Term
| Which factor would be least significant when evaluating the growth of home health care? |
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Definition
The successful use of high technology services in the home
A growing emphasis on preventing hospitalization
An increase in the older adult population
An increase in home childbirth
Home health nursing does not directly impact the number of home births. The other answers directly affect the growth of home health care.
Evaluation; Health Promotion and Maintenance; Analysis |
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Term
| A physician has ordered daily visits from a home health nurse for a client with an open, draining wound who is unable to perform the dressing changes. The visits need to be scheduled around the client's three-time-weekly visits to the senior citizens center. Will Medicare pay for the home health care? |
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Definition
Yes, if the treatment plan identifies specific interventions
Yes, because a physician ordered the visits
No, because the client doesn't qualify as homebound
No, because the client can ambulate
Medicare has strict guidelines for payment, one of which is that the client must be homebound. A client who is able to get out to the senior citizens center three times a week is not homebound and does not qualify for Medicare reimbursement. The other answers meet Medicare guidelines for reimbursement.
Diagnosis; Health Promotion and Maintenance; Analysis |
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Term
| The wife of a client who is bedfast and unable to speak tells the nurse that she has been leaving him alone while going shopping. What is the best action for the nurse to take? |
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Definition
Suggest possible alternatives, such as a respite service
Trust the wife's judgment and allow care to continue
Ask the physician to call and talk to the client's wife
Inform the wife she is endangering the client's life |
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Term
| A family member has been caring for a client for 18 months. The family member says that he is concerned about being able to meet future needs of the client, and that he has been feeling very sad lately. What would this likely indicate to the nurse? |
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Definition
Caregiver anxiety
Caregiver role strain
Caregiver coping difficulties
Caregiver depression
The home health nurse needs to recognize signs of caregiver role strain. Being concerned about meeting future client needs and feeling sad are symptoms of caregiver overload and role strain.
Diagnosis; Psychosocial Integrity; Analysis |
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Term
| Which individual most often assumes the role of case manager for home health clients? |
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Definition
The physician
The registered nurse
The home health aide
The pastoral care minister
Because many services are often required for home health clients, the responsibility for coordination generally rests with the registered nurse. The others usually are not with the client as often and do not usually assume coordination of the care.
Diagnosis; Safe, EffectiveCare Environment; Application |
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Term
| Which role of the home health nurse is often considered the basis for care? |
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Definition
Caregiver
Educator
Advocate
Case manager |
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Term
| Which is not considered a selective dimension of home health nursing? |
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Definition
Client safety
Infection control
Caregiver support
Client advocacy
Selected dimensions of home health nursing include safety, infection control, and caregiver support. Client advocacy is a major role of the home health nurse.
Assessment; Health Promotion and Maintenance; Analysis |
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Term
| What would be considered one of the greatest challenges of the home health nurse? |
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Definition
Caregiver support
Nurse safety
Infection control
Direct care giving |
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Term
| Which part of the nursing process would involve the nurse ensuring the client is receiving the prescribed therapy at appropriate times? |
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Definition
Assessing
Diagnosing
Planning/implementing
Evaluating/documenting
This is done in the planning and implementing part of the nursing process.
Implementing; Safe, Effective Care Environment; Application |
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Term
| Which statement about the future of home health nursing would be considered correct? |
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Definition
The advanced practice nurse will not provide therapy for clients.
Clients with pain will not be cared for in the home.
Electronic visits may be utilized.
Third-party reimbursement is not expected for social workers. |
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