community final Questions With Complete Solutions
.
The main advantage of telehealth in home care is
A) cost-effectiveness of care delivery.
B) decreasing nursing workload.
C) fostering ongoing relationship-based care.
D) the integration of technology to increase quality. Correct
Answer A
A 15-year-old male student is referred to the school nurse. The
student has been engaging in reckless risk-taking behavior,
skipping class, complaining of physical illness, and seems
irritable. The nurse recognizes these symptoms and assesses the
student for
A) depression.
B) a cognitive thought disorder.
C) substance use.
D) lack of intellectual challenge and classroom boredom.
Correct Answer A
A 23-year-old immigrant worker is taken to the ER following an
accident at the farm at which he is harvesting fruit. The doctor in
charge of his case sets a broken arm. The nurse prepares his
discharge papers. Which of the following is the highest priority
for this client prior to discharge?
A) Determine whether he is in the country legally or not
B) Find out whether he has health insurance and what it will
cover
C) Assess his home situation and self-care ability
,D) Find community resources to serve his health care needs
Correct Answer C
A 33-year-old postsurgery client is discharged from the hospital
earlier than expected. The home care nurse is assigned to visit
the client to teach care of his vascular access and wound. When
the nurse arrives at the home, the client and his wife seem very
anxious about caring for the vascular access. In order to
decrease their anxiety and promote learning, the nurse should
A) refer the family to a therapist for counseling.
B) offer to provide vascular access care until the access is
removed.
C) teach information in small "digestable" segments building on
previous teaching sessions.
D) use adaptive devices to assist the couple in caring for the
wound. Correct Answer C
A 50-year-old client has developed a large wound
postabdominal surgery 4 months ago. The client was
hospitalized for surgical debridement and will be going home
tomorrow. Which of the following actions by the home care
nurse would demonstrate she understands her role in wound
care? (Select all that apply.)
A) Encouraging the client and family to keep a nutritional log to
document nutrition intake
B) Focus all instruction solely on the client, letting him tell the
family what he wishes
C) Instruct the family not to use pain medication to prevent the
client from becoming dependent on the drugs
D) Review the wound care protocol with the client and
caregivers
,E) Educate the client and family members about signs and
symptoms of infection Correct Answer A D E
A 73-year-old male client has been diagnosed with depression
and is put on SSRI medication. In educating the client, the nurse
should tell him
A) "You should feel better in a few days."
B) "Don't tell anyone you are on this medication. It may change
how they think about you."
C) "Keep taking the medication. It may take 4 to 6 weeks before
you notice a difference."
D) "This medication may cause you to be extremely irritable."
Correct Answer C
A client entered the United States without papers in order to flee
persecution. He is considered to be a(n)
A) legal immigrant.
B) undocumented worker.
C) refugee.
D) person of interest Correct Answer C
A client has been admitted to the home care agency for infusion
therapy. The nurse requests that the family be present for the
initial interview and will plan to ask for at least one family
member to be present during the next few visits. The nurse
wants the family present because he
A) believes the client will need the support.
B) wants to get to know the family and their interaction patterns.
C) knows his visits will be time limited, and the family will need
to take over care.
, D) understands the benefit of family involvement in all aspects
of home care delivery. Correct Answer C
A client is going home in 1 hour with a self-controlled analgesia
pump. Two days ago he had extensive surgery on his spine. He
learns very quickly how to use the device. Which of the
following is the best explanation for his facilitated learning
process?
A) He is ready to learn.
B) He has a need to learn.
C) He has past life experiences that allow him to learn quickly.
D) He is cognitive gifted. Correct Answer B
A client lives in a rural area of the county. The nurse's drive
time to the client's home is almost an hour one way. The client
needs to be assessed routinely for the next couple of weeks as
the nurse and doctor are trying to regulate his diabetic
medication based on blood sugar. The best approach to this
monitoring would be
A) daily visits to the client every morning to monitor blood
sugar readings.
B) daily telephone or e-mail contact with the client to determine
blood sugar readings.
C) visits to the client at the end of the day so other clients can be
seen without being rushed.
D) to send a home care aid to the home daily to collect the blood
sugar information. Correct Answer B
A client presents at the clinic and complains of loss of pleasure,
insomnia, fatigue, and impaired concentration. The nurse notes a
.
