Question 1

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

Question 2

A community health nurse is using the Omaha System.Which of the following best describes the rationale for using this 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 C

Question 3

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)  "Kickbacks" for referrals 
E)  Primary care services provided in the home 
A)  Inappropriate use of home health services 
B)  Inaccurate billing for services 
C)  Excessive administrative staff 
D)  "Kickbacks" for referrals 
E)  Primary care services provided in the home A,B,C,D

Question 4

The nurse provides direct care services to a stroke victim to avoid complications.Which of the following levels of prevention is being implemented?

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 5

A nurse is using the first stage of the Outcomes and Assessment Information Set (OASIS)outcomes analysis.Which of the following best describes what the nurse is doing?

Accepted Answer

A)  Comparing an agency's performance to a national sample 
B)  Reporting data on patient care to a national registry 
C)  Stabilizing a client's condition to continue to receive funding 
D)  Documenting client assessment data and findings 
A)  Comparing an agency's performance to a national sample 
B)  Reporting data on patient care to a national registry 
C)  Stabilizing a client's condition to continue to receive funding 
D)  Documenting client assessment data and findings

Question 6

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

Question 7

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 8

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 9

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 10

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 11

A nurse is using the Omaha System Problem Classification Scheme.Which of the following situations is the nurse most likely experiencing?

Accepted Answer

A)  Measuring client outcomes 
B)  Collaborating with other professionals 
C)  Providing health education 
D)  Organizing a comprehensive assessment 
A)  Measuring client outcomes 
B)  Collaborating with other professionals 
C)  Providing health education 
D)  Organizing a comprehensive assessment

Question 12

A nurse is coordinating care through a high-intensity transitional care program.Which of the following best describes the populations that the nurse is working with? (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 
E)  Men who have just experienced divorce 
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 
E)  Men who have just experienced divorce

Question 13

A nurse is using telehealth technology in the home setting.Which of the following best describes the intervention that is being used by the nurse?

Accepted Answer

A)  Uses Web TV to teach clients about their health 
B)  Shares health information using electronic communications 
C)  Makes regular visits to clients to check the technology 
D)  Risks violation of the Health Insurance Portability and Accountability Act 
A)  Uses Web TV to teach clients about their health 
B)  Shares health information using electronic communications 
C)  Makes regular visits to clients to check the technology 
D)  Risks violation of the Health Insurance Portability and Accountability Act

Question 14

A nurse has referred a home care client to hospice care.Which of the following best explains the rationale for this referral?

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 15

A nurse is providing a skilled nursing service.Which of the following best describes the intervention the nurse is performing?

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 16

A nurse is implementing a population-focused model of home care delivery.Which of the following actions would most likely be taken by the nurse?

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 17

A nurse has discovered that a client should be receiving Meals on Wheels.Which of the following steps of the nursing process is the nurse performing?

Accepted Answer

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

Question 18

A nurse is trying to facilitate interprofessional collaboration.Which of the following actions should be taken by the nurse?

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)  Request assistance 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)  Request assistance when performing complex skills

Question 19

A nurse is employed in home health nursing practice.Which of the following terms best describes the care that is being provided?

Accepted Answer

A)  Intermittent nursing care 
B)  Custodial care 
C)  Family caregiving 
D)  Palliative care 
A)  Intermittent nursing care 
B)  Custodial care 
C)  Family caregiving 
D)  Palliative care

Question 20

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

Exam 41: The Nurse in Home Health, Palliative Care, and Hospice

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

A community health nurse is using the Omaha System.Which of the following best describes the rationale for using this system?

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

The nurse provides direct care services to a stroke victim to avoid complications.Which of the following levels of prevention is being implemented?

A nurse is using the first stage of the Outcomes and Assessment Information Set (OASIS)outcomes analysis.Which of the following best describes what the nurse is doing?

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

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

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?

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

Official agencies are financed primarily by:

A nurse is using the Omaha System Problem Classification Scheme.Which of the following situations is the nurse most likely experiencing?

A nurse is coordinating care through a high-intensity transitional care program.Which of the following best describes the populations that the nurse is working with? (Select all that apply.)

A nurse is using telehealth technology in the home setting.Which of the following best describes the intervention that is being used by the nurse?

A nurse has referred a home care client to hospice care.Which of the following best explains the rationale for this referral?

A nurse is providing a skilled nursing service.Which of the following best describes the intervention the nurse is performing?

A nurse is implementing a population-focused model of home care delivery.Which of the following actions would most likely be taken by the nurse?

A nurse has discovered that a client should be receiving Meals on Wheels.Which of the following steps of the nursing process is the nurse performing?

A nurse is trying to facilitate interprofessional collaboration.Which of the following actions should be taken by the nurse?

A nurse is employed in home health nursing practice.Which of the following terms best describes the care that is being provided?

Which historical event caused dramatic changes in home care nursing?

Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Public and Community Health Nursing

The Changing U.S.Health and Public Health Care Systems

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

Changing Health Behavior Using Health Education with Individuals, Families, and Groups

Building a Culture of Health through Community Health Promotion

Community as Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nurse-led Health Center: A Model for Community Nursing Practice

Case Management

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Working with Families in the Community for Healthy Outcomes

Family Health Risks

Child and Adolescent Health

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

Disability Health Care Across the Life Span

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 Local, State, and National Levels

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