FOUNDATIONS OF NURSING EXAM 2 |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Care in the home is an alternative to hospital placement. Which of the following is one
major difference associated with in-home care?
1.) Does not focus on curative and lifesaving approaches.
2.) Is less able to manage complex symptoms.
3.) Facilitates extensive involvement of significant others/family.
4.) Permits use of pain medication regimens not allowed in the hospital.
CORRECT ANSWER
Answer:
3.) Facilitates extensive involvement of significant others/family.
Rationale: Although hospitals have recently become more welcoming to families, a major
strength of home care is the involvement and proximity of loved ones. Curative and
lifesaving approaches may be used both at home and in the hospital (Option 1). An asset
of home care nurses is their ability to manage complex symptoms (option 2). This
includes expertise in pain management, but the same legal strategies are available in
either in-home care or hospitals (option 4).
(Chapter 8 Kozier & Erb)
Question 2
A home health client is having difficulty with the medication regimen that is prescribed by
the physician. The nurse helps with this situation by consulting the pharmacist for ideas on
how to improve the situation. This is an example of which of the following?
1
,1.) Hands-one care
2.) Direct care
3.) Advocacy
4.) Indirect care
CORRECT ANSWER
Answer:
4.) Indirect care
Rationale:
Indirect care is provided by the home health nurse to the client each time the nurse
consults with other health care providers about ways to improve nursing care for the
client. Hands-on care, direct care, and client advocacy are not described in the stem
(options 1, 2, and 3).
(Chapter 8 Kozier & Erb)
Question 3
The home health nurse is assessing the client's environment for safety concerns and finds
that most of the rooms in the house have only one outlet with various cords entering the
outlet. The nurse notes this concern to the client and the client's spouse. Their response to
the nurse is "This is the way we've lived for years." What should the nurse do?
1.) Provide telephone numbers for local electricians.
2.) Continue to persuade the client to have the home rewired.
3.) Not bring up the subject again.
4.) Document the findings and the client and spouse's response to the concern.
CORRECT ANSWER
2
,Answer:
4.) Document the findings and the client and spouse's response to the concern.
Rationale:
Home health nurses can express concern when a situation suggests the possibility for
injury. They must document information they provide and the family's response to
instruction as well as make ongoing assessments about the family's use of safety
precautions. While not appropriate, the client is not likely to act upon the information
the nurse provides in option 1. Nurses cannot expect to change a family's living space
and lifestyle and such an intervention may be resented by the client (option 2). The nurse
has an obligation to bring safety issues to the client's attention (option 3).
(Chapter 8 Kozier & Erb)
Question 4
A home health nurse is providing care for a client who has paralysis on one side and
whose spouse provides most of the care. Which of the following may be a sign of caregiver
role strain?
1.) The caregiver loses weight and has insomnia.
2.) The caregiver asks other family and friends for help.
3.) The caregiver asks the nurse what other ways he or she can help the client.
4.) The caregiver seems sad whenever the client's prognosis is discussed.
CORRECT ANSWER
Answer:
1.) The caregiver loses weight and has insomnia.
Rationale:
3
, If the caregiver's own health is becoming threatened, it may be a sign of overload. It
would be appropriate for the caregiver to ask for assistance from others (option 2), or to
ask for clarification of ways he or she can assist the client (option 3). Sadness related to a
poor prognosis would be a normal and expected response as long as it does not evolve
into depression (option 4).
(Chapter 8 Kozier & Erb)
Question 5
A client is scheduled to be discharged from the hospital. Which should the discharge
planner at the hospital acquire first before home nursing care can be initiated?
1.) Insurance coverage
2.) An in-home caregiver
3.) A curable health problem
4.) A physician's authorization
CORRECT ANSWER
Answer:
4.) A physician's authorization
Rationale:
A physician's authorization of the plan of care is needed before home health care by a
nurse can be initiated. Insurance coverage is not required although the agency may need
proof of the client's ability to pay if insurance is not available or adequate (option 1).
Many clients benefit from home health care even if there is no in-home caregiver present
or needed (option 2). The health problem for which home care is needed may be chronic
or acute and may necessitate preventative, curative, or palliative therapy (option 3).
