NUR 232 Practice Questions with Correct
Answers
The nurse learns that two new home care agencies are opening in a community. What
should the nurse consider as reasons why home care agencies are increasing in
numbers?
Third-party payers who support cost control measures
The increase in the older adult population
During orientation with a home care agency, the nurse is learning the difference in care
delivery between home health nursing and community nursing. What should the nurse
understand as being the focus of home health care nursing?
The individual and his or her family
To help a home health client with a difficult medication regime, the nurse contacts the
pharmacist for ideas to facilitate the process. Which behavior did the nurse
demonstrate when caring for this client?
Indirect care
A client being discharged needs physical therapy for progressive ambulation, wound
care to treat a postoperative wound, and assistance with the payment of hospital bills.
Before the nurse contacts a home care agency, who should write the order for the client
to receive home care?
Physician
,During the first home care visit, the nurse determines that the client needs speech
therapy, physical therapy, and custodial care several times a week. When should the
nurse schedule the clients care to begin?
When the physician signs the plan of care the nurse develops
A home health client has a complicated case involving occupational therapy, respiratory
therapy, a dietitian, the nurse, and a nurses aide who provides assistance with bathing,
housekeeping, and grocery shopping. Which care provider should be prepared to
coordinate this clients care?
Nurse
The nurse is hired to provide home care through a community agency that is operated
by the state health department and financed by taxes. In which type of agency is this
nurse employed?
Official
While reviewing a health insurance plan, the nurse learns that a client has coverage for
durable medical equipment (DME). What care need should the nurse identify as being
covered by the clients health plan?
A hospital bed
The nurse would like to admit a client to home health care, but is worried about
insurance reimbursement. What client action is causing the nurse to question if home
care can be prescribed for this client?
Drives a car for trips to the barber
,A client who has been the recipient of home health care has made the decision to
discontinue hemodialysis. The client understands all the consequences of this decision
and is not supported by his family. The nurse is meeting with the family to help them
understand the significance of the clients decision and to help them support the client
during this difficult time. In which role is the nurse functioning?
Advocate
During a home visit, the client with terminal cancer undergoes respiratory arrest. The
client has agreed to a DNR (do not resuscitate) order; however, the spouse tells the
nurse to call 911. What action should the nurse take?
Remind the spouse of the clients desires.
During a home visit, the nurse explains the procedures for preventing infection in a
central venous access device to the spouse who watches while the nurse hooks the client
to the medication infusion. Which role is the nurse performing at this time?
Educator
While assessing a clients environment for safety concerns, the nurse finds that most of
the rooms in the house have only one outlet with various cords entering the outlet.
When this concern is shared with the client and spouse, they state that this is the way
weve lived for years. What should the nurse do?
Document the findings and the client and spouses response to the concern.
A home health client lives alone in a small apartment and has only one phone, which is a
land line. What safety recommendation should the visiting home health nurse make for
this particular client?
Recommend that the client be enrolled in an emergency response system.
, The home health nurse has scheduled a visit to a client who lives in a neighborhood that
is known to be unsafe because of gang activity. Before going to the clients home, what
should the nurse do?
Call for an escort.
A home health nurse has a weekly visit to a client living in less than desirable
cleanliness. The client has a central venous access device and requires weekly infusion
therapy. What is the best way for the nurse to protect the client against infection?
Practice strict aseptic technique during the infusion process.
The nurse is concerned that the spouse of a home care client with multiple sclerosis is
experiencing caregiver role strain. What did the nurse observe to come to this
conclusion?
The spouse expresses feelings of anger.
The spouse reports decreased energy.
After completing an initial assessment, the nurse identifies teaching that the client will
need. Why did the nurse identify learning needs for this client?
Lack of knowledge related to health conditions and self-care
An older client being discharged from an acute care facility is prescribed home care.
When should the home care nurse see the client to understand needs for safety and
mobility?
