Author Question: An older client being discharged from an acute care facility is prescribed home care. When should ... (Read 122 times)

Hungry! · **on:** Jul 23, 2018

An older client being discharged from an acute care facility is prescribed home care. When should the home care nurse see the client to understand needs for safety and mobility?

1. At the initial home visit, in order to see the client in the home environment
2. While the client is still a patient in the acute care hospital
3. After the client has been home for a few days and can help the nurse decide what is needed
4. When the spouse is available to assist in the assessment

Question 2

A client has been receiving home care for several weeks. Which individual should the nurse realize is responsible for ensuring that the client is receiving care at the appropriate times and in the appropriate amounts?

1. Client
2. Nurse
3. Physician
4. Client's spouse

Kjones0604 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Once the client is at home, the need for the devices will be immediate and the client may have to wait unnecessarily for the required items.
Rationale 2: Assessment for the older client being discharged to home health should be initiated while the client is in the hospital to determine the need for assistive devices or environmental changes before the client returns home.
Rationale 3: Waiting a few days is a delay that is not beneficial for the client, who requires these items upon arriving home.
Rationale 4: Waiting until the spouse is able to help is a delay that is not beneficial for the client, who requires these items upon arriving home.

Answer to Question 2

Correct Answer: 2
Rationale 1: Even though the client may become independent in self-care skills, assurance is not the client's responsibility.
Rationale 2: Even though the client and family may become independent in self-care skills, the home health nurse still has the ultimate responsibility to ensure that the client is receiving the prescribed therapy at the appropriate timed intervals. On subsequent home visits, the nurse observes the same parameters assessed on the initial visit.
Rationale 3: Even though the physician has responsibilities to the client, assurance in this area is not one of them.
Rationale 4: Even though family members may assume responsibility for a client's care, it is not their responsibility to assure appropriate care.