1.The nurse takes care of a dependent family member whose husband is in the military. Which government funding is most likely going to be used for
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Question

1.The nurse takes care of a dependent family member whose husband

is in the military. Which government funding is most likely going to be used for home healthcare services for this client?
A.Medicare
B.Medicaid
C.TRICARE
D.Veterans Administration


2.The school nurse notifies the community nurse that there have been five confirmed cases of pertussis in the sixth-grade classes. Which action should the community nurse prioritize at this time?
A.Recommend that the school be closed
B.Research the vaccine compliance in the school
C.Recommend that notes be sent home to the parents regarding a pertussis epidemic
D.Consult with the infection control healthcare provider at the local hospital


3.The community health nurse can receive a referral to a home health agency at any time. Which phases will this nurse most likely utilize in this process? (Select all that apply.)


A.Plan personal safety of visit
B.Initiating a visit
C.Preparation
D.Actual visit
E.Termination of the visit


4.The community health nurse is using a genogram to aid in the family assessment. What aspect of family connections and relationships should the nurse include in the genogram?


A.Influence of other systems on families
B.Influence of groups on families
C,Family relationships and their vital connections
D.Relationships across two or more generations


5.The home health nurse is working with an older adult client and the family caregiver. Which resources can the nurse point out, which are available to assist this family in the care of this client? (Select all that apply.)


A.Adult day care program
B.Grocery delivery services
C.Caregiver support group
D.Support animal
E.Companions


6.The nurse recently took a position in a national chain of home healthcare agencies directed at caring for clients who are on home hemodialysis. The services provided are often paid for privately by families, and any profit margin is used to benefit the owner of the agency. Which type of agency is this?


A.Private/voluntary
B.Hospital based
C.Proprietary
D.Official


7.The case manager for a 12-year-old boy who is obese and prediabetic. To help the client develop a diet that will promote weight loss and control of his glucose level, the case manager decides to consult with a dietitian, who provides several current journal articles that present findings on various diets. Which aspect of case management is employed with this action?


A.Care management
B.Advocacy
C.Disease management
D.Interdisciplinary collaboration


8.The home care agency has just received a client referral from a healthcare provider and assigned the case. How soon should the client expect to be contacted by the nurse for the initial visit?


A.12 hours
B.24 hours
C.36 hours
D.48 hours


9.The public health nurse works closely with the school nurse to locate at-risk pregnant adolescents to include them in the Nurse-Family Partnership Program. The nurse points out that which benefit can result from being included in the program?


A.Better prepared for the next pregnancy
B.Monitor intrafamily conflict which can occur
C.Improve relationship with father of infant
D.Improved pregnancy outcomes


10.The nurse is approached by the health department to investigate and assess the rise in developmental disabilities in an isolated section in the community. To begin the assessment, the nurse should gather objective data from which source?
A.Client interview---aggregate data
B.Internet---aggregate data
C.Internet---Wikipedia
D.Direct observation of the area


11.While completing a community assessment, the nurse notes that the computer companies in the community hire a disproportionate number of their employees from local suburban communities rather than the community in which the company is housed. Which individuals should the nurse choose to create an accurate community assessment?


A>All of the company's employees but count those living outside the community separately, as outliers
B.Only the employees that live in the community, disregarding the others as statistically irrelevant
C,All of the company's employees and include those living outside the community as part of the aggregate
D,Only the employees that live in the community in your initial assessment; then collect data on others as part of a separate assessment for the community in which they live


12.The case manager works with a 10-year-old girl who has asthma. Because the client's family has trouble affording inhalers, the case manager researches client assistance programs through which they could receive free medications. Which aspect of case management is this nurse portraying with this action?


A.Care management
B.Advocacy
C.Disease management
D.Interdisciplinary collaboration


13.The nurse reviews the official document called the Scope and Standards of Home Health Nursing Practice. Which factors will the nurse anticipate being included in the standards of care? (Select all that apply.)


A.Assessment by collecting data about home care clients
B.Implementation of nurse-centered actions in collaboration with healthcare providers
C.Diagnosis through the analysis of data
D.Outcome identification that helps identify nurse-sensitive measures
E.Planning nurse-sensitive interventions directed at the identified outcomes


14.A student is considering becoming a home health nurse. In researching this type of nursing, the student finds that several key factors have played a part in the development of home healthcare as it is today. Which key factors has this student most likely discovered? (Select all that apply.)


