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Population and Community Health Nursing Chapter 13
Terms in this set (10)
Handled in the same manner as if the client were in a clinical setting.
Correct: Rationale: The nurse should adhere to the agency's standards of practice, incorporate universal precautions for preventing the spread of blood borne diseases, and educate clients and family members in infection control measures, including universal precautions.
A home health nurse is working with a client who has several open wounds. Soiled bandages from dressing changes, and equipment used for this client should be:
a. Disposed of in the same manner as the client's garbage.
b. Brought to the local landfill so as not to mix with the client's regular waste.
c. Handled in the same manner as if the client were in a clinical setting.
d. Handled as regular garbage, but marked as "Hazardous Waste."
Make a preliminary assessment
Correct: Before the home visit, the nurse conducts a preliminary assessment to review existing information about the client and his or her situation.
A referral to the home health agency has been made. As the nurse makes plans to see the client, several steps need to be accomplished. Choose the nurse's initial step in this process.
a. Prioritize client needs
b. Implement the visit
c. Make a preliminary assessment
d. Make nursing hypotheses
The number of times the client attended health education classes.
Correct: Evaluative criteria for health promotion/illness prevention measures reflect health promotion or the absence of specific health problems. Monitoring the number of times the client attended health education classes would indicate that the client's interest in activities that promote health or healthy lifestyles.
A home health nurse is evaluating the effectiveness of the visits to a particular client. Which statement reflects evaluation of a health promotion/illness prevention measure?
a. The client's mobility and range of motion measurements after physical therapy sessions.
b. The number of times the client attended health education classes.
c. The client's blood pressure measurements after initiating treatment for hypertension.
d. The client's weight after nutrition therapy was instituted.
Use waterless hand cleaner before, during, and after the visit.
Correct: The primary infection control measure in any setting is adequate hand washing before and after giving any direct care to clients. Hands should be thoroughly washed with soap and running water, or a waterless cleanser used if no water is available.
A home health nurse is making a visit to a client whose dwelling does not have running water. The best way for the nurse to practice standard precautions in this case would be to:
a. Have the client meet the nurse at the closest health agency.
b. Use waterless hand cleaner before, during, and after the visit.
c. Make a referral to social services, as this client should not be living in a home without running water.
d. Only perform non-invasive procedures or assessments.
Gained two pounds in the past month.
Correct: A resolution measure focuses on the degree to which an existing problem has been resolved.
A home health nurse visits a client who was referred following hospitalization for severe malnutrition related to gastroesophageal reflux disease (GERD) and a large hiatal hernia. Resolution measure? The client:
a. Related the importance of taking a daily vitamin.
b. Gained two pounds in the past month.
c. Will relate the importance of maintaining diet high in nutrient quality.
d. Can state the side effects of her medications.
Validate the information collected prior to the visit.
Correct: The first task in implementing the home visit is to validate the accuracy of the preliminary assessment.
A home health nurse is making an initial visit to a new client. The nurse had developed a preliminary assessment prior to the visit to the client, who was referred after hospitalization for a total hip replacement. The client lives alone. What is the next step in the home visit? The nurse will:
a. Evaluate the home for any mobility concerns (i.e., stairs, carpets, uneven sidewalk, etc.).
b. Validate the information collected prior to the visit.
c. Refer the client to physical therapy.
d. Monitor the client's progress in mobility.
Correct: Rationale: Behavioral distractions consist of behaviors employed by the client to distract the nurse from the purpose of the visit.
A home health nurse is visiting an established client who was referred following hospitalization for a myocardial infarction. The client lives with a spouse and the nurse is assessing the client's knowledge regarding resuming normal activities. The nurse has been trying unsuccessfully to gain information about the client's resumption of sexual activity, but the client consistently changes the subject to questions about medications. This is an example of a(an):
a. Nurse-oriented distraction
b. Behavioral distraction
c. Environmental distraction
d. Physical distraction
The client's physical assessment
Correct: The nurse should document the actual (not preliminary) assessment of client health status and the health needs identified as well as the interventions employed to address these needs.
A home health nurse is completing an initial visit to a client. Which information is the most important to document?
a. The objectives developed by the nurse prior to the visit
b. The client's physical assessment
c. Referrals made to outside agencies
d. Discharge summary
Qualification requires that the client is homebound.
Correct: One of the requirements of home health care is that the client is homebound.
The client must be eligible for Social Security benefits to be eligible for Medicare reimbursement of services.
Correct: Social Security benefits are required in order for the client to be eligible for Medicare.
A patient has been hospitalized with a femur fracture that has not healed as expected. As discharge comes closer the family inquires about the possibility of home health care visits. What information should the nurse provide? (Select all that apply.)
a. The client must first pass the OASIS screen before home health visits are certified.
b. The client must first pass HHRG screening before home health visits are certified.
c. Qualification requires that the client is homebound.
d. Since the client requires physical therapy placement in a long term care facility is necessary.
e. The client must be eligible for Social Security benefits to be eligible for Medicare reimbursement of services.
Help the family make arrangements for pest control measures immediately.
Correct: The need for balance in the area of risk and safety affects both nurse and client. The nurse must decide what level of risk is acceptable without unduly jeopardizing the safety of the client or the nurse's own safety. The nurse might need to weigh the relative risks of changing a potentially hazardous environment versus the disruption to the client's life that will result from the change. This is a situation that requires action on the nurse's part, but not a situation that is without a solution.
A hospice client has decided to remain in his own home until death. The client requires 24/7 nursing care and during the first overnight care by hospice nursing staff, they realize that the client's home is infested with cockroaches. The hospice nurse should:
a. Help the family make arrangements for pest control measures immediately.
b. Refuse to visit the home until the situation is taken care of.
c. Tell the client's family that the client does not qualify for hospice services because of the condition in the home.
d. Make an immediate referral for social services and move the client to a long-term care facility.
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