessional functioning depends on numerous factors including the knowledge, skills, and attitudes of each team member. Which of the following are factors for successful interprofessional functioning?

A) Understanding who is in charge of the patient's care
B) Making appropriate referrals
C) Understanding what other professionals do and how they see their roles
D) Working in isolation when performing the tasks that a professional is responsible for

Question 15

Combination agencies merged which of the following two types of agencies?

A) Official and voluntary
B) Voluntary and proprietary
C) Official and hospital-based
D) Proprietary and hospital-based

Question 16

The nurse provides direct care services to a stroke victim to avoid complications. This would be an example of which of the following levels of prevention as applied to home care?

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

Question 17

A primary objective for the home health nurse is:

A) Education
B) Health promotion
C) Facilitation of self-care
D) Disease prevention

Question 18

Hospice programs may be integrated with home health, hospital, or skilled nursing agencies. Which of the following is important to consider when coordinating care to ensure a comfortable and peaceful death?

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

Question 19

The goal of home health nursing is to:

A) Provide direct care to the client in the home
B) Maximize the client's level of independence
C) Provide case management services
D) Coordinate care in the home

Question 20

Home care includes disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence. Home care does not only refer to home health but is much broader. Research suggests:

A) Homebound people cannot travel to the health care facility.
B) Nurses would rather care for people in their homes.
C) The home is the optimal location for certain health and nursing services.
D) Health care in the home is better than at an acute care facility.

Question 21

Which of the following gives the home health nurse the necessary information to develop short- and long-term goals with the client and family?

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

Question 22

The primary objective of hospice care is to:

A) Increase the quality of remaining life
B) Reduce the care of terminally ill
C) Keep clients at home
D) Provide care for terminally ill clients expected to live longer than 6 months

Question 23

Which of the following is a component of home health care nursing?

A) Intermittent visits
B) Custodial care
C) Daily or hourly rate charges
D) Reimbursement payment to the nurse

Question 24

In any health care system there is the potential for illegal and unethical activity. Which of the following are activities documented to have occurred 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 the above

Question 25

Which of the following is a standard of home health nursing practice?

A) Quality of care
B) Education
C) Outcome identification
D) Ethics

Question 26

Transitional care programs in the home are designed for persons with complex or high-risk health problems who are making a transition from one level of care to another. Which of the following are examples of this? 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

Question 27

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 28

When providing advice and counsel to the staff and clients, which of the following roles would the nurse be practicing?

A) Education
B) Research
C) Administrator
D) Consultant