Question 1

A hospital nurse wants to know why home health nurses often take more time with assessment than nurses do in the hospital. Which of the following is the best explanation for this?

Accepted Answer

A)  Home care assessment includes not only the client but the supplies and equipment the family may have available for use.
B)  The home environment is less organized and equipped for the nurse's use.
C)  Family members must also be assessed for possible problems that could interfere with the primary client's recovery.
D)  To be effective, the home health nurse must earn the family's trust and work in partnership with them. D

Question 2

A nurse completes a self-assessment of performance as part of the home health nurse's annual evaluation. Which of the following terms best describes this activity?

Accepted Answer

A)  Collaboration
B)  Quality of care
C)  Performance appraisal
D)  Resource utilization C

Question 3

When meeting with a client and family, the home health nurse says, "We have discussed your health problems and limitations. Now tell me what level of health and function you hope to achieve." In which of the following phases of the nursing process is the nurse engaging?

Accepted Answer

A)  Assessment
B)  Diagnosis
C)  Outcome identification
D)  Planning

Question 4

Which of the following types of home health agencies emphasizes health promotion and illness prevention?

Accepted Answer

A)  Combination agencies
B)  Hospital-based agencies
C)  Official agencies
D)  Proprietary agencies

Question 5

A family member asks a home health nurse to explain the concept of hospice care. Which of the following would the nurse need to include as the fundamental underlying philosophy of hospice?

Accepted Answer

A)  Enabling the client to die at home
B)  Ensuring that the client's living will is upheld
C)  Placing experts in the position of power of attorney
D)  Providing comfort measures before death

Question 6

The board of directors is examining various submitted reports concerning its home health agency. Which of the following reports represents an example of benchmarking?

Accepted Answer

A)  A report by the administrator regarding how the home health agency's performance compares with that of other local and national home health agencies
B)  A report by the chief financial officer regarding a cost-benefit analysis related to technological advances
C)  A report by the chief nursing officer regarding client outcomes
D)  A report by the medical director regarding implementation of evidence-based practice into standards of care A

Question 7

Which of the following is a primary requirement for a client to be eligible for home health nursing and Medicare reimbursement of services?

Accepted Answer

A)  Must be homebound
B)  Must be living in a medically underserved area
C)  Must be indigent
D)  Must be insured or eligible for Medicare or Medicaid

Question 8

Which of the following clients over 65 years of age meets the criteria for Medicare reimbursement for home health nursing?

Accepted Answer

A)  The client who needs assistance with bathing and meal preparation
B)  The client who needs assistance with house cleaning and meal preparation
C)  The client who needs sitter services because she wanders from home and becomes lost
D)  The client whose family members need to learn how to care for his wound

Question 9

Which of the following best describes one of the outcomes of the incentives and pressures for cost control and improved health outcomes?

Accepted Answer

A)  Expansion in alternative health care agencies
B)  Improvements in client teaching materials
C)  Public pressure to improve health professionals' education
D)  Development and increased use of telehealth technology

Question 10

A new client has just been released from the hospital after intensive treatment for multiple injuries following a motorcycle accident. Which of the following types of care will he most likely receive?

Accepted Answer

A)  Home-based primary care
B)  Population-focused home care
C)  Proprietary home care
D)  Transitional care

Question 11

Which of the following do community-based nurses typically use to organize, sort, and document pertinent client data?

Accepted Answer

A)  NANDA
B)  NIC NOC
C)  Nursing Diagnosis Taxonomy
D)  The Omaha System

Question 12

Which of the following best describes when the home health nurse must document required Outcome and Assessment Information Set (OASIS-B1)  data?

Accepted Answer

A)  Before any episode of hospitalization
B)  After each home health visit
C)  For all incidences of error or mistake in care
D)  On first admission to home health care

Question 13

Which of the following aspects of a home health agency would most likely be examined during the accreditation process? (Select all that apply.)

Accepted Answer

A)  Cost of each service rendered
B)  Credentials of each employee
C)  Organizational structure
D)  Outcomes of care

Question 14

A home health nurse asks a client with arthritis to attend a demonstration in which an assistive device is used to put on shoes. Which phase of the nursing process is the nurse's current focus?

Accepted Answer

A)  Outcome identification
B)  Planning
C)  Implementation
D)  Evaluation

Question 15

A home health nurse is caring for a client who has right-sided paresis secondary to a stroke. Which of the following would be the best approach for the nurse to take?

Accepted Answer

A)  Arrange for private duty nurses to assist the client with daily needs.
B)  Assist the client with activities of daily living.
C)  Teach the client to participate in self-care activities.
D)  Teach the family how to care for the client.

Question 16

A nurse orienting to the home health role states, "I don't understand why we have to collaborate with so many other disciplines; this conflicts with the concept of nurses providing all direct care to the client in the home?" Which of the following would be the best response?

Accepted Answer

A)  "The nurse still provides direct care for the client; however, interdisciplinary collaboration is necessary to prevent fragmentation of care."
B)  "Direct nursing care is a concept applied to care in tertiary facilities, such as hospitals, where materials are centrally located in one facility. In home health, this is not possible."
C)  "Even though home health nursing does not provide as much direct care as other nursing specialties in the community, each discipline contributes to client needs from its special knowledge base."
D)  "Yes, it does create conflict, but Medicare mandates interdisciplinary collaboration."

