Chapter 2

Which setting has been the traditional site for the nursing workforce?

Inpatient units

A nurse educator for a local home care company is teaching staff nurses on the use of the Outcome and Assessment Information Set (OASIS). What statement will the nurse include when teaching about the OASIS?

"Results are used to improve overall quality improvement efforts."

A nurse acts as preceptor to a student nurse who is performing discharge planning for a client. What statement made by the student nurse about discharge planning indicates that the student needs additional teaching?

"Discharge planning occurs when the patient is discharged."

A nurse is evaluating a client's discharge collaboration between the referring agency and the home care agency. What response by the client would indicate an understanding of the discharge planning process?

"The nurse helped me make a list of my needs and goals for recovery and shared them with the home care team"

A community health nurse is educating a group of community stakeholders on the importance of increased outpatient resources in the community. Which factors will the nurse explain directly impact the shift in care from inpatient to outpatient services? Select all that apply.

-Changes in population trends -Changes to federal legislation

Drag the interventions the nurse will take when caring for a client with crutches to the box on the right.

-Teach client to advance crutch to lower step, then affected leg, followed by unaffected leg when descending steps. -Teach use of tripod stance when standing still. -Check crutch ends for rubber tips. -Place foam on underarm piece to relieve pressure.

Which safety precautions should the home care nurse implement? Select all that apply.

-schedule visits during the day. -Post the nurse's visit schedule at the agency. -Become familiar with all exits from the client's home.

A community health nurse is aware that restoration of health often depends on appropriate interventions performed early in the course of a disease. Which client is most likely to seek health care late in the course of his or her disease process and deteriorate more quickly than other clients?

A client who has been homeless for an extended period of time

An urban, community-based nurse is looking for community resources for a client who has complex rehabilitation needs and several comorbid, chronic health conditions. Where is the best place for the nurse to search for appropriate resources?

A community directory

The charge nurse is making assignments for a group of clients on a medical unit. When reviewing the acuity of the clients, the charge nurse assigns the RN to the clients with higher acuity levels. Why would the charge nurse assign the RN to the clients with a higher acuity?

A higher acuity client requires a greater need for highly skilled care.

A community health nurse is helping develop teaching on the role of the community health nurse and how this discipline can help the community. What does the nurse describe as a key component of community-based care?

Imporving quality of life.

Which capability corresponds with home health care?

Improvises when providing care.

A nurse is working in a school health program that provides care to elementary school-aged children. The nurse would focus teaching on which area as being most problematic?

Injuries

A client has experienced deconditioning while recovering from traumatic injuries and is now prescribed to begin ambulation. Which exercise focus will the nurse anticipate to prepare the client for ambulation?

Leg

A novice nurse is learning the difference between community-based nursing and community-oriented nursing. Which scenario does the nurse recognize as a role of the community-oriented nurse?

Nurse working a booth at a health fair performing blood pressure and glucose screenings

A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have?

Provide early, thorough discharge planning.

A home care nurse is planning to visit a 60-year-old client diagnosed with heart failure for the first time. Which of the following would be most appropriate for the nurse to do?

Telephone the client to obtain permission to visit

A home care nurse is planning to visit a client newly diagnosed with diabetes. Further review of the chart reveals the client is of Japanese heritage. Upon arriving at the home, the home care nurse observes several pairs of shoes on a mat next to the door. Which of the following actions by the nurse demonstrates cultural competence?

The nurse removes her shoes and announces her arrival.

Results from the 2013 OASIS data study revealed that data from the study can be used to identify individuals at greatest risk for readmission to the hospital. Using this data, what can the nurse determine will decrease the readmission rate of hospitalizations?

The shift of resources to the community

A public health nurse administers influenza vaccines to a group of individuals during a community vaccination clinic. The nurse understands that this action is considered primary prevention due to which statement?

The vaccination focuses on health promotion and prevention of illness.

A community health nurse understands the importance and impact of cultural competence when caring for clients in the community. In what situation will the nurse find that cultural competence is particularly important?

When members of the community share a heritage that is unfamiliar to the nurse

A male client recovering from a stroke is receiving anticoagulant therapy. Which item will the nurse instruct the client to use for self-care?

electric razor

The nurse is transitioning to a home health setting. What factor has resulted in a shift in the health care delivery setting?

growing number of elderly clients