A client needed a great deal of care. During a morning visit, the nurse shared information with the client's caregiver and demonstrated technical procedures. Which is most important for the nurse to assess?

Correct Answer: D

Rationale: The home health nurse spends much of the visit assessing the skills of the caregiver. The home health nurse instructs the caregiver in the correct procedures for providing care and in recognizing the signs and symptoms of problems that must be reported to the health care provider. The goal of the home health nurse's instruction is to provide the caregiver with the skills necessary to care for the patient successfully in the home without intervention of the nurse. Information not retained can be repeated.

Correct Answer: D

Rationale: The correct answer is D: Vulnerable populations. Vulnerable populations are at high risk due to limited resources and face barriers to accessing healthcare. They include groups such as low-income individuals, homeless people, and the elderly. This term encompasses a broader range of individuals compared to the other options. A: Disadvantaged families may lack resources, but not all members may be at high risk for poor health outcomes. B: Multi-problem families may face various challenges, but not all may be at high risk for poor health outcomes. C: Resilient populations have the ability to adapt and recover from adversity, so they are not necessarily at high risk for poor health outcomes.

Correct Answer: C

Rationale: The correct answer is C: Pediatric intensive care for homebound families. This choice accurately describes the program as providing intensive care for children with complex medical needs in their homes. It includes home care and respite services for families with technology-dependent children. The term "pediatric intensive care" emphasizes the specialized nature of the services offered. Explanation for why the other choices are incorrect: A: Family professional respite care - This choice focuses solely on respite care and does not encompass the full range of services being offered in the program. B: High tech-high care family comprehensive treatment - This choice is vague and does not specifically address the unique needs of technology-dependent children and their families. D: Specialty "carve out" - This choice does not accurately describe the program's focus on providing intensive care and home care services for families with technology-dependent children.

Correct Answer: B

Rationale: The nurse lobbyist who believes strongly in social justice would encourage legislators to support a bill that promotes universal health insurance coverage (Choice B). This is because universal health insurance coverage aligns with the principles of social justice by ensuring that all individuals have access to essential healthcare services regardless of their income or socioeconomic status. By advocating for universal health insurance coverage, the nurse lobbyist is supporting the idea that healthcare should be a fundamental right for all individuals. Choices A, C, and D are incorrect: A: Establishing policies requiring all persons to pay the same cost for services regardless of income would not address the underlying issue of income disparities and access to healthcare services. C: Requiring all health care providers to give care to uninsured persons without charge is not sustainable and does not address the systemic issues related to healthcare access. D: Requiring health care workers to report undocumented immigrants who present for treatment goes against the principle of providing healthcare to all individuals regardless of their immigration status.

Correct Answer: A

Rationale: The correct answer is A: Case management. Case management involves coordinating and organizing services for a client to ensure they receive comprehensive care. In this scenario, the nurse is facilitating various aspects of care for the client with type 2 diabetes mellitus, such as referral to an endocrinologist, financial assistance, transportation, and follow-up appointments. This demonstrates the systematic approach of case management to address the client's needs. Summary: B: Client advocacy focuses on representing the client's interests and ensuring they receive appropriate care, but it does not involve the level of coordination seen in case management. C: Holistic care encompasses addressing the client's physical, mental, and social needs, but it does not specifically involve the coordination of services as in case management. D: Wrap-around services involve providing a range of supportive services to address various needs, but it does not capture the structured approach of case management in coordinating care for the client.