Question 1

During the performance of which standard of care would the nurse discover the need for Meals on Wheels?

Accepted Answer

A)  Diagnosis 
B)  Planning 
C)  Assessment 
D)  Implementation 
A)  Diagnosis 
B)  Planning 
C)  Assessment 
D)  Implementation C

Question 2

Which are categories of classifying interventions according to the Omaha System Intervention Scheme? Select all that apply.

Accepted Answer

A)  Health education 
B)  Case management 
C)  Treatments and procedures 
D)  Direct care services 
A)  Health education 
B)  Case management 
C)  Treatments and procedures 
D)  Direct care services B,C

Question 3

Which organization publishes the current scope and standards of home care practice?

Accepted Answer

A)  Centers for Medicare and Medicaid Services 
B)  American Nurses Association 
C)  Robert Wood Johnson Foundation 
D)  Visiting Nurse Association 
A)  Centers for Medicare and Medicaid Services 
B)  American Nurses Association 
C)  Robert Wood Johnson Foundation 
D)  Visiting Nurse Association B

Question 4

Which illegal and unethical activities have occurred in health care systems in the past? (Select all that apply.)

Accepted Answer

A)  Inappropriate use of home health services 
B)  Inaccurate billing for services 
C)  Excessive administrative staff 
D)  "Kick-backs" for referrals 
E)  None of above 
A)  Inappropriate use of home health services 
B)  Inaccurate billing for services 
C)  Excessive administrative staff 
D)  "Kick-backs" for referrals 
E)  None of above

Question 5

What is the primary objective of hospice programs?

Accepted Answer

A)  To provide comfort and peace at a difficult time 
B)  To reduce the cost of care for the terminally ill 
C)  To keep clients at home until the end of life 
D)  To provide care for terminally ill clients expected to live longer than 6 months 
A)  To provide comfort and peace at a difficult time 
B)  To reduce the cost of care for the terminally ill 
C)  To keep clients at home until the end of life 
D)  To provide care for terminally ill clients expected to live longer than 6 months

Question 6

A nurse who implements a population-focused model of home care delivery would most likely:

Accepted Answer

A)  Use an assessment protocol when conducting visits. 
B)  Collaborate with other disciplines. 
C)  Provide care for a specific population. 
D)  Apply high-intensity interventions. 
A)  Use an assessment protocol when conducting visits. 
B)  Collaborate with other disciplines. 
C)  Provide care for a specific population. 
D)  Apply high-intensity interventions.

Question 7

Which nursing intervention is an example of a skilled nursing service?

Accepted Answer

A)  Teaching the client and family about medication administration 
B)  Consulting with other nurses about the care of a client in the home 
C)  Coordinating services for maximum benefit at minimal cost 
D)  Reviewing nursing assistant charting at the end of each day 
A)  Teaching the client and family about medication administration 
B)  Consulting with other nurses about the care of a client in the home 
C)  Coordinating services for maximum benefit at minimal cost 
D)  Reviewing nursing assistant charting at the end of each day

Question 8

The nurse provides direct care services to a stroke victim to avoid complications.This is an example of which level of prevention?

Accepted Answer

A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Assessment 
A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Assessment

Question 9

Which concepts are used to evaluate client outcomes when using the Omaha System Problem Rating Scale for Outcomes?

Accepted Answer

A)  Problem, Intervention, and Outcome 
B)  Knowledge, Behavior, and Status 
C)  Knowledge, Skill, and Attitude 
D)  Problem, Category, and Modifiers 
A)  Problem, Intervention, and Outcome 
B)  Knowledge, Behavior, and Status 
C)  Knowledge, Skill, and Attitude 
D)  Problem, Category, and Modifiers

Question 10

Which populations may require a high-intensity transitional care program? Select all that apply.

Accepted Answer

A)  Adults with cognitive impairments 
B)  Women with high-risk pregnancies 
C)  Older adults with heart failure 
D)  People who are moving from one state to another 
A)  Adults with cognitive impairments 
B)  Women with high-risk pregnancies 
C)  Older adults with heart failure 
D)  People who are moving from one state to another

Question 11

Official agencies are financed primarily by:

Accepted Answer

A)  Charities 
B)  Individual clients 
C)  Third-party payers 
D)  Tax funds 
A)  Charities 
B)  Individual clients 
C)  Third-party payers 
D)  Tax funds

Question 12

Why would a nurse use the Omaha System?

Accepted Answer

A)  To define each health care provider's role 
B)  To use nursing diagnoses in community health nursing practice 
C)  To foster collaborative practice 
D)  To provide practitioners a method for communication 
A)  To define each health care provider's role 
B)  To use nursing diagnoses in community health nursing practice 
C)  To foster collaborative practice 
D)  To provide practitioners a method for communication

Question 13

Which historical event caused dramatic changes in home care nursing?

Accepted Answer

A)  Passage of Medicare legislation 
B)  Establishment of Visiting Nurse Associations 
C)  Creation of the Montefiore Hospital Home Care Program 
D)  Provision of funds by the Civil Works Administration 
A)  Passage of Medicare legislation 
B)  Establishment of Visiting Nurse Associations 
C)  Creation of the Montefiore Hospital Home Care Program 
D)  Provision of funds by the Civil Works Administration

Question 14

After conducting a comprehensive client assessment,the nurse would organize information about the client's medication regimen into which domain of the Omaha System Problem Classification Scheme?

