Home Care Nursing Practice
Self-Study Examination
Instructions: After studying the text answer the following true/false or multiple choice questions. Remember, there's only one answer to each question.
a) true b) false
a) men with COPD. b) children with developmental delays. c) older adults, primarily women. d) older adults, primarily men.
a) the potential for fraud and abuse should be minimized. b) capitation can have the effect of radically changing the motivation of the home care agency. c) there is a potential incentive for providing services efficiently. d) none of the above
a) The home health nurse’s role is that of facilitator of patient self-determination. b) Optimal health is guaranteed by home care interventions. c) The patient and caregiver share responsibility for managing health care needs. d) The caregiver is viewed as an extension of the patient.
a) advanced assessment skills b) effective communication skills c) a and b d) need for close supervision e) all of the above
a) the medication assessment. b) the assessment interview. c) the nursing health history. d) all of the above
a) that the patient is not expected to improve. b) that a patient be bedridden in order to be considered homebound. c) that Federal regulations for reimbursement do not change. d) that there is objective clinical evidence to support the patient’s needs.
a) the family dog b) the home health worker who moves from home to home c) the patient’s spouse d) an old, discontinued I. V. Site
a) An infectious agent must exist. b) There must be a reservoir in which the infectious agent can live and multiply. c) There must be a mode of transmission and a susceptible host. d) Only a and c e) All of the above are necessary.
a) See the gunshot patient first, followed by the diabetic, the trach patient and the post-transplant last since there may be many questions to answer. b) See the diabetic first for morning glucose monitoring and insulin, followed by the post-transplant patient, the trach patient, and finally the infected gunshot wound. c) See the trach patient first, followed by the gunshot patient to complete the most difficult patients first, followed by the diabetic, and the post-transplant patient last. d) Any of the above is appropriate.
a) should be used for transporting dirty items and contaminated sharps for later disposal. b) should contain only a supply of newspapers. c) should always be regarded as a clean area. d) should be kept open to air as much as possible.
a) getting the patient back on his feet as soon as is reasonably possible. b) easing the burden of the patient’s family by assuming the caregiver role. c) providing the necessary documentation for Medicare or Insurance reimbursement. d) teaching and learning (patient education).
a) would see to it that the patient’s basic physiological needs were met before patient education was attempted. b) would make sure that the physician had instructed the patient in understanding the particular disease process. c) would acknowledge a patient’s anxiety over unmet basic needs and leave immediately so as not to increase the patient’s psychological needs. d) all of the above
a) when the patient is instructed that the doctor is the author. b) when it is clearly written or printed out for the patient and the family to read. c) when it is mutually determined by the patient and the nurse. d) when it is problem-focused.
a) should just ignore the uncooperative behavior so as not to give it credibility. b) should keep in mind that all behavior is purposeful and has meaning. c) should immediately speak to the physician about terminating home care services until the patient is more cooperative. d) should realize that there will always be ungrateful patients and that this kind of behavior cannot be changed.
a) simplified therapeutic regimens. b) cuing and tailoring. c) use of pictures and stick figures. d) all of the above
a) All assessments should be documented subjectively. b) The date and time of each visit should be documented. c) Each visit report should be signed. d) Only approved abbreviations should be used.
a) This will help save the patient money by stretching each tank of oxygen as far as possible. b) To prevent the drying out of the nasal mucous membranes. c) To preserve the hypoxic drive, which is the stimulus for breathing in the COPD patient. d) To prevent CO2 interference with the pulse oximeter.
a) keeping the oxygen at least 10 feet away from any potentially explosive hazard. (e.g., gas burners, heaters, stoves) b) notifying the local fire department that there is oxygen equipment in the home c) instructing the patient not to use any petroleum-based product on sore nostrils d) all of the above
a) panting b) pursed-lip breathing c) rapid deep-knee bends with open mouth d) using inhalers only while in a hot bath
a) blood is not pumped into the arterial system and backs up into the pulmonary vessels and lungs. b) blood backs up into the systemic circulation. c) there is an increase in cardiac output. d) none of the above
a) beta-blocker. b) nitrate. c) loop diuretic. d) angiotensin-converting enzyme.
a) ventilator-dependent patients must be warned that they will be at greater risk for developing a nosocomial infection. b) ventilator-dependent patients must be physiologically stable. c) ventilator-dependent patients must demonstrate the likelihood of being weaned off the ventilator in the near future. d) none of the above.
a) prolonged pressure over bony prominences b) friction and shearing c) age under 10 years old d) inadequate diet
a) an arterial ulcer due to old age. b) a pressure ulcer due to prolonged pressure. c) a venous ulcer due to bad veins. d) an allergic reaction to one of her oral medications.
a) purulent phase b) restoration phase c) inflammatory phase d) remodeling phase
a) a dry wound environment. b) a protective build-up of thick eschar. c) a moist wound environment. d) a decrease in angiogenesis.
