The nurse recognizes which of the following as the largest ...

[swpotter12]

The nurse recognizes which of the following as the largest contributing factor for the rise in the need and use of home care?
 
  1. Government funding of the home care setting has increased greatly.
  2. Clients are more acutely ill when discharged from the acute care facility.
  3. There are 7 days/week services for the elderly in home care agencies.
  4. The existence of more single-income families has increased the need for their el-derly relatives to receive care in the home.

Question 2

The client is being discharged from an acute care facility following a total hip replacement. She will need follow-up for her rehabilitation and exercise plan. In addition to a home health care nurse, what referral should be discussed?
 
  1. Dietitian
  2. Social worker
  3. Physical therapist
  4. Respiratory therapist

[Animal_Goddess]

Answer to Question 1

ANS: 2
Because hospital stays are being shortened to control health care costs, clients are returning home more acutely ill. This is the largest contributing factor for the rise in the need and use of home care. Government funding of home care is not the largest contributing factor for the rise in the need and use of home care. There are 7 days/week services for the elderly in a variety of settings, such as in acute care or long-term care, not just in the home care setting. Being able to provide daily services for the elderly in the home care setting is not the largest contributing factor for the rise in the need and use of home care. The existence of more single-income families is not the largest contributing factor for the rise in the need and use of home care.

Answer to Question 2

ANS: 3
Directing clients to appropriate resources and improving continuity of care require the nurse to know those resources well. A physical therapist is responsible for the client's movement system and is likely to be needed following hip replacement surgery.
A social worker may or may not be necessary. A dietitian may or may not be necessary.
A respiratory therapist would not be necessary unless the client experienced a respiratory com-plication or had a preexisting respiratory condition.