Question 17

A family is concerned about the medical bills of their father, age 63, who is unemployed and has almost no savings. Which of the following statements by the nurse accurately explain how Medicaid and Medicare would work in this family's situation? (Select all that apply.)

Accepted Answer

A)  "All your father's medical bills will be paid by whichever program is appropriate."
B)  "Choose any physician and just show them your Medicare or Medicaid card."
C)  "Your father must be homebound to qualify for Medicare assistance but less so for Medicaid."
D)  "Medicare is a federally funded program, but Medicaid is administered by your state."

Question 18

Which of the following best describes why it is more challenging for most nurses to meet the needs of a dying child and his or her family than to meet the needs of a dying adult?

Accepted Answer

A)  Children don't understand what it means to die.
B)  A child's death is harder for anyone to accept.
C)  Society does not expect death to occur in children.
D)  Families are not prepared to deal with death.

Question 19

Which of the following is a potential advantage of hospital-based home health agencies over other types of home care agencies?

Accepted Answer

A)  Administration and management benefits are gained from the expertise of two boards of experts.
B)  Continuity of care is enhanced.
C)  Health promotion and illness prevention concerns take precedence over acute care and rehabilitation.
D)  They are eligible for tax exemptions through affiliated agencies.

Question 20

In the agency, one of the nurses spent all available time visiting a group of persons with mental health problems who were trying to remain functional in the community. Which of the following types of assignments did the nurse most likely have?

Accepted Answer

A)  Home-based primary care
B)  Population-focused home care
C)  Proprietary home care
D)  Transitional care

Exam 30: The Nurse in Home Health and Hospice

A hospital nurse wants to know why home health nurses often take more time with assessment than nurses do in the hospital. Which of the following is the best explanation for this?

Correct AnswerverifiedD

A nurse completes a self-assessment of performance as part of the home health nurse's annual evaluation. Which of the following terms best describes this activity?

Correct AnswerverifiedC

When meeting with a client and family, the home health nurse says, "We have discussed your health problems and limitations. Now tell me what level of health and function you hope to achieve." In which of the following phases of the nursing process is the nurse engaging?

Correct AnswerverifiedShow Answer

Which of the following types of home health agencies emphasizes health promotion and illness prevention?

Correct AnswerverifiedShow Answer

A family member asks a home health nurse to explain the concept of hospice care. Which of the following would the nurse need to include as the fundamental underlying philosophy of hospice?

Correct AnswerverifiedShow Answer

The board of directors is examining various submitted reports concerning its home health agency. Which of the following reports represents an example of benchmarking?

Correct AnswerverifiedA

Which of the following is a primary requirement for a client to be eligible for home health nursing and Medicare reimbursement of services?

Correct AnswerverifiedShow Answer

Which of the following clients over 65 years of age meets the criteria for Medicare reimbursement for home health nursing?

Correct AnswerverifiedShow Answer

Which of the following best describes one of the outcomes of the incentives and pressures for cost control and improved health outcomes?

Correct AnswerverifiedShow Answer

A new client has just been released from the hospital after intensive treatment for multiple injuries following a motorcycle accident. Which of the following types of care will he most likely receive?

Correct AnswerverifiedShow Answer

Which of the following do community-based nurses typically use to organize, sort, and document pertinent client data?

Correct AnswerverifiedShow Answer

Which of the following best describes when the home health nurse must document required Outcome and Assessment Information Set (OASIS-B1) data?

Correct AnswerverifiedShow Answer

Which of the following aspects of a home health agency would most likely be examined during the accreditation process? (Select all that apply.)

Correct AnswerverifiedShow Answer

A home health nurse asks a client with arthritis to attend a demonstration in which an assistive device is used to put on shoes. Which phase of the nursing process is the nurse's current focus?

Correct AnswerverifiedShow Answer

A home health nurse is caring for a client who has right-sided paresis secondary to a stroke. Which of the following would be the best approach for the nurse to take?

Correct AnswerverifiedShow Answer

A nurse orienting to the home health role states, "I don't understand why we have to collaborate with so many other disciplines; this conflicts with the concept of nurses providing all direct care to the client in the home?" Which of the following would be the best response?

Correct AnswerverifiedShow Answer

A family is concerned about the medical bills of their father, age 63, who is unemployed and has almost no savings. Which of the following statements by the nurse accurately explain how Medicaid and Medicare would work in this family's situation? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following best describes why it is more challenging for most nurses to meet the needs of a dying child and his or her family than to meet the needs of a dying adult?

Correct AnswerverifiedShow Answer

Which of the following is a potential advantage of hospital-based home health agencies over other types of home care agencies?

Correct AnswerverifiedShow Answer

In the agency, one of the nurses spent all available time visiting a group of persons with mental health problems who were trying to remain functional in the community. Which of the following types of assignments did the nurse most likely have?

Correct AnswerverifiedShow Answer

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