(Chapter 8 Kozier & Erb)
4
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Care in the home is an alternative to hospital placement. Which of the following is one
major difference associated with in-home care?
1.) Does not focus on curative and lifesaving approaches.
2.) Is less able to manage complex symptoms.
3.) Facilitates extensive involvement of significant others/family.
4.) Permits use of pain medication regimens not allowed in the hospital.
CORRECT ANSWER
Answer:
3.) Facilitates extensive involvement of significant others/family.
Rationale: Although hospitals have recently become more welcoming to families, a major
strength of home care is the involvement and proximity of loved ones. Curative and
lifesaving approaches may be used both at home and in the hospital (Option 1). An asset
of home care nurses is their ability to manage complex symptoms (option 2). This
includes expertise in pain management, but the same legal strategies are available in
either in-home care or hospitals (option 4).
(Chapter 8 Kozier & Erb)
Question 2
A home health client is having difficulty with the medication regimen that is prescribed by
the physician. The nurse helps with this situation by consulting the pharmacist for ideas on
how to improve the situation. This is an example of which of the following?
1
,1.) Hands-one care
2.) Direct care
3.) Advocacy
4.) Indirect care
CORRECT ANSWER
Answer:
4.) Indirect care
Rationale:
Indirect care is provided by the home health nurse to the client each time the nurse
consults with other health care providers about ways to improve nursing care for the
client. Hands-on care, direct care, and client advocacy are not described in the stem
(options 1, 2, and 3).
(Chapter 8 Kozier & Erb)
Question 3
The home health nurse is assessing the client's environment for safety concerns and finds
that most of the rooms in the house have only one outlet with various cords entering the
outlet. The nurse notes this concern to the client and the client's spouse. Their response to
the nurse is "This is the way we've lived for years." What should the nurse do?
1.) Provide telephone numbers for local electricians.
2.) Continue to persuade the client to have the home rewired.
3.) Not bring up the subject again.
4.) Document the findings and the client and spouse's response to the concern.
CORRECT ANSWER
2
,Answer:
4.) Document the findings and the client and spouse's response to the concern.
Rationale:
Home health nurses can express concern when a situation suggests the possibility for
injury. They must document information they provide and the family's response to
instruction as well as make ongoing assessments about the family's use of safety
precautions. While not appropriate, the client is not likely to act upon the information
the nurse provides in option 1. Nurses cannot expect to change a family's living space
and lifestyle and such an intervention may be resented by the client (option 2). The nurse
has an obligation to bring safety issues to the client's attention (option 3).
(Chapter 8 Kozier & Erb)
Question 4
A home health nurse is providing care for a client who has paralysis on one side and
whose spouse provides most of the care. Which of the following may be a sign of caregiver
role strain?
1.) The caregiver loses weight and has insomnia.
2.) The caregiver asks other family and friends for help.
3.) The caregiver asks the nurse what other ways he or she can help the client.
4.) The caregiver seems sad whenever the client's prognosis is discussed.
CORRECT ANSWER
Answer:
1.) The caregiver loses weight and has insomnia.
Rationale:
3
, If the caregiver's own health is becoming threatened, it may be a sign of overload. It
would be appropriate for the caregiver to ask for assistance from others (option 2), or to
ask for clarification of ways he or she can assist the client (option 3). Sadness related to a
poor prognosis would be a normal and expected response as long as it does not evolve
into depression (option 4).
(Chapter 8 Kozier & Erb)
Question 5
A client is scheduled to be discharged from the hospital. Which should the discharge
planner at the hospital acquire first before home nursing care can be initiated?
1.) Insurance coverage
2.) An in-home caregiver
3.) A curable health problem
4.) A physician's authorization
CORRECT ANSWER
Answer:
4.) A physician's authorization
Rationale:
A physician's authorization of the plan of care is needed before home health care by a
nurse can be initiated. Insurance coverage is not required although the agency may need
proof of the client's ability to pay if insurance is not available or adequate (option 1).
Many clients benefit from home health care even if there is no in-home caregiver present
or needed (option 2). The health problem for which home care is needed may be chronic
or acute and may necessitate preventative, curative, or palliative therapy (option 3).
(Chapter 8 Kozier & Erb)
4
