Chapter 30 - The Nurse in Home Health and
Hospice questions and 100% verified answers
2025/2026
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.
: Cognitive Level: Knowledge REF: p. 563
6. A new client has just been released from the hospital after intensive treatment for multiple injuries
after a motorcycle accident. What type of care will he probably receive?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care - answer: D
Transitional care programs in the home are designed for populations who have complex or high-risk
health problems and are making a transition from one level of care to another. Assessment, planning,
teaching, making referrals, and following up on referrals foster independence and self-care. Besides
intensive teaching about self-care, telephone calls help ensure that the client understands and is able to
implement instruction.
: Cognitive Level: Knowledge REF: p. 563
7. Which type of home health agency continues to emphasize health promotion and illness prevention?
a. Combination agencies
b. Hospital-based agencies
c. Official agencies
d. Proprietary agencies - answer: C
Official or public agencies include those agencies operated by the state, county, city, or other local
government units, such as health departments. Nurses employed in these settings provide well-child
clinics, immunizations, health education programs, and home visits for preventive health care.
Consequently, they include a focus on health promotion and illness prevention as well as giving direct
care.
Hospice questions and 100% verified answers
2025/2026
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.
: Cognitive Level: Knowledge REF: p. 563
6. A new client has just been released from the hospital after intensive treatment for multiple injuries
after a motorcycle accident. What type of care will he probably receive?
a. Home-based primary care
b. Population-focused home care
c. Proprietary home care
d. Transitional care - answer: D
Transitional care programs in the home are designed for populations who have complex or high-risk
health problems and are making a transition from one level of care to another. Assessment, planning,
teaching, making referrals, and following up on referrals foster independence and self-care. Besides
intensive teaching about self-care, telephone calls help ensure that the client understands and is able to
implement instruction.
: Cognitive Level: Knowledge REF: p. 563
7. Which type of home health agency continues to emphasize health promotion and illness prevention?
a. Combination agencies
b. Hospital-based agencies
c. Official agencies
d. Proprietary agencies - answer: C
Official or public agencies include those agencies operated by the state, county, city, or other local
government units, such as health departments. Nurses employed in these settings provide well-child
clinics, immunizations, health education programs, and home visits for preventive health care.
Consequently, they include a focus on health promotion and illness prevention as well as giving direct
care.