a) prone with head turned to the side. b) in a 30-degree oblique position using pillows. c) a high Fowler’s position with a footboard to prevent sliding. d) supine with a donut under each heel.
a) impending hypoglycemic coma b) impending cerebrovascular accident c) hyperglycemic ketoacidosis d) hyperglycemic hyperosmolar nonketotic coma
a) to assess family members for genetic risk factors. b) to determine the family’s particular cultural risk factors. c) to treat the patient’s signs/symptoms as they occur. d) to help the patient and caregiver to acquire the knowledge and skills needed for accurate monitoring and effective self-management of diabetes and its complications.
a) differ in the rate of onset and duration of action. b) have the same rate of onset and duration of action. c) have the same rate of onset but a different duration of action. d) have a different rate of onset but the same duration of action.
a) edema at the injection site b) infection of the injection site c) hypoglycemia d) hyperglycemia
a) hypoglycemia b) hyperglycemia c) lipohypertrophy d) lipoatrophy
a) under control of the peripheral nervous system. b) under control of the parasympathetic nervous system. c) under control of the sympathetic nervous system. d) none of the above
a) to treat atonic bladder in men and women. b) to treat atonic bladder in women only. c) to treat stress incontinence in men and women. d) to treat stress incontinence in women only.
a) accumulation of debris around the catheter tip that blocks the drainage holes. b) a lack of physical cleanliness in the perineal area surrounding the catheter. c) a complication of silicone indwelling catheters. d) the result of an acidic urinary pH.
a) site infection. b) infiltration. c) catheter breakage. d) phlebitis.
a) Immediately raise the head of the bed and hang a new bag of fluid. b) Immediately check the patient’s blood glucose. c) Immediately discontinue the IV, turn the patient on his/her left side, administer O2 if available and call 911. d) None of the above.
a) a stroke. b) a cerebrovascular accident (CVA) c) cerebrovascular disease d) all of the above
a) lasts an average of one minute and no longer than 24 hours. b) lasts longer than 24 hours with no symptoms or neurological deficits after 48 hours. c) is considered a stroke in evolution or a progressive stroke. d) is a completed stroke.
a) vision. b) smell. c) raising the eyelid. d) allowing the eye to move down and inward.
a) multiple sclerosis. b) myasthenia gravis. c) multiple dystrophy. d) Guillaine-Barre syndrome.
a) is a musculoskeletal dysfunction resulting in a loss of balance. b) is a psychological disorder affecting cognition and behavior. c) is an oral-motor dysfunction affecting language/communication. d) is a sudden, transient, electric-like shock that spreads down the body when the head is flexed forward.
a) The Association of Women’s Health, Obstetrics and Neonatal Nurses (AWHONN) b) The American Nursing Association (ANA). c) The March of Dimes. d) all of the above.
a) to have a minimum of one year maternal infant care experience and appropriate competencies. b) to have a minimum of three years’ maternal infant care experience and appropriate competencies. c) to have a minimum of five years’ maternal infant care experience and appropriate competencies. d) none of the above
a) over a 8-week period b) over a 8-month period c) over a 4-week period d) over a 4-month period
a) physical b) psychosocial c) nutritional d) behavioral
a) Female newborn has white mucous vaginal discharge. b) Newborn infant is breathing through the nose. c) The newborn infant’s respiratory rate is 67/minute with nasal flaring. d) The newborn infant cries 1-4 hours a day.
a) schizophrenia and substance abuse. b) depression and catatonia. c) acute depression and chronic depression. d) depression and schizophrenia.
a) admits to having a clear plan in place with the necessary means available b) admits to having thoughts of suicide but no plan c) admits to having a plan which is vague and with no convenient way to carry it out d) none of the above
a) chewing movements b) repetitive protrusion of the tongue c) grimaces d) all of the above
a) decreased contractibility and cardiac output b) increase in pulmonary blood flow and diffusion c) atrophy of hair follicles and epidermal sweat glands d) decreased glomerular filtration rate
a) loss of abstract thinking ability b) heightened perception of vibration c) slowing in reaction to multiple stimuli d) heightened gustatory sensation
a) to ask them ahead of time to write down all of their pill names. b) to have them show you everything that they take. c) to search their bathroom cabinet and bedroom drawers. d) to request weekly drug screening draws.
a) yes b) no
a) visceral pain b) somatic pain c) psychological pain d) neuropathic pain
a) recognize the smell of Radon gas. b) determine when electrical and magnetic fields are at dangerously high levels. c) recognize those clients at greatest risk for exposure to toxins. d) all of the above
a) (1) the unauthorized practice of medicine and (2) exceeding the scope of nursing practice b) (1) not spending enough time on the call and (2) being rude and abrupt c) (1) accidental disconnection and (2) equipment malfunction d) (1) inadequate personnel and (2) busy signals