Chapter 13 Home Visits as a Population Health Nursing Strategy

Chapter 13   Home Visits as a Population Health Nursing Strategy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The population health nurse visits a new mother and infant at home. During the visit, the nurse and mother discuss how the postpartal course is going and how the infant is doing with feeding and sleeping. The nurse provides information and answers any questions the mother may have and performs teaching as needed. In what role is the nurse functioning?

1. Case finding and referral.
2. Care of the sick.
3. Health promotion and illness prevention.
4. Home health nursing.

Answer:  3

Explanation:  3. Promoting maternal and child health is health promotion. The nurse visits the postpartal mother to answer questions, assess how the mother is recuperating, and how the infant is progressing. The nurse performs teaching as needed, which is health promotion and illness prevention. It is not case finding and referral, or care of the sick. Home health nursing is a specific type of home nursing that addresses an illness event.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  13-5

 

 

2) The nurse receives a referral to visit a client who neighbors fear is being abused by a spouse. The client allows the nurse inside but is obviously reluctant to have the nurse in the home. The nurse could best address the client’s concerns by: (Select all that apply.)

1. Tactfully communicating the reason for the visit.
2. Establishing appropriate expectations for the visit for the client and nurse.
3. Starting to establish a rapport with the client.
4. Stating that the neighbors made the referral.
5. Informing the client that her name has been given to a local women’s shelter.

Answer:  1, 2, 3

Explanation:  1. Initiating a home visit can present challenges to the nurse and create uncertainty and fear in the client. It is important for the nurse to state the reason for the visit and establish expectations from both perspectives. This allows the start of building a relationship with the client and establishes rapport. Revealing that the neighbors made the referral could be negative, and the nurse needs to respect this as a confidential source. Informing the client that her name has been given to a local women’s shelter could irreparably damage any relationship the nurse has with the client and halt any progress the nurse may have made in making the client feel sufficiently at ease to speak of any potential abuse.

2. Initiating a home visit can present challenges to the nurse and create uncertainty and fear in the client. It is important for the nurse to state the reason for the visit and establish expectations from both perspectives. This allows the start of building a relationship with the client and establishes rapport. Revealing that the neighbors made the referral could be negative, and the nurse needs to respect this as a confidential source. Informing the client that her name has been given to a local women’s shelter could irreparably damage any relationship the nurse has with the client and halt any progress the nurse may have made in making the client feel sufficiently at ease to speak of any potential abuse.
3. Initiating a home visit can present challenges to the nurse and create uncertainty and fear in the client. It is important for the nurse to state the reason for the visit and establish expectations from both perspectives. This allows the start of building a relationship with the client and establishes rapport. Revealing that the neighbors made the referral could be negative, and the nurse needs to respect this as a confidential source. Informing the client that her name has been given to a local women’s shelter could irreparably damage any relationship the nurse has with the client and halt any progress the nurse may have made in making the client feel sufficiently at ease to speak of any potential abuse.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Safe and Effective Care Environment

Cognitive Level:  Application

Learning Outcome:  13-2

 

 

3) The population health care is planning to make a visit to the home of a new community member who is recovering from major surgery. What observations should the nurse identify as advantages to making this home visit? (Select all that apply.)

1. Client’s home is neat, clean, and cheerful.
2. Client and spouse sit together in the living room.
3. Client ambulates safely with the use of a walker.
4. Client requests no further visits because the neighbors will know.
5. Client states that no care is needed because insurance won’t cover it.

Answer:  1, 2, 3

Explanation:  1. Advantages of home visits include obtaining a complete picture of the client situation, identification of environmental influences on health, the ability to view relationships among family members and with the larger community, opportunity to see actual performance of activities of daily living, and better evaluation of intervention effects. The client requesting no further visits because of the neighbors and the concern about payment for services are disadvantages to making home visits.

2. Advantages of home visits include obtaining a complete picture of the client situation, identification of environmental influences on health, the ability to view relationships among family members and with the larger community, opportunity to see actual performance of activities of daily living, and better evaluation of intervention effects. The client requesting no further visits because of the neighbors and the concern about payment for services are disadvantages to making home visits.
3. Advantages of home visits include obtaining a complete picture of the client situation, identification of environmental influences on health, the ability to view relationships among family members and with the larger community, opportunity to see actual performance of activities of daily living, and better evaluation of intervention effects. The client requesting no further visits because of the neighbors and the concern about payment for services are disadvantages to making home visits.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  13-1

 

4) The community has a large number of immigrants. The nurse organizes a home visiting program to this community area to address family health concerns and provide health information. This is considered:

1. Care of the sick.
2. Case finding and referral.
3. Health promotion and illness prevention.
4. Health protection.

Answer:  3

Explanation:  3. Visiting the homes of this population to address health concerns is an aspect of health promotion and illness prevention. The client is in a familiar environment and is more comfortable, which makes teaching easier for the nurse. The population is not indicated as sick. Case finding and referral would apply if the nurse was seeking something specific among this population. Health protection is part of health promotion, but is more of a broad-scale activity done to maintain health.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  13-3