1. Suggest that the client move to a nursing home or assisted living dwelling.
2. Recommend that the client be enrolled in an emergency response system.
3. Enroll the client in a program that places all of the client’s vital medical information in one place for emergency
personnel.
4. Have the client post a list of emergency numbers (fire, police, ambulance) near the phone.
Question 15
Type: MCSA
The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe
because of gang activity. Before going to the client’s home, what should the nurse do?
1. Call for an escort.
2. Call the client to let the client know the nurse is on the way.
3. Ask if the client could meet the nurse at the agency.
4. Take a second nurse along on the visit.
Question 16
Type: MCSA
A home health nurse has a weekly visit to a client living in less than desirable cleanliness. The client has a central
venous access device and requires weekly infusion therapy. What is the best way for the nurse to protect the client
against infection?
1. Have the client wash her hands before the infusion begins.
2. Practice strict aseptic technique during the infusion process.
3. Help the client clean the room before starting the infusion.
4. Suggest that the client have a housekeeper come on the morning of the infusion.
Question 17
Type: MCMA
The nurse is concerned that the spouse of a home care client with multiple sclerosis is experiencing caregiver role
strain. What did the nurse observe to come to this conclusion?
1. The home appears cluttered.
2. The spouse expresses feelings of anger.
3. The spouse reports decreased energy.
4. The spouse reports that she is learning how to manage finances.
5. The client asks when the nurse will return for the next visit.
Question 18
Type: MCSA
After completing an initial assessment, the nurse identifies teaching that the client will need. Why did the nurse
identify learning needs for this client?
1. Lack of knowledge related to health conditions and self-care
2. The fact that there is little time to complete education in the acute care setting
3. The fact that teaching someone who is willing to learn is easier in the home
4. The need for reimbursement for education by Medicare
Question 19
Type: MCSA
An older client being discharged from an acute care facility is prescribed home care. When should the home care
nurse see the client to understand needs for safety and mobility?
1. At the initial home visit, in order to see the client in the home environment
2. While the client is still a patient in the acute care hospital
3. After the client has been home for a few days and can help the nurse decide what is needed
4. When the spouse is available to assist in the assessment
Question 20
Type: MCSA
A client has been receiving home care for several weeks. Which individual should the nurse realize is responsible
for ensuring that the client is receiving care at the appropriate times and in the appropriate amounts?
1. Client
2. Nurse
3. Physician
4. Client’s spouse
Question 21
Type: MCMA
The nurse is attending a seminar that focuses on the changes within the home health care industry. Which
statements that the nurse makes indicate an understanding of home care as a primary health service delivery
system?
Standard Text: Select all that apply.
1. “It’s unfortunate that clients can be screened for illnesses in the privacy of their own home.”
2. “With people living well into their 70s and 80s, the healthcare system is being stressed immensely.”
3. “The cost of acute hospital–based health care has become an economic burden to most people.”
4. “A client’s chronic cardiac problems can be monitored well with in–home health services.”
5. “It relieves so much stress when care can come to them instead of their going to the health provider.”
Question 22
Type: MCMA
The nurse is taking a tour of a home care agency as part of the interview process. Which services should the nurse
recognize as being provided through this health agency?
Standard Text: Select all that apply.
1. A case manager arranging services to meet the client’s need for physical therapy after a fall
2. A nurse educating the pregnant teenager on the signs of premature labor
3. A durable supply company delivering a wheelchair to a client with spina bifida
4. A nurse assessing the feet of a home-bound diabetic client
5. A grocery store delivering groceries to a client recovering from cancer surgery
New Questions:
Question 23
Type: MCMA
The nurse has two older parents who were recently hospitalized at the same time and are being discharged home
on the same day. What should the nurse do to ensure these family members receive the highest quality of care in
the home?
Standard Text: Select all that apply.
1. Call off from work to provide care to both parents.
2. Adjust his or her personal schedule to provide care to the parents.
3. Move in with the parents until conditions are stabilized.
4. Determine if custodial support is needed for the parents.
5. Find out when the home care nurse is scheduled to arrive.
Question 24
Type: MCMA
During a home visit, the nurse is concerned that a client recovering from hip replacement surgery is at risk for
falling in the home. What information from the home assessment did the nurse use to come to this conclusion?
Standard Text: Select all that apply.
1. Laminated floors highly polished
2. Scatter rugs in the kitchen and bathroom
3. Smoke detector battery low in the bedroom
4. Cleaning solution placed in an unlabeled jar
5. Expired medication in the bathroom cabinet
