WGU D046 INTRO TO CARE
COORDINATION EXAM PREPARATION
TEST BANK WITH CORRECT ANSWERS
●● Home health care nurses are required to complete the Outcome and
Assessment Information Set (OASIS) by which entity?
Answer: Medicare
OASIS provides standardized guidelines for admission and care, as well
as a national database for evaluation, reimbursement, and quality
improvement. The OASIS system of data collection is required by
Medicare, not by Medicaid, insurance companies, or any other third-
party payer. 288
●● A single parent age 17 years, with one child and pregnant with a
second, has the mental age of a 12-year-old. The home care nurse's
greatest concern in caring for this client should be the client's ability to
do which?
Answer: Cognitively understand how to care for the children
Regarding all aspects of survival, the cognitive ability of this young
client is the greatest concern. The cognitive ability to understand how to
organize work, manage financial responsibilities, and ensure safety
within the home is essential to a single parent of two young children 288
,●● Public health nursing is the branch of nursing that:
Answer: Provides health care for the community
Public health nursing focuses on the whole population and the health of
the community at large, not just on assessing or providing care to
individuals. Community-based nursing, not public health nursing,
involves administering care for a defined geographic community 265
●● The nurse is assigned to care for a middle-aged client who is agitated
and wants to go home. The client states that the client does not have time
to waste in the hospital, and no one is doing anything anyway. Which
action by the nurse is more appropriate if the client insists on leaving the
hospital against medical advice (AMA)?
Answer: Have the client sign the AMA form 283
●● The home health nurse is beginning the entry phase of the home
visit. What important outcomes will the nurse achieve in this phase of
the process? Select all that apply.
Answer: -The nurse develops rapport with the client and the family
-The nurse completes a physical and psychosocial assessment
-The nurse teaches the client and the family members about wound care
288
, ●● The nurse is met in the staff lounge by the nurse who has been caring
for the client team on this shift. The off-going nurse says, "Sorry, but I
have to get out of here." The nurse then gives a quick overview of each
client on the team and says, "All the rest is in the chart if you need
anything." Which essential part of the handoff is missing?
Answer: The opportunity for the oncoming nurse to ask questions
Handoffs should always include a chance for the oncoming nurse to ask
questions and to clarify anything that is unclear. The nurse should not
expect an opportunity to assess the clients, check IV sites, or meet new
clients prior to the previous nurse leaving. In instances where bedside
report is given, the nurse may have some of these opportunities, but they
are not required in a handoff. 269
●● The nurse is admitting a client for outpatient surgery. When the nurse
asks what the client has been told about self-care following discharge,
the client says, "No one has told me anything." Which nursing
intervention is indicated?
Answer: Provide the teaching.
The nurse assesses what has been done prior to the day of surgery and
tailors the care plan to meet the client's needs. In this case, the client
should receive information about postoperative self-care, including
COORDINATION EXAM PREPARATION
TEST BANK WITH CORRECT ANSWERS
●● Home health care nurses are required to complete the Outcome and
Assessment Information Set (OASIS) by which entity?
Answer: Medicare
OASIS provides standardized guidelines for admission and care, as well
as a national database for evaluation, reimbursement, and quality
improvement. The OASIS system of data collection is required by
Medicare, not by Medicaid, insurance companies, or any other third-
party payer. 288
●● A single parent age 17 years, with one child and pregnant with a
second, has the mental age of a 12-year-old. The home care nurse's
greatest concern in caring for this client should be the client's ability to
do which?
Answer: Cognitively understand how to care for the children
Regarding all aspects of survival, the cognitive ability of this young
client is the greatest concern. The cognitive ability to understand how to
organize work, manage financial responsibilities, and ensure safety
within the home is essential to a single parent of two young children 288
,●● Public health nursing is the branch of nursing that:
Answer: Provides health care for the community
Public health nursing focuses on the whole population and the health of
the community at large, not just on assessing or providing care to
individuals. Community-based nursing, not public health nursing,
involves administering care for a defined geographic community 265
●● The nurse is assigned to care for a middle-aged client who is agitated
and wants to go home. The client states that the client does not have time
to waste in the hospital, and no one is doing anything anyway. Which
action by the nurse is more appropriate if the client insists on leaving the
hospital against medical advice (AMA)?
Answer: Have the client sign the AMA form 283
●● The home health nurse is beginning the entry phase of the home
visit. What important outcomes will the nurse achieve in this phase of
the process? Select all that apply.
Answer: -The nurse develops rapport with the client and the family
-The nurse completes a physical and psychosocial assessment
-The nurse teaches the client and the family members about wound care
288
, ●● The nurse is met in the staff lounge by the nurse who has been caring
for the client team on this shift. The off-going nurse says, "Sorry, but I
have to get out of here." The nurse then gives a quick overview of each
client on the team and says, "All the rest is in the chart if you need
anything." Which essential part of the handoff is missing?
Answer: The opportunity for the oncoming nurse to ask questions
Handoffs should always include a chance for the oncoming nurse to ask
questions and to clarify anything that is unclear. The nurse should not
expect an opportunity to assess the clients, check IV sites, or meet new
clients prior to the previous nurse leaving. In instances where bedside
report is given, the nurse may have some of these opportunities, but they
are not required in a handoff. 269
●● The nurse is admitting a client for outpatient surgery. When the nurse
asks what the client has been told about self-care following discharge,
the client says, "No one has told me anything." Which nursing
intervention is indicated?
Answer: Provide the teaching.
The nurse assesses what has been done prior to the day of surgery and
tailors the care plan to meet the client's needs. In this case, the client
should receive information about postoperative self-care, including
