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NURS 201-Chapter 12
Interprofessional Collaborative Practice & Care Coordination Across Settings
| Question | Answer |
|---|---|
| Which is the largest single source of reimbursement for home health care services? | Medicare |
| 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 discharge home of clients who are more critically ill -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 |
| Client here for a cardiac workup; client assigned to the nurse. The unlicensed assistive personnel has settled the client in the room, oriented client to surroundings, call system, bathroom,bedside supplies, etc. Which is the nurse's priority action? | Gather information and complete the admission database -Nurse's priority is to complete the admission of the client and perform the history, assessment, and documentation |
| A client diagnosed with terminal leukemia is receiving home health care services to assist in the client's care; client is unable to afford needed medical supplies. Which is the best strategy for the nurse to implement to assist the client? | Refer the client to a social worker to determine eligibility for assistance |
| In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning? | Providing client education - Developing goals may occur after the education process, as the goals need to be realistic |
| Which role is the home health nurse exhibiting when demonstrating how to suction the oropharynx of the client? | Educator |
| 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? | Encourage active participation of the client and family in health care decisions -Client care decisions should be made in conjunction with the family, and the family should be encouraged to participate in those decisions |
| A nurse coordinator for a busy hospital provides for continuity of care for clients using the hospital services. Which cognitive skill would this nurse need to ensure continuity of care? | The knowledge of how to communicate client priorities and the related plan of care as a client is transferred between different settings |
| A client is having an increasing amount of difficulty caring for oneself in the home alone. The client states to the nurse, “I need more help. What am I going to do?” Which action would be the most appropriate for the nurse to take? | Have the social worker visit the client to discuss care options -Social worker is able to broadly identify resources to meet the client's needs |
| A client says, “You guys are not doing anything for me. I am leaving.” Which interventions are indicated by the nurse? | -Inform the client of the risks of leaving -Witness the client’s signature on the against medical advice form |
| Social workers | -Assist in finding and connecting the client with community resources or financial resources and provide counseling and support -They are better equipped to find community resources or financial resources than a health care provider |
| Home care nurse provides care & education to a client who is pregnant for the first time. Client says, “I have no money or food." Nurse refers the woman to WIC program and a local food bank. This is an example of what aspect of community-based nursing? | Planning -Focus on using individual, family, and community resources to assist in restoring a client's health to maximum possible functioning, while continuing to monitor for possible side effects or complications to treatment |
| An 82-year-old client is being discharged from the hospital following a bowel resection. The client lives alone and the client's family is out of town. Which factor will have the greatest effect on the client's home care management? | Support system -A lack of a support system would likely mean that none of these other needs would be met |
| A nurse is preparing for handoff communication for a client who is being discharged from the hospital to home health care. Which example is not an action performed during this process? | The nurse prepares the new room for the client -Nurse prepares the new room for a client prior to admission, not during the discharge process |
| A successful discharge includes effective planning. Identifying and meeting client needs beyond the acute care facility reduce readmissions. Which nursing role is of great importance to this success? | Coordinator |
| The nurse manager of the acute care unit has decided to implement a team nursing approach for client care. One of the staff members asks, "Will we each take care of our own clients?" What is the appropriate response by the manager? | "The care will be divided and the registered nurse (RN) will have a licensed practical/vocational nurse (LPN/LVN) and unlicensed assistive personnel (UAP) to provide care together." |
| One significant change in the health care delivery system in recent years is earlier hospital discharges. What is one result of earlier hospital discharges? | Clients with high home care needs are being discharged into the community |
| A 16-year-old client has been injured in an accident and is receiving home care. Client states, “I don't know why I survived and not my best friend.” It is most important for the home care nurse to encourage the client to: | Communicate these feelings to family and friends |
| The client is being discharged to the home setting following a stroke. The client requires assistance in relearning how to cook safely. To which home health care team member should the nurse refer the client? | Occupational therapist |
| Which qualities are essential for a community-based nurse? | -Strong knowledge foundation -Effective communication skills -Keen physical assessment skills |
| Assessment | Determining the client's care needs |
| Restoration | Helping a client regain a former level of functioning after an injury or other debilitating health event |
| Evaluation | Determining the effectiveness of a care plan after it has been implemented |
| Functional nursing | -When each nurse is assigned specific tasks to perform, such as medication administration or wound care -This is more of a task-oriented role |
| Case-based approach | When the nurse manager assigns tasks based on the client's diagnosis |
| In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective? | Demonstrate and explain the procedure and then have the daughter perform it |
| 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 |
| Which are components of the nursing case management process? | -Filing and completing paperwork -Coordinating -Making referrals -Monitoring medical progress |
| When preparing to transfer an older adult client back to the long-term care facility where the client has been for several years, it is the primary responsibility of the nurse to: | Provide for the coordination and continuity of care by the health care provider |
| A home health care nurse is explaining to an emergency room nurse how nursing care in the home setting differs from that in the hospital setting. Which statement by the home health care nurse would be most appropriate? | "The client and family are in control of the setting, not the nurse." |
| Public health nursing is the branch of nursing that: | Provides health care for the community -Focuses on the whole population and the health of the community at large, not just on assessing or providing care to individuals |
| A nurse is caring for a 17-year-old pregnant client who is unable to afford health care. Which resources will the nurse access to obtain assistance for this client? | Make a referral to the social services department |
| Community-based nursing | Involves administering care for a defined geographic community |
Created by:
kmeans34
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