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Primary Care Interprofessional Collaborative Practice 5th, 6th Edition by Terry Mahan Buttaro
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Primary Care Interprofessional Collaborative Practice 5th, 6th Edition by Terry Mahan Buttaro
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Primary Care Interprofessional Collaborative Practice 5th, 6th Edition by Terry Mahan Buttaro
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Test Bank Primary Care Interprofessional CollaborativePractice 5th, 6th Edition by Terry Mahan Buttaro
One of the fastest growing venues of practice for the nurse is home health care. What is the basis for
the growth in this health care setting?
-The preference of nurses to work during the day instead of evening or night shifts
-The focus on treatment of disease
-The discharge home of clients who are more critically ill
-The chronic nursing shortage - ANSWER: The discharge home of clients who are more critically ill
Explanation:
With shorter hospital stays and increased use of outpatient health care services, more clients who are
critically ill require nursing care in the home and community setting. The other answers are incorrect
because they are not the basis for the growth in nursing care delivered in the home setting. The
chronic nursing shortage and the focus on the treatment of disease do not affect the growth in home
health care, because both of these factors have no more or less of an effect on home health care than
they do care provided in an acute care facility. Nurses, as a whole, do not necessarily prefer to work
during the day rather than at night; some prefer to work in the day and some prefer to work at night.
In any case, nurses work both day and night shifts in home health care just as in an acute care facility.
The initial step in discharge planning is:
-collecting and organizing data about the client.
-establishing goals with the client.
-providing home health care referrals.
-teaching the client self-care activities that are to be conducted in the home setting. - ANSWER:
collecting and organizing data about the client.
Explanation:
The initial step in discharge planning is collecting and organizing data about the client, as this provides
information on the client's health care needs. Establishing goals, client teaching, and providing home
health care referrals are steps that follow the collection and organization of data.
On admission to the hospital, each client is asked whether the client has a living will or a durable
power of attorney. If not, the admitting staff person provides a sample form to the client if wanted.
The purpose of this inquiry is to determine:
-whether the client has a document describing wishes for care when the client is no longer able to
make decisions.
-what the client wants to have happen during the hospitalization.
-how the client feels about being resuscitated and maintained on life support if this is necessary.
-previous decisions made regarding whom to contact should the client die in the hospital. - ANSWER:
whether the client has a document describing wishes for care when the client is no longer able to
make decisions.
Explanation:
It is important to determine whether the client has advanced directives that describe the client's
wishes for care if unable to communicate or participate in health care decisions. Although these
advanced directives cover the client's desires regarding whether to be resuscitated or maintained on
life support should it be necessary, the inquiry is regarding whether the client has a document (an
advanced directive) stating these desires, not what the client's feelings about these issues are. A copy
of any advanced directives should be placed in the client's hospital record. What the client wants to
have happen during hospitalization and previous decisions made regarding whom to contact should
the client die in the hospital are not relevant to whether the client has an advanced directive.
,It is important for home health care nurses to remember which point?
-The nurse is the guest in the client's home.
-Rehabilitation is the major client goal.
-The nurse should act as a counselor and advisor.
-The nurse is the primary caregiver. - ANSWER: The nurse is the guest in the client's home.
Explanation:
An essential difference in home care versus acute care is that the home care nurse is a guest in the
client's home. Family or other support persons are the primary caregivers, rehabilitation may not be
the goal, and the nurse does not typically act as a counselor or advisor.
A nurse is covering all aspects of admission procedures for a client who is receiving home health
services. The nurse explains what procedures will be covered during the nurse's visits. Which aspect
of the admission process does this represent?
-Assisting in participation of the care-related decisions
-Clearly defining the purpose and expectations of the admission
-Documenting the procedure
-Establishing rapport and showing willingness to listen - ANSWER: Clearly defining the purpose and
expectations of the admission
Explanation:
During the admission to the health care system, the nurse should clearly explain to the client the
purpose and expectations of admission, such as what procedures will be covered. Explaining what
procedures will be covered does not pertain to establishing rapport with the client, documenting a
procedure, or helping the client participate in care-related decisions.
