Test Generator Questions, Chapter 12, Healthcare in the Community and Home

Format: Multiple Choice

Chapter: 12

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Understand

Integrated Process: Nursing Process

Learning Objective: 3

Page and Header: Community-Based Nursing Practice in Transition, p. 187.

1. A nurse is working in a public school as the school nurse. This nurse is considered to be working in which role?

A) Ambulatory care

B) Community health

C) Inpatient facility

D) Rehabilitation facility

2. A nurse is caring for an older adult client in the home. The nurse concludes that the client needs an x-ray to determine if he has pneumonia and requires oxygen for shortness of breath. The nurse calls to inform the physician of the client's status and then makes arrangements to carry out the physician's orders. In this scenario, what role does the nurse play?

A) Case manager

B) Nurse practitioner

C) Clinical nurse specialist

D) Advanced practitioner

3. The primary nurse shares with the healthcare team the need for her client, diagnosed with cancer, to go out on a pass to attend her daughter's wedding. She is serving in what role as a nurse?

A) Caregiver

B) Educator

C) Counselor

D) Advocate

4. Nurses who assist clients to deal holistically with their healthcare needs at the end of their lives work primarily in which healthcare delivery system?

A) Acute care

B) Primary care

C) Hospice

D) Rehabilitation

5. What is one of the most significant trends in healthcare today?

A) Increased length of hospital stays

B) Shift from hospitals to community-based care

C) Emphasis on disease management

D) Narrowing of the areas for nursing practice

6. 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?

A) Changes to the structure of Medicare and Medicaid

B) The increase in the incidence and prevalence of infectious diseases

C) The change to shorter hospital stays

D) The need for decreased financial expenditures

7. An example of primary healthcare is:

A) a hearing screening in the school setting.

B) care of the client in the intensive care unit.

C) diagnostic testing for HIV/AIDS.

D) care of the client on rehabilitation.

8. Which facility is an example of a tertiary healthcare setting?

A) Rehabilitation facility

B) Outpatient surgery center

C) Medical division in the hospital

D) Ambulatory care clinic

9. A nurse is working in a setting that provides the secondary level of healthcare. Which setting would this most likely be?

A) Inpatient cardiovascular surgery unit.

B) Scoliosis screening program in a school.

C) Health maintenance network.

D) Preferred physician network.

10. Which statement best defines community-based healthcare?

A) Healthcare in a nonhospital setting.

B) Healthcare developed in partnership with communities.

C) Healthcare that is not provided to specific individuals.

D) Healthcare directed to members of a community who are currently healthy.

11. Occupational health nursing is classified as:

A) community-based healthcare.

B) institutional healthcare.

C) residential healthcare.

D) tertiary healthcare.

12. When educating clients in the community on health promotion and prevention of disease, which area is important to stress?

A) Strenuous exercise is necessary for health.

B) Health education can benefit individuals and groups.

C) The ideal location for education is in a healthcare institution.

D) Health promotion may not be possible for many of the older members of a community.

13. A pregnant client is on bed rest in her home and a nurse will soon come to the home to assess the client. The nurse's visit is an example of:

A) community-based nursing.

B) postpartum nursing.

C) public health nursing.

D) residential-based nursing.

14. A nursing student is assessing the birth rates and death rates of the local municipality and comparing these rates to the nation and the world. This is an example of which type of nursing?

A) Research nursing

B) Epidemiologic nursing

C) Community health nursing

D) Acute care nursing

15. The home care nurse is providing care and education to a woman who is pregnant with her first child. 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?

A) Assessment

B) Planning

C) Outcome identification

D) Evaluation

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

A) multiple providers.

B) infection.

C) fragmentation of services.

D) rising healthcare costs.

17. A nurse is covering all aspects of admission procedures for a client who is receiving home health services. The nurse explains what procedures will be covered during his or her visits. Which aspect of the admission process does this represent?

A) Establishing rapport and showing willingness to listen

B) Clearly defining the purpose and expectations of the admission

C) Documenting the procedure

D) Assisting in participation of the care-related decisions

18. Prior to the client's discharge from an acute care facility, the nursing case manager has the nursing staff, client, client's family, physical therapist, and home health nurse meet for which purpose?

A) Provide client education.

B) Evaluate the effectiveness of the hospitalization.

C) Determine hospital-based services.

D) Prepare the client for home care.

