Chapter 30: The Nurse in Home Health and Hospice Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5th Edition

1.1. 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.: : 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. 2.: Cognitive Level: Application REF: p. 566 11. What would be the best approach for a home health nurse to help a client who has rightsided paresis secondary to a stroke? a. Arrange for private duty nurses to assist the client with daily needs. b. Assist the client with activities of daily living. c. Teach the client to participate in self-care activities. d. Teach the family how to care for the client.: : C Because home health care is often intermittent, and because a reliance on others is not always possible over the long term, a primary objective for the nurse is to facilitate self-care so that clients may remain in their home. This allows clients to have some control over their life and can help prevent hopelessness and a loss of self-esteem. Although assistance may be needed, such assistance should come after helping clients to help themselves. 3.: Cognitive Level: Application REF: p. 566 12. Which client over 65 years of age meets the criteria for Medicare reimbursement for home health nursing? a. The client who needs assistance with bathing and meal preparation b. The client who needs assistance with house cleaning and meal preparation c. The client who needs sitter services because she wanders from home and becomes lost d. The client whose family members need to learn how to care for his wound: : D Because the nursing service must be considered "skilled," custodial services alone (e.g., sitter services and assistance with ADLs) are not sufficient cause for Medicare reimbursement. 4.: Cognitive Level: Application REF: p. 568 15. When must the home health nurse be certain to document required Outcome and Assessment Information Set (OASIS-B1) data? a. Before any episode of hospitalization b. After each home health visit c. For all incidences of error or mistake in care d. On first admission to home health care: : D OASIS-B1 data are measured and reported to CMS (1) on admission to home health care, (2) after an