ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern. Which offers the best explanation for this change?
Correct Answer: C
Rationale: Taxpayers fund official (i.e., public) home health agencies, but they also receive reimbursement from third-party payers such as Medicare, Medicaid, and private insurance companies. This additional taxpayer funding eliminates the stressor as to who will be paying for the nursing visits for both the client and the home health agency. The nurse is not working as an unpaid professional volunteer for this agency. The clients served by the official agency are not likely of a high socioeconomic class and the agency most likely does not have a large foundation to assist with paying for services that are provided.
Question 2 of 5
In addition to factual data such as name, address, and diagnosis, which information is crucial to the nurse when a referral is received?
Correct Answer: C
Rationale: The nurse prepares for the home visit by reviewing the referral form including the purpose of the visit, the geographic residence of the family, and any other pertinent information.
Question 3 of 5
Which is the best use of the nurse's time while en route to the client's home?
Correct Answer: A
Rationale: An environmental assessment begins as the nurse leaves the agency and travels to the client's home. While driving, the nurse should observe the area surrounding the client's home. It would not be appropriate to use a computer or oral recording device while driving. Although the nurse should be conducting an environmental assessment, the nurse should be considering the needs of the client during this assessment and not his/her own needs. The nurse would not want to refer the client to another agency if the client has already selected this agency.
Question 4 of 5
A new home health nurse realized that what was being observed and now being said by the client were very inconsistent with what had been documented while the client was hospitalized. Which conclusion should be drawn by the nurse?
Correct Answer: A
Rationale: It is not unusual to find inconsistencies between information the patient provides during hospitalization concerning the amount of physical and emotional support available to the patient in the home and the amount of help actually available to the patient in the home. The nurse validates or modifies the referral information to reflect the actual home situation. The client's perception of support and the actual support provided may be different. Thus, it is unlikely that the client was trying to lie about or was embarrassed by the situation.
Question 5 of 5
A nurse shared information with a family concerning a community resource, including a brochure with telephone number. The family agreed to follow up. Which demonstrates to the nurse that the family wants to use those resources?
Correct Answer: D
Rationale: Under the Health Insurance Portability and Accountability Act, it is doubtful any agency would suddenly call to share such information with the nurse. If the family always agrees with the nurse's suggestion, it may be cultural rather than actual interest in the suggestion. Although the family may prefer the nurse do all the work of calling and setting up services, they may do so simply because they are not really that interested and they can always cancel later. However, if the family calls and sets up the service, it demonstrates commitment to the plan to use those resources.