N262 EXAM 1/2/3/4 - CHAPTER REVIEW QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS GRADED
A++
CH 6: The Pew Commission competencies for future practitioners included the
need for providers to become skilled in which of the following?
1. Use of technology
2. Emphasizing practice in tertiary settings
3. Traditional clinical approaches
4. Making decisions for incompetent clients
1. Use of technology
CH6: Which of the following is characteristic of nursing care provided in
community-based health?
1. Clients are primarily those with identified illnesses.
2. Clients are individuals in groups according to their geographic commonalities.
3. Care is paid for by the community as a whole rather than by individuals.
4. All clients are case managed.
2. Clients are individuals in groups according to their geographic commonalities.
CH6: When performing collaborative health care, the nurse must implement
which of the following?
1. Assume a leadership role in directing the health care team.
,2. Rely on the expertise of other health care team members.
3. Be physically present for the implementation of all aspects of the care plan.
4. Delegate decision-making authority to each health care provider.
2. Rely on the expertise of other health care team members.
CH6: The nurse concludes that effective discharge planning (hospital to home)
has been conducted when the client states which of the following?
1. "As soon as I get home, the nurse will come out, look at where I live, and see
what kind of care I will need."
2. "All I need are my medications and a ride home. Then I'm all ready for
discharge."
3. "When I visit my doctor in 10 days, they will show me how to change my
bandages."
4. "I have the phone numbers of the home care nurse and the therapist who will
visit me at home tomorrow."
4. "I have the phone numbers of the home care nurse and the therapist who will visit me
at home tomorrow."
CH6: A large disaster in a community resulted in the destruction of many family
homes and many individuals were injured. The assistance of community health
nurses and home health nurses is needed. The home health nurse is most likely
to perform which of the following?
1. Provide for a safe water supply.
2. Monitor for communicable diseases.
,3. Establish communication and support systems.
4. Assess and treat individual clients
4. Assess and treat individual clients
CH7: 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 and family.
4. Permits use of pain medication regimens not allowed in the hospital.
3. Facilitates extensive involvement of significant others and family.
CH7: If a primary care provider prescribed the following, which could be assigned
to the home healthcare aide?
1. Feeding and bathing the client
2. Teaching the client about medications
3. Assessing wound healing progress
4. Adjusting oxygen flow
1. Feeding and bathing the client
CH7: After the nurse instructed a client about the rationale for sitting with feet
elevated to enhance venous return, the client refuses to perform the activity.
Which statement by the nurse would be most useful?
1. "If you won't cooperate, I can't help you."
2. "Tell me the reasons you won't put your feet up."
, 3. "It is essential that you do this."
4. "I'll notify your doctor that you are unable to keep your feet up."
2. "Tell me the reasons you won't put your feet up."
CH7: A home healthcare 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.
1. The caregiver loses weight and has insomnia.
CH7: 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
4. A physician's authorization
CH7: The nurse doing home healthcare recognizes that the practice includes
which of the following? Select all that apply.
1. Hospice care
2. Visiting home health clients living in skilled nursing facilities
AND ANSWERS WITH COMPLETE SOLUTIONS GRADED
A++
CH 6: The Pew Commission competencies for future practitioners included the
need for providers to become skilled in which of the following?
1. Use of technology
2. Emphasizing practice in tertiary settings
3. Traditional clinical approaches
4. Making decisions for incompetent clients
1. Use of technology
CH6: Which of the following is characteristic of nursing care provided in
community-based health?
1. Clients are primarily those with identified illnesses.
2. Clients are individuals in groups according to their geographic commonalities.
3. Care is paid for by the community as a whole rather than by individuals.
4. All clients are case managed.
2. Clients are individuals in groups according to their geographic commonalities.
CH6: When performing collaborative health care, the nurse must implement
which of the following?
1. Assume a leadership role in directing the health care team.
,2. Rely on the expertise of other health care team members.
3. Be physically present for the implementation of all aspects of the care plan.
4. Delegate decision-making authority to each health care provider.
2. Rely on the expertise of other health care team members.
CH6: The nurse concludes that effective discharge planning (hospital to home)
has been conducted when the client states which of the following?
1. "As soon as I get home, the nurse will come out, look at where I live, and see
what kind of care I will need."
2. "All I need are my medications and a ride home. Then I'm all ready for
discharge."
3. "When I visit my doctor in 10 days, they will show me how to change my
bandages."
4. "I have the phone numbers of the home care nurse and the therapist who will
visit me at home tomorrow."
4. "I have the phone numbers of the home care nurse and the therapist who will visit me
at home tomorrow."
CH6: A large disaster in a community resulted in the destruction of many family
homes and many individuals were injured. The assistance of community health
nurses and home health nurses is needed. The home health nurse is most likely
to perform which of the following?
1. Provide for a safe water supply.
2. Monitor for communicable diseases.
,3. Establish communication and support systems.
4. Assess and treat individual clients
4. Assess and treat individual clients
CH7: 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 and family.
4. Permits use of pain medication regimens not allowed in the hospital.
3. Facilitates extensive involvement of significant others and family.
CH7: If a primary care provider prescribed the following, which could be assigned
to the home healthcare aide?
1. Feeding and bathing the client
2. Teaching the client about medications
3. Assessing wound healing progress
4. Adjusting oxygen flow
1. Feeding and bathing the client
CH7: After the nurse instructed a client about the rationale for sitting with feet
elevated to enhance venous return, the client refuses to perform the activity.
Which statement by the nurse would be most useful?
1. "If you won't cooperate, I can't help you."
2. "Tell me the reasons you won't put your feet up."
, 3. "It is essential that you do this."
4. "I'll notify your doctor that you are unable to keep your feet up."
2. "Tell me the reasons you won't put your feet up."
CH7: A home healthcare 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.
1. The caregiver loses weight and has insomnia.
CH7: 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
4. A physician's authorization
CH7: The nurse doing home healthcare recognizes that the practice includes
which of the following? Select all that apply.
1. Hospice care
2. Visiting home health clients living in skilled nursing facilities
