Chapter 6: Community-Based Nursing and Home Care
Test Bank
MULTIPLE CHOICE
1. A family caregiver tells the home health nurse, “I feel like I can never get away to do anything
for myself.” Which action will be best for the nurse to take?
a. Assist the caregiver in finding respite services.
b. Assure the caregiver that the work is appreciated.
c. Teach the caregiver that family members provide excellent patient care.
d. Encourage the caregiver to discuss feelings openly with the nurse as needed.
ANS: A
Respite services allow family caregivers to have free time. The other actions also may be
helpful, but the caregiver’s statement clearly indicates the need for some free time.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
2. A patient who was in an automobile accident is assigned a nurse as a case manager. The
responsibilities of the nurse in this role are to
a. care for the patient during hospitalization for the injuries.
b. assist the patient with home care activities during recovery.
c. coordinate the services that the patient receives in the hospital and at home.
d. determine the types of medical care the patient needs for optimal rehabilitation.
ANS: C
The role of the case manager is to coordinate the patient’s care through multiple settings and
levels of care to allow the maximal patient benefit at the least cost. The case manager does not
provide direct care in either the acute or home setting. The case manager coordinates and
advocates for care but does not determine what types of medical care are needed, which is
done by the health care provider or other provider.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
3. A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation
stress syndrome. Which action should the nurse include in the plan of care?
a. Remind the patient that making changes is usually stressful.
b. Discuss the reason for the move to the facility with the patient.
c. Restrict family visits until the patient is accustomed to the facility.
d. Have staff members write notes welcoming the patient to the facility.
ANS: D
Having staff members write notes will make the patient feel more welcome and comfortable at
the long-term care facility. Discussing the reason for the move and reminding the patient that
change is usually stressful will not decrease the patient’s stress about the move. Family
member visits will decrease the patient’s sense of stress about the relocation.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
Test Bank
MULTIPLE CHOICE
1. A family caregiver tells the home health nurse, “I feel like I can never get away to do anything
for myself.” Which action will be best for the nurse to take?
a. Assist the caregiver in finding respite services.
b. Assure the caregiver that the work is appreciated.
c. Teach the caregiver that family members provide excellent patient care.
d. Encourage the caregiver to discuss feelings openly with the nurse as needed.
ANS: A
Respite services allow family caregivers to have free time. The other actions also may be
helpful, but the caregiver’s statement clearly indicates the need for some free time.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity
2. A patient who was in an automobile accident is assigned a nurse as a case manager. The
responsibilities of the nurse in this role are to
a. care for the patient during hospitalization for the injuries.
b. assist the patient with home care activities during recovery.
c. coordinate the services that the patient receives in the hospital and at home.
d. determine the types of medical care the patient needs for optimal rehabilitation.
ANS: C
The role of the case manager is to coordinate the patient’s care through multiple settings and
levels of care to allow the maximal patient benefit at the least cost. The case manager does not
provide direct care in either the acute or home setting. The case manager coordinates and
advocates for care but does not determine what types of medical care are needed, which is
done by the health care provider or other provider.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
3. A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation
stress syndrome. Which action should the nurse include in the plan of care?
a. Remind the patient that making changes is usually stressful.
b. Discuss the reason for the move to the facility with the patient.
c. Restrict family visits until the patient is accustomed to the facility.
d. Have staff members write notes welcoming the patient to the facility.
ANS: D
Having staff members write notes will make the patient feel more welcome and comfortable at
the long-term care facility. Discussing the reason for the move and reminding the patient that
change is usually stressful will not decrease the patient’s stress about the move. Family
member visits will decrease the patient’s sense of stress about the relocation.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
