TEST BANK FOR PRIMARY CARE : A COLLABORATIVE
PRACTICE,6TH EDITION BY BUTTARO.ISBN-13: 978-
0323570152 | ALL CHAPTERS WITH ANSWERS AND
RATIONALS
In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change
the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective? -
ANSWER: Demonstrate and explain the procedure and then have the daughter perform it.
An 82-year-old client is being discharged from the hospital following a bowel resection. The client
lives alone and the client's family is out of town. Which factor will have the greatest effect on the
client's home care management? - ANSWER: Support system
When preparing to transfer an older adult client back to the long-term care facility where the client
has been for several years, it is the primary responsibility of the nurse to: - ANSWER: provide for the
coordination and continuity of care by the health care providers.
Public health nursing is the branch of nursing that: - ANSWER: provides health care for the
community.
The focus of community-based care is: - ANSWER: providing care to clients within a defined
geographic area.
A home health care nurse is explaining to an emergency room nurse how nursing care in the home
setting differs from that in the hospital setting. Which statement by the home health care nurse
would be most appropriate? - ANSWER: "The client and family are in control of the setting, not the
nurse."
When initiating home health care services, during which phase is it appropriate for the nurse to
implement the initial client assessment? - ANSWER: Entry phase
A nurse is preparing for handoff communication for a client who is being discharged from the hospital
to home health care. Which example is not an action performed during this process? - ANSWER: The
nurse prepares the new room for the client.
A successful discharge includes effective planning. Identifying and meeting client needs beyond the
acute care facility reduce readmissions. Which nursing role is of great importance to this success? -
ANSWER: Coordinator
When doing discharge planning for an older adult client who had a stroke, what is the nursing
priority? - ANSWER: Plan reachable goals with the client and family.
In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with
the client. This is an example of which step in discharge planning? - ANSWER: Providing client
education
When a multidisciplinary team is involved in meeting the home care needs of a client, who is the
person responsible for the coordination of the care provided? - ANSWER: The registered nurse
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 for the home care nurse to encourage the client to: - ANSWER:
communicate these feelings to family and friends.
, The nurse understands that planning for discharge actually begins at admission to the facility. The
purpose of discharge planning is best described as: - ANSWER: providing continuity of care that is goal
directed.
A nurse is caring for a 17-year-old pregnant teenager who needs to obtain assistance with essential
baby items such as a crib. The client mentions not having any income from a job. The nurse should
encourage the client to go to a: - ANSWER: social welfare office.
When educating clients in the community on health promotion and prevention of disease, it is
important to stress: - ANSWER: health education can benefit individuals and groups.
It is important for home health care nurses to remember which point? - ANSWER: The nurse is the
guest in the client's home.
The home care nurse asks the client and family about their socioeconomic status, culture, and beliefs.
This occurs during which phase of care? - ANSWER: Assessment
One significant change in the health care delivery system in recent years is earlier hospital discharges.
What is one result of earlier hospital discharges? - ANSWER: Clients with high home care needs are
being discharged into the community.
One of the fastest growing venues of practice for the nurse is home health care. What is the basis for
the growth in this health care setting? - ANSWER: The discharge home of clients who are more
critically ill
A client living alone has degenerative joint disease, hypertension, and neuropathy. It is difficult for the
client to bathe, and the client's blood pressure is unstable. Which type of care would this client
benefit from most? - ANSWER: Home care
A single parent age 17 years, with one child and pregnant with a second, has the mental age of a 12-
year-old. The home care nurse's greatest concern in caring for this client should be the client's ability
to do which? - ANSWER: Cognitively understand how to care for the children
Which role is the home health nurse exhibiting when demonstrating how to suction the oropharynx of
the client? - ANSWER: Educator
The nurse is assigned to care for a middle-aged client who is agitated and wants to go home. The
client states that the client does not have time to waste in the hospital, and no one is doing anything
anyway. Which action by the nurse is most appropriate if the client insists on leaving the hospital
against medical advice (AMA)? - ANSWER: Have the client sign the AMA form.
A home health nurse uses different professional skills to achieve a successful care plan for clients in
their home setting. Which skill is of most importance to the nurse? - ANSWER: Nurse-client rapport
Which measure should a home health care nurse integrate into routine practice to minimize the
potential for lawsuits? - ANSWER: Perform thorough, accurate, and timely documentation.
Prior to the discharge of a client who is recovering from a stroke from an acute care facility, the
nursing case manager has the nursing staff, client, client's family, physical therapist, and home health
nurse meet. The most likely purpose of this meeting is to: - ANSWER: prepare the client for home
care.
A nurse manager at a home health care agency is reviewing the medical record of a client who is
receiving Medicare-based home health services. To ensure reimbursement for services, the nurse
manager should consider whether which criteria have been met? Select all that apply. - ANSWER: The
client is under the care of a physician.
