ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 6 Questions
Question 1 of 5
A family caregiver tells the home health nurse, 'I feel like I can never get away to do anything for myself.' Which action is the most appropriate for the nurse to take?
Correct Answer: A
Rationale: Respite services allow family caregivers to have free time. The other actions also may be helpful, but the caregiver's statement clearly indicates the need for some free time.
Question 2 of 5
A patient who was in an automobile accident is assigned a nurse as a case manager. Which of the following responsibilities is required of the nurse in this role?
Correct Answer: C
Rationale: The role of the case manager is to coordinate the patient's care through multiple settings and levels of care to allow the maximal patient benefit at the least cost. The case manager does not provide direct care in either the acute or home setting. The case manager coordinates and advocates for care but does not determine what types of medical care are needed, that is done by the health care provider or other provider.
Question 3 of 5
The nurse is conducting a home visit and notes that the caregiver may be experiencing caregiver burnout. Which of the following assessments would support this finding?
Correct Answer: B
Rationale: Assessment of the signs of caregiver burnout (e.g. sleeplessness, difficulty concentrating) is a critical role of the home care nurse. Weight gain is an indication that the caregivers' nutritional intake exceeds requirements. An increased use of respite care could indicate an increased involvement of the caregiver in outside support and activity groups. This assessment finding would require further assessment before linking it to caregiver burnout.
Question 4 of 5
An older-adult patient who lives alone was hospitalized for a fractured hip and has recovered from the surgery but needs to continue to work to improve mobility. Which of the following settings would the nurse anticipate that the patient be transferred to?
Correct Answer: D
Rationale: Home health nursing is appropriate for patients who need continued rehabilitation and can implement this in their own home. The patient is no longer in need of the more continuous assessment and care given in acute care settings. There is no indication that the patient will need the permanent and ongoing medical and nursing services available in intermediate care. The patient is not yet independent enough to transfer to a residential care facility.
Question 5 of 5
The nurse is describing home care services to a patient that requires extended care. Which of the following statements is true related to home care services?
Correct Answer: B
Rationale: Family members who are providing care are included in planning the patient's care and treatments. Other disciplines, such as physical and occupational therapy, also provide appropriate home health services. The patient must be homebound, but not bed bound, to receive reimbursement for home care services. High-tech devices are increasingly accomplished in the home setting where the patient is more comfortable and the risks for complications such as infection are less.