The nurse shows an understanding of the factors that have ...

[scienceeasy]

The nurse shows an understanding of the factors that have contributed to the redefining of home health care as a primary health servicedelivery system when stating:
 
  1. It's unfortunate that the client can be screened for illnesses in the privacy of their own home.
  2. With people living well into their 70s and 80s, the healthcare system is being stressed immensely.
  3. The cost of acute hospital-based health care has become an economic burden to most people.
  4. A client's chronic cardiac problems can be monitored well with in-home health services.
  5. It relieves so much stress when care can come to them instead of their going to the health provider.

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 possibility of the spouse experiencing caregiver role strain.
 
  Which of the following, if present, would the nurse expect to see or hear if this were the situation?
  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.
  5. The spouse expresses interest in religion as a support.

[nhea]

Answer to Question 1

Correct Answer: 2,3,4,5
Rationale 1: Health preventative screening can be accomplished as a part of home care when needed.
Rationale 2: A number of factors have contributed to trend toward home health care; among them the increasing number of aging adult clients.
Rationale 3: A number of factors have contributed to the trend toward home health care; among them rising healthcare costs.
Rationale 4: A number of factors have contributed to the trend toward home health care; among them the growing emphasis on managing chronic illness.
Rationale 5: A number of factors have contributed to the trends toward home health care; among them the growing emphasis on managing stress for the chronically ill.

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.