Question 1

During a visit to the home of a client newly diagnosed with diabetes the nurse notes that the client constantly answers the cell phone and has conversations with those callers, which interrupts teaching. The client apologizes after each call. What action should the nurse take?

Accepted Answer

A)   Request that the client not answer the cell phone.
B)   Leave some pamphlets for the client to read.
C)   Have the client repeat back the information the nurse has given.
D)   Ask the client if another time would be better to complete this teaching. D

Question 2

The nurse is making a home visit to a new client. The client is very friendly and welcomes the nurse into the home; however, the nurse sees that the client has a gun on the coffee table. The nurse hurriedly goes through the visit and leaves. What should the nurse do prior to the next visit?

Accepted Answer

A)   Call the police prior to making the visit.
B)   Call the client prior to the visit and state that there cannot be a visible firearm present during the visit.
C)   Cancel future visits to this client.
D)   Refer the client to another agency for visitation. B

Question 3

The population health nurse is planning to terminate continuing home visits with a community member. Which actions should the nurse take to prepare the client for this termination? (Select all that apply.)

Accepted Answer

A)   Review goals accomplished with the client.
B)   Make referrals for continuing care if needed.
C)   Plan for termination beginning with the first visit.
D)   Explain to the client the length of time visits that will be provided.
E)   Establish mutual goals with the client to meet identified needs. A,B,C,D

Question 4

The home health nurse is making the initial assessment visit to a new client. After doing the assessment for treatment, the nurse completes an OASIS assessment form. How will this form be utilized?

Accepted Answer

A)   To ensure that the appropriate diagnosis-related group (DRG)  is used for payment.
B)   By home health agencies who have certification.
C)   For reimbursement purposes in home health agencies with Medicare clients.
D)   As a requirement for all home health and hospice agencies.

Question 5

The population nurse is conducting a home visit. Which action should the nurse take during this visit?

Accepted Answer

A)   Continue to validate the accuracy of the assessment and resulting diagnosis.
B)   Focus on the plan of care as it is written.
C)   Concentrate on the already-identified needs.
D)   Plan to write an evaluation.

Question 6

The population nurse is planning to make a home visit. What should the nurse take into consideration for this visit? (Select all that apply.)

Accepted Answer

A)   Reason for the visit and age of the client.
B)   Surrounding neighborhood.
C)   Support systems employed by the client.
D)   Client's ability to pay for services.
E)   Preliminary client treatment goals.

Question 7

The population health nurse is working with a client who is receiving hospice care. In which areas should the nurse collaborate with other health care team members in the care of this client? (Select all that apply.)

Accepted Answer

A)   Management of pain control.
B)   Assisting the family in adjusting to the eventual death of the client.
C)   Ensuring that all services provided are able to be reimbursed.
D)   Obtaining additional services for identified client needs.
E)   Ensuring the client has arrangements made for burial.

Question 8

The population health nurse visits a new mother and infant at home. During the visit, the nurse and mother discuss how the postpartal course is going and how the infant is doing with feeding and sleeping. The nurse provides information and answers any questions the mother may have and performs teaching as needed. In what role is the nurse functioning?

Accepted Answer

A)   Case finding and referral.
B)   Care of the sick.
C)   Health promotion and illness prevention.
D)   Home health nursing.

Question 9

The community has a large number of immigrants. The nurse organizes a home visiting program to this community area to address family health concerns and provide health information. This is considered:

Accepted Answer

A)   Care of the sick.
B)   Case finding and referral.
C)   Health promotion and illness prevention.
D)   Health protection.

Question 10

A client receiving telephonic care visits with a population health nurse asks why a home visit is needed after hospitalization. What should the population health nurse explain to the client?

Accepted Answer

A)   Home care is a subspecialty of population health care.
B)   The home care nurse reports to the population health nurse.
C)   A home visit is the only way that the population health nurse will be paid.
D)   The client is extremely ill and the population health nurse needs someone to make an assessment.

Question 11

After several home visits, the nurse and the client have agreed to improve the client's overall nutritional status. In order to achieve this outcome, the nurse should:

Accepted Answer

A)   Assess the client's food preferences and methods of food preparation.
B)   Plan menus for the client to prepare.
C)   Accompany the client when food shopping.
D)   Refer the client to a Meals-on-Wheels program.

Question 12

The nurse receives a referral to visit a client who neighbors fear is being abused by a spouse. The client allows the nurse inside but is obviously reluctant to have the nurse in the home. The nurse could best address the client's concerns by: (Select all that apply.)

Accepted Answer

A)   Tactfully communicating the reason for the visit.
B)   Establishing appropriate expectations for the visit for the client and nurse.
C)   Starting to establish a rapport with the client.
D)   Stating that the neighbors made the referral.
E)   Informing the client that her name has been given to a local women's shelter.

Question 13

The home care nurse is using OASIS information to evaluate outcome measurements for client care. Which data should the nurse use for this evaluation?

Accepted Answer

A)   Client's Braden Skin Assessment score is12) 
B)   Client has a stage 2 pressure ulcer on the sacrum.
C)   Client admission paperwork completed within 24 hours.
D)   Client self-administers insulin and changes foot wound dressing independently.

Question 14

The population health nurse is reviewing the long- and short-term criteria for a home visit to a client. The nurse completes this evaluation because it:

Accepted Answer

A)   Indicates whether reimbursement will be provided to the agency.
B)   Allows for tracking utilization of supplies for home visits.
C)   Determines the effectiveness and appropriateness of the interventions and the client's response.
D)   Determines whether the interventions are at the primary, secondary, or tertiary level.

Question 15

The population health care is planning to make a visit to the home of a new community member who is recovering from major surgery. What observations should the nurse identify as advantages to making this home visit? (Select all that apply.)

Accepted Answer

A)   Client's home is neat, clean, and cheerful.
B)   Client and spouse sit together in the living room.
C)   Client ambulates safely with the use of a walker.
D)   Client requests no further visits because the neighbors will know.
E)   Client states that no care is needed because insurance won't cover it.

Exam 13: Home Visits As a Population Health Nursing Strategy