The main advantage of telehealth in home care is
A) cost-effectiveness of care delivery.
B) decreasing nursing workload.
C) fostering ongoing relationship-based care.
D) the integration of technology to increase quality. Correct
Answer A
A 15-year-old male student is referred to the school nurse. The
student has been engaging in reckless risk-taking behavior,
skipping class, complaining of physical illness, and seems
irritable. The nurse recognizes these symptoms and assesses the
student for
A) depression.
B) a cognitive thought disorder.
C) substance use.
D) lack of intellectual challenge and classroom boredom.
Correct Answer A
A 23-year-old immigrant worker is taken to the ER following an
accident at the farm at which he is harvesting fruit. The doctor in
charge of his case sets a broken arm. The nurse prepares his
discharge papers. Which of the following is the highest priority
for this client prior to discharge?
A) Determine whether he is in the country legally or not
B) Find out whether he has health insurance and what it will
cover
C) Assess his home situation and self-care ability
,D) Find community resources to serve his health care needs
Correct Answer C
A 33-year-old postsurgery client is discharged from the hospital
earlier than expected. The home care nurse is assigned to visit
the client to teach care of his vascular access and wound. When
the nurse arrives at the home, the client and his wife seem very
anxious about caring for the vascular access. In order to
decrease their anxiety and promote learning, the nurse should
A) refer the family to a therapist for counseling.
B) offer to provide vascular access care until the access is
removed.
C) teach information in small "digestable" segments building on
previous teaching sessions.
D) use adaptive devices to assist the couple in caring for the
wound. Correct Answer C
A 50-year-old client has developed a large wound
postabdominal surgery 4 months ago. The client was
hospitalized for surgical debridement and will be going home
tomorrow. Which of the following actions by the home care
nurse would demonstrate she understands her role in wound
care? (Select all that apply.)
A) Encouraging the client and family to keep a nutritional log to
document nutrition intake
B) Focus all instruction solely on the client, letting him tell the
family what he wishes
C) Instruct the family not to use pain medication to prevent the
client from becoming dependent on the drugs
D) Review the wound care protocol with the client and
caregivers
,E) Educate the client and family members about signs and
symptoms of infection Correct Answer A D E
A 73-year-old male client has been diagnosed with depression
and is put on SSRI medication. In educating the client, the nurse
should tell him
A) "You should feel better in a few days."
B) "Don't tell anyone you are on this medication. It may change
how they think about you."
C) "Keep taking the medication. It may take 4 to 6 weeks before
you notice a difference."
D) "This medication may cause you to be extremely irritable."
Correct Answer C
A client entered the United States without papers in order to flee
persecution. He is considered to be a(n)
A) legal immigrant.
B) undocumented worker.
C) refugee.
D) person of interest Correct Answer C
A client has been admitted to the home care agency for infusion
therapy. The nurse requests that the family be present for the
initial interview and will plan to ask for at least one family
member to be present during the next few visits. The nurse
wants the family present because he
A) believes the client will need the support.
B) wants to get to know the family and their interaction patterns.
C) knows his visits will be time limited, and the family will need
to take over care.
, D) understands the benefit of family involvement in all aspects
of home care delivery. Correct Answer C
A client is going home in 1 hour with a self-controlled analgesia
pump. Two days ago he had extensive surgery on his spine. He
learns very quickly how to use the device. Which of the
following is the best explanation for his facilitated learning
process?
A) He is ready to learn.
B) He has a need to learn.
C) He has past life experiences that allow him to learn quickly.
D) He is cognitive gifted. Correct Answer B
A client lives in a rural area of the county. The nurse's drive
time to the client's home is almost an hour one way. The client
needs to be assessed routinely for the next couple of weeks as
the nurse and doctor are trying to regulate his diabetic
medication based on blood sugar. The best approach to this
monitoring would be
A) daily visits to the client every morning to monitor blood
sugar readings.
B) daily telephone or e-mail contact with the client to determine
blood sugar readings.
C) visits to the client at the end of the day so other clients can be
seen without being rushed.
D) to send a home care aid to the home daily to collect the blood
sugar information. Correct Answer B
A client presents at the clinic and complains of loss of pleasure,
insomnia, fatigue, and impaired concentration. The nurse notes a
