ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
should be given to adolescents 11 to 12 years of age with a booster dose at age 16 years. Annual influenza vaccination with either the live attenuated influenza vaccine or trivalent influenza vaccine is recommended for all children and adolescents. The
Correct Answer: A
Rationale: The correct answer is A because it accurately states the recommended vaccination schedule for adolescents aged 11 to 12 years with a booster dose at age 16. This aligns with current CDC guidelines for influenza vaccination. Choice A provides a clear and concise explanation of the correct vaccination protocol based on age group. The other choices do not address the specific age group or vaccination schedule mentioned in the question, making them incorrect. Choice B, C, and D do not provide the recommended information for adolescents aged 11 to 12 years.
Question 2 of 5
Which is required for an agency to receive reimbursement for care given from Medicare?
Correct Answer: C
Rationale: Certified home health agencies meet federal standards; therefore they are able to receive Medicare payments for services provided to eligible individuals. Not all home health agencies are certified.
Question 3 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 4 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 5 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.