The nurse is planning the discharge of a client who had surgery ...

[Jipu 123]

The nurse is planning the discharge of a client who had surgery for a left hip replacement. The client is being discharged from the hospital to the home and requires a walker and high-rise toilet seat.
 
  Which type of home health care service does the client require?
 
  A) Custodial services
  B) Home medical services
  C) High-technology pharmacology services
  D) Hospice services

Question 2

The nurse is identifying needs of the client and family during the initial home visit. Which question would be inappropriate for the nurse to ask?
 
  A) Tell me what responsibilities each member of the family has.
  B) Can we get rid of some of this clutter in your home?
  C) What do you believe is causing your illness?
  D) What foods are important in your family life?

[sokh]

Answer to Question 1

Ans: B
Home medical services provide durable medical equipment, such as walkers, canes, crutches, wheelchairs, high-rise toilet seats, commodes, beds, and oxygen. Custodial services include homemaking and housekeeping services, as well as companionship and live-in services. Hospice services provide pain management, physician services, spiritual support, respite care, and bereavement counseling. High-technology pharmacology services provide intravenous therapy, home uterine monitoring, ventilator management, and chemotherapy.

Answer to Question 2

Ans: B
When identifying needs of the client and family the nurse needs to consider the culture of the family unit. Information regarding the responsibilities of each family member, cultural foods important to the family, and the family members' perceptions of what is causing the illness can assist the nurse in providing culturally sensitive care. The nurse also needs to assess the physical environment of the home. However, referring to the home as cluttered is a judgmental statement that will cause the family to become defensive and will prevent the development of a trusting relationship.

[Jipu 123]

TY

[sokh]

You're welcome