ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 4
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 2 of 4
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.
Question 3 of 4
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.
Question 4 of 4
A client was admitted to home care and was dismayed to find the nurse discussing such uncomfortable topics as advance directives, living will, and durable power of attorney. Which is the most appropriate response by the nurse?
Correct Answer: C
Rationale: Medicare-certified health care agencies must ask patients about advance directives and provide patients with the advance directive form if the patient is interested in completing the document.