PRACTICE,6TH EDITION BY BUTTARO.ISBN-13: 978-
0323570152 | ALL CHAPTERS WITH ANSWERS AND
RATIONALS
In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change
the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective? -
ANSWER: Demonstrate and explain the procedure and then have the daughter perform it.
An 82-year-old client is being discharged from the hospital following a bowel resection. The client
lives alone and the client's family is out of town. Which factor will have the greatest effect on the
client's home care management? - ANSWER: Support system
When preparing to transfer an older adult client back to the long-term care facility where the client
has been for several years, it is the primary responsibility of the nurse to: - ANSWER: provide for the
coordination and continuity of care by the health care providers.
Public health nursing is the branch of nursing that: - ANSWER: provides health care for the
community.
The focus of community-based care is: - ANSWER: providing care to clients within a defined
geographic area.
A home health care nurse is explaining to an emergency room nurse how nursing care in the home
setting differs from that in the hospital setting. Which statement by the home health care nurse
would be most appropriate? - ANSWER: "The client and family are in control of the setting, not the
nurse."
When initiating home health care services, during which phase is it appropriate for the nurse to
implement the initial client assessment? - ANSWER: Entry phase
A nurse is preparing for handoff communication for a client who is being discharged from the hospital
to home health care. Which example is not an action performed during this process? - ANSWER: The
nurse prepares the new room for the client.
A successful discharge includes effective planning. Identifying and meeting client needs beyond the
acute care facility reduce readmissions. Which nursing role is of great importance to this success? -
ANSWER: Coordinator
When doing discharge planning for an older adult client who had a stroke, what is the nursing
priority? - ANSWER: Plan reachable goals with the client and family.
In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with
the client. This is an example of which step in discharge planning? - ANSWER: Providing client
education
When a multidisciplinary team is involved in meeting the home care needs of a client, who is the
person responsible for the coordination of the care provided? - ANSWER: The registered nurse
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 for the home care nurse to encourage the client to: - ANSWER:
communicate these feelings to family and friends.
, The nurse understands that planning for discharge actually begins at admission to the facility. The
purpose of discharge planning is best described as: - ANSWER: providing continuity of care that is goal
directed.
A nurse is caring for a 17-year-old pregnant teenager who needs to obtain assistance with essential
baby items such as a crib. The client mentions not having any income from a job. The nurse should
encourage the client to go to a: - ANSWER: social welfare office.
When educating clients in the community on health promotion and prevention of disease, it is
important to stress: - ANSWER: health education can benefit individuals and groups.
It is important for home health care nurses to remember which point? - ANSWER: The nurse is the
guest in the client's home.
The home care nurse asks the client and family about their socioeconomic status, culture, and beliefs.
This occurs during which phase of care? - ANSWER: Assessment
One significant change in the health care delivery system in recent years is earlier hospital discharges.
What is one result of earlier hospital discharges? - ANSWER: Clients with high home care needs are
being discharged into the community.
One of the fastest growing venues of practice for the nurse is home health care. What is the basis for
the growth in this health care setting? - ANSWER: The discharge home of clients who are more
critically ill
A client living alone has degenerative joint disease, hypertension, and neuropathy. It is difficult for the
client to bathe, and the client's blood pressure is unstable. Which type of care would this client
benefit from most? - ANSWER: Home care
A single parent age 17 years, with one child and pregnant with a second, has the mental age of a 12-
year-old. The home care nurse's greatest concern in caring for this client should be the client's ability
to do which? - ANSWER: Cognitively understand how to care for the children
Which role is the home health nurse exhibiting when demonstrating how to suction the oropharynx of
the client? - ANSWER: Educator
The nurse is assigned to care for a middle-aged client who is agitated and wants to go home. The
client states that the client does not have time to waste in the hospital, and no one is doing anything
anyway. Which action by the nurse is most appropriate if the client insists on leaving the hospital
against medical advice (AMA)? - ANSWER: Have the client sign the AMA form.
A home health nurse uses different professional skills to achieve a successful care plan for clients in
their home setting. Which skill is of most importance to the nurse? - ANSWER: Nurse-client rapport
Which measure should a home health care nurse integrate into routine practice to minimize the
potential for lawsuits? - ANSWER: Perform thorough, accurate, and timely documentation.
Prior to the discharge of a client who is recovering from a stroke from an acute care facility, the
nursing case manager has the nursing staff, client, client's family, physical therapist, and home health
nurse meet. The most likely purpose of this meeting is to: - ANSWER: prepare the client for home
care.
A nurse manager at a home health care agency is reviewing the medical record of a client who is
receiving Medicare-based home health services. To ensure reimbursement for services, the nurse
manager should consider whether which criteria have been met? Select all that apply. - ANSWER: The
client is under the care of a physician.
