The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home health care aide assigned to assist with the care of this client?

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Question 1 of 5

The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home health care aide assigned to assist with the care of this client?

Correct Answer: B

Rationale: Determining if care aligns with the plan best assesses quality. It ensures clinical goals are met, beyond satisfaction , which may miss gaps. Timeliness and documentation support but don't measure outcome. B objectively evaluates effectiveness, making it the top method.

Question 2 of 5

A client is receiving an intravenous (IV) infusion for pain control. When caring for this client, which one of these actions can the RN safely assign to an unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Checking the IV site for drainage and loose tape can be safely assigned to a UAP. It's observational, within scope, unlike pain assessment , pump adjustment , or ambulation (D, needing more skill). C supports RN monitoring, making it delegable.

Question 3 of 5

An appropriate treatment goal for a client with anxiety would be to

Correct Answer: C

Rationale: Learning self-help techniques is an appropriate anxiety goal. It empowers long-term coping, per CBT principles, unlike venting , reality contact (B, psychosis-related), or desensitization (D, trauma-specific). C fosters independence, making it the best goal.

Question 4 of 5

The nurse receives a report on an older adult client with middle stage dementia. What information suggests the nurse should do immediate follow up rather than delegate care to the nursing assistant? The client

Correct Answer: C

Rationale: Minimal responsiveness requires immediate RN follow-up. In dementia, it signals acute decline (e.g., hypoxia), beyond nursing assistant scope. Minor respiratory , heart rate , or BP changes are delegable. C demands RN skill, making it the priority.

Question 5 of 5

A client continuously calls out to the nursing staff when anyone passes the client's door and asks them to do something in the room. The best response by the charge nurse would be to

Correct Answer: B

Rationale: Assigning one staff to visit regularly is best. It addresses needs, reduces disruption, unlike cracked door , reassurance , or hourly checks . B optimizes care, making it effective.

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