Test 1

The city health department provides home health services under the governance of a local unit of government. Which sources of funding support this agency? Select all that apply.

Grants Country revenues Fees from limited sources

What is the role of a vocational rehabilitation counselor who is caring for a client in a rehabilitation center?

Helps the client obtain training for new employment

Why does a proprietary home health agency apply for a certificate of need to start up the business?

To state considerations of the costs of starting and running the agency

The nurse manager of a home health care agency is teaching a group of nursing assistants about pica. Which age group is most likely to engage in this practice?

Toddlers

A secretary in a home health agency gossips about coworkers and then writes them notes to tell them how valuable they are to the organization and how much she likes working with them. What defense mechanism is being used by the secretary?

Undoing

Who governs a proprietary home health agency?

A board appointed by owner

On the third postoperative day following a below-the-knee amputation, a client is refusing to eat, talk, or perform any rehabilitative activities. What is the best initial approach that the nurse should take when interacting with this client?

Acknowledge that the client's withdrawal is an expected and necessary part of initial grieving.

Which of the following are features of a transdisciplinary rehabilitation team? Select all that apply.

Allows for the blurring of boundaries between different disciplines Uses cross-training and flexibility to minimize the duplication of effort toward individual goal attainment

Which act enacted by the United States Congress imposed new limits on home health care payments?

Balanced Budget Act (BBA)

A client with arterial insufficiency of both lower extremities is visited by the home health care nurse. An essential nursing intervention is to teach the client to do what?

Check pulses in the legs regularly

Which strategy reflects the interdisciplinary rehabilitation team approach?

Collaborating with other team members to identify a common goal

A large family that is financially struggling is being instructed by the home health nurse about ways to increase the dietary intake of calcium. Which suggestion should the nurse make?

Collards or kale in one meal a day

Four days after the client's total hip arthroplasty, the nurse is preparing to transfer the client to a rehabilitation center. Before admission the client took warfarin sodium (Coumadin) daily for a history of pulmonary embolus. While hospitalized, the client received subcutaneous heparin two times a day. The nurse does not see any anticoagulant therapy listed on the client's transfer prescriptions. What should the nurse do?

Contact the health care provider to determine what anticoagulant therapy should be prescribed for this clien

The nurse is caring for a client who is recovering from a stroke. The primary health care provider has referred the client for rehabilitative care. Which interventions by the nurse help to make a successful referral process? Select all that apply.

Explain the need for referral to the client and family. Provide the referral with adequate client information. Determine what the referral recommends for client care.

Which statement is true regarding rehabilitation services?

It focuses on restoring maximal possible function after illness or injury.

Which definition of home health care is appropriate from a client's perspective?

It is skilled and compassionate care provided on a one-to-one basis in the comforting and familiar surroundings of the home.

A nurse in a rehabilitation center teaches clients with quadriplegia to use an adaptive wheelchair. Why is it important that the nurse provide this instruction?

It is unlikely that the client will regain the ability to walk

A client who is in the first trimester is being discharged after a week of hospitalization for hyperemesis gravidarum (excessive vomiting). She is to be maintained at home with rehydration infusion therapy. What is the priority nursing activity for the home health nurse?

Monitoring the client for signs of electrolyte imbalances

What should a nurse identify as the most important factor in rehabilitation of a client addicted to alcohol?

Motivational readiness

At a staff meeting, the question of a staff nurse's returning to work after completing a drug rehabilitation program is discussed. What is the most therapeutic way for the staff to handle the nurse's return?

Offering the nurse support in a straightforward manner

A nurse is caring for clients who are undergoing therapy for dependence on alcohol. Which member of the health team has the primary responsibility for their rehabilitation?

Patient

A nurse reviews the bills of Medicare-eligible clients who received home health care services. Which client's bill would be reimbursed through Medicare?

Patient A with a leg fracture and needs help ambulating will be reimbursed (no household chores just ADL's)

Which actions could be performed by a rehabilitation registered nurse (RN)?

Promotes independence

Which system has majorly influenced home health care costs?

Prospective payment system

In a rehabilitation care center, a team member assists the coordinator in the development and implementation of a care plan. Which team member is involved in this situation?

Rehabilitation licensed practical nurse

The rehabilitation team is caring for an older adult client, who is completely immobile, with a history of knee replacement. Which member of the team reinforces education about the processes of rehabilitation provided to the client and family members?

Rehabilitation licensed practical nurse/licensed registered nurse (LPN/LVN) REINFORCE is the key work

After three months of rehabilitation following a craniotomy, a client still is having some motor speech difficulty. What should the nurse do to promote the client's use of speech?

Respond to the client's efforts of speaking.

A man has completed an alcohol detoxification program and is setting goals for rehabilitation. When setting goals it is important for this client to understand the need to do what?

Restructure his life without alcohol

Which rehabilitation team member plays a role in designing a rehabilitation communication program?

Speech-language pathologist

Which action can save thousands of dollars in the process of rehabilitation?

Starting the process of rehabilitation early

A client who was involved in a car accident was admitted to the hospital. After the client received immediate care, the primary health-care provider suggested the client receive intensive dietary and rehabilitative care. Which facility is mostappropriate for this client?

Subacute care

A license practical nurse finds that he or she is not properly educated to provide home health care according to the rules of Medicare. What should the nurse refer to in order to understand the new standards for education and competency evaluation?

The Omnibus Budget Reconciliation Act

Which statements are true regarding home health-care organizations? Select all that apply.

The Visiting Nurses Association is an example of a home health agency. Individual payments may help fund home health services.

A 70-year-old client with minor burns on his hands and legs receives care from a voluntary home health agency. Which of these statements about this agency are true? Select all that apply.

The agency receives fees from the client. This agency offers public health services. A community-based board of directors governs this agency.

A nurse is caring for a client with paraplegia as a result of a spinal cord injury. Which rehabilitation plan will be most effective for this client?

The plan is formulated and implemented early in the client's care

Which statements are true regarding the multidisciplinary model of rehabilitation team functioning? Select all that apply

The team works toward discipline-specific goals. Outcomes are the sum of each discipline's efforts.

A teenager who attempted suicide was admitted to a psychiatric center for care. On assessment, the teenager tells the nurse the reason was the end of a romantic relationship. Which member of the rehabilitation care team may play a major role in providing care to this teenager?

Therapeutic recreation therapist (needs help from a psychiatrist)

The spouse of a client who had a brain attack (cerebrovascular accident) tells the home health nurse that the client cries easily and without provocation. The spouse asks why the client is so emotionally fragile. What is the nurse's best response?

This behavior is a common response over which the client has very little control

What is the goal of a rehabilitation organization?

To restore the client's level of functioning

What is an example of a voluntary home health agency?

Visiting nurse association

A home health agency receives support from tax-deductible contributions under the governance of a community-based board of directors. What type of home health agency is this?

Voluntary