NUR 166 Ch 12 (NCLEX): Collaborative Practice And
Care Coordination Across Settings Exam Latest Update
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?
a) Use a multimedia strategy that combines animation with narration.
b) Explain the procedure clearly and slowly while providing multiple
opportunities for the daughter to ask questions.
c) Demonstrate and explain the procedure and then have the daughter perform
it.
d) Provide explicit written and verbal instructions and ask the daughter to
explain back to the nurse how to perform the procedure. - ANSWER c)
Demonstrate and explain the procedure and then have the daughter perform it.
Which measure should a home health care nurse integrate into routine practice
to minimize the potential for lawsuits?
a) Perform thorough, accurate, and timely documentation.
b) Apply more conservative interventions than those used in a hospital setting.
c) Integrate the client's learning needs and goals into plans of care.
d) Have the client sign a waiver prior to the entry phase of a visit. - ANSWER a)
Perform thorough, accurate, and timely documentation.
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?
a) "You need a graduate degree to specialize in home health care."
b) "It requires that you have high-level critical care skills."
c) "The client and family are in control of the setting, not the nurse."
d) "Each team member works independently of other team members." -
ANSWER c) "The client and family are in control of the setting, not the nurse."
When educating clients in the community on health promotion and prevention of
disease, it is important to stress:
a) strenuous exercise is necessary for health.
b) health education can benefit individuals and groups.
c) the ideal location for education is in a health care institution.
d) health promotion may not be possible for many of the older members of a
community. - ANSWER b) health education can benefit individuals and groups.
, A client living alone has degenerative joint disease, hypertension, and
neuropathy. It is difficult for the client to bathe, and the client's blood pressure is
unstable. Which type of care would this client benefit from most?
a) Acute care
b) Ambulatory care
c) Home care
d) Respite care - ANSWER c) Home care
Which are recommended guidelines to prevent the spread of infection in the
home care setting? Select all that apply.
a) Wearing gloves when contacting body fluids
b) Using standard precautions
c) Performing hand hygiene after reaching into the bag for supplies
d) Using sterile technique when reaching into the bag for supplies
e) Placing the bag on a liner before setting it down in the client's home -
ANSWER a) Wearing gloves when contacting body fluids
b) Using standard precautions
e) Placing the bag on a liner before setting it down in the client's home
On admission to the hospital, each client is asked whether the client has a living
will or a durable power of attorney. If not, the admitting staff person provides a
sample form to the client if wanted. The purpose of this inquiry is to determine:
a) what the client wants to have happen during the hospitalization.
b) how the client feels about being resuscitated and maintained on life support if
this is necessary.
c) whether the client has a document describing wishes for care when the client
is no longer able to make decisions.
d) previous decisions made regarding whom to contact should the client die in
the hospital. - ANSWER c) whether the client has a document describing wishes
for care when the client is no longer able to make decisions.
Public health nursing is the branch of nursing that:
a) provides primary care to individuals.
b) assesses individuals for community care.
c) administers care for a defined geographic community.
d) provides health care for the community. - ANSWER d) provides health care for
the community.
One significant change in the health care delivery system in recent years is
earlier hospital discharges. What is one result of earlier hospital discharges?
a) Clients are in the hospital for a longer period of time.
b) Clients are locked into prenegotiated payment rates that have remained
unchanged.
c) Clients with high home care needs are being discharged into the community.
d) Client use of ambulatory care has decreased. - ANSWER c) Clients with high
home care needs are being discharged into the community.
Care Coordination Across Settings Exam Latest Update
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?
a) Use a multimedia strategy that combines animation with narration.
b) Explain the procedure clearly and slowly while providing multiple
opportunities for the daughter to ask questions.
c) Demonstrate and explain the procedure and then have the daughter perform
it.
d) Provide explicit written and verbal instructions and ask the daughter to
explain back to the nurse how to perform the procedure. - ANSWER c)
Demonstrate and explain the procedure and then have the daughter perform it.
Which measure should a home health care nurse integrate into routine practice
to minimize the potential for lawsuits?
a) Perform thorough, accurate, and timely documentation.
b) Apply more conservative interventions than those used in a hospital setting.
c) Integrate the client's learning needs and goals into plans of care.
d) Have the client sign a waiver prior to the entry phase of a visit. - ANSWER a)
Perform thorough, accurate, and timely documentation.
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?
a) "You need a graduate degree to specialize in home health care."
b) "It requires that you have high-level critical care skills."
c) "The client and family are in control of the setting, not the nurse."
d) "Each team member works independently of other team members." -
ANSWER c) "The client and family are in control of the setting, not the nurse."
When educating clients in the community on health promotion and prevention of
disease, it is important to stress:
a) strenuous exercise is necessary for health.
b) health education can benefit individuals and groups.
c) the ideal location for education is in a health care institution.
d) health promotion may not be possible for many of the older members of a
community. - ANSWER b) health education can benefit individuals and groups.
, A client living alone has degenerative joint disease, hypertension, and
neuropathy. It is difficult for the client to bathe, and the client's blood pressure is
unstable. Which type of care would this client benefit from most?
a) Acute care
b) Ambulatory care
c) Home care
d) Respite care - ANSWER c) Home care
Which are recommended guidelines to prevent the spread of infection in the
home care setting? Select all that apply.
a) Wearing gloves when contacting body fluids
b) Using standard precautions
c) Performing hand hygiene after reaching into the bag for supplies
d) Using sterile technique when reaching into the bag for supplies
e) Placing the bag on a liner before setting it down in the client's home -
ANSWER a) Wearing gloves when contacting body fluids
b) Using standard precautions
e) Placing the bag on a liner before setting it down in the client's home
On admission to the hospital, each client is asked whether the client has a living
will or a durable power of attorney. If not, the admitting staff person provides a
sample form to the client if wanted. The purpose of this inquiry is to determine:
a) what the client wants to have happen during the hospitalization.
b) how the client feels about being resuscitated and maintained on life support if
this is necessary.
c) whether the client has a document describing wishes for care when the client
is no longer able to make decisions.
d) previous decisions made regarding whom to contact should the client die in
the hospital. - ANSWER c) whether the client has a document describing wishes
for care when the client is no longer able to make decisions.
Public health nursing is the branch of nursing that:
a) provides primary care to individuals.
b) assesses individuals for community care.
c) administers care for a defined geographic community.
d) provides health care for the community. - ANSWER d) provides health care for
the community.
One significant change in the health care delivery system in recent years is
earlier hospital discharges. What is one result of earlier hospital discharges?
a) Clients are in the hospital for a longer period of time.
b) Clients are locked into prenegotiated payment rates that have remained
unchanged.
c) Clients with high home care needs are being discharged into the community.
d) Client use of ambulatory care has decreased. - ANSWER c) Clients with high
home care needs are being discharged into the community.
