Author Question: A client being discharged needs physical therapy for progressive ambulation, wound care to treat a ... (Read 42 times)

gonzo233 · **on:** Jul 23, 2018

A client being discharged needs physical therapy for progressive ambulation, wound care to treat a postoperative wound, and assistance with the payment of hospital bills.

Before the nurse contacts a home care agency, who should write the order for the client to receive home care?
1. Physician
2. Nurse
3. Social worker
4. Physical therapist

Question 2

During the first home care visit, the nurse determines that the client needs speech therapy, physical therapy, and custodial care several times a week. When should the nurse schedule the client's care to 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

Loise Hard · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin without a physician's order and a physician-approved treatment plan. This is a legal reimbursement requirement.
Rationale 2: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin with a nurse's order.
Rationale 3: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin with a social worker's order.
Rationale 4: A client may be referred to home health care by providers, nurses, social workers, and therapists, but home care cannot begin with a social worker's order.

Answer to Question 2

Correct Answer: 3
Rationale 1: Completing the initial assessment identifies but does not initiate client care.
Rationale 2: The client agreeing to care indicates the client's involvement in the process but does not initiate 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: Care might begin within 48 hours but initiation is dependent on many other factors.