CH. 12 Fundamentals of Nursing- PrepU Quiz

Why is it important for the home health nurse to inform the health care agency of the nurse's daily itinerary?

Supports suggested safety precautions for the nurse when making a home care visit

When preparing to transfer an older adult client back to the long-term care facility where the client has been for several years, it is the primary responsibility of the nurse to:

provide for the coordination and continuity of care by the health care providers.

Public health nursing is the branch of nursing that:

provides health care for the community.

A nurse is caring for a 17-year-old pregnant teenager who needs to obtain assistance with essential baby items such as a crib. The client mentions not having any income from a job. The nurse should encourage the client to go to a:

social welfare office.

When a client is admitted to the hospital, admissions personnel are required to determine whether the client has a document indicating advanced directives. If so, a copy is made for the client's medical record. The advanced directive document indicates:

that the client has made wishes for terminal care known.

Which qualities are essential for a community-based nurse? Select all that apply.

Strong knowledge foundation Effective communication skills Keen physical assessment skills

When a multidisciplinary team is involved in meeting the home care needs of a client, who is the person responsible for the coordination of the care provided?

The registered nurse

The nursing student asks the home health nurse what data is required for a Medicare home plan of care. Which item would be incorrect for the nurse to include when responding to the student?

Documented need for a speech pathologist

What is the priority nursing responsibility when transferring a client from one unit in the hospital to another?

Provide a verbal report of the client's status to the admitting nurse.

The home care nurse asks the client and family about their socioeconomic status, culture, and beliefs. Which is the best response by the nurse when the family asks why those questions are being asked?

"I want to understand what your desires are."

A nurse has been asked to chair an action team tasked with prioritizing a list of possible new equipment purchases. Which statements, made by this nurse, will help the team be most effective? Select all that apply.

"Our goal is to prioritize this list of potential equipment purchases, offering rationale for our choices." "Before our next meeting, each of us will ask the nurses on the unit what their priority purchase would be." "Once we have completed the list and rationale, I will compile our recommendations for us all to sign before submission."

A home health care nurse is explaining to an emergency room nurse how nursing care in the home setting differs from that in the hospital setting. Which statement by the home health care nurse would be most appropriate?

"The client and family are in control of the setting, not the nurse."

A nurse is using the SBAR approach for handoff communication when transferring a client to the critical care unit. Which statement would the nurse include as part of the recommendation?

"The client is scheduled for a cardiac catheterization in about an hour and needs monitoring every 15 minutes."

Which circumstance likely requires the most documentation and communication on the part of the nurse?

A geriatric client is being transferred from a subacute medical unit to a new long-term care facility following recovery from pneumonia.

The home health nurse is making a home visit for an older adult client recently discharged from the hospital after suffering a stroke. Which finding would most concern the nurse?

Area rugs are present in multiple areas throughout the house.

One significant change in the health care delivery system in recent years is earlier hospital discharges. What is one result of earlier hospital discharges?

Clients with high home care needs are being discharged into the community.

A nurse is assisting with the transfer of a client from the acute care facility to the rehabilitation facility for continued care. Which skill would be most important for the nurse to use to promote continuity of care?

Communication

A pregnant client is on bed rest at home, and a nurse will soon come to the home to assess the client. Which type of nursing is this nurse practicing?

Community-based nursing

Which are components of the nursing case management process? Select all that apply.

Coordinating Making referrals Monitoring medical progress Filing and completing paperwork

Which action must the nurse perform on discharge of a client from an acute care facility?

Coordinating future care for the client

A successful discharge includes effective planning. Identifying and meeting client needs beyond the acute care facility reduce readmissions. Which nursing role is of great importance to this success?

Coordinator

A nurse is discharging a client from the hospital. Which nursing actions should occur when a client is discharged from a health care setting? Select all that apply.

Discharge planning should begin upon admission to the facility to ensure continuity of care. The nurse ensures that the family members are taught the knowledge and skills needed to care for the client. Preferably, the nurse who conducts the initial nursing assessment will determine the special needs of the client being discharged.

A registered nurse is providing community-based health care for a client diagnosed with early onset dementia. Which strategy is best for the nurse to employ to facilitate the family participating in the client's care?

Encourage active participation of the client and family in health care decisions.

Which is the primary goal of continuity of care?

