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Community Based Nursing An Introduction 3rd Edition By Melanie McEwen – Test Bank

 

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McEwen: Community-Based Nursing, 3rd Edition

 

Test Bank

 

Chapter 1: Opportunities in Community-Based Nursing Practice

 

MULTIPLE CHOICE

 

  1. Over the past two decades, the health care delivery system has changed dramatically. Among the changes are:
1. Care is becoming more focused on acute health care rather than health promotion and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on the individual.

 

 

ANS:   3                      DIF:    Cognitive Level: Comprehension       REF:    Page Reference: 4

OBJ:    1                      TOP:    Introduction

 

  1. Factors that have served to produce the current nursing shortage in the United States include all of the following except:
1. Heavy workloads and inadequate staffing.
2. Increasing age of the general population and growing need for long-term management of chronic diseases.
3. Perceived lack of opportunity for job placement and advancement.
4. Relatively low wages.

 

 

ANS:   4                      DIF:    Comprehension           REF:   Page Reference: 5 (Box 1-1) OBJ:       2          TOP:            Trends in Nursing Employment

 

  1. Currently, approximately what percentage of nurses in the United States do not work in acute care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%

 

 

ANS:   4                      DIF:    Knowledge     REF:    Page Reference: 7

OBJ:    2                      TOP:    Trends in Nursing Employment

 

 

 

 

 

 

 

 

  1. The two broad goals of Healthy People 2010 focus on:
1. Achieving access to preventive care for all Americans and increasing life expectancy.
2. Eliminating health disparities and increasing quality years of healthy life.
3. Promoting public health core functions (assessment, assurance, and health policy) and decreasing mortality.
4. Reducing mortality in infants, children, adolescents, adults, and elders and improving health surveillance.

 

 

ANS:   2                      DIF:    Comprehension                     REF:     Page Reference: 9

OBJ:    3                      TOP:    Healthy People 2010

 

  1. All of the following are “focus areas” described in Healthy People 2010 except:
1. Access to quality health services.
2. Cancer.
3. Oral health.
4. Senior health.
5. Tobacco use.

 

 

ANS:   4                      DIF:    Knowledge

REF:    Page Reference: 10 (Healthy People 2010 box)                    OBJ:    3

TOP:    Healthy People 2010

 

  1. Health promotion and illness prevention activities, such as well-child checkups, routine physical examinations, and prenatal care are examples of:
1. Comprehensive health care.
2. Primary health care.
3. Secondary health care.
4. Tertiary health care.

 

 

ANS:   2                      DIF:    Application     REF:    Page Reference: 5

OBJ:    4                      TOP:    Primary, Secondary, and Tertiary Health Care

 

  1. Secondary health care is becoming increasingly common in community-based settings. Examples of this are:
1. Alcohol counseling for a homeless veteran and cardiac testing for an overweight bank executive.
2. Care for a terminally ill elder and rehabilitation for a client with a spinal cord injury.
3. Home-based infusion therapy for a man with osteomyelitis and outpatient cholecystectomy for a middle-aged woman.
4. Prenatal care for a pregnant teen and diagnostic testing for a man with chronic back pain.

 

 

ANS:   3                      DIF:    Application     REF:    Page Reference: 5

OBJ:    4                      TOP:    Primary, Secondary, and Tertiary Health Care

 

  1. Tertiary health care refers to:
1. Health care delivered in the home.
2. Health promotion and illness prevention activities.
3. Management of chronic, complicated, long-term health problems.
4. Relatively serious or complicated care that has historically been provided to people who are inpatients in hospitals.

 

 

ANS:   3                      DIF:    Comprehension                  REF:    Page Reference: 5

OBJ:    4                      TOP:    Primary, Secondary, and Tertiary Health Care

 

  1. There are differences in the scope of practice and foci between community-based nursing practice and community health nursing. Which of the following is more descriptive of community-based nursing practice?
1. Emphasis is on preservation and protection of health.
2. Main objective is managing acute or chronic conditions in community settings.
3. Primary focus is on populations or aggregates.
4. Provision of both direct and indirect health services is common.

 

 

ANS:   2                      DIF:    Application     REF:    Page Reference: 6

OBJ:    1                      TOP:    Community-Based Nursing and Community Health Nursing

 

  1. According to the findings from the survey of RNs conducted by the Department of Health and Human Services’ Division of Nursing, geographic maldistribution of nurses is a significant problem. Regions with the lowest rates of nurses per capita are:
1. The District of Columbia and Virginia.
2. Midwestern states and the Dakotas.
3. Mountain states (Nevada, Idaho) and the southwest (Oklahoma, Texas).
4. New England states (Massachusetts, Rhode Island, Vermont).

