Nursing Fundamentals Exam 2 Practice
Questions With Correct Answers
Care in the home is an alternative to hospital placement. Which of the following
| | | | | | | | | | | | | |
is one major difference associated with in-home care?
| | | | | | |
1.) Does not focus on curative and lifesaving approaches.
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2.) Is less able to manage complex symptoms.
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3.) Facilitates extensive involvement of significant others/family.
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4.) Permits use of pain medication regimens not allowed in the hospital. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: |
3.) Facilitates extensive involvement of significant others/family.
| | | | | |
Rationale: Although hospitals have recently become more welcoming to families,
| | | | | | | | | |
a major strength of home care is the involvement and proximity of loved ones.
| | | | | | | | | | | | | |
Curative and lifesaving approaches may be used both at home and in the hospital
| | | | | | | | | | | | |
|(Option 1). An asset of home care nurses is their ability to manage complex
| | | | | | | | | | | | | |
symptoms (option 2). This includes expertise in pain management, but the same
| | | | | | | | | | | |
legal strategies are available in either in-home care or hospitals (option 4).
| | | | | | | | | | |
(Chapter 8 Kozier & Erb) | | | |
A home health client is having difficulty with the medication regimen that is
| | | | | | | | | | | | |
prescribed by the physician. The nurse helps with this situation by consulting the
| | | | | | | | | | | | |
,pharmacist for ideas on how to improve the situation. This is an example of which
| | | | | | | | | | | | | |
of the following?
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1.) Hands-one care
| |
2.) Direct care
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3.) Advocacy
|
4.) Indirect care - CORRECT ANSWER✔✔-Answer:
| | | | |
4.) Indirect care
| |
Rationale:
Indirect care is provided by the home health nurse to the client each time the
| | | | | | | | | | | | | | |
nurse consults with other health care providers about ways to improve nursing
| | | | | | | | | | | |
care for the client. Hands-on care, direct care, and client advocacy are not
| | | | | | | | | | | | |
described in the stem (options 1, 2, and 3).
| | | | | | | |
(Chapter 8 Kozier & Erb) | | | |
The home health nurse is assessing the client's environment for safety concerns
| | | | | | | | | | | |
and finds that most of the rooms in the house have only one outlet with various
| | | | | | | | | | | | | | | |
cords entering the outlet. The nurse notes this concern to the client and the
| | | | | | | | | | | | | |
client's spouse. Their response to the nurse is "This is the way we've lived for
| | | | | | | | | | | | | | |
years." What should the nurse do?
| | | | |
1.) Provide telephone numbers for local electricians.
| | | | | |
2.) Continue to persuade the client to have the home rewired.
| | | | | | | | | |
3.) Not bring up the subject again.
| | | | | |
,4.) Document the findings and the client and spouse's response to the concern. -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: |
4.) Document the findings and the client and spouse's response to the concern.
| | | | | | | | | | | |
Rationale:
Home health nurses can express concern when a situation suggests the possibility
| | | | | | | | | | |
|for injury. They must document information they provide and the family's
| | | | | | | | | | |
response to instruction as well as make ongoing assessments about the family's
| | | | | | | | | | | |
use of safety precautions. While not appropriate, the client is not likely to act
| | | | | | | | | | | | | |
upon the information the nurse provides in option 1. Nurses cannot expect to
| | | | | | | | | | | | |
change a family's living space and lifestyle and such an intervention may be
| | | | | | | | | | | | |
resented by the client (option 2). The nurse has an obligation to bring safety
| | | | | | | | | | | | | |
issues to the client's attention (option 3).
| | | | | |
(Chapter 8 Kozier & Erb) | | | |
A home health nurse is providing care for a client who has paralysis on one side
| | | | | | | | | | | | | | | |
and whose spouse provides most of the care. Which of the following may be a
| | | | | | | | | | | | | | |
sign of caregiver role strain?
| | | |
1.) The caregiver loses weight and has insomnia.
| | | | | | |
2.) The caregiver asks other family and friends for help.