Ensuring a smooth and safe transition between different health care settings

During the entry phase of a home visit, the nurse is most likely to perform which task?

Establishes nursing diagnoses based on client needs

A nurse is preparing a room for client admission. Which actions follow recommended guidelines for this process? Select all that apply.

Fold back the top bed linens. Assemble the necessary equipment and supplies, including a hospital admission pack. Adjust the physical environment of the room, including lighting and temperature

Which is the primary goal of home health care?

Functioning within limitations

The nurse is planning discharge of the client who had surgery for a left hip replacement. The client is being discharged from the hospital to the home and requires home medical services. Which item would be provided by home medical services?

High-rise toilet seat

A nurse is caring for a 17-year-old pregnant client who is unable to afford health care. Which resources will the nurse access to obtain assistance for this client?

Make a referral to the social services department.

Home health care nurses are required to complete the Outcome and Assessment Information Set (OASIS) by which entity?

Medicare

Which measure should a home health care nurse integrate into routine practice to minimize the potential for lawsuits?

Perform thorough, accurate, and timely documentation.

The home care nurse is providing care and education to a client who is pregnant for the first time. The client states, "I have no money or food. I don't know what I should do. I want to provide for my unborn child." The nurse refers the woman to the WIC program and a local food bank. This is an example of what aspect of community-based nursing?

Planning

The nurse is admitting a client for outpatient surgery. When the nurse asks what the client has been told about self-care following discharge, the client says, "No one has told me anything." Which nursing intervention is indicated?

Provide the teaching.

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning?

Providing client education

The client is being discharged to the home setting following a stroke. Which activity would the occupational therapist assist the client with?

Relearning how to cook safely

A nurse working in a primary health care facility would most likely provide which service?

Screening

A hospital has begun to expand home health services to its clients. Which reason is the most likely cause for the expansion of these services?

The change to shorter hospital stays

A nurse manager at a home health care agency is reviewing the medical record of a client who is receiving Medicare-based home health services. To ensure reimbursement for services, the nurse manager should consider whether which criteria have been met? Select all that apply.

The client is under the care of a physician. The client's condition is expected to improve in a reasonable time period. The client requires intermittent skilled services.

The nurse is preparing to begin the discharge planning process with a client whose pulmonary embolism has recently resolved. Which factor should the nurse prioritize during this process?

The client's identified needs and goals

One of the fastest growing venues of practice for the nurse is home health care. What is the basis for the growth in this health care setting?

The discharge home of clients who are more critically ill

The home health nurse is conducting a home safety assessment during the admission of a homebound client. Which factors should the nurse be sure to assess for? Select all that apply.

The feasibility of modifying the home The home's safety against home invasions The presence of indoor plumbing The presence of pest infestations

A nurse coordinator for a busy hospital provides for continuity of care for clients using the hospital services. Which cognitive skill would this nurse need to ensure continuity of care?

The knowledge of how to communicate client priorities and the related plan of care as a client is transferred between different settings

A nurse is preparing for handoff communication for a client who is being discharged from the hospital to home health care. Which example is not an action performed during this process?

The nurse prepares the new room for the client.

Which are recommended guidelines to prevent the spread of infection in the home care setting? Select all that apply.

Wearing gloves when contacting body fluids Using standard precautions Placing the bag on a liner before setting it down in the client's home

A 16-year-old client has been injured in an accident and is receiving home care due to fractures and multiple trauma-related injuries. The client states, "I don't know why I survived and not my best friend." It is most important for the home care nurse to encourage the client to:

communicate these feelings to family and friends.

A home health care nurse develops a client's individualized plan of care during the:

entry phase.

Continuity of care for a particular client is most important to prevent:

fragmentation of services.

A new client arrived on the unit while the nurse was obtaining the end-of-shift report from the night nurse. This client is admitted walking and is here for a cardiac workup; the client is assigned to the nurse. The nursing assistant has settled the client in the room and oriented the client to the surroundings, call system, bathroom, bedside supplies, and where to place clothes. The priority nursing action is to:

gather information and complete the admission database.

Community-based health care is best defined as:

health care developed in partnership with communities.

The nurse is caring for a client who would benefit from home health care services. In preparing for discharge, the nurse is aware that home health care can only be initiated if the:

physician writes an order for home care.