A.Increase in the number of hospitals nationwide
B.Reduction in the incidence of chronic diseases
C.Development of health insurance
D.Rising costs in healthcare
E.Increase in medical and nursing specialization


15.The nurse is researching the latest provisions governing home healthcare. Who should the nurse check with to discover if any new regulations have been passed to regulate the provisions of home healthcare? (Select all that apply.)


A.Insurance companies
B.Local government
C.State government
D.Federal government
E.Veterans Administration


16.The case manager works with a client who has type 2 diabetes and heart disease. In this role, which actions would be most appropriate for the nurse to take in assisting the client to manage diseases? (Select all that apply.)


A.Provide weekly coaching sessions by telephone for blood glucose management
B.Supervise cardiac stress tests in the exercise room of the local hospital
C.Administer emergency insulin when the client arrives at the hospital in a diabetic coma
D.Demonstrate use of a glucose meter to the client
E.Review heart-healthy and diabetic-friendly food options with the client and his family.


17.The community health nurse spends time appraising each case to determine if perhaps there may be a better or different method to use with each family to ensure top quality care. Which action is the nurse prioritizing?


A.Ensuring the nursing actions are based on the company's approved policies
B.Practicing self-reflection to ensure his or her actions are most appropriate
C.Ensuring documentation is up-to-date
D.Reporting any concerns to the family's healthcare provider


18.A group of public health nurses are providing maternal care to various members of the community. Which actions by the nurses have a positive effect on the families and should improve the outcomes of these visits? (Select all that apply.)


A.Remain friendly and approachable
B.Encourage mother to lead the visit
C.Dictate what the mother should be doing
D.Ensure each visit follows the prescribed standards
E.Remain flexible and let the families' needs dictate the visit


19.The community health nurse is meeting with a client and caregiver, the eldest son. The nurse notes the son is spending approximately 15 hours a week at the parent's home to take care of various tasks. The son lives about 12 blocks away and has two older adolescent children. Which action should the nurse prioritize in this situation?


A.Assist the client with locating a home health aide
B.Monitor the son for signs of stress and frustration
C.Suggest the mother move to an assisted-living care facility
D.Ensure the client remains safe in the home


20.The community health nurse explores pedestrian access to all healthcare facilities in the community. Which tool would be most helpful in performing this task?


A.Geographic information systems
B.Functional health pattern
C,Epidemiologic model
D.Developmental mode


21.The new community health nurse introduces herself to the local minister and attends various neighborhood meetings. The nurse learns about the ethics, values, and culture of the neighborhood. The community is vocal about the need for public safety and the care of the homeless, especially in the winter. Which is the best rationale for considering all of the influences in the neighborhood affecting their health and well-being?


A.The information can be used to obtain funds to create shelters for the homeless
b.A neighborhood watch may be created with police support
c.The information will help to effectively assess the community
d.It will help the nurse controlled clinical environment


22.The community health nurse learns that there are statistically high levels of obesity and elevated cholesterol in the community. In addition, the community has a disproportionately high number of fast food restaurants, compared with surrounding communities. Which would be the most appropriate next step, based on these data?


A.Gather support in the community to ban fast foods
B.Gather further information regarding trans fats
C.Target education and support programs
D.Create local exercise programs


23.The community health nurse is meeting with an older adult client whose adult grandchild has recently moved in to help provide daily care. Which actions should the nurse prioritize with this grandchild to help adjust to providing care? (Select all that apply.)
A.Suggest ways to improve the safety in the home
B.Congratulate the grandchild when a new skill is learned
C.Demonstrate better methods for completing basic care as needed
D.Employ therapeutic communication with the grandchild
E.Offer to teach the grandchild the skills needed for becoming a certified nursing assistant


24.The nurse provides care covered by Medicare for a client over 2 hours during the day, 3 days during the week, for 60 days. Which type of care is the nurse providing?


A.Interdisciplinary
B.Skilled
C.Intermittent
D.Part time


25.The client wants to know how long Medicare will pay for skilled needs. How long can the nurse continue to provide this care before she must seek a renewal if skilled needs continue to exist?


A.30 days
B.45 days
C.60 days
D.90 days

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