Test Bank For Primary Care: A Collaborative Practice 5th
Edition By Terry Mahan Buttaro & JoAnn Trybulski & Patricia
Polgar-Bailey & Joanne Sandberg-
The home health care nurse is providing information to a client and family on
medication changes. What role is the nurse performing? - ANSWER: Client and family
educator
Nurses providing home health care educate clients and families about all the aspects
of care in the home, including the disease process or treatment, nutrition,
medications, or treatment of care of wounds. As a caregiver, the nurse develops and
implements a plan of care. As a client advocate, the nurse protects and supports the
rights of another person. As a coordinator of services, the nurse must use effective
communication skills with other health care providers while coordinating services for
the client. 269
Home health care nurses are required to complete the Outcome and Assessment
Information Set (OASIS) by which entity? - ANSWER: Medicare
OASIS provides standardized guidelines for admission and care, as well as a national
database for evaluation, reimbursement, and quality improvement. The OASIS
system of data collection is required by Medicare, not by Medicaid, insurance
companies, or any other third-party payer. 288
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
Regarding all aspects of survival, the cognitive ability of this young client is the
greatest concern. The cognitive ability to understand how to organize work, manage
financial responsibilities, and ensure safety within the home is essential to a single
parent of two young children 288
Public health nursing is the branch of nursing that: - ANSWER: Provides health care
for the community
Public health nursing focuses on the whole population and the health of the
community at large, not just on assessing or providing care to individuals.
Community-based nursing, not public health nursing, involves administering care for
a defined geographic community 265
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 more
, appropriate if the client insists on leaving the hospital against medical advice (AMA)?
- ANSWER: Have the client sign the AMA form 283
The home health nurse is beginning the entry phase of the home visit. What
important outcomes will the nurse achieve in this phase of the process? Select all
that apply. - ANSWER: -The nurse develops rapport with the client and the family
-The nurse completes a physical and psychosocial assessment
-The nurse teaches the client and the family members about wound care
288
The nurse is met in the staff lounge by the nurse who has been caring for the client
team on this shift. The off-going nurse says, "Sorry, but I have to get out of here."
The nurse then gives a quick overview of each client on the team and says, "All the
rest is in the chart if you need anything." Which essential part of the handoff is
missing? - ANSWER: The opportunity for the oncoming nurse to ask questions
Handoffs should always include a chance for the oncoming nurse to ask questions
and to clarify anything that is unclear. The nurse should not expect an opportunity to
assess the clients, check IV sites, or meet new clients prior to the previous nurse
leaving. In instances where bedside report is given, the nurse may have some of
these opportunities, but they are not required in a handoff. 269
The nurse is admitting a client for outpatient surgery. When the nurse asks what the
client has been told about self-care following discharge, the client says, "No one has
told me anything." Which nursing intervention is indicated? - ANSWER: Provide the
teaching.
The nurse assesses what has been done prior to the day of surgery and tailors the
care plan to meet the client's needs. In this case, the client should receive
information about postoperative self-care, including written instructions. The nurse,
not the surgeon or charge nurse, should provide the teaching. There is no need to
delay the client's surgery; moreover, it would be the surgeon's responsibility to
decide whether to delay the surgery, not the nurse's.278
A client with severe congestive heart failure (CHF) has been referred to a long-term
care facility. The nurse is transferring care from the hospital setting to a long-term
care facility. Which action is a priority to ensure continuity of care for this client? -
ANSWER: Providing accurate and complete communication to the new facility.
To ensure continuity of care for the client, the nurse should send a detailed
assessment and care plan from the hospital to the extended care facility. Frequently,
the nurse at the hospital provides a verbal report to the nurse at the new facility
using the approved handoff technique. Other departments at the hospital should be
Edition By Terry Mahan Buttaro & JoAnn Trybulski & Patricia
Polgar-Bailey & Joanne Sandberg-
The home health care nurse is providing information to a client and family on
medication changes. What role is the nurse performing? - ANSWER: Client and family
educator
Nurses providing home health care educate clients and families about all the aspects
of care in the home, including the disease process or treatment, nutrition,
medications, or treatment of care of wounds. As a caregiver, the nurse develops and
implements a plan of care. As a client advocate, the nurse protects and supports the
rights of another person. As a coordinator of services, the nurse must use effective
communication skills with other health care providers while coordinating services for
the client. 269
Home health care nurses are required to complete the Outcome and Assessment
Information Set (OASIS) by which entity? - ANSWER: Medicare
OASIS provides standardized guidelines for admission and care, as well as a national
database for evaluation, reimbursement, and quality improvement. The OASIS
system of data collection is required by Medicare, not by Medicaid, insurance
companies, or any other third-party payer. 288
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
Regarding all aspects of survival, the cognitive ability of this young client is the
greatest concern. The cognitive ability to understand how to organize work, manage
financial responsibilities, and ensure safety within the home is essential to a single
parent of two young children 288
Public health nursing is the branch of nursing that: - ANSWER: Provides health care
for the community
Public health nursing focuses on the whole population and the health of the
community at large, not just on assessing or providing care to individuals.
Community-based nursing, not public health nursing, involves administering care for
a defined geographic community 265
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 more
, appropriate if the client insists on leaving the hospital against medical advice (AMA)?
- ANSWER: Have the client sign the AMA form 283
The home health nurse is beginning the entry phase of the home visit. What
important outcomes will the nurse achieve in this phase of the process? Select all
that apply. - ANSWER: -The nurse develops rapport with the client and the family
-The nurse completes a physical and psychosocial assessment
-The nurse teaches the client and the family members about wound care
288
The nurse is met in the staff lounge by the nurse who has been caring for the client
team on this shift. The off-going nurse says, "Sorry, but I have to get out of here."
The nurse then gives a quick overview of each client on the team and says, "All the
rest is in the chart if you need anything." Which essential part of the handoff is
missing? - ANSWER: The opportunity for the oncoming nurse to ask questions
Handoffs should always include a chance for the oncoming nurse to ask questions
and to clarify anything that is unclear. The nurse should not expect an opportunity to
assess the clients, check IV sites, or meet new clients prior to the previous nurse
leaving. In instances where bedside report is given, the nurse may have some of
these opportunities, but they are not required in a handoff. 269
The nurse is admitting a client for outpatient surgery. When the nurse asks what the
client has been told about self-care following discharge, the client says, "No one has
told me anything." Which nursing intervention is indicated? - ANSWER: Provide the
teaching.
The nurse assesses what has been done prior to the day of surgery and tailors the
care plan to meet the client's needs. In this case, the client should receive
information about postoperative self-care, including written instructions. The nurse,
not the surgeon or charge nurse, should provide the teaching. There is no need to
delay the client's surgery; moreover, it would be the surgeon's responsibility to
decide whether to delay the surgery, not the nurse's.278
A client with severe congestive heart failure (CHF) has been referred to a long-term
care facility. The nurse is transferring care from the hospital setting to a long-term
care facility. Which action is a priority to ensure continuity of care for this client? -
ANSWER: Providing accurate and complete communication to the new facility.
To ensure continuity of care for the client, the nurse should send a detailed
assessment and care plan from the hospital to the extended care facility. Frequently,
the nurse at the hospital provides a verbal report to the nurse at the new facility
using the approved handoff technique. Other departments at the hospital should be
