The population health nurse is reviewing the long- and short-term ...

[123654777]

The population health nurse is reviewing the long- and short-term criteria for a home visit to a client. The nurse completes this evaluation because it:
 
  1. Indicates whether reimbursement will be provided to the agency.
  2. Allows for tracking utilization of supplies for home visits.
  3. Determines the effectiveness and appropriateness of the interventions and the client's response.
  4. Determines whether the interventions are at the primary, secondary, or tertiary level.

Question 2

The nurse is making a home visit to a new client. The client is very friendly and welcomes the nurse into the home; however, the nurse sees that the client has a gun on the coffee table. The nurse hurriedly goes through the visit and leaves.
 
  The nurse is making a home visit to a new client. The client is very friendly and welcomes the nurse into the home; however, the nurse sees that the client has a gun on the coffee table. The nurse hurriedly goes through the visit and leaves. What should the nurse do prior to the next visit?
  1. Call the police prior to making the visit.
  2. Call the client prior to the visit and state that there cannot be a visible firearm present during the visit.
  3. Cancel future visits to this client.
  4. Refer the client to another agency for visitation.

[ilianabrrr]

Answer to Question 1

Answer: 3
Explanation: 3. Unless there are evaluative criteria, the client's response cannot be determined nor whether the interventions were effective and appropriate. Evaluative criteria can be used for reimbursement and supplies can be tracked with such criteria, but effectiveness of the visit cannot be determined without evaluative criteria. Evaluative criteria can be at any level of prevention.

Answer to Question 2

Answer: 2
Explanation: 2. The distraction the nurse encountered was both environmental and behavioral. Presence of a firearm is an environmental concern, and the nurse's reaction of hurrying through the visit indicates a level of discomfort with the presence of the firearm. Notifying the client prior to the next visit about the presence of the firearm addresses the nurse's concern and lets the client know that this is not acceptable. There is nothing to indicate that the client is creating a distraction. Calling the police is not a necessary step prior to the next visit. Canceling future visits could impair the client's overall health. Referring the client to another agency is not solving this concern.