Test Bank - Stanhope and Lancasters
Community Health Nursing in Canada,
4th Edition (MacDonald, 2022), Chapter
1-18 | All Chapters
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. - answer-: 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.
: Cognitive Level: Knowledge REF: p. 561
Cognitive Level: Knowledge REF: p. 564
9. What is the primary focus of hospice care?
a. Curing or controlling the client's chronic disease
b. Decreasing the waste of acute care (hospital) resources
c. Providing palliative care to maintain comfort until death
d. Teaching the client and family how to care for themselves - answer-: C
The primary goal of hospice care is to help maintain the client's dignity and comfort.
Alleviating pain; encouraging the client, family, and friends to communicate with each
other about essential sensitive issues; and coordinating care to ensure a comfortable,
peaceful death all contribute to palliative care.
: Cognitive Level: Knowledge REF: p. 565
10. What is the primary reason that meeting the needs of a dying child and his or her
family is more challenging for most nurses than meeting the needs of a dying adult?
a. Children don't understand what it means to die.
b. A child's death is harder for anyone to accept.
c. Nurses themselves are often parents.
d. Families are not prepared to deal with death. - answer-: C
It is true that families are rarely prepared to deal with death. It is also true that children
have only a limited understanding of dying. However, the main reason that the needs of
the dying child and family are so challenging for most nurses is the fact that many
, nurses are parents themselves and can relate to the shock of a child dying before the
parent.
2. A nurse has just received word that Medicaid will reimburse for care provided to a
homeless man with schizophrenia who is afraid to come to the clinic to receive health
care. How would this type of nursing service be best classified?
a. Community-oriented nursing
b. Home health nursing
c. Hospice nursing
d. Private duty nursing - answer-: B
Home health nursing is provided in the client's environment, regardless of where that
may be. "Home" may be a house, apartment, trailer, boarding house, shelter, car,
makeshift shelter under a bridge, or cardboard box.
: Cognitive Level: Knowledge REF: p. 561
3. A hospital nurse wants to know why home health nurses often take more time with
assessment than nurses do in the hospital. What is an adequate explanation for this?
a. Home care assessment includes not only the client but the supplies and equipment
the family may have available for use.
b. The home environment is less organized and equipped for the nurse's use.
c. Family members must also be assessed for possible problems that could interfere
with the primary client's recovery.
d. To be effective, the home health nurse must earn the family's trust and work in
partnership with them. - answer-: D
Although all the responses contain some truth, the primary reason that assessment may
take longer for the home health nurse is because when working in a client's home, the
nurse is a guest. To be effective, the nurse must earn the trust of the family and
establish a partnership with client and family.
: Cognitive Level: Knowledge REF: p. 562
4. Historically, home care nurses were social reformers, living in immigrant
communities, developing needed programs, and providing necessary services from
health education to care for the sick. What led to the current emphasis on caring for
acutely ill clients expected to improve and the increased demands for extensive
documentation?
a. Advances in medical technology and pharmacology
b. Constantly increasing lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s - answer-: C
The combination of preventive services and illness care followed the introduction of
Medicare in 1966. The Medicare program emphasized care for more acutely ill people
rather than illness prevention and health promotion. The 1997 federal Balanced Budget
Community Health Nursing in Canada,
4th Edition (MacDonald, 2022), Chapter
1-18 | All Chapters
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. - answer-: 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.
: Cognitive Level: Knowledge REF: p. 561
Cognitive Level: Knowledge REF: p. 564
9. What is the primary focus of hospice care?
a. Curing or controlling the client's chronic disease
b. Decreasing the waste of acute care (hospital) resources
c. Providing palliative care to maintain comfort until death
d. Teaching the client and family how to care for themselves - answer-: C
The primary goal of hospice care is to help maintain the client's dignity and comfort.
Alleviating pain; encouraging the client, family, and friends to communicate with each
other about essential sensitive issues; and coordinating care to ensure a comfortable,
peaceful death all contribute to palliative care.
: Cognitive Level: Knowledge REF: p. 565
10. What is the primary reason that meeting the needs of a dying child and his or her
family is more challenging for most nurses than meeting the needs of a dying adult?
a. Children don't understand what it means to die.
b. A child's death is harder for anyone to accept.
c. Nurses themselves are often parents.
d. Families are not prepared to deal with death. - answer-: C
It is true that families are rarely prepared to deal with death. It is also true that children
have only a limited understanding of dying. However, the main reason that the needs of
the dying child and family are so challenging for most nurses is the fact that many
, nurses are parents themselves and can relate to the shock of a child dying before the
parent.
2. A nurse has just received word that Medicaid will reimburse for care provided to a
homeless man with schizophrenia who is afraid to come to the clinic to receive health
care. How would this type of nursing service be best classified?
a. Community-oriented nursing
b. Home health nursing
c. Hospice nursing
d. Private duty nursing - answer-: B
Home health nursing is provided in the client's environment, regardless of where that
may be. "Home" may be a house, apartment, trailer, boarding house, shelter, car,
makeshift shelter under a bridge, or cardboard box.
: Cognitive Level: Knowledge REF: p. 561
3. A hospital nurse wants to know why home health nurses often take more time with
assessment than nurses do in the hospital. What is an adequate explanation for this?
a. Home care assessment includes not only the client but the supplies and equipment
the family may have available for use.
b. The home environment is less organized and equipped for the nurse's use.
c. Family members must also be assessed for possible problems that could interfere
with the primary client's recovery.
d. To be effective, the home health nurse must earn the family's trust and work in
partnership with them. - answer-: D
Although all the responses contain some truth, the primary reason that assessment may
take longer for the home health nurse is because when working in a client's home, the
nurse is a guest. To be effective, the nurse must earn the trust of the family and
establish a partnership with client and family.
: Cognitive Level: Knowledge REF: p. 562
4. Historically, home care nurses were social reformers, living in immigrant
communities, developing needed programs, and providing necessary services from
health education to care for the sick. What led to the current emphasis on caring for
acutely ill clients expected to improve and the increased demands for extensive
documentation?
a. Advances in medical technology and pharmacology
b. Constantly increasing lawsuits for substandard care
c. Introduction of Medicare
d. Social Security Act of the 1930s - answer-: C
The combination of preventive services and illness care followed the introduction of
Medicare in 1966. The Medicare program emphasized care for more acutely ill people
rather than illness prevention and health promotion. The 1997 federal Balanced Budget
