Question 1

During a home visit the nurse learns that a patient is inconsistent with taking prescribed medications and has a medication organizer partially filled next to a variety of medication containers.What should the nurse do?

Accepted Answer

The nurse should fill the medication organizer for each day of the week, explain how to use it, and return in a day or two to evaluate. This allows the patient to practice filling the organizer under the nurse's supervision and ensures the patient understands how to use it properly. Administering the medications or arranging for a home health aide to come daily are not feasible long-term solutions. Arranging for easy-to-open containers from the pharmacy does not address the issue of medication noncompliance.

Question 2

Which is a common characteristic of the Omaha System and the NANDA-I taxonomy?

Accepted Answer

Both the Omaha System and NANDA-I taxonomy focus on standardized language for nursing diagnoses. The Omaha System also includes interventions and outcomes. However, option B is the most specific and accurate common characteristic between those two terminologies.

Question 3

The community health nurse meets with residents of government-subsidized senior housing to discuss concerns and evaluate whether they receive healthcare that meets their needs.Which nursing role best describes these actions?

Accepted Answer

C

Question 4

A community health nurse wants to assess community members prior to planning a program for teen pregnancy prevention.Which area should the nurse include?

Accepted Answer

Demographic data of the residents will provide important information such as age, gender, ethnicity, education level, and income, which are relevant for understanding the risk factors and potential barriers to preventing teen pregnancy within that particular community. The number of residential and commercial buildings, common strategies for conflict resolution, and morbidity and mortality rates of the population are not directly relevant to assessing the community for teen pregnancy prevention program planning.

Question 5

Which response should the nurse make when asked about the advantages of home care?

Accepted Answer

Option D is the best choice as it highlights the advantage of home care that allows the nurse to see patients in their personal environment, which helps to understand their needs better and provide personalized care. Option A and C are not appropriate responses as they focus on the nurse's experience and skills rather than the benefits for patients. Option B is also not accurate as home care may face challenges in organization and coordination, especially when multiple caregivers are involved.

Question 6

What is the type of nursing with a focus on the community as a whole and the health status of individuals as an aggregate?

Accepted Answer

Public health nursing is the type of nursing that focuses on the health of the overall community and the health status of individuals as a group. This type of nursing involves identifying health trends and risks in the community, as well as planning and implementing interventions to promote health and prevent disease. Public health nurses work with diverse populations in a variety of settings, including schools, clinics, hospitals, and community health centers.

Question 7

Which unique aspect of home care do Medicare reimbursement regulations require that the nurse include in documentation?

Accepted Answer

Medicare reimbursement regulations require documentation of evidence of the patient's homebound status and continued need for skilled care as a unique aspect of home care. This is to ensure that Medicare is only reimbursing for care that is medically necessary and cannot be provided in an outpatient or non-home setting. The other options are important aspects of home care documentation but are not specific to Medicare requirements.

Question 8

After gathering data about a community,the nurse identifies weaknesses in the community health system that contribute to poor health outcomes.What should be the next step?

Accepted Answer

Prioritizing the list of problems is the next step as it helps the nurse to focus on the important issues that need to be addressed first and then create a plan of action. The nurse can use different methods to prioritize, such as using community input, assessing the severity of the problem, and identifying the resources available to resolve the issues. Once priorities are set, the nurse can then plan the care and evaluate the effectiveness of the interventions. Validating the data is essential but should have already been completed during the data collection process.

Question 9

The community health nurse is assigned census tracts 131 and 132,which cross the border of two towns and include 4,000 people.What components of the community must the nurse assess prior to beginning the assignment?

Accepted Answer

The answer of The community health nurse is assigned census...

Question 10

A patient is discharged home after sustaining injuries from a motor vehicle crash.What would be the primary goal of home care for this patient?

