Exam 43: Community-Home Health Nursing

A 56-year-old woman provides care to her 91-year-old widowed father.She says she is frequently fatigued and that she no longer socializes with her 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 woman is

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.What should the nurse do?

Documentation in home healthcare may take many forms.Some nurses use NANDA-I terminology for diagnoses,whereas others use the Clinical Care Classification (CCC)system.The chief benefit of the CCC system is that it:

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

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

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

A community health nurse is assigned to work in a different area of the city.Which of the following assessment techniques would she likely use to develop an overview of the community? Select all that apply.

The nurse is visiting a patient who lives alone in a two-room house.The patient requires wound care and medication management,but his health is not expected to improve much,even with care.There is no running water in the house,and the bathroom is in disrepair and filthy.At the first home visit,which of the following should the nurse assess? Select all that apply.

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

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

Today is the last day of work on the medical-surgical unit for a nurse who has decided to work in home care.A patient asks her why she is leaving to work in home care.Select a response that best illustrates the advantages of home care.

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

A patient was involved in a motor vehicle accident that resulted in multiple traumatic injuries.He was hospitalized for 8 days in the intensive care unit and 3 days on the surgical floor.He has been discharged home with home health support.Identify the primary goal of his home care.