Author Question: The client is being seen for the first time by the home health nurse. The nurse determines that the ... (Read 23 times)

jon_i · **on:** Jul 23, 2018

The client is being seen for the first time by the home health nurse. The nurse determines that the client will need speech therapy, physical therapy, and custodial care several times a week. When can the client's care begin?

1. As soon as the nurse completes the initial assessment
2. As soon as the client agrees to the care.
3. When the physician signs the plan of care the nurse develops
4. Within 48 hours of the nurse's visit

Question 2

A home health client is having difficulty with the medication regimen that is prescribed by the physician. The nurse helps with this situation by consulting the pharmacist for ideas on how to improve the situation.

This is an example of which of the following?
1. Hands-on care
2. Direct care
3. Advocacy
4. Indirect care

quynhmickitran · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: This intervention identifies but does not initiate client care.
Rationale 2: This intervention shows client involvement in the process but does not initiates client care.
Rationale 3: At the initial visit, the nurse develops a plan of care that identifies the client's needs. This plan must by reviewed, approved, authorized, and signed by the attending physician before the home health agency providers can continue with services.
Rationale 4: This may be true but initiation is dependent on many other factors.

Answer to Question 2

Correct Answer: 4
Rationale 1: Hands-on care includes physical assessments, dressing changes, managing IV sites for therapies, which is not the scenario described in the stem.
Rationale 2: Direct care is the same as hands-on care which is not the scenario described in the stem..
Rationale 3: Client advocacy is not the scenario described in the stem.
Rationale 4: Indirect care is provided by the home health nurse to the client each time the nurse consults with other health care providers about ways to improve nursing care for the client.