Accepted Answer

The primary goal of home care for this patient is to teach the patient and family how to provide care. This includes wound care, medication management, and possibly physical therapy or rehabilitation exercises. Providing comprehensive direct care would be difficult or impossible in a home setting and promoting sleep and rest, while important, is not the primary goal. Explaining the differences between home and hospital care may be helpful, but it is not the primary goal of home care.

Question 11

Which is a function of the public health nurse?

Accepted Answer

The answer of Which is a function of the public...

Question 12

A patient requiring wound care lives in a hotel that has no running water,bathrooms are shared,and the environment is dirty.What supplies should the nurse bring when making a visit to this patient?

Accepted Answer

The answer of A patient requiring wound care lives in...

Question 13

What do the inhabitants of one zip code form?

Accepted Answer

The inhabitants of one zip code form a "Population" because the term refers to all individuals within a defined area, such as a zip code, without necessarily implying any specific characteristics or vulnerabilities.

Question 14

An adult daughter who is the primary caregiver for an older client is fatigued,has stopped socializing with friends,and is saddened by the client's condition.Which nursing diagnosis is the most appropriate for this situation?

Accepted Answer

The description of the situation suggests that the primary caregiver is experiencing caregiver role strain, which is defined as the stress and burden experienced by the caregiver due to the caregiving responsibilities. The caregiver's fatigue, social isolation, and sadness are common signs of caregiver role strain. Impaired home maintenance and interrupted family processes may be relevant in other situations, but they do not seem to be the main issues in this case. Risk for caregiver role strain is not a recognized nursing diagnosis.

Question 15

A patient with poorly controlled diabetes,hospitalized for a leg ulcer,is being discharged on insulin,new medications,and the expectation to perform capillary blood glucose measurements,which has never been done.Is a referral to home care appropriate for this patient?

Accepted Answer

The patient has poorly controlled diabetes, is being discharged with new medications, and the expectation to perform capillary blood glucose measurements. They have never done this before, making it clear that they may need professional assistance in the beginning. Therefore, a referral to home care is appropriate as they need skilled services and are eligible for home care services.

Question 16

A home health nurse is working with a physical therapist and home health aides to work out a schedule for their visits that will best address the patient's needs.Which nursing role does this demonstrate?

Accepted Answer

The scenario describes the nurse working with other healthcare professionals to coordinate care for the patient, so this demonstrates the nursing role of care coordinator.

Question 17

A community health nurse is evaluating the current health programs in the community.Which outcome indicates a healthy community?

Accepted Answer

A healthy community is indicated by its members having adequate access to primary care services. This suggests that the community's health needs are being met, which is a direct measure of health outcomes.

Question 18

A home health nurse has called the patient to arrange an initial home visit and has driven to the home.What is the nurse's objective in the first few minutes of the visit?

Accepted Answer

The nurse's objective in the first few minutes of the visit should be to develop rapport and trust with the patient and family. This will help establish a good working relationship and facilitate communication, which is crucial for providing effective home health care. Gathering demographic data, completing referral forms, assessing the patient's health needs, and determining their needs for ongoing care are important tasks but should only be done after a trusting relationship has been established.

Question 19

A community health nurse gathers information about how individuals in a low-income neighborhood perceive the community and its state of health.Which assessment strategy would be appropriate?

Accepted Answer

Conducting interviews with residents living on every fifth block would provide a representative sample of the community's perceptions and experiences. This strategy allows the nurse to gather firsthand information about the community's health and social determinants of health from those who live in the area. Windshield surveys are helpful for identifying physical characteristics of the community, but do not provide information on residents' perceptions or experiences. Reviewing databases and analyzing demographic data are important sources of information, but may not capture the range of individual perceptions and experiences in the community.

Question 20

What is a chief benefit of using the Clinical Care Classification (CCC)system to document home care?

Accepted Answer

The Clinical Care Classification (CCC) system is linked to the OASIS (Outcome and Assessment Information Set) reporting forms required by Medicare, which is a key benefit for documenting home care as it ensures compliance with Medicare requirements.

Quiz 42: Community Home Health Nursing