NSG – 440 EXAM 3 EXAM (ACTUAL EXAM)
WITH 180+ QUESTIONS WITH VERY
ELABORATED ANSWERS CORRECTRY WELL
ORGANIZED LATEST 2024 – 2025 ALREADY
GRADED A+
A home health nurse is caring for a client who has right-sided paresis secondary to
a stroke. Which of the following would be the best approach for the nurse to
take?
Arrange for private duty nurses to assist the client with daily needs.
Assist the client with activities of daily living.
Teach the client to participate in self-care activities.
Teach the family how to care for the client.
Teach the client to participate in self-care activities.
Because home health care is often intermittent, and because a reliance on others
is not always possible over the long term, a primary objective for the nurse is to
facilitate self-care so that clients may remain in their home. This allows clients to
have some control over their life and can help prevent hopelessness and a loss of
,self-esteem. Although assistance may be needed, such as from a private duty
nurse, the home care nurse, or family members, this assistance should come after
helping clients to help themselves.
Which of the following do community-based nurses typically use to organize, sort,
and document pertinent client data?
NANDA
NIC & NOC
Nursing Diagnosis Taxonomy
The Omaha System
The Omaha System
Although all four are recognized nursing taxonomies, in community health,
especially home nursing, the Omaha System is typically used. This system was
developed by a visiting nurses' association in Omaha and based on home nursing
documentation needs. The Omaha System is most relevant to home health
nursing and is most typically used by home health nurses. NANDA is a
standardized nursing language, but it is not known for its usage specific to the
home health setting. NIC & NOC are standardized languages for the development
of interventions and outcomes for clients but are not well known for being used in
the home care setting. The Nursing Diagnosis Taxonomy refers to the use of
nursing diagnoses.
Which of the following should be the minimum requirement for a nurse to be
prepared for home health nursing?
a. An RN license and a baccalaureate degree in a health-related field
b. A baccalaureate degree in nursing and RN licensure
c. An associate degree in nursing and RN licensure
,d. Eligibility for certification as a home health nurse
b. A baccalaureate degree in nursing and RN licensure
Which of the following best describes when the home health nurse must
document required Outcome and Assessment Information Set (OASIS-C2) data?
Before any episode of hospitalization
After each home health visit
For all incidences of error or mistake in care
On first admission to home health care
On first admission to home health care
OASIS-C2 data are measured and reported to CMS (1) on admission to home
health care, (2) after an episode of hospitalization, (3) at the time of
recertification, and (4) on discharge from care or death at home. Data are
submitted by each agency to a national databank, and agencies receive both
results and comparisons with similar agencies to determine areas needing
improvement. The data reported from OASIS determine the payment received by
the home health agency for the client's total episode of care. OASIS-C2 data are
measured and reported to CMS after each episode of hospitalization, not before,
and at the time of recertification, not after each home health visit. The
submission of OASIS-C2 data is not required when an error or mistake is made.
The board of directors is examining various submitted reports concerning its
home health agency. Which of the following reports represents an example of
benchmarking?
a. A report by the administrator regarding how the home health agency's
performance compares with that of other local and national home health
agencies
, b. A report by the chief financial officer regarding a cost-benefit analysis related
to technological advances
c. A report by the chief nursing officer regarding client outcomes
d. A report by the medical director regarding implementation of evidence-based
practice into standards of care
a. A report by the administrator regarding how the home health agency's
performance compares with that of other local and national home health
agencies
Performance improvement programs are based on measurable data, including
benchmarking, which means comparing oneself with national standards and
guidelines and with other agencies. A cost-benefit analysis relates to the use of
technology and its impact on the home care agency and is not related to
benchmarking. A client outcomes report would need to be compared to other
data in order for benchmarking to occur. The implementation of evidence-based
practice does not demonstrate the use of benchmarking.
Which of the following comments was most likely stated by a home health nurse?
"Every time I see a client, it costs $80."
"Health care costs are killing our economy."
"I can't believe how much clients are charged for things."
d. "Medicaid costs are such a large portion of our state's budget."
"Every time I see a client, it costs $80."
Nurses in many settings are not directly exposed to the financial aspects of health
care, although as citizens they should be aware of the overall effects of high
health care costs. In home health, nurses must be cost-conscious so that they can
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseLNJ. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
