Test Bank For Stanhope and Lancaster's Community
Health Nursing in Canada 4th Edition by Sandra A.
MacDonald
1. What is the most essential difference between home health care and acute client
care?
a. Acute client care is individualized for the client and family.
b. Home health care is provided in the client's environment.
c. Reimbursement for home health care varies from that of care provided in
institutions.
d. The focus of acute client care is on community health. - ANSWER : 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.
: 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?
a. Community-oriented nursing
b. Home health nursing
c. Hospice nursing
d. Private duty nursing - ANSWER : 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.
: 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?
a. Home care assessment includes not only the client but the supplies and
equipment the family may have available for use.
b. The home environment is less organized and equipped for the nurse's use.
c. Family members must also be assessed for possible problems that could interfere
with the primary client's recovery.
d. To be effective, the home health nurse must earn the family's trust and work in
partnership with them. - ANSWER : 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.
, : 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?
a. Advances in medical technology and pharmacology
b. Constantly increasing lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s - ANSWER : 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.
: Cognitive Level: Knowledge REF: p. 563
5. In the agency, one of the nurses spent all available time visiting a group of
persons with mental health problems who were trying to remain functional in the
community. What type of assignment did this nurse have?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care - ANSWER : B
Population-focused home care is directed toward the needs of specific groups of
people, including those with high-risk health needs such as mental health problems,
cardiovascular disease, or diabetes; families with infants or young children; and older
adults. Such care commonly includes structured regular visits with assessment
protocols, focused health education, counseling, and health-related support and
coaching.
: Cognitive Level: Knowledge REF: p. 563
6. A new client has just been released from the hospital after intensive treatment for
multiple injuries after a motorcycle accident. What type of care will he probably
receive?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care - ANSWER : D
Transitional care programs in the home are designed for populations who have
complex or high-risk health problems and are making a transition from one level of
care to another. Assessment, planning, teaching, making referrals, and following up
on referrals foster independence and self-care. Besides intensive teaching about
self-care, telephone calls help ensure that the client understands and is able to
implement instruction.
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