When educating clients in the community on health promotion and prevention of disease, it is
important to stress:
-health education can benefit individuals and groups.
-health promotion may not be possible for many of the older members of a community.
-the ideal location for education is in a health care institution.
-strenuous exercise is necessary for health. - ANSWER: health education can benefit individuals and
groups.
Explanation:
An axiom of health promotion and disease prevention is the fact that health education is highly
beneficial. These benefits are not the same for everyone, but everyone can benefit from some sort of
health promotion, including older clients. Strenuous exercise is not appropriate for everyone.
Education does not always need to happen in a formal healthcare setting.
A nurse is admitting a client to a hospital. Which actions should the nurse perform initially upon this
admission? Select all that apply.
-The nurse gives the client a form explaining the Patient Care Partnership.
-The nurse obtains client information, which is printed on an admission sheet and becomes part of the
client's permanent record.
-The nurse asks the client about existing advance directives; if none, the nurse gives the appropriate
form to the client.
-The nurse clearly describes how the client information will be used and disclosed to other parties.
-The nurse asks the client to sign consent forms allowing treatment and the hospital to contact
insurance companies as needed.
, -The nurse makes sure the client's name and address and the name of the closest relative are printed
on an identification bracelet. - ANSWER: The nurse asks the client to sign consent forms allowing
treatment and the hospital to contact insurance companies as needed.
The nurse obtains client information, which is printed on an admission sheet and becomes part of the
client's permanent record.
The nurse asks the client about existing advance directives; if none, the nurse gives the appropriate
form to the client.
The nurse clearly describes how the client information will be used and disclosed to other parties.
The nurse gives the client a form explaining the Patient Care Partnership.
Explanation:
The nurse asks the client to sign a consent form for general care, as well as a form that allows the
facility to contact insurance companies for reimbursement of care provided. The nurse obtains client
information, such as emergency contacts, on admission, which becomes a permanent part of the
client's record. The nurse addresses advance directives during admission, offering the client the
opportunity to complete one if desired. The nurse discusses privacy information, such as designating
family members who may be given health status information, and has the client sign a privacy form.
The nurse discusses with the client the Patient Care Partnership, which addresses the client's rights,
and provides a form explaining these rights. The identification number (often included as a barcode),
as well as the client's name and health care provider's name, are typical items found on the
identification bracelet, not the client's address or the name of the closest relative.
A registered nurse is providing community-based health care for a client diagnosed with early onset
dementia. Which strategy is best for the nurse to employ to facilitate the family participating in the
client's care?
-Create a care plan based on the client's requests and inform the family of the client's wishes.
-Encourage active participation of the client and family in health care decisions.
-Reinforce the care plan to the family if it is determined the client is not properly cared for.
-Provide referrals for health care professionals to perform the client's activities of daily living (ADLs). -
ANSWER: Encourage active participation of the client and family in health care decisions.
Explanation:
In a community-based health care setting, the nurse should involve the client and the family in all
health care decisions for the client. The nature of the relationship is that of a partnership based on
respect, appreciation, and cooperation. Reinforcing to the family that the client is not well-cared for
should be done, but it is more important to involve the client and family in the care. The client and
family should be encouraged to provide ADLs as they are able. Client care decisions should be made in
conjunction with the family, and the family should be encouraged to participate in those decisions.
The client's plan of care should include input from the family.
The home care nurse asks the client and family about their socioeconomic status, culture, and beliefs.
Which is the best response by the nurse when the family asks why those questions are being asked?
-"I want to understand what your desires are."
-"I am trying to build a relationship with you."
-"I need this information for billing purposes."
-"I have to ask because it is required in every referral to home care." - ANSWER: "I want to understand
what your desires are."
Explanation:
During the assessment phase of a home care visit, the nurse collects subjective information on how
the client normally manages at home, what the home is like, and what family and community support
is available. The nurse explores the client's beliefs and culture, competencies, capabilities, concerns,
deficits, and limitations to understand how the client manages at home and what the client desires.
Nursing diagnoses, outcome criteria, and implementation occur later in the nursing process and are
based on the assessment data. Building relationships with clients are important, but this question is
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