Ch. 6 Community/Home Care Flashcards
(10 cards)
Which of the following is a current trend in home health nursing?
a.
Increased numbers of registered nurses (RNs) are being employed as home health nurses.
b.
Decreased numbers of licensed practical nurses (LPNs) are being employed as home health nurses.
c.
There are more employment opportunities for newly graduated nurses.
d.
A minimum of two years of acute care experience is required before employment as a home health nurse.
ANS: C
Partly because of the nursing shortage, enhancements to the scope of practice and educational programs for LPNs, and the need to provide long-term intervention to a growing population with complex and unpredictable health care needs, many home health employers now hire RNs and LPNs right after graduation.
Which of the following is considered a foundational concept of home health nursing? a. Acute care management b. Health promotion c. Chronic disease management d. Health restoration
ANS: B
The two foundations of home health nursing are health promotion and illness prevention. Health restoration is an element of home health nursing rather than a foundational concept.
Home health care nurses deliver care to a variety of patients with acute and chronic illnesses as part of their nursing practice. These nurses would explain to their patients that they are practising which type of nursing? a. Public health nursing b. Long-term care nursing c. Community-based nursing d. Community health nursing
ANS: C
The shared history of visiting and public health nursing continues to unify the two groups of community health nurses, who are now joined by nurses in many other community-based roles. Although the community is the context of care for community-based nurses, they possess an understanding of the entire health system continuum and are able to deliver care to patients who are acutely or chronically ill.
Health care services by a specific institution are often implemented through case management. Which of the following is an activity related to case management?
a.
Each member of the health care team performs specific tasks for patient care under the supervision of a case manager.
b.
One nurse manages all interventions required to meet the needs of the patient in the hospital and the community.
c.
The patient’s nurse collaborates with other health care disciplines to plan and implement coordinated patient care.
d.
A professional nurse assesses the patient’s needs and plans and coordinates patient care with other nurses under the direction of a physician.
ANS: A
Case management is a collaborative patient-driven strategy undertaken by health care providers and patients to maximize the patient’s ability and autonomy through advocacy, communication, education, identification of and access to requisite resources, and service coordination.
A 78-year-old woman hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength. In planning continued care for the patient, in which setting would the nurse consider that the patient’s needs would best be met? a. A public health unit b. A community health centre c. The patient’s home d. An occupational health facility
ANS: C
The patient no longer needs registered nursing care, nor does she need to be in an acute care setting; therefore, she could be discharged to her home, as a home health care provider is able to meet her needs. The home health care provider may see the patient in her home as often as several times a week, depending on the patient’s needs.
A patient hospitalized with diabetes mellitus is being referred to a certified home health care agency on discharge from the hospital. Which of the following people will coordinate the care? a. A case manager b. A community registered nurse c. The patient’s family physician d. A certified diabetic educator from the hospital
ANS: A
The case manager coordinates the comprehensive care plan and services for the patient, including arranging for and funding services.
How should the nurse describe home care services to a patient requiring extended care?
a.
Home care services are limited to visits by nurses or home health aides.
b.
For the expenses of home care to be covered, the patient must be confined to bed.
c.
The patient’s family will need to be included in planning and teaching about the patient’s care.
d.
Technologically complex therapies, such as parenteral chemotherapy and mechanical ventilators, cannot be managed at home.
ANS: C
The home health care nurse negotiates the care with the patient and the family. Families often provide care for ill members and assist in decision making about all aspects of the care provided.
Which of the following is a key principle of primary health care?
a.
Universal access to health care on an economic basis
b.
Focus on acute illness and cure
c.
Partnership with other professions and sectors for health
d.
Individuals as passive recipients of health care
ANS: C
One of the six key principles of primary health care is to partner with other disciplines, communities, and sectors for health (intersectoral approach).
On average, what is the approximate national percentage of provincial/territorial budgets in Canada that are expended on health care costs? a. 19% b. 29% c. 39% d. 49%
ANS: C
Approximately 39% of provincial and territorial budgets are consumed with health care costs; the range is between 30% in Quebec and 47% in Nova Scotia, giving an average of 38.5%.
Primary health care is increasingly being embraced as a strategy to shift the health system’s focus from treatment of disease to health promotion. This shift is known as which of the following? a. Economic shift b. Reforming the system c. Enhancing primary health care d. Chronic disease management in home care settings
ANS: B
This shift is also known as reforming the system. Primary health care is increasingly being embraced as a strategy to shift the health system’s focus from diagnosis and treatment of illness and injury to health promotion and disease prevention.