 

 

ANS:   3                      DIF:    Knowledge     REF:    Page Reference: 7-8

OBJ:    2                      TOP:    Current Trends in Nursing Employment

 

  1. It is anticipated that over the next decade, the number of nurses working in community-based settings will:
1. Decrease dramatically.
2. Decrease slightly.
3. Increase somewhat.
4. Remain the same.

 

 

ANS:   3                      DIF:    Comprehension                     REF:     Page Reference: 8

OBJ:    2                      TOP:    Current Trends in Nursing Employment

 

 

 

 

 

 

  1. Community-based nursing practice is characterized by all of the following except:
1. An opportunity to provide holistic care in less structured settings.
2. Emphasis on health promotion and illness prevention.
3. Enhanced flexibility and autonomy.
4. Immediate access to support from other nurses and health personnel.

 

 

ANS:   4                      DIF:    Analysis          REF:    Page Reference: 8

OBJ:    1                      TOP:    Community-Based Nursing and Community Health Nursing

 

  1. Among the uses of Healthy People 2010 are all of the following except to:
1. Be used as a framework to promote healthy choices for individuals.
2. Encourage increased fiscal allocations by state and federal legislative bodies.
3. Incorporate objectives to guide health promotion activities and programs in schools, clinics, and worksites.
4. Serve as a benchmark for health promotion activities.

 

 

ANS:   2                      DIF:    Application     REF:    Page Reference: 10

OBJ:    3                      TOP:    Healthy People 2010

McEwen: Community-Based Nursing, 3rd Edition

 

Test Bank

 

Chapter 3: Client Education and Health Teaching

 

MULTIPLE CHOICE

 

  1. Evaluation of health education is measured through:
1. Changes in values, attitudes, and health behaviors.
2. Individual reports of improved health.
3. Objective measures of morbidity and mortality.
4. Program participation.

 

 

ANS:  1                    DIF:    Cognitive Level: Knowledge          REF:   Page Reference: 29

OBJ:   8                    TOP:   Health Education

 

  1. Which of the following statements about literacy levels and reading skills is false?
1. Almost half of all Americans are functionally illiterate.
2. Elders are particularly at risk for suffering from health problems related to poor literacy.
3. People with low literacy skills are at an increased risk of poor health.
4. Instructions are commonly written at a level that does not match the reading skills of patients.

 

 

ANS:  1                    DIF:    Cognitive Level: Knowledge          REF:   Page Reference: 40-41

OBJ:   7                    TOP:   Low Literacy Learners

 

  1. In applying an understanding of the characteristics of adult learners to a group in a cardiac disease risk-reduction program in a large software company, an occupational health nurse should consider all of the following except the:
1. Developmental and interest levels.
2. Effect of personal experience that members of the group may have had with heart disease.
3. Knowledge level of the participants about coronary heart disease and risk factor reduction.
4. Motivating factors for each of the members to address cardiac disease risk factors.

 

 

ANS:  1                    DIF:    Cognitive Level: Application          REF:   Page Reference: 35

OBJ:   4                    TOP:   Principles of Teaching and Learning

 

 

 

 

 

 

 

 

 

  1. In planning a health education program for her high school, Alice Adams has decided to use a variety of approaches. Appropriate teaching techniques would include all of the following, although Alice knows that the least effective would probably be:
1. Large group lectures on nutrition.
2. Peer counseling by former substance abusers.
3. Presentations by nurses from the local health department on STDs.
4. Small group discussions on personal hygiene.
5. Support groups for persons with eating disorders.

 

 

ANS:  1                    DIF:    Cognitive Level: Application          REF:   Page Reference: 39

OBJ:   6                    TOP:   Principles of Teaching and Learning

 

  1. All of the following are variables in the Health Belief Model except:
1. Cues to action.
2. Perceived barriers to action.
3. Perceived benefits.
4. Perceived health status.
5. Perceived susceptibility.

