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NR 442 COMMUNITY HEALTH NURSING EXAM
2 STUDY SET 2025 | CERTIFIED EXAM
QUESTIONS & ANSWERS
Conducting a Home Health Visit -correct-answer-- Visit preparation:
- Review the referral form
- Contact client and establish a trust
relationship
- Referral:
- Formal request for home visit from
clinician, communicable disease
service, hospital, client, or client's
family
- Contains info on current medications,
diet, physicians' orders, care plan
goals, other disciplines involved in care
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Conducting a Home Health Visit (Part 2) -correct-answer-- Initial telephone
contact
- Exchange of essential information
- Environment
- Observe drive to client home
- Surrounding neighborhood
- Accessibility of the home in
regards to client's condition
- Railings, lighting, etc.
Documentation/Assessment Home Health -correct-answer-- Obtain subjective
information from
client and family.
- Obtain client health knowledge.
- Collect information through
observations and questions.
- Include information of functional
status, ADL for Medicare
reimbursement and individualized
care plan
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- Develop a plan for the client and
family.
- Nursing diagnoses to address
client's problems and identifies
actual or potential
Hospice Home Care -correct-answer-- Improves end of life care
- Relieves suffering
- Supports the patient and family/caregiver through the dying process
- Provides grief support to the family after the patient has died
Caring for the Caregiver -correct-answer-- Careful assessment of the caregiver's
mental and physical health is important
- All decisions regarding care are made considering the health of the caregivers
- Caregivers need constant reassurance for the care they provide
- Interventions to prevent decline in caregiver's health; respite care is important!
Pain Control & Symptoms Management -correct-answer-- Remember: The
patient's pain is whatever he
or she says it is, regardless of the nurse's
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objective evaluation of the situation
- Meds are given in doses sufficient to
keep patient free of pain; administered
on a regular schedule
- Help in managing other symptoms
(nausea and vomiting, constipation,
diarrhea, fatigue, decreased appetite)
- Provide emotional support to
patient/family as they adjust to patient's
impending death
- The main issue is pain management
and tolerance not addiction
- Breakthrough pain should not be a big
problem if the RN is using good
assessment, documentation and
knowledge about medications.
True/False: You can perform chest compressions if the patient is noted as a DNR -
correct-answer-False, the patient has elected to not receive chest compressions
for resuscitation check patient status before performing this!!!
NR 442 COMMUNITY HEALTH NURSING EXAM
2 STUDY SET 2025 | CERTIFIED EXAM
QUESTIONS & ANSWERS
Conducting a Home Health Visit -correct-answer-- Visit preparation:
- Review the referral form
- Contact client and establish a trust
relationship
- Referral:
- Formal request for home visit from
clinician, communicable disease
service, hospital, client, or client's
family
- Contains info on current medications,
diet, physicians' orders, care plan
goals, other disciplines involved in care
,2|Page
Conducting a Home Health Visit (Part 2) -correct-answer-- Initial telephone
contact
- Exchange of essential information
- Environment
- Observe drive to client home
- Surrounding neighborhood
- Accessibility of the home in
regards to client's condition
- Railings, lighting, etc.
Documentation/Assessment Home Health -correct-answer-- Obtain subjective
information from
client and family.
- Obtain client health knowledge.
- Collect information through
observations and questions.
- Include information of functional
status, ADL for Medicare
reimbursement and individualized
care plan
,3|Page
- Develop a plan for the client and
family.
- Nursing diagnoses to address
client's problems and identifies
actual or potential
Hospice Home Care -correct-answer-- Improves end of life care
- Relieves suffering
- Supports the patient and family/caregiver through the dying process
- Provides grief support to the family after the patient has died
Caring for the Caregiver -correct-answer-- Careful assessment of the caregiver's
mental and physical health is important
- All decisions regarding care are made considering the health of the caregivers
- Caregivers need constant reassurance for the care they provide
- Interventions to prevent decline in caregiver's health; respite care is important!
Pain Control & Symptoms Management -correct-answer-- Remember: The
patient's pain is whatever he
or she says it is, regardless of the nurse's
, 4|Page
objective evaluation of the situation
- Meds are given in doses sufficient to
keep patient free of pain; administered
on a regular schedule
- Help in managing other symptoms
(nausea and vomiting, constipation,
diarrhea, fatigue, decreased appetite)
- Provide emotional support to
patient/family as they adjust to patient's
impending death
- The main issue is pain management
and tolerance not addiction
- Breakthrough pain should not be a big
problem if the RN is using good
assessment, documentation and
knowledge about medications.
True/False: You can perform chest compressions if the patient is noted as a DNR -
correct-answer-False, the patient has elected to not receive chest compressions
for resuscitation check patient status before performing this!!!
