Online Practice Test 8

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 8 > NCLEX® Review Date/Time Submitted: July 5, 2012 at 2:48 PM (UTC/GMT)

Summary of Results 67% Correct of 15 Scored items: 10 Correct:  67% 5 Incorrect:  33% More information about scoring

1.		Which factor would be least significant when evaluating the growth of home health care? Your Answer: An increase in home childbirth
		Objective: Differentiate community-based nursing from traditional institutional-based nursing. Rationale: Home health nursing does not directly impact the number of home births. The other answers directly affect the growth of home health care. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of practice, issues and trends.
2.		A physician has ordered daily visits from a home health nurse for a client with an open, draining wound who is unable to perform the dressing changes. The visits need to be scheduled around the client's three-time-weekly visits to the senior citizens center. Will Medicare pay for the home health care? Your Answer: Yes, because a physician ordered the visits Correct Answer: No, because the client doesn't qualify as homebound
		Objective: Describe various community-based frameworks including integrated health care systems, community initiatives and conditions, and case management. Rationale: Medicare has strict guidelines for payment, one of which is that the client must be homebound. A client who is able to get out to the senior citizens center three times a week is not homebound and does not qualify for Medicare reimbursement. The other answers meet Medicare guidelines for reimbursement. Nursing Process: Diagnosis Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use knowledge of nursing practice, issues, and trends.
3.		The wife of a client who is bedfast and unable to speak tells the nurse that she has been leaving him alone while going shopping. What is the best action for the nurse to take? Your Answer: Suggest possible alternatives, such as a respite service
		Objective: Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurse's role. Rationale: Leaving this client alone could endanger him. The wife is experiencing caregiver role strain, and the best action by the nurse would be to encourage assistance, such as a respite service, that allows the wife time to get out of the house but at the same time keeps the client safe. Nursing Process: Implementation Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
4.		A family member has been caring for a client for 18 months. The family member says that he is concerned about being able to meet future needs of the client, and that he has been feeling very sad lately. What would this likely indicate to the nurse? Your Answer: Caregiver coping difficulties Correct Answer: Caregiver role strain
		Objective: Describe the role of the nurse in providing continuity of care. Rationale: The home health nurse needs to recognize signs of caregiver role strain. Being concerned about meeting future client needs and feeling sad are symptoms of caregiver overload and role strain. Nursing Process: Diagnosis Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Decide what is the best action for client and situation.
5.		Which individual most often assumes the role of case manager for home health clients? Your Answer: The registered nurse
		Objective: Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurse's role. Rationale: Because many services are often required for home health clients, the responsibility for coordination generally rests with the registered nurse. The others usually are not with the client as often and do not usually assume coordination of the care. Nursing Process: Diagnosis Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Understand contemporary nursing practice.
6.		Which role of the home health nurse is often considered the basis for care? Your Answer: Case manager Correct Answer: Educator
		Objective: Differentiate community health care settings from traditional settings. Rationale: Education is ongoing, and is often considered the crux of home care practice. The other roles are important, but not the basis for care. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Understand contemporary nursing practice.
7.		Which is not considered a selective dimension of home health nursing? Your Answer: Client advocacy
		Objective: Differentiate community health care settings from traditional settings. Rationale: Selected dimensions of home health nursing include safety, infection control, and caregiver support. Client advocacy is a major role of the home health nurse. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use knowledge of nursing practice, issues and trends.
8.		What would be considered one of the greatest challenges of the home health nurse? Your Answer: Direct care giving Correct Answer: Infection control
		Objective: Discuss competencies community-based nurses need for practice. Rationale: Infection control can present challenges, especially if the home is not conducive to basic aseptic requirements. The other answers are of lesser challenge. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use knowledge of nursing practice.
9.		Which part of the nursing process would involve the nurse ensuring the client is receiving the prescribed therapy at appropriate times? Your Answer: Planning/implementing
		Objective: Describe the role of the nurse in providing continuity of care. Rationale: This is done in the planning and implementing part of the nursing process. Nursing Process: Implementation Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use knowledge of nursing process
10.		Which statement about the future of home health nursing would be considered correct? Your Answer: Electronic visits may be utilized.
		Objective: Discuss factors influencing health care reform. Rationale: Electronic home visits will assist the case manager in reviewing a client's progress from off-site. This is expected in the future home health setting. The other answers are not correct, because all are expected to be part of home health nursing in the future. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use knowledge of nursing practice, issues, and trends.
11.		Which of the following factors has contributed the most to the growth of home care? Your Answer: Rising health care costs
		Objective: Discuss factors influencing health care reform. Rationale: A number of factors have contributed to this trend, among them rising health care costs, an aging population, and a growing emphasis on managing chronic illness and stress, preventing illness, and enhancing the quality of life. In the not-too-distant past, home health care occurred at the end of the client care continuum. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
12.		What is the primary difference between a home care and community health nurse? Your Answer: The focus of the home care nurse is the client and family.
		Objective: Differentiate community health care settings from traditional settings. Rationale: The focus of home health care nursing is individuals and their families. This differs somewhat from the focus of community health nursing, which focuses on individuals, families, and aggregate groups. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use knowledge of nursing practice, issues, and trends.
13.		One of the most important roles of the home care nurse is to: Your Answer: Coordinate care
		Objective: Describe the role of the nurse in providing continuity of care. Rationale: Because clients often require the services of several professionals, case coordination (case management) is essential. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use knowledge of nursing practice.
14.		When designing care for a client and family, the nurse should consider which essential factor? Your Answer: Cultural practices
		Objective: Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurse's role. Rationale: Various cultural influences also affect the client's health care beliefs and practices. The home health nurse needs to be culturally sensitive; that is, to become aware of the client's culture and form a nursing care plan with the client that incorporates his or her culture. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
15.		The home care nurse opens the case of an elderly woman who has been discharged to home with the diagnosis of syncope. During the initial visit, one of the primary goals is to: Your Answer: Pick up the client's prescriptions at the local pharmacy. Correct Answer: Assess the home for safety hazards
		Objective: Differentiate community-based nursing from traditional institutional-based nursing. Rationale: Hazards in the home are major causes of falls, fire, poisoning, and other accidents, such as those caused by improper use of household equipment (e.g., tools and cooking utensils). The appraisal of such hazards and suggestions for remedies is an essential nursing function. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Physiologic needs come first then safety. Psychosocial needs are addressed after physiologic and safety.