ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
Which best explains why home health care agencies that are part of national chains are doing better in the competitive marketplace than individually owned agencies?
Correct Answer: D
Rationale: Agencies within chains have a financial advantage over single agencies. The chains have lower administrative costs because a larger single corporate structure provides many services. For example, a multiagency corporation has greater purchasing power for supplies and equipment because they purchase a larger volume. A single corporate office can provide administrative services such as payroll and employee benefits for all chain employees, thereby reducing duplication of these services. It is unlikely that they are doing better because they receive better media coverage, offer less quality care, or have a more experienced chief executive officer.
Question 2 of 5
Which is the primary task to be accomplished during the initial telephone contact between the home health nurse and the client?
Correct Answer: C
Rationale: The nurse contacts the client and informs him or her about the service referral. The first telephone contact with the client or family consists of an exchange of essential information, including an introduction by the nurse, identification of the agency that received the referral, and the purpose of the visit. After the initial exchange of information, the nurse informs the client of his or her desire to make the home visit, the client gives permission, and the group sets a mutually acceptable time for the visit. The nurse is a guest in the client's home but not in the usual social sense. Public health nurses who are reimbursed by tax dollars may not require evidence of insurance coverage.
Question 3 of 5
Which is the most important task to be accomplished during the initial home visit?
Correct Answer: D
Rationale: Many clients in need of nursing visits do not trust the health care system and are uncomfortable with the representative from an agency visiting their home. The nurse must build a trust relationship early in the visit or the client will not allow additional visits. Beginning with social topics is often a helpful tool to help establish trust and rapport. After rapport and trust have been established, the nurse can assess the client and family and provide education. Discussion of social topics would not be the primary task to accomplish during any nurse-client interaction.
Question 4 of 5
Which should be included when the nurse writes a proposed treatment plan for a home health client?
Correct Answer: C
Rationale: There are differences between the treatment plan and the nursing care plan. The plan of treatment includes the type of home health services received, the projected frequency of visits by each discipline, and the necessary interventions. The nursing care plan addresses specific nursing interventions designed to treat the patient's actual or potential problems and includes identified goals with measurable outcomes.
Question 5 of 5
A nurse had shared a great deal of information with a new client. Time had passed, but the nurse had more to share and was energetically doing so. Which should the nurse use as a guide to determine when to stop teaching and plan the next visit?
Correct Answer: A
Rationale: The average visit should not exceed 1 hour. The client receives a great deal of information during that hour, and the nurse collects a great deal of information. Most clients are tired at the end of a 1-hour visit and often cannot retain additional information.