Question 1

The Henry Street Settlement in New York City, which offered public health nursing to clients with chronic health problems, was established by

Accepted Answer

A)   Clara Barton.
B)   Dorothea Dix and Sojourner Truth.
C)   Frances Root.
D)   Lillian Wald and Mary Brewster. D

Question 2

The component that is not part of the Omaha System is

Accepted Answer

A)   Intervention Scheme.
B)   Problem Classification Scheme.
C)   Problem Rating Scale for Outcomes.
D)   Rating Scale for Client Satisfaction. D

Question 3

The nurse explains to a client that the person who would be most likely to receive home health care is the client who is

Accepted Answer

A)   65-years-old with a wrist fracture.
B)   68-years-old with a cataract in one eye.
C)   72-years-old with diabetes mellitus.
D)   74-years-old with a hearing impairment. C

Question 4

The service requested and needed by an applicant to home health that would not be eligible for coverage under Medicare is

Accepted Answer

A)   home health aide.
B)   housekeeping services.
C)   physical therapy.
D)   speech therapy.

Question 5

The home health nurse uses the Omaha System for planning care and is able to evaluate the client's health status with the portion of that tool known as

Accepted Answer

A)   Assessment and Analysis.
B)   Intervention Scheme.
C)   Problem Classification.
D)   Problem Rating Scale.

Question 6

A home health nurse has a client with permanent left-sided weakness after a stroke; the client is cared for by his wife and daughter. The nurse will design the plan of care to

Accepted Answer

A)   help the wife manage the home.
B)   limit input from the wife and daughter.
C)   reduce the impact of the client's health care beliefs.
D)   stimulate the client to become independent.

Question 7

An experienced home health care nurse explains to a client about safety in the community. One difference the nurse emphasizes that home health care has over hospital-based health care is that with home health care (Select all that apply)

Accepted Answer

A)   "always be prepared" is a good motto.
B)   disasters can occur while the nurse is in the community.
C)   needed help may not be immediately available.
D)   the central location of most staff during the day can provide assistance.
E)   the nurse is usually on his/her own.

Question 8

The domain of the Omaha System that the nurse would reference in making her assessment relative to caretaking/parenting is

Accepted Answer

A)   Environment.
B)   Health-Related Behaviors.
C)   Physiological.
D)   Psychosocial.

Question 9

The program that had the greatest influence on the number of agencies providing community health care is

Accepted Answer

A)   ADC.
B)   Medicaid.
C)   Medicare.
D)   Social Security.

Question 10

The home health nurse explains that her philosophy is based on the belief that clients should

Accepted Answer

A)   adhere to the care plan generated by the nurse.
B)   alter cultural practices to meet health needs.
C)   be knowledgeable about their health care.
D)   feel no responsibility for their health care.

Question 11

A home health nurse explains to a client that the Omaha System was designed to facilitate

Accepted Answer

A)   client understanding of the overall health care plan.
B)   documentation of unusual events and associated malpractice risks.
C)   nursing practice, documentation, and data management.
D)   the nurse's ability to visit more clients during the workday.

Question 12

Consumer need and demand for home health care have increased dramatically in recent years because of (Select all that apply)

Accepted Answer

A)   the advent of Medicare reimbursement for home care.
B)   the closing of acute care hospital beds.
C)   escalating health care costs.
D)   increased consumer demand.
E)   lack of services available in the hospital.

Exam 8: Home Health Care