Taylor NCLEX-RN Chapter 9

The home health care nurse is providing information to a client and family on medication changes. What role is the nurse performing? A. Client and family educator B. Coordinator of services C. Client advocate D. Caregiver

A

A woman living alone has degenerative joint disease, hypertension, and neuropathy. It is difficult for her to bathe herself, and her blood pressure is unstable. What type of care would this client benefit from most? A. Acute care B. Home care C. Respite care D. Ambulatory care

B

Public health nursing is the branch of nursing that: A. provides primary care to individuals. B. provides health care for the community. C. assesses individuals for community care. D. administers care for a defined geographic community.

B

Which role is the home health nurse exhibiting when demonstrating how to suction the oropharynx of the client? A. Advocate B. Educator C. Caregiver D. Care coordinator

B

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? A. developing goals with the client B. Making home health care referrals C. assessing the client's needs and identifying problems D. providing client education

D

Nurses now have the option to practice in a variety of settings. One of the fastest growing venues of practice for the nurse in today's health care climate is home health care. What is the basis for the growth in this health care setting? A. the chronic nursing shortage B. the preference of nurses to work during the day instead of evening or night shifts C. the focus on treatment of disease D. the discharge home of clients who are more critically ill.

D

On admission to the hospital, patients are asked if they have a living will or a durable power of attorney. If not, the admitting staff person will provide a sample form to the patient if they want it. The purpose of this inquiry is to determine: A. previous decisions made regarding who to contact should they die in the hospital. B. how the patient feels about being resuscitated and maintained on life support if this is necessary. C. what the patient wants to happen during the hospitalization. D. if they have a document describing their wishes for care when they are no longer able to make their own decisions.

D

The exchange of information among the patient, the caregivers, and those responsible for care while the patient is in a care setting and after the patient returns home is key to a successful: A. guaranteed transfer. B. community service. C. proper referral. D. discharge planning.

D

Which of the following is the largest single source of reimbursement for home health care services? A. Client's self-pay B. Private insurance C. Medicaid D. Medicare

D

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. A. A hospital administrator coordinates and performs an approved handoff for the client to a new facility. B. The physician ensures that referrals are made to such agencies as home health care or social services to provide support and assistance during the recovery period. C. The nurse assesses the client to ensure that the client does not require any complicated treatment or care performed by family members. D. Preferably, the nurse who conducts the initial nursing assessment will determine the special needs of the client being discharged. E. The nurse ensures that the family members are taught the knowledge and skills needed to care for the client. F. The nurse performs discharge planning, which begins upon admission to the facility to ensure continuity of care.

D, E and F