Chapter 30: The Nurse in Home Health and Hospice

Chapter 30: The Nurse in Home Health and Hospice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. What is the most essential difference between home health care and acute client care?

ANS:   B

Home health differs from other areas of health care in that health care providers practice in the client’s environment. All nurses give individualized care to clients.

DIF:    Cognitive Level: Knowledge             REF:    p. 561

2. A nurse has just received word that Medicaid will reimburse for care provided to a homeless man with schizophrenia who is afraid to come to the clinic to receive health care. How would this type of nursing service be best classified?

ANS:   B

Home health nursing is provided in the client’s environment, regardless of where that may be. “Home” may be a house, apartment, trailer, boarding house, shelter, car, makeshift shelter under a bridge, or cardboard box.

DIF:    Cognitive Level: Knowledge             REF:    p. 561

3. A hospital nurse wants to know why home health nurses often take more time with assessment than nurses do in the hospital. What is an adequate explanation for this?

ANS:   D

Although all the responses contain some truth, the primary reason that assessment may take longer for the home health nurse is because when working in a client’s home, the nurse is a guest. To be effective, the nurse must earn the trust of the family and establish a partnership with client and family.

DIF:    Cognitive Level: Knowledge             REF:    p. 562

4. Historically, home care nurses were social reformers, living in immigrant communities, developing needed programs, and providing necessary services from health education to care for the sick. What led to the current emphasis on caring for acutely ill clients expected to improve and the increased demands for extensive documentation?

ANS:   C

The combination of preventive services and illness care followed the introduction of Medicare in 1966. The Medicare program emphasized care for more acutely ill people rather than illness prevention and health promotion. The 1997 federal Balanced Budget Act, which implemented the prospective payment system in home care, increased pressure to care for clients with acute illnesses that were likely to improve.

DIF:    Cognitive Level: Knowledge REF:    p. 563