Question 1

Which of the following is an indirect care function of the home health nurse?
A) Advising a hospital nurse regarding the client's usual method of care
B) Administration of medications
C) Assessing a wound
D) Teaching the client's family how to change a dressing

Accepted Answer

Advising a hospital nurse regarding the client's usual method of care is an example of an indirect care function, as the nurse is not directly providing hands-on care to the client. Instead, they are providing information and guidance to another healthcare provider. Administration of medications (B), assessing a wound (C), and teaching the client's family how to change a dressing (D) are all examples of direct care functions, as they involve direct interaction with the client and their needs.

Question 2

Which of the following types of agencies was responsible for the initial development of nursing in the home?
A) Official
B) Voluntary
C) Proprietary
D) Combination

Accepted Answer

Voluntary agencies, such as the Red Cross and Visiting Nurse Association, were responsible for the initial development of nursing in the home. These agencies provided nursing services to the sick and injured in their own homes, and helped to establish the idea of home healthcare as a viable option for those who needed medical care. Official agencies, on the other hand, are government agencies that are responsible for regulating healthcare professions and services. Proprietary agencies are run for profit, while combination agencies have both non-profit and for-profit components.

Question 3

Proprietary agencies are:
A) Exempt from federal income taxes
B) Governed by a board of directors
C) Profit-making agencies
D) Reimbursed primarily by tax funds

Accepted Answer

Proprietary agencies are profit-making agencies, meaning that they operate with the goal of earning a profit rather than being funded primarily by tax dollars.

Question 4

The monitoring of quality of care is often a mandate from federal agencies in order for home health agencies to be certified. The Outcomes and Assessment Information Set (OASIS) measures outcomes for quality improvement and client satisfaction with care. The first stage, data analysis:
A) Enables an agency to compare its performance to a national sample
B) Forces home health agencies to report their data on patient care to a national registry
C) Requires stabilization of a patient's condition in order to continue to receive funding
D) Allows home health nurses a program to record data and findings

Accepted Answer

Data analysis enables an agency to compare its performance to a national sample, allowing for identification of areas for quality improvement and client satisfaction with care. This information can be used to adjust agency practices and improve overall quality of care. B, C, and D are incorrect because they are not related to the first stage of OASIS data analysis.

Question 5

Official agencies are financed primarily by:
A) Charities
B) Individual clients
C) Third-party payers
D) Tax funds

Accepted Answer

Official agencies, such as government agencies or public health organizations, rely primarily on tax funds for their financing. These funds come from taxes collected from individuals and businesses, and are used to support the agency's programs and initiatives. Charities and individual clients may provide additional support, but these sources of funding are typically secondary to tax dollars. Third-party payers, such as insurance companies or government healthcare programs, may provide funding for specific services or interventions, but are not the primary source of financing for official agencies as a whole.

Question 6

Medicare places emphasis on:
A) Chronic care
B) Distributive care
C) Episodic care
D) Primary prevention

Accepted Answer

Medicare primarily focuses on episodic care, which involves treatment for specific episodes of illness or injury, rather than ongoing chronic care or preventive measures.

Question 7

Which of the following is an example of direct care?
A) Teaching clients how to perform a procedure
B) Consulting with other nurses
C) Advocating for clients
D) Supervising home health aides

Accepted Answer

Direct care refers to hands-on care provided to clients/patients, such as teaching them how to perform a procedure. Consulting with other nurses, advocating for clients, and supervising home health aides may be essential aspects of a nurse's role, but they do not involve direct care.

Question 8

Research has demonstrated that home-based approaches to care delivery produce better outcomes for certain populations. Population-focused home care is directed toward:
A) The needs of specific groups of people with high-risk health needs
B) Acutely ill adults in the home
C) Clients who are on home ventilators
D) People in rural areas with no access to care

Accepted Answer

Population-focused home care is specifically tailored to the needs of certain groups of people, such as those with high-risk health needs. This approach has been shown to produce better outcomes compared to traditional care settings for these populations. Therefore, option A is the best answer. Option B is incorrect because it is too narrow and excludes other populations who could benefit from home care. Option C is also too narrow and only applies to clients who require a ventilator. Option D is incorrect because although individuals in rural areas may benefit from home care, it is not specific to certain populations with high-risk health needs.