Accepted Answer

A)  Environmental 
B)  Psychosocial 
C)  Physiological 
D)  Health-related behaviors 
A)  Environmental 
B)  Psychosocial 
C)  Physiological 
D)  Health-related behaviors

Question 15

Which factor is important for the nurse to consider when coordinating care to ensure a comfortable and peaceful death?

Accepted Answer

A)  The unique stress dying patients often experience 
B)  The cultural values, expectations, and preferences of the family 
C)  The communication style of each family member 
D)  The abilities of the nurse and health care team 
A)  The unique stress dying patients often experience 
B)  The cultural values, expectations, and preferences of the family 
C)  The communication style of each family member 
D)  The abilities of the nurse and health care team

Question 16

A home care nurse is employed by a proprietary agency.What does this mean?

Accepted Answer

A)  The agency is exempt from federal income taxes. 
B)  The agency is governed by a board of directors. 
C)  The agency is a profit-making agency. 
D)  The agency is reimbursed primarily by tax funds. 
A)  The agency is exempt from federal income taxes. 
B)  The agency is governed by a board of directors. 
C)  The agency is a profit-making agency. 
D)  The agency is reimbursed primarily by tax funds.

Question 17

A home care agency has applied for accreditation from the Joint Commission.What is the next step the agency will take?

Accepted Answer

A)  Attend a conference to learn more about the accreditation process. 
B)  Schedule a site visit with the Joint Commission. 
C)  Complete a self-study of the agency. 
D)  Improve methods of documentation of client visits. 
A)  Attend a conference to learn more about the accreditation process. 
B)  Schedule a site visit with the Joint Commission. 
C)  Complete a self-study of the agency. 
D)  Improve methods of documentation of client visits.

Question 18

What action should a nurse take to facilitate interprofessional collaboration?

Accepted Answer

A)  Understand who is in charge of the client's care. 
B)  Make appropriate referrals. 
C)  Recognize what other professionals do and how they view their roles. 
D)  Work in isolation when performing complex skills. 
A)  Understand who is in charge of the client's care. 
B)  Make appropriate referrals. 
C)  Recognize what other professionals do and how they view their roles. 
D)  Work in isolation when performing complex skills.

Question 19

In which situation would a nurse use the Omaha System Problem Classification Scheme?

Accepted Answer

A)  When measuring client outcomes 
B)  When collaborating with other professionals 
C)  When providing health education 
D)  When organizing a comprehensive assessment 
A)  When measuring client outcomes 
B)  When collaborating with other professionals 
C)  When providing health education 
D)  When organizing a comprehensive assessment

Question 20

Medicare-certified home health agencies place emphasis on _____ care.

Accepted Answer

A)  Chronic 
B)  Distributive 
C)  Intermittent 
D)  Primary 
A)  Chronic 
B)  Distributive 
C)  Intermittent 
D)  Primary

Exam 41: The Nurse in Home Health and Hospice

During the performance of which standard of care would the nurse discover the need for Meals on Wheels?

Which are categories of classifying interventions according to the Omaha System Intervention Scheme? Select all that apply.

Which organization publishes the current scope and standards of home care practice?

Which illegal and unethical activities have occurred in health care systems in the past? (Select all that apply.)

What is the primary objective of hospice programs?

A nurse who implements a population-focused model of home care delivery would most likely:

Which nursing intervention is an example of a skilled nursing service?

The nurse provides direct care services to a stroke victim to avoid complications.This is an example of which level of prevention?

Which concepts are used to evaluate client outcomes when using the Omaha System Problem Rating Scale for Outcomes?

Which populations may require a high-intensity transitional care program? Select all that apply.

Official agencies are financed primarily by:

Why would a nurse use the Omaha System?

Which historical event caused dramatic changes in home care nursing?

After conducting a comprehensive client assessment,the nurse would organize information about the client's medication regimen into which domain of the Omaha System Problem Classification Scheme?

Which factor is important for the nurse to consider when coordinating care to ensure a comfortable and peaceful death?

A home care nurse is employed by a proprietary agency.What does this mean?

A home care agency has applied for accreditation from the Joint Commission.What is the next step the agency will take?

What action should a nurse take to facilitate interprofessional collaboration?

In which situation would a nurse use the Omaha System Problem Classification Scheme?

Medicare-certified home health agencies place emphasis on _____ care.

Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Community Health Nursing

Public Health and Primary Care Systems and Health Care Transformation

Perspectives in Global Health Care

Economics of Health Care Delivery

Application of Ethics in the Community

Cultural Diversity in the Community

Public Health Policy

Population-Based Public Health Nursing Practice: the Intervention Wheel

Environmental Health

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Evidence-Based Practice

Using Health Education and Groups to Promote Health

Promoting Healthy Communities Using Multilevel Participatory Strategies

Community As Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nursing Center: A Model for Nursing Practice in the Community

Case Management

Public Health Nursing and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Family Development and Family Nursing Assessment

Family Health Risks

Child and Adolescent Health

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Special Needs Populations

Vulnerability and Vulnerable Populations: an Overview

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco, and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at the Local, State, and National Levels

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