Chapter 18: Providing Care in Home and Community

Chapter 18: Providing Care in Home and Community

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Which are considered factors that have contributed to the growth of home health? (Select all that apply.)

1. The ability of home care agencies to provide high-technology services in the home
2. The preference of third-party payers
3. Government mandates for home care rather than hospitalization
4. The increase in the population of older adults
5. Lack of consumer interest in home care

Correct Answer: 1, 2, 4

Rationale: In the 1980s and 1990s it was found that multiple factors increased the use of home health care: an increase in the older population, consumers and agencies that preferred health care at home versus hospitalization, and the ability of the industry to deliver high-technology care in the home environment. Medicare and Medicaid encouraged clients to assume more responsibility for their own care in a timelier manner, which led to a decrease in length of treatment, but these initiatives were not mandated. There has been an increase in the need for home care due to the increase in consumers who prefer to receive care in the home rather than an institution.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Describe the roles of the community health, public health, and home health nurse.

Page Number: p. 340

Question 2

A community health nurse collected data for several months on the birth weights of newborns of mothers who drank alcohol during their pregnancy. Which role did this nurse perform?

1. Teacher
2. Care provider
3. Collaborator
4. Researcher

Correct Answer: 4

Rationale: Collecting data on specific groups and monitoring patient outcomes in relationship to that data is research. The other options are roles of the community health nurse but are not in effect in this example.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 1. Describe the roles of the community health, public health, and home health nurse

Page Number: p. 343

Question 3

When a home health nurse consults the patient’s physician and pharmacy about a patient’s medications, which role is being demonstrated?

1. Teacher
2. Researcher
3. Collaborator
4. Care provider

Correct Answer: 3

Rationale: Collaboration is two or more persons working together to achieve a goal. The other options are roles of the home health nurse, but are not in effect in this example.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 1. Describe the roles of the community health, public health, and home health nurse.

Page Number: p. 340

Question 4

On what do community health nurses focus?

1. Ability to pay for care
2. Diagnoses
3. Client aggregates
4. The total person

Correct Answer: 3

Rationale: Community health nursing focuses on health initiatives at the local community level. This may include at-risk aggregates in the community (e.g., people with AIDS, homeless, victims of violence), or people with similar problems within the community. Ability to pay for care is not a focus of the community health nurse. Community health nurses focus on persons with similar problems and needs within the community, not on specific diagnoses. The community health nurse focuses on health promotion and disease/injury prevention for families, groups, and populations; their goal is community based and does not encompass the care of the total person.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: VII.1. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Describe the roles of the community health, public health, and home health nurse.

Page Number: p. 328