Chapter 12 - Collaborative Practice and
Care Coordination Exam with Answers
A+ Graded
1. A client is receiving home health services after having a stroke and
being hospitalized. After a thorough assessment of the home
environment and the client, what would indicate to the nurse that
there is an impairment in the client's home management? -
✔✔The client's caregiver is absent whenever the nurse visits and
the client is alone.
2. 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? - ✔✔Home care
3. A client's son says, "Mom can come and live with me, but I will
need help. I am going to call a home health agency to see about
having someone come out to my house." Which nursing response
is indicated? - ✔✔"Your mother's primary health care provider
will have to write a prescription for home health."
4. A home health care nurse develops a client's individualized plan of
care during the: - ✔✔entry phase.
,5. 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? - ✔✔"The client and family are
in control of the setting, not the nurse."
6. A home health nurse uses different professional skills to achieve a
successful care plan for clients in their home setting. Which skill is
of most importance to the nurse? - ✔✔Nurse-client rapport
7. A hospital has begun to expand home health services to its clients.
Which reason is the most likely cause for the expansion of these
services? - ✔✔The change to shorter hospital stays
8. A nurse coordinator for a busy hospital provides for continuity of
care for clients using the hospital services. Which cognitive skill
would this nurse need to ensure continuity of care? - ✔✔The
knowledge of how to communicate client priorities and the
related plan of care as a client is transferred between different
settings
9. A nurse has been asked to chair an action team tasked with
prioritizing a list of possible new equipment purchases. Which
statements, made by this nurse, will help the team be most
effective? Select all that apply. - ✔✔"Our goal is to prioritize this
list of potential equipment purchases, offering rationale for our
choices."
, 10. "Before our next meeting, each of us will ask the nurses on
the unit what their priority purchase would be."
11. "Once we have completed the list and rationale, I will
compile our recommendations for us all to sign before
submission."
12. A nurse is assisting with the transfer of a client from the
acute care facility to the rehabiliation facility for continued care.
Which skill would be most important for the nurse to use to
promote continuity of care? - ✔✔Communication
13. A nurse is caring for a 17-year-old pregnant teenager who
needs to obtain assistance with essential baby items such as a
crib. The client mentions not having any income from a job. The
nurse should encourage the client to go to a: - ✔✔social welfare
office.
14. A nurse is caring for a client who will be discharged home
but will have a complex medication regimen and follow-up with
several providers. Which strategies will the nurse employ to
provide discharge teaching? Select all that apply. - ✔✔Divide the
content into several short sessions.
15. Be prepared to review and repeat information.
16. After teaching have the client repeat back the key points.
17. Use visual aids to help explain teaching.
Care Coordination Exam with Answers
A+ Graded
1. A client is receiving home health services after having a stroke and
being hospitalized. After a thorough assessment of the home
environment and the client, what would indicate to the nurse that
there is an impairment in the client's home management? -
✔✔The client's caregiver is absent whenever the nurse visits and
the client is alone.
2. 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? - ✔✔Home care
3. A client's son says, "Mom can come and live with me, but I will
need help. I am going to call a home health agency to see about
having someone come out to my house." Which nursing response
is indicated? - ✔✔"Your mother's primary health care provider
will have to write a prescription for home health."
4. A home health care nurse develops a client's individualized plan of
care during the: - ✔✔entry phase.
,5. 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? - ✔✔"The client and family are
in control of the setting, not the nurse."
6. A home health nurse uses different professional skills to achieve a
successful care plan for clients in their home setting. Which skill is
of most importance to the nurse? - ✔✔Nurse-client rapport
7. A hospital has begun to expand home health services to its clients.
Which reason is the most likely cause for the expansion of these
services? - ✔✔The change to shorter hospital stays
8. A nurse coordinator for a busy hospital provides for continuity of
care for clients using the hospital services. Which cognitive skill
would this nurse need to ensure continuity of care? - ✔✔The
knowledge of how to communicate client priorities and the
related plan of care as a client is transferred between different
settings
9. A nurse has been asked to chair an action team tasked with
prioritizing a list of possible new equipment purchases. Which
statements, made by this nurse, will help the team be most
effective? Select all that apply. - ✔✔"Our goal is to prioritize this
list of potential equipment purchases, offering rationale for our
choices."
, 10. "Before our next meeting, each of us will ask the nurses on
the unit what their priority purchase would be."
11. "Once we have completed the list and rationale, I will
compile our recommendations for us all to sign before
submission."
12. A nurse is assisting with the transfer of a client from the
acute care facility to the rehabiliation facility for continued care.
Which skill would be most important for the nurse to use to
promote continuity of care? - ✔✔Communication
13. A nurse is caring for a 17-year-old pregnant teenager who
needs to obtain assistance with essential baby items such as a
crib. The client mentions not having any income from a job. The
nurse should encourage the client to go to a: - ✔✔social welfare
office.
14. A nurse is caring for a client who will be discharged home
but will have a complex medication regimen and follow-up with
several providers. Which strategies will the nurse employ to
provide discharge teaching? Select all that apply. - ✔✔Divide the
content into several short sessions.
15. Be prepared to review and repeat information.
16. After teaching have the client repeat back the key points.
17. Use visual aids to help explain teaching.