| | | | | | | | |
3.) The caregiver asks the nurse what other ways he or she can help the client.
| | | | | | | | | | | | | | |
4.) The caregiver seems sad whenever the client's prognosis is discussed. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: |
1.) The caregiver loses weight and has insomnia.
| | | | | | |
, Rationale:
If the caregiver's own health is becoming threatened, it may be a sign of
| | | | | | | | | | | | | |
overload. It would be appropriate for the caregiver to ask for assistance from
| | | | | | | | | | | | |
others (option 2), or to ask for clarification of ways he or she can assist the client
| | | | | | | | | | | | | | | | |
(option 3). Sadness related to a poor prognosis would be a normal and expected
| | | | | | | | | | | | | |
response as long as it does not evolve into depression (option 4).
| | | | | | | | | | |
(Chapter 8 Kozier & Erb) | | | |
A client is scheduled to be discharged from the hospital. Which should the
| | | | | | | | | | | | |
discharge planner at the hospital acquire first before home nursing care can be
| | | | | | | | | | | | |
initiated?
1.) Insurance coverage
| |
2.) An in-home caregiver
| | |
3.) A curable health problem
| | | |
4.) A physician's authorization - CORRECT ANSWER✔✔-Answer:
| | | | | | |
4.) A physician's authorization
| | |
Rationale:
A physician's authorization of the plan of care is needed before home health care
| | | | | | | | | | | | | |
by a nurse can be initiated. Insurance coverage is not required although the
| | | | | | | | | | | | |
agency may need proof of the client's ability to pay if insurance is not available or
| | | | | | | | | | | | | | |
adequate (option 1). Many clients benefit from home health care even if there is
| | | | | | | | | | | | | | |
no in-home caregiver present or needed (option 2). The health problem for which
| | | | | | | | | | | |
home care is needed may be chronic or acute and may necessitate preventative,
| | | | | | | | | | | | | |
curative, or palliative therapy (option 3).
| | | | |
Questions With Correct Answers
Care in the home is an alternative to hospital placement. Which of the following
| | | | | | | | | | | | | |
is one major difference associated with in-home care?
| | | | | | |
1.) Does not focus on curative and lifesaving approaches.
| | | | | | | |
2.) Is less able to manage complex symptoms.
| | | | | | |
3.) Facilitates extensive involvement of significant others/family.
| | | | | |
4.) Permits use of pain medication regimens not allowed in the hospital. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: |
3.) Facilitates extensive involvement of significant others/family.
| | | | | |
Rationale: Although hospitals have recently become more welcoming to families,
| | | | | | | | | |
a major strength of home care is the involvement and proximity of loved ones.
| | | | | | | | | | | | | |
Curative and lifesaving approaches may be used both at home and in the hospital
| | | | | | | | | | | | |
|(Option 1). An asset of home care nurses is their ability to manage complex
| | | | | | | | | | | | | |
symptoms (option 2). This includes expertise in pain management, but the same
| | | | | | | | | | | |
legal strategies are available in either in-home care or hospitals (option 4).
| | | | | | | | | | |
(Chapter 8 Kozier & Erb) | | | |
A home health client is having difficulty with the medication regimen that is
| | | | | | | | | | | | |
prescribed by the physician. The nurse helps with this situation by consulting the
| | | | | | | | | | | | |
,pharmacist for ideas on how to improve the situation. This is an example of which
| | | | | | | | | | | | | |
of the following?
| | |
1.) Hands-one care
| |
2.) Direct care
| | |
3.) Advocacy
|
4.) Indirect care - CORRECT ANSWER✔✔-Answer:
| | | | |
4.) Indirect care
| |
Rationale:
Indirect care is provided by the home health nurse to the client each time the
| | | | | | | | | | | | | | |
nurse consults with other health care providers about ways to improve nursing
| | | | | | | | | | | |
care for the client. Hands-on care, direct care, and client advocacy are not
| | | | | | | | | | | | |
described in the stem (options 1, 2, and 3).
