Stanhope and Lancaster EXAM TESTBANK
WITH 180 QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES LATEST
UPDATE ALREADY GRADED A
1. What is the most essential difference between home health care and acute client care?
a. Acute client care is individualized for the client and family.
b. Home health care is provided in the client's environment.
c. Reimbursement for home health care varies from that of care provided in institutions.
d. The focus of acute client care is on community health. - ANSWER>>: B
Home health differs from other areas of health care in that health care providers practice in
the client's environment. All nurses give individualized care to clients.
: Cognitive Level: Knowledge REF: p. 561
2. A nurse has just received word that Medicaid will reimburse for care provided to a
homeless man with schizophrenia who is afraid to come to the clinic to receive health care.
How would this type of nursing service be best classified?
a. Community-oriented nursing
b. Home health nursing
c. Hospice nursing
,d. Private duty nursing - ANSWER>>: B
Home health nursing is provided in the client's environment, regardless of where that may
be. "Home" may be a house, apartment, trailer, boarding house, shelter, car, makeshift
shelter under a bridge, or cardboard box.
: Cognitive Level: Knowledge REF: p. 561
3. A hospital nurse wants to know why home health nurses often take more time with
assessment than nurses do in the hospital. What is an adequate explanation for this?
a. Home care assessment includes not only the client but the supplies and equipment the
family may have available for use.
b. The home environment is less organized and equipped for the nurse's use.
c. Family members must also be assessed for possible problems that could interfere with the
primary client's recovery.
d. To be effective, the home health nurse must earn the family's trust and work in
partnership with them. - ANSWER>>: D
Although all the responses contain some truth, the primary reason that assessment may
take longer for the home health nurse is because when working in a client's home, the
nurse is a guest. To be effective, the nurse must earn the trust of the family and establish a
partnership with client and family.
: Cognitive Level: Knowledge REF: p. 562
4. Historically, home care nurses were social reformers, living in immigrant communities,
developing needed programs, and providing necessary services from health education to
, care for the sick. What led to the current emphasis on caring for acutely ill clients expected
to improve and the increased demands for extensive documentation?
a. Advances in medical technology and pharmacology
b. Constantly increasing lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s - ANSWER>>: C
The combination of preventive services and illness care followed the introduction of
Medicare in 1966. The Medicare program emphasized care for more acutely ill people rather
than illness prevention and health promotion. The 1997 federal Balanced Budget Act, which
implemented the prospective payment system in home care, increased pressure to care for
clients with acute illnesses that were likely to improve.
: Cognitive Level: Knowledge REF: p. 563
5. In the agency, one of the nurses spent all available time visiting a group of persons with
mental health problems who were trying to remain functional in the community. What type
of assignment did this nurse have?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care - ANSWER>>: B
Population-focused home care is directed toward the needs of specific groups of people,
including those with high-risk health needs such as mental health problems, cardiovascular
disease, or diabetes; families with infants or young children; and older adults. Such care
commonly includes structured regular visits with assessment protocols, focused health
education, counseling, and health-related support and coaching.
WITH 180 QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES LATEST
UPDATE ALREADY GRADED A
1. What is the most essential difference between home health care and acute client care?
a. Acute client care is individualized for the client and family.
b. Home health care is provided in the client's environment.
c. Reimbursement for home health care varies from that of care provided in institutions.
d. The focus of acute client care is on community health. - ANSWER>>: B
Home health differs from other areas of health care in that health care providers practice in
the client's environment. All nurses give individualized care to clients.
: Cognitive Level: Knowledge REF: p. 561
2. A nurse has just received word that Medicaid will reimburse for care provided to a
homeless man with schizophrenia who is afraid to come to the clinic to receive health care.
How would this type of nursing service be best classified?
a. Community-oriented nursing
b. Home health nursing
c. Hospice nursing
,d. Private duty nursing - ANSWER>>: B
Home health nursing is provided in the client's environment, regardless of where that may
be. "Home" may be a house, apartment, trailer, boarding house, shelter, car, makeshift
shelter under a bridge, or cardboard box.
: Cognitive Level: Knowledge REF: p. 561
3. A hospital nurse wants to know why home health nurses often take more time with
assessment than nurses do in the hospital. What is an adequate explanation for this?
a. Home care assessment includes not only the client but the supplies and equipment the
family may have available for use.
b. The home environment is less organized and equipped for the nurse's use.
c. Family members must also be assessed for possible problems that could interfere with the
primary client's recovery.
d. To be effective, the home health nurse must earn the family's trust and work in
partnership with them. - ANSWER>>: D
Although all the responses contain some truth, the primary reason that assessment may
take longer for the home health nurse is because when working in a client's home, the
nurse is a guest. To be effective, the nurse must earn the trust of the family and establish a
partnership with client and family.
: Cognitive Level: Knowledge REF: p. 562
4. Historically, home care nurses were social reformers, living in immigrant communities,
developing needed programs, and providing necessary services from health education to
, care for the sick. What led to the current emphasis on caring for acutely ill clients expected
to improve and the increased demands for extensive documentation?
a. Advances in medical technology and pharmacology
b. Constantly increasing lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s - ANSWER>>: C
The combination of preventive services and illness care followed the introduction of
Medicare in 1966. The Medicare program emphasized care for more acutely ill people rather
than illness prevention and health promotion. The 1997 federal Balanced Budget Act, which
implemented the prospective payment system in home care, increased pressure to care for
clients with acute illnesses that were likely to improve.
: Cognitive Level: Knowledge REF: p. 563
5. In the agency, one of the nurses spent all available time visiting a group of persons with
mental health problems who were trying to remain functional in the community. What type
of assignment did this nurse have?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care - ANSWER>>: B
Population-focused home care is directed toward the needs of specific groups of people,
including those with high-risk health needs such as mental health problems, cardiovascular
disease, or diabetes; families with infants or young children; and older adults. Such care
commonly includes structured regular visits with assessment protocols, focused health
education, counseling, and health-related support and coaching.
