Exam 20: Family-Centered Home Care

The home health nurse outlines short- and long-term goals for a 10-year-old child with many complex health problems.Who should agree on these goals?

A child dependent on medical technology is preparing to be discharged from the hospital to home.Which predischarge assessments should the nurse ensure? (Select all that apply.)

A mother of a 5-year-old child,with complex health care needs and cared for at home,expresses anxiety about attending a kindergarten graduation exercise of a neighbor's child.The mother says,"I wish it could be my child graduating from kindergarten." The nurse recognizes that the mother is experiencing:

The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen.He recently began walking around furniture.He is spoon-fed by his parents and eats some finger foods.Which is the most appropriate goal to promote normal development?

One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers.The nurse should recognize this as:

A family wants to begin oral feeding of their 4-year-old son,who is ventilator-dependent and currently tube-fed.They ask the home health nurse to feed him the baby food orally.The nurse recognizes a high risk of aspiration and an already compromised respiratory status.The most appropriate nursing action is to:

Home care is being considered for a young child who is ventilator-dependent.Which factor is most important in deciding whether home care is appropriate?

When communicating with other professionals,it is important for home care nurses to:

Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that apply.)

The home health nurse asks a child's mother many questions as part of the assessment.The mother answers many questions,then stops and says,"I don't know why you ask me all this.Who gets to know this information?" The nurse should take which action?

A nurse manager at a home-care agency is planning a continuing education program for the home-care staff nurses.Which type of continuing education program should the nurse manager plan?

The home health nurse is caring for a child who requires complex care.The family expresses frustration related to obtaining accurate information about their child's illness and its management.Which is the best action for the nurse?

The home care nurse has been visiting an adolescent with recently acquired quadriplegia.The teen's mother tells the nurse,"I'm sick of providing all the care while my husband does whatever he wants to,whenever he wants to do it." Which should be the initial action of the nurse?

A priority intervention the home-care nurse should teach parents to do to maintain infection control is:

A ventilator-dependent child is cared for at home by his parents.Nurses come for 4 hours each day giving the parents some relief.Which other strategy should the nurse recommend to give the parents a break from the responsibilities of caring for a ventilator-dependent child?