The Nurse in Home Health and Hospice
Stanhope: Foundations of Population Health for Community/Public Health Nursing,
5th Edition
MULTIPLE CHOICE
1. Which of the following statements best describes the most essential difference between home
health care and acute client care?
a. Acute client ...
Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Chapter 30: The Nurse in Home Health and Hospice
Stanhope: Foundations of Population Health for Community/Public Health Nursing,
5th Edition
MULTIPLE CHOICE
1. Which of the following statements best describes 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.
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. Reimbursement for home
health care is different than that provided in an acute care setting; however, this is not the
most essential difference. The focus of acute client care is typically on care provided in a
hospital setting, not in the community.
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. Which of
the following best describes this type of nursing?
a. Community-oriented nursing
b. Home health nursing NURSINGTB.COM
c. Hospice nursing
d. Private duty nursing
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. Community-oriented nursing refers to any care that is
provided in a community setting. Hospice nursing is care that is provided to a client and
his/her family who has a terminal illness. Private duty nursing is care that is primary care that
is paid for by an individual who is requesting the care.
3. A hospital nurse wants to know why home health nurses often take more time with assessment
than nurses do in the hospital. Which of the following is the best 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.
ANS: D
NURSINGTB.COM
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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. The home care
assessment includes many aspects which is broader in scope than only the client, supplies, and
equipment. The home environment varies and may or may not be organized for the nurses’
use. The primary focus of home care is the care of the individual, not the care of other family
members.
4. Which of the following events led to the emphasis on home care nurses caring for acutely ill
clients and the increased demands for extensive documentation?
a. Advances in medical technology and pharmacology
b. Increased number of lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s
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. Medicare was a provision of the Social Security Act that
was implemented in 1965. It was not part of the original legislation of the 1930s. There have
not been an increased number of lawsuits based on substandard care. Advances in medical
technology have been able to the population to extend their longevity, but this has not
changed the need for homecare or extensive documentation.
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. Which of the
following types of assignments
N did
R the
I nurse
G B.C most likely have?
a. Home-based primary care U S N T OM
b. Population-focused home care
c. Proprietary home care
d. Transitional care
ANS: 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. Home-based primary care
emphasizes delivering primary care in the homes of people who have difficulty going to a
primary care clinic because of functional or other health problems. Proprietary agencies are
ones that are profit-making; it does not describe the care model that is being implemented.
Transitional care programs are designed for populations who have complex or high-risk health
problems and are making a transition from one level of care to another.
6. A new client has just been released from the hospital after intensive treatment for multiple
injuries following a motorcycle accident. Which of the following types of care will he most
likely receive?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
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