Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice

Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Official agencies are financed primarily by:

a.	charities.
b.	individual clients.
c.	third-party payers.
d.	tax funds.

 

 

ANS:  D

Official agencies are financed primarily by tax funds. These agencies are typically operated by state, county, city, or other local government units, such as health departments.

 

DIF:    Cognitive level: Understanding        REF:   p. 891             TOP:   Nursing process: Evaluation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

2. Medicare-certified home health agencies place emphasis on _____ care.

a.	chronic
b.	distributive
c.	intermittent
d.	primary

 

 

ANS:  C

As part of the Conditions of Participation, Medicare-certified home health agencies must place an emphasis on intermittent care. Home care services that are provided must be intermittent and provide a skilled service. Primary care refers to the care that is often provided in a physician’s office. Medicare-certified agencies provide care following an acute hospitalization or medical change; they do not provide long-term care for chronic illnesses.

 

DIF:    Cognitive level: Understanding        REF:   p. 888

TOP:   Nursing process: Assessment

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

3. A nurse is implementing a population-focused model of home care delivery. Which of the following actions would most likely be taken by the nurse?

a.	Use an assessment protocol when conducting visits
b.	Collaborate with other disciplines
c.	Provide care for a specific population
d.	Apply high-intensity interventions

 

 

ANS:  A

Population-focused home care models of care usually include structured approaches to regular visits with assessment protocols, focused health education, counseling, and health-related support and coaching.

 

DIF:    Cognitive level: Applying                REF:   p. 889

TOP:   Nursing process: Implementation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

4. A home care nurse is employed by a proprietary agency. What does this mean?

a.	The agency is exempt from federal income taxes.
b.	The agency is governed by a board of directors.
c.	The agency is a profit-making agency.
d.	The agency is reimbursed primarily by tax funds.

 

 

ANS:  C

Proprietary agencies are profit-making agencies. Proprietary agencies are free-standing, for-profit agencies that are required to pay taxes. Many are part of large chains and now dominate the home care industry.

 

DIF:    Cognitive level: Applying                REF:   p. 891             TOP:   Nursing process: Evaluation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care