 

 

ANS:  4                    DIF:    Cognitive Level: Knowledge

REF:   Page Reference: 30 (Table 3-1)      OBJ:   2                    TOP:   Health Belief Model

 

  1. Kelly Means, RN, is teaching the Ross family about smoking cessation. The Ross family knows that smoking is bad for their health, and they are open to learning about smoking cessation, but have no plans to stop smoking. The Ross family is in which stage of change?
1. Action
2. Contemplation
3. Precontemplation
4. Preparation

 

 

ANS:  3                    DIF:    Cognitive Level: Knowledge

REF:   Page Reference: 31 (Table 3-2)      OBJ:   2                    TOP:   Transtheoretical Model

 

  1. A home health nurse provides reading materials in large print and a magnifying glass for an elderly client to monitor her blood pressure. This is an example of considering the client’s:
1. Developmental stage.
2. Emotional readiness.
3. Learning style.
4. Physical readiness.

 

 

ANS:  4                    DIF:    Cognitive Level: Application

REF:   Page Reference: 35 (Box 3-2)        OBJ:   6

TOP:   Principles of Teaching and Learning

 

 

 

 

  1. Mr. Gage believes that exercise is important to maintaining his health and is interested in taking an exercise class for beginners to learn how to exercise safely. Mr. Gage is in what learning domain?
1. Affective
2. Cognitive
3. Psychomotor
4. Visual

 

 

ANS:  1                    DIF:    Cognitive Level: Application          REF:   Page Reference: 34

OBJ:   6                    TOP:   Principles of Teaching and Learning

 

  1. A nurse is instructing a middle-aged man regarding diet and exercise to lower cholesterol levels and to improve fitness. In what way is this client empowered by education?
1. He will be able to respond to external circumstances.
2. He will be compliant with the prescribed exercise and diet program.
3. He will have the knowledge and skills necessary to make decisions regarding his health.
4. He will use the knowledge and skills to improve his health.

 

 

ANS:  3                    DIF:    Cognitive Level: Analysis               REF:   Page Reference: 28

OBJ:   1                    TOP:   Introduction to Health Education

 

  1. Mrs. Jones, a smoker, has early chronic obstructive pulmonary disease. Mrs. Jones realizes that smoking is harming her health, but she cannot get motivated to initiate change. Her nurse, Mark Aimes, sets aside time during a clinic appointment to discuss the pros and cons of smoking cessation and to offer support. This encounter is a:
1. Developmental assessment.
2. Motivational interview.
3. Needs assessment.
4. Teachable moment.

 

 

ANS:  2                    DIF:    Cognitive Level: Application          REF:   Page Reference: 33

OBJ:   4                    TOP:   Motivational Interviewing

 

  1. What is the most effective way of moving a client out of the precontemplation phase of change?
1. Assessment of the client’s need for change
2. Educating the client regarding health issues
3. Motivational interviewing
4. Referring the client to a support group

 

 

ANS:  2                    DIF:    Cognitive Level: Application          REF:   Page Reference: 33

OBJ:   2                    TOP:   Principles of Teaching and Learning

 

 

 

 

 

 

  1. When asked how he learns best, Mr. Brown responds that he is better with written information and remembers most of what he sees in videos or on TV. Mr. Brown is what type of learner?
1. Auditory
2. Kinesthetic
3. Tactile
4. Visual

 

 

ANS:  4                    DIF:    Cognitive Level: Application

REF:   Page Reference: 34 (Table 3-3)      OBJ:   3                    TOP:   Learning styles

 

  1. Sherri Montgomery, RN, is an elementary school nurse. As she designs a learning module for the students in her school (ages 5 to 10 years), she must consider their developmental level. What strategies would be most effective for presenting material to the children?
1. Brightly colored books, posters, and videos
2. Computer games, manipulatives, and field trips
3. Lectures, diagrams, and experiments
4. Presentations by role models, movies, and field trips

 

 

ANS:  2                    DIF:    Cognitive Level: Application          REF:   Page Reference: 34

OBJ:   6                    TOP:   Principles of Teaching and Learning

 

  1. Barriers to learning that health care professionals should consider when planning diabetes education for the Gonzales family include all of the following except the family’s:
1. Context of needed change.
2. Cosmopolitan view.
3. Literacy level.
4. Perceived seriousness of diabetes.
5. Self-efficacy in managing diabetes.

