Question 1

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 
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 D

Question 2

A nurse has just received word that Medicaid will reimburse for care provided to a homeless man with schizophrenia who is afraid to come to the clinic to receive health care.Which of the following best describes this type of nursing?

Accepted Answer

A)  Community-oriented nursing 
B)  Home health nursing 
C)  Hospice nursing 
D)  Private duty nursing 
A)  Community-oriented nursing 
B)  Home health nursing 
C)  Hospice nursing 
D)  Private duty nursing B

Question 3

Which of the following best explains why the home health nurse would essentially repeat the same information given to the client by the nurse in the hospital?

Accepted Answer

A)  Clients find it difficult to learn in the midst of the stress of the acute care setting and often don't remember what the hospital nurse taught. 
B)  Hearing something from a different person, using different words and examples, can help ensure that learning is retained. 
C)  Home health nurses often don't know what hospital-based nurses have already taught. 
D)  Learning depends on receiving information more than once. 
A)  Clients find it difficult to learn in the midst of the stress of the acute care setting and often don't remember what the hospital nurse taught. 
B)  Hearing something from a different person, using different words and examples, can help ensure that learning is retained. 
C)  Home health nurses often don't know what hospital-based nurses have already taught. 
D)  Learning depends on receiving information more than once. A

Question 4

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

Question 5

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 
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 6

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

Question 7

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 surgical wound 
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 surgical wound

Question 8

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. 
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 9

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. 
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.

Question 10

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)  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

Question 11

Which of the following best describes when the home health nurse must document required Outcome and Assessment Information Set (OASIS-C2)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 
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 12

Which of the following practices in the home is most crucial?

Accepted Answer

A)  Using good handwashing procedures 
B)  Obtaining a puncture-resistant container for family to use for needles 
C)  Putting all contaminated material directly into a trash bag 
D)  Washing all surfaces with disinfectant 
A)  Using good handwashing procedures 
B)  Obtaining a puncture-resistant container for family to use for needles 
C)  Putting all contaminated material directly into a trash bag 
D)  Washing all surfaces with disinfectant

Question 13

Which of the following comments was most likely stated by a home health nurse?

Accepted Answer

A)  "Every time I see a client, it costs $80." 
B)  "Health care costs are killing our economy." 
C)  "I can't believe how much clients are charged for things." 
D)  "Medicaid costs are such a large portion of our state's budget." 
A)  "Every time I see a client, it costs $80." 
B)  "Health care costs are killing our economy." 
C)  "I can't believe how much clients are charged for things." 
D)  "Medicaid costs are such a large portion of our state's budget."

Question 14

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. 
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 15

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

Question 16

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. 
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 17

Which of the following statements best describes the most essential difference between home health care and acute client care?

Accepted Answer

A)  Acute client care is individualized for the client and family. 
B)  Home health care is provided in the client's environment. 
C)  Reimbursement for home health care varies from that of care provided in institutions. 
D)  The focus of acute client care is on community health. 
A)  Acute client care is individualized for the client and family. 
B)  Home health care is provided in the client's environment. 
C)  Reimbursement for home health care varies from that of care provided in institutions. 
D)  The focus of acute client care is on community health.

Question 18

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

Question 19

Which of the following events led to the emphasis on home care nurses caring for acutely ill clients and the increased demands for extensive documentation?

Accepted Answer

A)  Advances in medical technology and pharmacology 
B)  Increased number of lawsuits for substandard care 
C)  Introduction of Medicare 
D)  Social Security Act of the 1930s 
A)  Advances in medical technology and pharmacology 
B)  Increased number of lawsuits for substandard care 
C)  Introduction of Medicare 
D)  Social Security Act of the 1930s

Question 20

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 
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

Exam 30: The Nurse in Home Health and Hospice

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

A nurse has just received word that Medicaid will reimburse for care provided to a homeless man with schizophrenia who is afraid to come to the clinic to receive health care.Which of the following best describes this type of nursing?

Which of the following best explains why the home health nurse would essentially repeat the same information given to the client by the nurse in the hospital?

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?

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

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

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

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?

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?

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

Which of the following best describes when the home health nurse must document required Outcome and Assessment Information Set (OASIS-C2)data?

Which of the following practices in the home is most crucial?

Which of the following comments was most likely stated by a home health nurse?

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?

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?

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

Which of the following statements best describes the most essential difference between home health care and acute client care?

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?

Which of the following events led to the emphasis on home care nurses caring for acutely ill clients and the increased demands for extensive documentation?

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?

Community- and Prevention-Oriented Practice to Improve Population Health

The History of Public Health and Public and Community Health Nursing

The Changing Ushealth and Public Health Care Systems

Ethics in Public and Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, The Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: An Overview

Rural Health and Migrant Health

Poverty, Homelessness, Teen Pregnancy, and Mental Illness

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

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

The Faith Community Nurse

The Nurse in the Schools

The Nurse in Occupational Health

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