Healthcare in the Community and Home

The client is being discharged to the home setting following a stroke. The client requires assistance in relearning how to cook safely. To which of the following home healthcare team members would the nurse refer the client?

Occupational therapist

A nurse sits down with a patient and explains the "Patient Care Partnership." This action best exemplifies what role of the community based nurse?

Patient advocate

The home healthcare nurse is providing information to a patient and family on medication changes. What role is the nurse performing?

Patient and family educator

Lately there have been many significant changes in the healthcare delivery system; earlier hospital discharges is one of them. What is one result of earlier hospital discharges?

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

When preparing to transfer your elderly patient back to the long-term-care facility where he has been for several years, it is the primary responsibility of the nurse to:

Provide for the coordination and continuity of care by the healthcare providers.

Nurses in various health care settings provide services to prevent the fragmentation of care that is occurring as a health care trend in today's society. What role of the nurse is most important in preventing this effect?

Coordinator of care

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

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

Which of the following patients would not be discharged to be cared for by the family?

A patient who lacks knowledge of the treatment plan

Nursing students are reviewing information about the changes in the health care industry and the effects on the scope of nursing practice. The students demonstrate understanding of this information when they identify what as having significantly affected the delivery of home health care?

Advances in technology

A client is having problems with insurance reimbursement. The home health care nurse discusses the client's need for home health services with the insurance company. What role is the nurse demonstrating?

Advocate

Which therapist is most likely to focus on teaching a client to hold a toothbrush with an adaptive device and brush his teeth?

An occupational therapist

Following the death of a hospice patient, the nurse continues to care for the family. What is this type of care called?

Bereavement care

Assessment of a client during a home visit reveals the following: blindness, mild to moderate pain from arthritis, constipation, and weight loss. What would the nurse identify as the greatest threat to the client's independent functioning?

Blindness

The growth in home health care is largely attributed to which of the following?

Early discharge of clients from the hospital setting

Which of the following phrases best describes continuity of care?

Facilitating transition between settings

An infant who is on a ventilator is being cared for at home by her parents. What must the nurse know about the parents and care of the infant?

Family members may be taught any skill that they are able and willing to perform.

What is the primary focus of health care today?

Health promotion

Which of the following is the acute care setting for people who are too ill to care for themselves at home, who are severely injured, or who require surgery?

Hospitals

The home health nurse completes the Outcome and Assessment Information Set at the start of home care. This documentation:

Includes assessment of core items for improving quality of care

Health care costs are increasing as technology and related services increase. Patients interact with many health care providers, such as RNs, LPNs, physicians, physical therapists, medical technologists, radiation technologists, specialists, and others employed in health care. As a result of the complexity of care and multiple providers, health care is becoming fragmented. What are the major results of fragmented care?

Increased medication errors, Clients receive more specialized care, Lack of continuity of care.

Nurses provide care for patients in a program called "Hospital at Home." What are the characteristics of this program?

Lower overall costs, Better patient outcomes, Lower chance of developing delirium, Higher satisfaction with care

Which one of the following roles of the home health care nurse illustrates the role of coordinator of services?

Providing information about community resources

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

Providing patient teaching

A nurse recommends palliative care for a patient who is being discharged following a diagnosis of cancer. What is the chief focus of this type of care?

Relief from physical, mental, and spiritual distress

A series of classes on the dangers of smoking are being prepared for children between 8 and 10. Who would be most likely to develop the classes?

School nurse

Despite the presence of various types of public and private home healthcare agencies, one similarity among all home healthcare agencies is:

The agencies must meet uniform standards for licensing, certification, and accreditation by state agencies and/or federal programs.

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?

The discharge home of patients who are more critically ill

A nurse working in a hospital setting is responsible for transferring patients. Which recommended nursing actions would the nurse perform during this process?

The hospital nurse prepares a detailed assessment and care plan to send to the long-term facility to which a patient is transferred, The nurse carefully packs the belongings of a patient being discharged and sends them to the new facility, The nurse sends the original chart to the new facility when a patient is being transferred to a long-term care facility.

Nursing continues to recognize and participate in providing appropriate, uninterrupted care and facilitate clients' transitions between different settings and levels of care. What would be an example of this continuity of care?

The nurse collaborating with other members of the health care team

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

The registered nurse

What is the rationale for conducting discharge planning?

To ensure patient and family needs are met consistently

The nurse understands that planning for discharge actually begins at admission to the facility. The purpose of discharge planning is best described as:

To provide continuity of care that is goal directed

A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as:

Transition

Public health nursing is the branch of nursing that:

provides healthcare for the community

The nurse recognizes that the goals established for a client's discharge are more likely to be accomplished when ...

the client assist in developing the goals