 

 

ANS:  2                    DIF:    Cognitive Level: Synthesis             REF:   Page Reference: 33

OBJ:   2, 4, 7            TOP:   Health Teaching

 

  1. Learning objectives should be SMART, indicating that they should be:
1. Salient, maintenance-focused, active, repetitive, and teaching-oriented.
2. Sensitive, meaningful, active, relevant, and testable.
3. Specific, measurable, achievable, related to goals, and time-limited.
4. Systematic, motivating, accurate, reasonable, and time-limited.

 

 

ANS:  2                    DIF:    Cognitive Level: Knowledge          REF:   Page Reference: 38

OBJ:    5          TOP:    Writing Goals

McEwen: Community-Based Nursing, 3rd Edition

 

Test Bank

 

Chapter 11: Home Health Care Nursing

 

MULTIPLE CHOICE

 

  1. Which of the following statements about home health care is true?
1. Home health care in the United States is relatively new, having been instituted in the mid-1940s to provide care for injured soldiers.
2. The growth in home health care in the United States peaked in the mid-1980s following passage of legislation that created diagnosis-related groups.
3. The number of nurses working in home health care in the United States has more than doubled since the 1980s.
4. With passage of Medicare in the mid-1960s, home health care became less dependent on input and supervision of physicians and more autonomous for nurses.

 

 

ANS:  3                    DIF:    Cognitive Level: Analysis               REF:   Page Reference: 192

OBJ:   1                    TOP:   History of Home Health Care

 

  1. Since the mid-1960s, home health care has evolved from being:
1. A function of public health departments and visiting nurse associations to being provided by hospital-based agencies and proprietary institutions.
2. Largely dependent on nonnurse health care practitioners to being composed of skilled nursing care.
3. Provided mostly by proprietary agencies to being provided by nonprofit agencies.
4. The responsibility of family members to being the responsibility of insurers.

 

 

ANS:  1                    DIF:    Cognitive Level: Analysis

REF:   Page Reference: 193 (Table 11-2)  OBJ:   1                    TOP:   History of Home Health Care

 

  1. Reimbursement is a very important issue in home health care. Because public sources (predominately Medicare) currently pay more than 70% of home health care costs, to ensure payment for services home health nurses should:
1. Check a client’s Medicare eligibility on a daily basis.
2. Contact the referring physician to ensure that all services have been ordered.
3. Contact sources for referral only when absolutely necessary.
4. Document all assessment data and care provided on required forms.

 

 

ANS:  4                    DIF:    Cognitive Level: Application          REF:   Page Reference: 196

OBJ:   2                    TOP:   Home Health Care Reimbursement

 

 

 

 

  1. Jim Belton works for a for-profit home health agency that does not meet Medicare’s current Conditions of Participation. Because of this, the agency is:
1. Eligible to receive Medicare payments, because it is not part of a public health program.
2. Eligible to receive Medicare payments, because it has deemed status.
3. Not eligible to receive Medicare payments, because it delivers poor quality care.
4. Not eligible to receive Medicare payments, because it has not documented meeting federal standards.

 

 

ANS:  4                    DIF:    Cognitive Level: Application          REF:   Page reference: 195

OBJ:   2                    TOP:   Home Health Care Reimbursement

 

  1. All of the following criteria must be met for a client to be eligible for home health services under Medicare except:
1. The client must be homebound.
2. The client must need skilled nursing care, physical therapy, or speech therapy.
3. The client must be indigent.
4. The client’s physician must certify the need for care.

 

 

ANS:  3                    DIF:    Cognitive Level: Comprehension   REF:   Page Reference: 195

OBJ:   2                    TOP:   Home Health Care Reimbursement

 

  1. Clients who receive home health services:
1. Generally pay for services as they are provided, similar to a visit to a physician.
2. Often are unable to pay for all services directly, but pay on a “sliding-scale” basis.
3. Typically are poor with no individual health benefits.
4. Usually have some type of health insurance that pays for visits.

 

 

ANS:  4                    DIF:    Cognitive Level: Comprehension   REF:   Page Reference: 193

OBJ:   2                    TOP:   Home Health Care Reimbursement

 

  1. Which of the following entries documenting a skilled nursing visit will best promote timely and complete reimbursement?
1. A skilled nursing visit was conducted to monitor the client’s response to daily dressing changes and to prevent further complications.
2. A skilled nursing visit was conducted to assess the client’s ability to perform insulin injections and to evaluate blood glucose levels.
3. Previous education was reinforced and the nurse observed that the client was taking her medication as ordered.
4. Options for long-term care were discussed with the client and caregivers, and they recognize that multiple sclerosis is a chronic, degenerative condition.

