Exam 43: Community Home Health Nursing

A 56-year-old patient provides care to their 91-year-old widowed father. The patient frequently reports fatigue and that there is no time to socialize with friends. "I'm so busy taking care of my dad. It's really hard work because he is bedridden. Sometimes it breaks my heart when I have to feed and bathe him. He always seemed so strong when I was a child." The most appropriate nursing diagnosis for this patient is:

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?

The nurse is visiting a client who resides in a single-room-occupancy hotel. Groups of people are leaning against the building and smoking on the steps. There is obvious substance abuse occurring in the lobby and halls of the building. There is no running water in the room, and the bathroom down the hall is in disrepair and filthy. A primary concern that the nurse must consider when making this visit is safety. Which of the following actions are appropriate safety measures? Select all that apply.

The inhabitants of Yulupa, California, form which of the following?

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

Identify the nurse who is acting as a community health nurse. Select all that apply.

Which statement made by the novice nurse requires further teaching regarding the role of a community health nurse?

The nurse has been assigned to a caseload of home health clients. Before making home visits, which two planning activities must she perform first?

Home healthcare and home hospice care are two different types of home health services. Which statements describe the differences between these services? Select all that apply.

A community health nurse has been assigned census tracts 131 and 132 as a new assignment. This large area crosses the border of two towns and includes 4,000 people. Which components of the community must the community health nurse assess prior to beginning the new assignment?

A nurse serving the community in a public health role would likely perform which of the following functions within a particular community?

A 56-year-old patient is hospitalized because of poorly controlled diabetes and a leg ulcer that developed as a complication of diabetes. The patient is awake, alert, and oriented but fatigued and in need of wound care. In the hospital, insulin and a variety of oral medications were prescribed. The patient is learning how to check their blood sugar and administer insulin. The patient has never given himself insulin and does not understand how to interpret blood sugar readings. The physician has prescribed discharge from the hospital with home health follow-up. Is this an appropriate referral?

The community health nurse is working with the residents of government-subsidized senior housing. Regular meetings are scheduled to discuss concerns and evaluate whether they receive healthcare that meets their needs. Which of the following nursing roles best describes these actions?

The community health nurse has gathered data about the community, including identifying many weaknesses in the community health systems that contribute to poor health outcomes. Which would be her next step?

Which interventions would the nurse implement in the home of an elderly patient to promote safety? Select all that apply.

Which of the following clients would most likely require home health services? Select all that apply.

At a home visit, the nurse asks the patient, "Have you taken your blood pressure medicine today?" The patient replies, "I don't remember. Maybe." On the table are several bottles of medication, some open, some not. They have all been prescribed for the patient. The patient cannot say how often to take each one, when asked. A compartmentalized medication organizer is on the table, with a few capsules in it, and some compartments left open. Which action would the nurse take?

Which of the following services are provided by home health agencies? Select all that apply.

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

The similarity between the Omaha System and the NANDA-I taxonomy is that both contain which of the following?