While the client is still a patient in the acute care hospital
Answers
The nurse learns that two new home care agencies are opening in a community. What
should the nurse consider as reasons why home care agencies are increasing in
numbers?
Third-party payers who support cost control measures
The increase in the older adult population
During orientation with a home care agency, the nurse is learning the difference in care
delivery between home health nursing and community nursing. What should the nurse
understand as being the focus of home health care nursing?
The individual and his or her family
To help a home health client with a difficult medication regime, the nurse contacts the
pharmacist for ideas to facilitate the process. Which behavior did the nurse
demonstrate when caring for this client?
Indirect care
A client being discharged needs physical therapy for progressive ambulation, wound
care to treat a postoperative wound, and assistance with the payment of hospital bills.
Before the nurse contacts a home care agency, who should write the order for the client
to receive home care?
Physician
,During the first home care visit, the nurse determines that the client needs speech
therapy, physical therapy, and custodial care several times a week. When should the
nurse schedule the clients care to begin?
When the physician signs the plan of care the nurse develops
A home health client has a complicated case involving occupational therapy, respiratory
therapy, a dietitian, the nurse, and a nurses aide who provides assistance with bathing,
housekeeping, and grocery shopping. Which care provider should be prepared to
coordinate this clients care?
Nurse
The nurse is hired to provide home care through a community agency that is operated
by the state health department and financed by taxes. In which type of agency is this
nurse employed?
Official
While reviewing a health insurance plan, the nurse learns that a client has coverage for
durable medical equipment (DME). What care need should the nurse identify as being
covered by the clients health plan?
A hospital bed
The nurse would like to admit a client to home health care, but is worried about
insurance reimbursement. What client action is causing the nurse to question if home
care can be prescribed for this client?
Drives a car for trips to the barber
,A client who has been the recipient of home health care has made the decision to
discontinue hemodialysis. The client understands all the consequences of this decision
and is not supported by his family. The nurse is meeting with the family to help them
understand the significance of the clients decision and to help them support the client
during this difficult time. In which role is the nurse functioning?
Advocate
During a home visit, the client with terminal cancer undergoes respiratory arrest. The
client has agreed to a DNR (do not resuscitate) order; however, the spouse tells the
nurse to call 911. What action should the nurse take?
Remind the spouse of the clients desires.
During a home visit, the nurse explains the procedures for preventing infection in a
central venous access device to the spouse who watches while the nurse hooks the client
to the medication infusion. Which role is the nurse performing at this time?
Educator
While assessing a clients environment for safety concerns, the nurse finds that most of
the rooms in the house have only one outlet with various cords entering the outlet.
When this concern is shared with the client and spouse, they state that this is the way
weve lived for years. What should the nurse do?
Document the findings and the client and spouses response to the concern.
A home health client lives alone in a small apartment and has only one phone, which is a
land line. What safety recommendation should the visiting home health nurse make for
this particular client?
Recommend that the client be enrolled in an emergency response system.
, The home health nurse has scheduled a visit to a client who lives in a neighborhood that
is known to be unsafe because of gang activity. Before going to the clients home, what
should the nurse do?
Call for an escort.
A home health nurse has a weekly visit to a client living in less than desirable
cleanliness. The client has a central venous access device and requires weekly infusion
therapy. What is the best way for the nurse to protect the client against infection?
Practice strict aseptic technique during the infusion process.
The nurse is concerned that the spouse of a home care client with multiple sclerosis is
experiencing caregiver role strain. What did the nurse observe to come to this
conclusion?
The spouse expresses feelings of anger.
The spouse reports decreased energy.
After completing an initial assessment, the nurse identifies teaching that the client will
need. Why did the nurse identify learning needs for this client?
Lack of knowledge related to health conditions and self-care
An older client being discharged from an acute care facility is prescribed home care.
When should the home care nurse see the client to understand needs for safety and
mobility?
While the client is still a patient in the acute care hospital