 

 

ANS:  2                    DIF:    Cognitive Level: Synthesis

REF:   Page Reference: 196 (Table 11-3)  OBJ:   3

TOP:   Home Health Care Documentation

 

 

 

 

  1. Ideally, the discharge planning process should begin:
1. As soon as the primary nurse determines that home health care would be needed.
2. Before the client is hospitalized.
3. When the physician decides that the patient will need ongoing care following hospitalization.
4. Whenever a complicated or difficult recovery is anticipated.

 

 

ANS:  2                    DIF:    Cognitive Level: Comprehension   REF:   Page Reference: 197

OBJ:   4                    TOP:   Home Care Nursing Practice

 

  1. Sally Garner is a case manager for a home health agency and has been assigned to care for Bessie Smith, an 82-year-old woman who has been admitted to services following a stroke. As Bessie’s case manager, Sally will:
1. Assign her care to one of the nurses who specializes in stoke clients.
2. Consult with her family to determine what services they desire.
3. Contact Centers for Medicare & Medicaid Services (CMS) to determine what services will be covered by Medicare.
4. Outline a comprehensive plan of care and coordinate the activities of other health care providers.

 

 

ANS:  4                    DIF:    Cognitive Level: Application          REF:   Page Reference: 198

OBJ:   4                    TOP:   Home Care Nursing Practice

 

  1. In providing care for an elder with hemiplegia and dysphasia following a stroke, a home health nurse would work with several members of an interdisciplinary team. Included in the team most likely would be a:
1. Home health aide who would conduct a thorough functional assessment.
2. Physical therapist to assist in restoring small motor coordination and improving physical tasks related to activities of daily living.
3. Social worker who would oversee the plan of care for Medicare reimbursement.
4. Speech therapist to treat or manage problems related to the dysphasia.

 

 

ANS:  4                    DIF:    Cognitive Level: Analysis

REF:   Page Reference: 199 (Box 11-2)    OBJ:   4                    TOP:   Home Care Nursing Practice

 

  1. Andy Roberts is a home health nurse who has five clients to see. Mr. Anderson needs BID dressing changes; Mrs. Brown needs blood drawn to check her prothrombin (protime) levels; Mr. Carter must have his fasting blood glucose levels checked; Mrs. Dixon’s heart and lung function must be evaluated following recent hospitalization with congestive heart failure (CHF); and Mr. Edison is a new admit after being discharged from the hospital following a total hip replacement. In planning his day, Andy will probably schedule which two clients first?
1. Mr. Anderson and Mr. Carter
2. Mr. Anderson and Mr. Edison
3. Mrs. Brown and Mrs. Dixon
4. Mrs. Brown and Mr. Edison
5. Mr. Carter and Mrs. Dixon

 

 

ANS:  5                    DIF:    Cognitive Level: Application          REF:   Page Reference: 199-200

OBJ:   5                    TOP:   Process of Home Health Nursing

 

  1. When arriving at a residence of a new client, a home health nurse observes that the client lives in a decaying apartment building in a very poor neighborhood known for drug activity. She notices several men loitering around the entrance to the building. The best response of the nurse would be to:
1. Approach the building looking confident, make eye contact with the men, nod “hello,” and walk on into the building.
2. Call the police for an escort.
3. Return to her office and make an attempt to reschedule the visit at another time or another site.
4. Wait in her car for a little while and see whether the men leave.

 

 

ANS:  3                    DIF:    Cognitive Level: Analysis

REF:   Page Reference: 202 (Community Application Box-Safety Tips)

OBJ:   5                    TOP:   Process of Home Health Nursing

 

  1. Evaluation of teaching in home health is vital. All of the following are examples of this type of evaluation except:
1. Assurance that durable medical equipment had been delivered as ordered.
2. Observation of the client or caregiver as they perform a sterile dressing change.
3. Use of return demonstration in drawing up insulin.
4. Verbalization of principles of an American Diabetes Association diet.

