TEST 1 chapter 8

Which factor would be least significant when evaluating the growth of home health care?
A. The successful use of high technology services in the home
B. A growing emphasis on preventing hospitalization
C. An increase in the older adult population
D. An increase in home childbirth

A physician has ordered daily visits from a home health nurse for a client with an open, draining wound who is unable to perform the dressing changes. The visits need to be scheduled around the client's three-time-weekly visits to the senior citizens center. Will Medicare pay for the home health care?
A. Yes, if the treatment plan identifies specific interventions
B. Yes, because a physician ordered the visits
C. No, because the client doesn't qualify as homebounds
D. No, because the client can ambulate

The wife of a client who is bedfast and unable to speak tells the nurse that she has been leaving him alone while going shopping. What is the best action for the nurse to take?
A. Suggest possible alternatives, such as a respite service
B. Trust the wife's judgment and allow care to continue
C. Ask the physician to call and talk to the client's wife
D. Inform the wife she is endangering the client's life

A family member has been caring for a client for 18 months. The family member says that he is concerned about being able to meet future needs of the client, and that he has been feeling very sad lately. What would this likely indicate to the nurse?
A. Caregiver anxiety
B. Caregiver role strain
C. Caregiver coping difficulties
D. Caregiver depression

Which individual most often assumes the role of case manager for home health clients?
A. The physician
B. The registered nurse
C. The home health aide
D. The pastoral care minister

Which role of the home health nurse is often considered the basis for care?
A. Caregiver
B. Educator
C. Advocate
D. Case manager

Which is not considered a selective dimension of home health nursing?
A. Client safety
B. Infection control
C. Caregiver support
D. Client advocacy

What would be considered one of the greatest challenges of the home health nurse?
A. Caregiver support
B. Nurse safety
C. Infection control
D.Direct care giving

Which part of the nursing process would involve the nurse ensuring the client is receiving the prescribed therapy at appropriate times?
A.Assessing
B.Diagnosing
C. Planning/implementing
D. Evaluating/documenting

Which statement about the future of home health nursing would be considered correct?
A. The advanced practice nurse will not provide therapy for clients.
B. Clients with pain will not be cared for in the home.
C. Electronic visits may be utilized.
D.Third-party reimbursement is not expected for social workers.

Which of the following factors has contributed the most to the growth of home care?
A. Overcrowded emergency rooms
B. An increase in infectious diseases.
C. Hospital closings
D. Rising health care costs

What is the primary difference between a home care and community health nurse?
A. Community health nurses focus on aggregate groups only.
B. Home care nurses consider the needs of the client and community.
C. The focus of the home care nurse is the client and family.
D. The community health nurse does not perform home visits.

One of the most important roles of the home care nurse is to: A. Provide wound care
B. Teach the patient and family about the disease process
C. Coordinate care
D. Call the primary care providers' office for the client and family.

When designing care for a client and family, the nurse should consider which essential factor?
A. Cultural practices
B. Socioeconomic status
C. Number of bedrooms in the home
D. Home Internet access

The home care nurse opens the case of an elderly woman who has been discharged to home with the diagnosis of syncope. During the initial visit, one of the primary goals is to:
A. Instruct the client to call a neighbor for any emergency.
B. Pick up the client's prescriptions at the local pharmacy.
C. Make the client a sandwich if she is hungry.
D. Assess the home for safety hazards