Question 1

During the performance of which standard of care would the nurse discover the need for Meals on Wheels?

Accepted Answer

A)   Diagnosis
B)   Planning
C)   Assessment
D)   Implementation

Question 2

Medicare places emphasis on:

Accepted Answer

A)   Chronic care
B)   Distributive care
C)   Episodic care
D)   Primary prevention

Question 3

Which of the following types of agencies was responsible for the initial development of nursing in the home?

Accepted Answer

A)   Official
B)   Voluntary
C)   Proprietary
D)   Combination

Question 4

In any health care system there is the potential for illegal and unethical activity. Which of the following are activities documented to have occurred in the past? Select all that apply.

Accepted Answer

A)   Inappropriate use of home health services
B)   Inaccurate billing for services
C)   Excessive administrative staff
D)   "Kick-backs" for referrals
E)   None of the above

Question 5

Successful interprofessional functioning depends on numerous factors including the knowledge, skills, and attitudes of each team member. Which of the following are factors for successful interprofessional functioning?

Accepted Answer

A)   Understanding who is in charge of the patient's care
B)   Making appropriate referrals
C)   Understanding what other professionals do and how they see their roles
D)   Working in isolation when performing the tasks that a professional is responsible for

Question 6

Proprietary agencies are:

Accepted Answer

A)   Exempt from federal income taxes
B)   Governed by a board of directors
C)   Profit-making agencies
D)   Reimbursed primarily by tax funds C

Question 7

The goal of home health nursing is to:

Accepted Answer

A)   Provide direct care to the client in the home
B)   Maximize the client's level of independence
C)   Provide case management services
D)   Coordinate care in the home

Question 8

The incentives and pressures for cost control and improved health outcomes have increased the development and use of telehealth technology in the home setting. Telehealth:

Accepted Answer

A)   Uses WebTV to teach clients about their health
B)   Includes sharing health information between the client and clinicians using electronic communications
C)   Requires home health nurses to make regular visits to clients to check the technology
D)   Often violates the Health Insurance Portability and Accountability Act (HIPA
A)   laws because information can be shared easily

Question 9

Which of the following is a standard of home health nursing practice?

Accepted Answer

A)   Quality of care
B)   Education
C)   Outcome identification
D)   Ethics

Question 10

To determine whether a service performed by the nurse is skilled care, several factors must be evaluated and adequately documented. Which of the following is an example of skilled nursing service?

Accepted Answer

A)   Teaching the client and family to implement a therapeutic plan such as taking medications
B)   Consulting with other nurses about the care of a patient in the home
C)   Coordinating services for maximum benefit at minimal cost
D)   Reviewing nursing assistant charting at the end of each day

Question 11

Which of the following gives the home health nurse the necessary information to develop short- and long-term goals with the client and family?

Accepted Answer

A)   Assessment
B)   Diagnosis
C)   Implementation
D)   Evaluation

Question 12

A primary objective for the home health nurse is:

Accepted Answer

A)   Education
B)   Health promotion
C)   Facilitation of self-care
D)   Disease prevention C

Question 13

Transitional care programs in the home are designed for persons with complex or high-risk health problems who are making a transition from one level of care to another. Which of the following are examples of this? Select all that apply.

Accepted Answer

A)   Adults with cognitive impairments
B)   Women with high-risk pregnancies
C)   Older adults with heart failure
D)   People who are moving from one state to another

Question 14

Official agencies are financed primarily by:

Accepted Answer

A)   Charities
B)   Individual clients
C)   Third-party payers
D)   Tax funds

Question 15

From a historical perspective, home care reached a turning point when:

Accepted Answer

A)   Medicare legislation was passed
B)   Visiting Nurse Associations were established
C)   The Montefiore Hospital Home Care Program in New York was established
D)   The Civil Works Administration provided funds for the use of nurses who were unemployed

Question 16

When providing advice and counsel to the staff and clients, which of the following roles would the nurse be practicing?

Accepted Answer

A)   Education
B)   Research
C)   Administrator
D)   Consultant

Question 17

Which of the following is an indirect care function of the home health nurse?

Accepted Answer

A)   Advising a hospital nurse regarding the client's usual method of care
B)   Administration of medications
C)   Assessing a wound
D)   Teaching the client's family how to change a dressing

Question 18

Home care includes disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence. Home care does not only refer to home health but is much broader. Research suggests:

Accepted Answer

A)   Homebound people cannot travel to the health care facility.
B)   Nurses would rather care for people in their homes.
C)   The home is the optimal location for certain health and nursing services.
D)   Health care in the home is better than at an acute care facility.

Question 19

Which of the following is a component of home health care nursing?

Accepted Answer

A)   Intermittent visits
B)   Custodial care
C)   Daily or hourly rate charges
D)   Reimbursement payment to the nurse A

Question 20

Research has demonstrated that home-based approaches to care delivery produce better outcomes for certain populations. Population-focused home care is directed toward:

Accepted Answer

A)   The needs of specific groups of people with high-risk health needs
B)   Acutely ill adults in the home
C)   Clients who are on home ventilators
D)   People in rural areas with no access to care

Exam 41: The Nurse in Home Health and Hospice

During the performance of which standard of care would the nurse discover the need for Meals on Wheels?

Correct AnswerverifiedShow Answer

Medicare places emphasis on:

Correct AnswerverifiedShow Answer

Which of the following types of agencies was responsible for the initial development of nursing in the home?

Correct AnswerverifiedShow Answer

In any health care system there is the potential for illegal and unethical activity. Which of the following are activities documented to have occurred in the past? Select all that apply.

Correct AnswerverifiedShow Answer

Successful interprofessional functioning depends on numerous factors including the knowledge, skills, and attitudes of each team member. Which of the following are factors for successful interprofessional functioning?

Correct AnswerverifiedShow Answer

Proprietary agencies are:

Correct AnswerverifiedC

The goal of home health nursing is to:

Correct AnswerverifiedShow Answer

The incentives and pressures for cost control and improved health outcomes have increased the development and use of telehealth technology in the home setting. Telehealth:

Correct AnswerverifiedShow Answer

Which of the following is a standard of home health nursing practice?

Correct AnswerverifiedShow Answer

To determine whether a service performed by the nurse is skilled care, several factors must be evaluated and adequately documented. Which of the following is an example of skilled nursing service?

Correct AnswerverifiedShow Answer

Which of the following gives the home health nurse the necessary information to develop short- and long-term goals with the client and family?

Correct AnswerverifiedShow Answer

A primary objective for the home health nurse is:

Correct AnswerverifiedC

Transitional care programs in the home are designed for persons with complex or high-risk health problems who are making a transition from one level of care to another. Which of the following are examples of this? Select all that apply.

Correct AnswerverifiedShow Answer

Official agencies are financed primarily by:

Correct AnswerverifiedShow Answer

From a historical perspective, home care reached a turning point when:

Correct AnswerverifiedShow Answer

When providing advice and counsel to the staff and clients, which of the following roles would the nurse be practicing?

Correct AnswerverifiedShow Answer

Which of the following is an indirect care function of the home health nurse?

Correct AnswerverifiedShow Answer

Home care includes disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence. Home care does not only refer to home health but is much broader. Research suggests:

Correct AnswerverifiedShow Answer

Which of the following is a component of home health care nursing?

Correct AnswerverifiedA

Research has demonstrated that home-based approaches to care delivery produce better outcomes for certain populations. Population-focused home care is directed toward:

Correct AnswerverifiedShow Answer

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C

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C

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A

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