 

 

ANS:  1                    DIF:    Cognitive Level: Analysis               REF:   Page Reference: 205

OBJ:   5                    TOP:   Process of Home Health Nursing

 

  1. 14. Which of the following clients would most likely be a candidate for home infusion therapy?
1. Barry Gleason, who has pneumonia and severe diarrhea secondary to AIDS
2. Candice Addison, who has CHF and chronic obstructive pulmonary disease
3. Delbert Jackson, who was recently diagnosed with schizophrenia
4. Elizabeth Summers, who has breast cancer

 

 

ANS:  1                    DIF:    Cognitive Level: Analysis

REF:   Page Reference: 207 (Table 11-4)  OBJ:   6

TOP:   Specialized Home Health Care

 

 

 

 

 

 

 

 

 

 

 

 

  1. In addition to changing dressings, nursing interventions in wound management include all of the following except:
1. Cleaning and debridement.
2. Ensuring that the living environment is clean and supportive of the client’s caregivers.
3. Evaluation of efficacy of treatment.
4. Obtaining cultures when indicated.
5. Teaching the client and/or caregiver how to change the dressing using sterile technique.

 

 

ANS:  2                    DIF:    Cognitive Level: Analysis               REF:   Page Reference: 208-209

OBJ:   6                    TOP:   Specialized Home Health Care

 

  1. Maria Vasquez is a home health nurse specializing in care of high-risk prenatal clients. Which of the following clients would probably not be a candidate for Maria?
1. Gretchen Mitchell, who is 26 weeks and on strict bed rest with continual uterine monitoring because of premature labor
2. Hannah Peters, who is 22 weeks and carrying twins and needs monthly ultrasound evaluation of fetal growth
3. Irene Johnson, who is 30 weeks and has been discharged with preeclampsia but will be readmitted for delivery in 2 or 3 weeks
4. Janice Wilson, who is 14 weeks’ gestation and is seriously dehydrated and losing weight following several weeks of hyperemesis

 

 

ANS:  2                    DIF:    Cognitive Level: Application          REF:   Page Reference: 210

OBJ:   6                    TOP:   Specialized Home Health Care

 

  1. Goals of psychiatric home care include all of the following except:
1. Monitoring medication compliance, effectiveness, and side effects.
2. Promoting the client’s adjustment to the community and home.
3. Providing ongoing individual counseling and psychotherapy.
4. Providing in-home respite services to the client’s family.
5. Reducing the need for hospitalization or rehospitalization of clients in psychological crisis.

 

 

ANS:  3                    DIF:    Cognitive Level: Comprehension   REF:   Page Reference: 211

OBJ:   6                    TOP:   Specialized Home Health Care

 

  1. One of the primary goals in hospice care is pain control. In hospice nursing, pain is managed by:
1. Encouraging the client to wait as long as possible between doses to allow more thorough action of the medication.
2. Encouraging regular doses of combinations of opioid, nonopioid, and adjuvant pain medication to build a wall against pain and prevent it from recurring before the next dose is given.
3. Permitting the client and the caregiver to give as much medication as desired, whenever needed.
4. Providing the smallest dose possible to avoid the possibly of creating an addiction.

 

 

ANS:  2                    DIF:    Cognitive Level: Application          REF:   Page Reference: 213

OBJ:   6                    TOP:   Specialized Home Health Care

 

  1. A very important consideration in hospice nursing is to:
1. Encourage the client and the family to not give up and continue to look for a cure to the illness.
2. Ensure that everything possible is done to allow the client to die at home regardless of outside factors.
3. Include caring for the caregivers’ mental and physical health.
4. Provide stringent health education to ensure that the caregiver will not accidentally overdose the client with pain medication.

 

 

ANS:  3                    DIF:    Cognitive Level: Application          REF:   Page Reference: 212

OBJ:   6                    TOP:   Specialized Home Health Care

 

  1. During the initiation phase of the home visit, the home health nurse will:
1. Contact the client and approach the visit with self-confidence.
2. Document care that is to be provided by the nurse and other team members.
3. Perform an inspection of the client’s environment and functional status.
4. Review the chart or records left in the home to make sure permissions are signed and records are up-to-date.

 

 

ANS:  4                    DIF:    Cognitive Level: Application          REF:   Page Reference: 203

OBJ:   5                    TOP:   Process of Home Health Nursing

 

  1. Thorough and accurate documentation is essential in home health nursing for all of the following reasons except to:
1. Describe the client’s condition and response to care.
2. Dictate the amount the agency will reimburse the nurse.
3. Forestall legal action.
4. Promote continuity of care.
5. Validate reimbursement claims.

 

 

ANS:  2                    DIF:    Cognitive Level: Comprehension   REF:   Page Reference: 196

OBJ:    3          TOP:    Home Health Care Documentation