The home health nurse has scheduled a visit to a client who lives ...

[FButt]

The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity. Before going to the client's home, the nurse should:
 
  1. Call for an escort.
  2. Call the client to let them know the nurse is on the way.
  3. Ask if the client could meet the nurse at the agency.
  4. Take a second nurse along on the visit.

Question 2

A home health client has multiple sclerosis. In the last 6 months, his condition has deteriorated significantly. The home health nurse is concerned about the spouse experiencing caregiver role strain.
 
  Which of the following, if present, would the nurse expect to see or hear if this could be the situation? (Select all that apply.)
  1. The home appears more unkempt and cluttered.
  2. The spouse expresses feelings of anger.
  3. The spouse reports decreased energy.
  4. The spouse reports that she is learning how to manage finances.

[nyrave]

Answer to Question 1

Correct Answer: 1
Rationale 1: Some less desirable living locations pose safety concerns for the nurse. Many home health agencies have contracts with security firms to escort nurses needing to see clients in potentially unsafe neighborhoods. If there is no such firm for escort, the police can also provide security for the nurse.
Rationale 2: Calling ahead to the client's home is routine practice, regardless of where the client lives.
Rationale 3: Having the client meet the nurse at the agency is inappropriate, especially if the client meets the criteria for home care.
Rationale 4: Taking a second nurse along may not be a realistic intervention.

Answer to Question 2

Correct Answer: 1,2,3
Rationale: Caregiver role strain occurs when caregivers experience physical, emotional, social, and financial burdens that can seriously jeopardize their own health and well-being. Signs of caregiver overload or strain include those identified in the answer as well as difficulty performing routine tasks for the client; concerns that the caregiver's responsibilities interfere with other roles as parent, spouse, worker, and friend; anxiety about meeting future needs of the client; and feelings of depression. Learning how to manage finances is a positive statement and would not indicate strain.

[FButt]

Excellent

[chereeb]

Thanks for the timely response, appreciate it