| | | | | | | |
(Chapter 8 Kozier & Erb) | | | |
The home health nurse is assessing the client's environment for safety concerns
| | | | | | | | | | | |
and finds that most of the rooms in the house have only one outlet with various
| | | | | | | | | | | | | | | |
cords entering the outlet. The nurse notes this concern to the client and the
| | | | | | | | | | | | | |
client's spouse. Their response to the nurse is "This is the way we've lived for
| | | | | | | | | | | | | | |
years." What should the nurse do?
| | | | |
1.) Provide telephone numbers for local electricians.
| | | | | |
2.) Continue to persuade the client to have the home rewired.
| | | | | | | | | |
3.) Not bring up the subject again.
| | | | | |
,4.) Document the findings and the client and spouse's response to the concern. -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: |
4.) Document the findings and the client and spouse's response to the concern.
| | | | | | | | | | | |
Rationale:
Home health nurses can express concern when a situation suggests the possibility
| | | | | | | | | | |
|for injury. They must document information they provide and the family's
| | | | | | | | | | |
response to instruction as well as make ongoing assessments about the family's
| | | | | | | | | | | |
use of safety precautions. While not appropriate, the client is not likely to act
| | | | | | | | | | | | | |
upon the information the nurse provides in option 1. Nurses cannot expect to
| | | | | | | | | | | | |
change a family's living space and lifestyle and such an intervention may be
| | | | | | | | | | | | |
resented by the client (option 2). The nurse has an obligation to bring safety
| | | | | | | | | | | | | |
issues to the client's attention (option 3).
| | | | | |
(Chapter 8 Kozier & Erb) | | | |
A home health nurse is providing care for a client who has paralysis on one side
| | | | | | | | | | | | | | | |
and whose spouse provides most of the care. Which of the following may be a
| | | | | | | | | | | | | | |
sign of caregiver role strain?
| | | |
1.) The caregiver loses weight and has insomnia.
| | | | | | |
2.) The caregiver asks other family and friends for help.
| | | | | | | | |
3.) The caregiver asks the nurse what other ways he or she can help the client.
| | | | | | | | | | | | | | |
4.) The caregiver seems sad whenever the client's prognosis is discussed. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-Answer: |
1.) The caregiver loses weight and has insomnia.
| | | | | | |
, Rationale:
If the caregiver's own health is becoming threatened, it may be a sign of
| | | | | | | | | | | | | |
overload. It would be appropriate for the caregiver to ask for assistance from
| | | | | | | | | | | | |
others (option 2), or to ask for clarification of ways he or she can assist the client
| | | | | | | | | | | | | | | | |
(option 3). Sadness related to a poor prognosis would be a normal and expected
| | | | | | | | | | | | | |
response as long as it does not evolve into depression (option 4).
| | | | | | | | | | |
(Chapter 8 Kozier & Erb) | | | |
A client is scheduled to be discharged from the hospital. Which should the
| | | | | | | | | | | | |
discharge planner at the hospital acquire first before home nursing care can be
| | | | | | | | | | | | |
initiated?
1.) Insurance coverage
| |
2.) An in-home caregiver
| | |
3.) A curable health problem
| | | |
4.) A physician's authorization - CORRECT ANSWER✔✔-Answer:
| | | | | | |
4.) A physician's authorization
| | |
Rationale:
A physician's authorization of the plan of care is needed before home health care
| | | | | | | | | | | | | |
by a nurse can be initiated. Insurance coverage is not required although the
| | | | | | | | | | | | |
agency may need proof of the client's ability to pay if insurance is not available or
| | | | | | | | | | | | | | |
adequate (option 1). Many clients benefit from home health care even if there is
| | | | | | | | | | | | | | |
no in-home caregiver present or needed (option 2). The health problem for which
| | | | | | | | | | | |
home care is needed may be chronic or acute and may necessitate preventative,
| | | | | | | | | | | | | |
curative, or palliative therapy (option 3).
| | | | |
