Although it was uncomfortable, a home health nurse finally ...

[joblessjake]

Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern.
 
  Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern. Which of the following offers the best explanation for this change?
  a.
  Because the nurse was an unpaid volunteer professional, visits made by that nurse had no cost to the agency.
  b.
  Only clients of high socioeconomic class were admitted for care, so the agency was always immediately reimbursed for care rendered.
  c.
  Taxpayers fund official (i.e., public) home health agencies for care not reimbursed by third parties.
  d.
  The new agency has a large foundation that funds its activities from investment profits.

Question 2

Which of the following best explains why the name of parish nursing was changed to faith community nursing by the American Nurses Association (ANA)?
 
  a. To allow nurses to use the title congregational nurse or church nurse rather than parish nurse
  b. To allow nurses who were not religious to accept practice positions
  c. To decrease the emphasis on the church
  d. To emphasize the community setting of the specialty
  e. To reflect the diversity now found in the specialty

[Ahnyah]

Answer to Question 1

ANS: C
Taxpayers fund official (i.e., public) home health agencies, but they also receive reimbursement from third-party payers such as Medicare, Medicaid, and private insurance companies. This additional taxpayer funding eliminates the stressor as to who will be paying for the nursing visits for both the client and the home health agency. The nurse is not working as an unpaid professional volunteer for this agency. The clients served by the official agency are not likely of a high socioeconomic class and the agency most likely does not have a large foundation to assist with paying for services that are provided.

Answer to Question 2

ANS: E
The ANA revised the standards in 2005, providing a clearer definition of the practice, including advanced nursing practice and changing the name of the specialty from parish nurse to faith community nurse. While acknowledging the importance of the Judeo-Christian basis of the practice, the authors believed the change better reflected the diversity now found in the specialty.

[joblessjake]

Excellent

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