Chapter 16. Nursing Care of Patients at Home

Chapter 16. Nursing Care of Patients at Home

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is making a home health visit to a patient and needs to contact the case manager of the patient’s home-care team. Which person should the nurse contact?

a.	Physician
b.	Social worker
c.	Registered nurse (RN)
d.	Home health agency administrator

 

 

____     2.   The nurse is to see a patient who requires dressing changes. Which staff member obtains the required supplies to be used during the home health care visit?

a.	Nurse
b.	Physician
c.	Social worker
d.	Home health aide

 

 

____     3.   During a home visit, the nurse notes that an older patient is sitting in a poorly lit room listening to the radio. When the nurse turns on a light before starting to evaluate the patient and change a dressing on a wound, the patient says, “Oh, you don’t need that light. I try to keep the lights off. Electricity is too expensive.” Which response by the nurse is most appropriate?

a.	“Oh, I didn’t realize you were pinching pennies. I’ll use my flashlight.”
b.	“I will turn off the light as soon as I finish changing the dressing on your wound.”
c.	“It sounds like it would be helpful for you to talk with the social worker who can identify financial programs that could help you.”
d.	“If you can’t afford electricity, you may need to consider a new residence. I can set up a visit to a nice assisted living complex near here.”

 

 

____     4.   During a home visit, the nurse documents arrival and departure time, patient vital signs, data collected for the patient, and a narrative note of the patient’s response to medications and understanding of care being given. Which action does the nurse need to take prior to submitting this documentation?

a.	Obtain signature of case manager.
b.	Obtain signature of patient or caregiver.
c.	Comment about patient’s home surroundings.
d.	Record the time of documentation submission.

 

 

____     5.   During a home health visit, the nurse learns that the family member who is the primary caregiver of the patient is exhausted and tense. Which nursing diagnosis should the nurse recommend for the patient’s plan of care?

a.	Social Isolation
b.	Caregiver Role Strain
c.	Altered Role Performance
d.	Ineffective Therapeutic Regimen Management

 

MULTIPLE CHOICE

 

1. ANS:  C
2. The RN is the case manager while the patient is receiving home health care. A. The physician prescribes orders and receives information to determine the patient’s care needs. B. The social worker evaluates community resources to assist the patient. D. The home health agency administrator oversees the business activities of the agency.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

 

2. ANS:  A
3. In the home, the nurse making the visits is responsible for bringing supplies to ensure safe care. The nurse carries extra common supplies, such as various sizes of urinary catheters, sterile dressing gauze, different types of tape, and alcohol wipes, to be prepared for whatever care the patient may need. B. C. D. The physician, social worker, and home health aide are not responsible for ensuring supplies are available when providing patient care in the home.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

 

3. ANS:  C
4. The case manager can relay concerns of the home-care team to the physician and obtain an order for a social service visit. Social workers help the patient with financial assistive services. A. Good lighting is important to provide safe care associated with the dressing change. B. This option does not recognize the potential financial hardship faced by the patient. D. Identifying the patient’s wishes and financial options would be necessary before exploring alternative living arrangements.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

 

4. ANS:  B
5. Items generally included in all home health documentation are the arrival and departure times of the nurse, assessment findings, vital signs, a narrative note, and the patient’s signature verifying the nurse was present in the home. A. The case manager does not need to sign the nurse’s documentation. C. Information about the patient’s home surroundings is not necessary. D. The time of submission is not a part of the home-care documentation note.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

 

5. ANS:  B
6. Caregiver role strain is related to the management of a chronic illness and lack of understanding of resources available. The caregiver is exhibiting signs of role strain: exhaustion and being tense. A. B. D. The caregiver is not demonstrating signs of social isolation, altered role performance, or ineffective management of the therapeutic regimen.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application