Question 9

To determine whether a service performed by the nurse is skilled care, several factors must be evaluated and adequately documented. Which of the following is an example of skilled nursing service?
A) Teaching the client and family to implement a therapeutic plan such as taking medications
B) Consulting with other nurses about the care of a patient in the home
C) Coordinating services for maximum benefit at minimal cost
D) Reviewing nursing assistant charting at the end of each day

Accepted Answer

Teaching the client and family to implement a therapeutic plan, such as taking medications, requires specialized knowledge and skills that only a licensed nurse possesses. It involves assessment, planning, and evaluation, which are all components of skilled nursing care.

Question 10

Voluntary home health agencies are:
A) Government organizations
B) Exempt from federal income tax
C) Profit-making agencies
D) Governed by the owner of the agency

Accepted Answer

Voluntary home health agencies are non-profit organizations that are exempt from federal income tax. They rely on donations and may have a board of directors or volunteers who govern the agency. They provide a variety of services to individuals in their homes, including nursing care, therapy, and personal care.

Question 11

The incentives and pressures for cost control and improved health outcomes have increased the development and use of telehealth technology in the home setting. Telehealth:
A) Uses WebTV to teach clients about their health
B) Includes sharing health information between the client and clinicians using electronic communications
C) Requires home health nurses to make regular visits to clients to check the technology
D) Often violates the Health Insurance Portability and Accountability Act (HIPAA) laws because information can be shared easily

Accepted Answer

Telehealth includes sharing health information between the client and clinicians using electronic communications. This can include video conferencing, remote monitoring, and other forms of digital communication that allow healthcare providers to remotely monitor and care for patients in their own homes. Telehealth can help to reduce costs and improve health outcomes, making it an attractive option for many healthcare organizations and patients. However, it is important to ensure that any telehealth technology used is HIPAA-compliant and meets other regulatory requirements to protect patient privacy and confidentiality.

Question 12

The Omaha System was designed to guide practice decisions, sort and document pertinent client data uniformly, and provide a framework for agency-wide, multidisciplinary clinical information. One of the goals of the Omaha System is to:
A) Define each health care provider's role
B) Use nursing diagnoses in community health nursing practice
C) Foster collaborative practice
D) Allow practitioners a way to communicate with each other

Accepted Answer

The Omaha System fosters collaborative practice by providing a framework for agency-wide, multidisciplinary clinical information. It helps to promote communication and coordination among different healthcare providers, leading to more effective and efficient client care. While the other options may be important goals in healthcare, they are not directly related to the Omaha System.

Question 13

From a historical perspective, home care reached a turning point when:
A) Medicare legislation was passed
B) Visiting Nurse Associations were established
C) The Montefiore Hospital Home Care Program in New York was established
D) The Civil Works Administration provided funds for the use of nurses who were unemployed

Accepted Answer

Medicare legislation in 1965 established reimbursement for home health services, leading to a significant increase in demand for home care services and the growth of the home care industry.

Question 14

Successful interprofessional functioning depends on numerous factors including the knowledge, skills, and attitudes of each team member. Which of the following are factors for successful interprofessional functioning?
A) Understanding who is in charge of the patient's care
B) Making appropriate referrals
C) Understanding what other professionals do and how they see their roles
D) Working in isolation when performing the tasks that a professional is responsible for

Accepted Answer

Understanding what other professionals do and how they see their roles is crucial for successful interprofessional functioning as it fosters collaboration and mutual respect among team members.

Question 15

Combination agencies merged which of the following two types of agencies?
A) Official and voluntary
B) Voluntary and proprietary
C) Official and hospital-based
D) Proprietary and hospital-based

Accepted Answer

Official agencies are those that are operated by the government, while voluntary agencies are those that are operated by private organizations. Combination agencies are those that are operated by both the government and private organizations. Therefore, the correct answer is A.

