ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
A nurse was considering self-employment by starting a home health managed care agency. Which risk is the nurse taking, particularly in the beginning?
Correct Answer: B
Rationale: Managed care agencies contract with payers, such as insurance companies, to provide specified services to the enrolled clients at a predetermined price. Managed care agencies receive payment before offering services and are responsible for taking the financial risk of providing care to patients within the budgeted allotment. The nurse will not need to worry about patient referrals or personally knowing the clients before referral as this home care agency is part of a managed care group that has enrolled clients that need services. Envy from other nurses is not a risk faced by the nurse starting this business endeavor.
Question 2 of 5
Which is the major assumption of Albrecht's conceptual model?
Correct Answer: C
Rationale: An underlying premise of Albrecht's conceptual model is that professional satisfaction and effective patient outcomes depend on the education and experience of the home health nurse. Within the Albrecht nursing model, the three major elements for measuring the quality of home health care patient outcomes include structural, process, and outcome elements. Although nurses are usually the case managers, Medicare pays for skilled services, including occupational therapy and physical therapy. If nursing is not involved, the skilled professional would be the case manager.
Question 3 of 5
Which action should the home health nurse take to get in touch with a client if the client apparently has no telephone?
Correct Answer: B
Rationale: Not all clients have a telephone. If that is the case, the nurse should check the referral for a telephone number where messages can be left. It is also worthwhile to contact the health care provider who made the referral to see whether the telephone number was omitted unintentionally. If the client does not have a telephone, the nurse may choose to make a drop-in visit. This type of visit consists of an unannounced visit to the client's home, during which the nurse explains the purpose of the referral, receives the client's permission for the visit, and appoints a time for a future visit with the client. The client may agree to the first visit while the nurse is there. It may be very difficult to determine if the client has family members in the area to relay information to the client. Sending a formal letter would not get to the client who needs services in a timely manner.
Question 4 of 5
Which best describes the documentation that the nurse should expect to complete during the home visit?
Correct Answer: D
Rationale: Most home health nurses would probably identify documentation issues as the most frustrating part of providing home health care. Medicare holds a prominent position as a home health care payer; therefore, the HCFA's regulations determine the home health industry's documentation. Correct and accurate completion of required Medicare forms is the key to reimbursement. The forms require documentation of the nurse's care given.
Question 5 of 5
A client was quite ill and the family was doing their best. After careful assessment and diagnosis, the home health nurse was setting priorities for care. Which should be the basis for deciding which intervention to implement first?
Correct Answer: D
Rationale: The plan, including short-term and long-term goals, is developed in consultation with the client and the family. To maximize the plan's success, it is important that the patient and family are involved in the planning process and that they access community resources. Thus, it is most important to address the problem that the client and family think should be addressed first. The other problems can be addressed after meeting the immediate needs of the client and family.