19. One of the primary advantages to the managed care model is:

A) increased client satisfaction.

B) economic, quality care.

C) all RN staff.

D) distinct area of care.

20. 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) Ambulatory care

C) Home care

D) Respite care

21. A client is having an increasing amount of difficulty providing self-care at home alone. She states to the nurse, "I need more help. What am I going to do" What would be important for the nurse to do?

A) The nurse should have the social worker visit to discuss care options.

B) The nurse should have the physical therapist help with rehabilitation.

C) The nurse should have the home health aide increase visits for bathing.

D) The nurse should have the occupational therapist assess for adaptive devices.

22. It is important for home healthcare nurses to remember which point?

A) The nurse is the primary caregiver.

B) The nurse is the guest in the client's home.

C) Rehabilitation is the major client goal.

D) The nurse should act as a counselor and advisor.

23. Home care nurses are required to complete the Outcome and Assessment Information Set (OASIS) according to:

A) Medicare.

B) Medicaid.

C) third-party payers.

D) private insurance.

24. An 18-month-old child is ventilator-dependent due to infantile scoliosis. This is the first time the child has been home since birth. The parents are very concerned about providing care. It is most important to assist the parents with which area?

A) Financial needs of care

B) Health assessment

C) Emotional bonding

D) Genetic counseling

25. 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 to:

A) communicate the client’s feelings to family and friends.

B) allow the religious force in the client’s life to visit.

C) be certain that the client’s educational needs are being met.

D) increase the client’s activity to assist in the client’s coping ability.

26. A single parent age 17 years, with one child and pregnant with her second child, has the mental age of a 12-year-old. What is the home care nurse's greatest concern in caring for this woman?

A) Her ability to bond with her children

B) Her ability to receive financial aid

C) Her cognitive ability to understand

D) Her physical care abilities

27. A client has severe pain related to degenerative joint disease. On which aspect of care will the nurse need to focus first?

A) Client education on pathophysiology

B) Ability to perform daily activities

C) Client's financial resources

D) The effects of social isolation

28. An 82-year-old client is being discharged from the hospital following a bowel resection. The client lives alone and the family is out of town. Which factor will have the greatest effect on the client’s home care management?

A) Support systems

B) Medication management

C) Transportation

D) Psychosocial needs

29. When initiating home health care services, during which phase is it appropriate for the nurse to implement the initial client assessment?

A) Initiation phase

B) Previsit phase

C) In-home phase

D) Termination phase

30. What is the purpose of the Standards of Care and Standards of Professional Performance for the home care nurse?

A) To list treatments that may be safely performed in the home care setting

B) To provide a framework for health assessment

C) To understand the role of the acute care nurse in the home

D) To guide the home care nurse in a collaborative role

31. A home care nurse has just completed a dressing change on a client. Which statement best describes the termination phase?

A) "You need to eat more protein to assist you with wound healing."

B) "On a scale of 0 to 10 with 0 being no pain and 10 being the worst, where would you rate your pain?"

C) "Your wound is healing nicely. It is draining less, and it is smaller by a half centimeter."

D) "Have you had any problems since our last visit? Is your wife doing well with your dressing changes?"

32. When the nurse is involved in the in-home phase, the nurse should:

A) use therapeutic communication.

B) review the client's health records.

C) plan the next visit.

D) summarize accomplishments.

33. The home care nurse asks the client and family about their socioeconomic status, culture, and beliefs. This occurs during which phase of care?

A) Assessment

B) Nursing diagnosis

C) Outcome identification

D) Implementation

34. A client is diagnosed with mild dementia while in the hospital. In preparing for discharge, what should the nurse discuss with the family?

A) The possible need for home care

B) Legal responsibility for the future

C) The need for transfer to a long-term care facility

D) The lack of free resources of care

35. A home care nurse has completed a home assessment. Of the following findings, which should be reported to service providers immediately?

A) Infestation with roaches

B) Smell of natural gas

C) Unclean environment

D) Diminished food sources

36. A nurse is caring for a 17-year-old pregnant woman. The woman needs to buy a baby bed and obtain baby items. The nurse should encourage the client to go to:

A) the visiting nurse association.

B) a resale shop.

C) a rental equipment store.

D) the welfare office.

37. In providing home nursing care, it is most important to perform which action?

A) Administration of prescribed medications

B) Implementation of physician's orders

C) Evaluation of client's responses

D) Coordination of care with the healthcare team