Edition By Terry Mahan Buttaro & JoAnn Trybulski & Patricia
Polgar-Bailey & Joanne Sandberg-
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