Chapter 6: Community-Based Nursing and Home Care

Chapter 6: Community-Based Nursing and Home Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. A family caregiver tells the home health nurse, “I feel like I can never get away to do
anything for myself.” Which action will be best for the nurse to take?
a. Assist the caregiver in finding respite services.
b. Assure the caregiver that the work is appreciated.
c. Teach the caregiver that family members provide excellent patient care.
d. Encourage the caregiver to discuss feelings openly with the nurse as needed.
ANS: A
Respite services allow family caregivers to have free time. The other actions also may be
helpful, but the caregiver’s statement clearly indicates the need for some free time.
DIF: Cognitive Level: Application REF: 88
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2. A patient who was in an automobile accident is assigned a nurse as a case manager. The
responsibilities of the nurse in this role are to
a. care for the patient during hospitalization for the injuries.
b. assist the patient with home care activities during recovery.
c. coordinate the services that the patient receives in the hospital and at home.
d. determine the types of medical care the patient needs for optimal rehabilitation.
ANS: C
The role of the case manager is to coordinate the patient’s care through multiple settings
and levels of care to allow the maximal patient benefit at the least cost. The case manager
does not provide direct care in either the acute or home setting. The case manager
coordinates and advocates for care but does not determine what types of medical care are
needed, which is done by the health care provider or other provider.
DIF: Cognitive Level: Comprehension REF: 83
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
3. A patient who has just moved to a long-term care facility has a nursing diagnosis of
relocation stress syndrome. Which action should the nurse include in the plan of care?
a. Remind the patient that making changes is usually stressful.
b. Discuss the reason for the move to the facility with the patient.
c. Restrict family visits until the patient is accustomed to the facility.
d. Have staff members write notes welcoming the patient to the facility.
ANS: D
Test Bank 6-2
Having staff members write notes will make the patient feel more welcome and
comfortable at the long-term care facility. Discussing the reason for the move and
reminding the patient that change is usually stressful will not decrease the patient’s stress
about the move. Family member visits will decrease the patient’s sense of stress about the
relocation.
DIF: Cognitive Level: Application REF: 84 TOP: Nursing Process:
Planning
MSC: NCLEX: Psychosocial Integrity
4. A 78-year-old patient hospitalized for a fractured hip has recovered from the surgery but
needs to work with physical therapy to improve mobility before returning home. The
nurse will anticipate transferring the patient to
a. an acute care setting.
b. a transitional care setting.
c. a residential care facility.
d. an intermediate care facility.
ANS: B
Transitional care settings are appropriate for patients who need continued rehabilitation
before discharge to home or to long-term care settings. The patient is no longer in need of
the more continuous assessment and care given in acute care settings. There is no
indication that the patient will need the permanent and ongoing medical and nursing
services available in intermediate care. The patient is not yet independent enough to
transfer to a residential care facility.
DIF: Cognitive Level: Application REF: 83 TOP: Nursing Process:
Planning
MSC: NCLEX: Safe and Effective Care Environment