Question 16

The nurse provides direct care services to a stroke victim to avoid complications. This would be an example of which of the following levels of prevention as applied to home care?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Accepted Answer

Tertiary prevention involves actions taken to manage and improve the quality of life for individuals with chronic conditions, such as providing direct care to prevent complications in a stroke victim.

Question 17

A primary objective for the home health nurse is:
A) Education
B) Health promotion
C) Facilitation of self-care
D) Disease prevention

Accepted Answer

Facilitation of self-care is a primary objective for the home health nurse because it empowers patients to manage their own health and well-being.

Question 18

Hospice programs may be integrated with home health, hospital, or skilled nursing agencies. Which of the following is important to consider when coordinating care to ensure a comfortable and peaceful death?
A) The unique stress dying patients often experience
B) Cultural values, expectations, and preferences
C) The communication style of each family member
D) The abilities of the nurse and health care team

Accepted Answer

Considering cultural values, expectations, and preferences is important to ensure that end-of-life care is tailored to the individual patient's needs and wishes. This can help to provide a more comfortable and peaceful death. The other options may also be important in coordinating care, but not as essential as considering cultural values.

Question 19

The goal of home health nursing is to:
A) Provide direct care to the client in the home
B) Maximize the client's level of independence
C) Provide case management services
D) Coordinate care in the home

Accepted Answer

The primary goal of home health nursing is to maximize the client's level of independence by providing care and support that allows them to manage their health conditions effectively while remaining in their home environment.

Question 20

Home care includes disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence. Home care does not only refer to home health but is much broader. Research suggests:
A) Homebound people cannot travel to the health care facility.
B) Nurses would rather care for people in their homes.
C) The home is the optimal location for certain health and nursing services.
D) Health care in the home is better than at an acute care facility.

Accepted Answer

Research has shown that the home is the optimal location for certain health and nursing services, including disease prevention, health promotion, and episodic illness-related services. The option A is part of the explanation and not the answer. Option B is not supported by the given statement. Option D is not explicitly mentioned in the given research suggestion.

Quiz 41: The Nurse in Home Health and Hospice

Which of the following is an indirect care function of the home health nurse?

Which of the following types of agencies was responsible for the initial development of nursing in the home?

Proprietary agencies are:

The monitoring of quality of care is often a mandate from federal agencies in order for home health agencies to be certified. The Outcomes and Assessment Information Set (OASIS) measures outcomes for quality improvement and client satisfaction with care. The first stage, data analysis:

Official agencies are financed primarily by:

Medicare places emphasis on:

Which of the following is an example of direct care?

Research has demonstrated that home-based approaches to care delivery produce better outcomes for certain populations. Population-focused home care is directed toward:

To determine whether a service performed by the nurse is skilled care, several factors must be evaluated and adequately documented. Which of the following is an example of skilled nursing service?

Voluntary home health agencies are:

The incentives and pressures for cost control and improved health outcomes have increased the development and use of telehealth technology in the home setting. Telehealth:

The Omaha System was designed to guide practice decisions, sort and document pertinent client data uniformly, and provide a framework for agency-wide, multidisciplinary clinical information. One of the goals of the Omaha System is to:

From a historical perspective, home care reached a turning point when:

Successful interprofessional functioning depends on numerous factors including the knowledge, skills, and attitudes of each team member. Which of the following are factors for successful interprofessional functioning?

Combination agencies merged which of the following two types of agencies?

The nurse provides direct care services to a stroke victim to avoid complications. This would be an example of which of the following levels of prevention as applied to home care?

A primary objective for the home health nurse is:

Hospice programs may be integrated with home health, hospital, or skilled nursing agencies. Which of the following is important to consider when coordinating care to ensure a comfortable and peaceful death?

The goal of home health nursing is to:

Home care includes disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence. Home care does not only refer to home health but is much broader. Research suggests: