Chapter 08 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 08 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nurse learns that two new home care agencies are opening in a community. What should the nurse consider as reasons why home care agencies are increasing in numbers?

1. The need for custodial care
2. Third-party payers who support cost control measures
3. The increase in the older adult population
4. The decreasing need for acute care
5. The focus on the needs of the community

Correct Answer: 2, 3

Rationale 1: A common misconception about home health nursing is that it is custodial in its scope of practice.

Rationale 2: Factors that have contributed to the growth of home care services include third-party payers that favor home care to control costs.

Rationale 3: Factors that have contributed to the growth of home care services include the increase in the older population.

Rationale 4: Acute care has not decreased, but the length of stay in acute care has.

Rationale 5: The focus of home health care nursing is individuals and their families.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience.

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. Compare the characteristics of home health nursing to those of institutional nursing care.

MNL Learning Outcome: 1.2.2. Recognize the functions of health care agencies.

Page Number: 118

 

Question 2

Type: MCSA

During orientation with a home care agency, the nurse is learning the difference in care delivery between home health nursing and community nursing. What should the nurse understand as being the focus of home health care nursing?

1. Individuals, families, and groups
2. The individual and his or her family
3. The terminally ill client and his or her family
4. The client in a home setting

Correct Answer: 2

Rationale 1: Community health nursing focuses on individuals, families, and aggregate groups.

Rationale 2: The focus of home health care nursing is individuals and their families.

Rationale 3: Hospice nursing supports the care of the dying client and the client’s family; this is not the focus of home health nursing.

Rationale 4: A home setting identifies the location of home health nursing, but not the focus.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience.

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. Compare the characteristics of home health nursing to those of institutional nursing care.

MNL Learning Outcome: 1.2.2. Recognize the functions of health care agencies.

Page Number: 118

 

Question 3

Type: MCSA

To help a home health client with a difficult medication regime, the nurse contacts the pharmacist for ideas to facilitate the process. Which behavior did the nurse demonstrate when caring for this client?

1. Hands-on care
2. Direct care
3. Advocacy
4. Indirect care

Correct Answer: 4

Rationale 1: Hands-on care includes physical assessments, dressing changes, and managing IV sites for therapies, which is not the scenario described here.

Rationale 2: Direct care is the same as hands-on care, which is not the scenario described here.

Rationale 3: Client advocacy is not the scenario described here.

Rationale 4: Indirect care is provided by the home health nurse to the client each time the nurse consults with other health care providers about ways to improve nursing care for the client.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience.

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4. Describe the roles of the home health nurse.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 120

 

Question 4

Type: MCSA

A client being discharged needs physical therapy for progressive ambulation, wound care to treat a postoperative wound, and assistance with the payment of hospital bills. Before the nurse contacts a home care agency, who should write the order for the client to receive home care?

1. Physician
2. Nurse
3. Social worker
4. Physical therapist

Correct Answer: 1

Rationale 1: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin without a physician’s order and a physician-approved treatment plan. This is a legal reimbursement requirement.

Rationale 2: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin with a nurse’s order.

Rationale 3: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin with a social worker’s order.

Rationale 4: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin with a social worker’s order.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience.

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3. Describe the types of home health agencies, including referral and reimbursement sources.

MNL Learning Outcome: 1.2.4. Compare the frameworks of care.

Page Number: 119