A home health nurse is reviewing a list of staff activities for the upcoming month. The nurse should identify that which of the following activities will provide feedback regarding care quality?

Teaching clients' family members how to care for a wound in the home setting.

Tracking the number of postoperative clients who are readmitted to the acute care facility.

Orienting staff members to a new piece of equipment that will be used in the home setting.

Organizing an event to improve the morale of the home health staff.

Answer and Explanation

The Correct Answer is B

Choice A reason : Teaching clients' family members how to care for a wound is an educational activity that enhances the family's ability to provide care but does not directly provide feedback on the quality of care given by the staff.

Choice B reason : Tracking the readmission rates of postoperative clients is a direct measure of care quality. High readmission rates can indicate issues with the surgery or the postoperative care, making this a valuable metric for quality assessment.

Choice C reason : Orienting staff to new equipment is important for ensuring safe and effective use, but it does not offer direct feedback on the quality of care. It is more about maintaining competency and safety standards.

Choice D reason : Organizing morale-boosting events is beneficial for staff well-being and can indirectly affect care quality. However, it does not provide immediate feedback on the quality of care provided to clients.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.

Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².

Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.

Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.

Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescents⁴.

A. The client's insurance provides coverage for palliative care B. The client has declined additional life prolonging treatments C. The client requires inpatient care due to lack of a caregiver D. The client has documentation stating he has less than 12 months to live

Correct Answer is B

Explanation

Choice A: The client’s insurance provides coverage for palliative care

This option is incorrect. While insurance coverage for palliative care is important, it is not a qualifying criterion for hospice care. Hospice care eligibility is primarily based on the patient’s medical condition and prognosis, not on insurance coverage.

Choice B: The client has declined additional life prolonging treatments

This option is correct. One of the key criteria for hospice care is that the patient must choose palliative care (comfort care) over curative treatments. This means the patient has decided to stop treatments aimed at prolonging life and instead focus on quality of life and symptom management.

Choice C: The client requires inpatient care due to lack of a caregiver

This option is incorrect. While the need for inpatient care can be a factor in the type of hospice services provided, it is not a criterion for qualifying for hospice care. Hospice care can be provided in various settings, including the patient’s home, regardless of caregiver availability.

Choice D: The client has documentation stating he has less than 12 months to live

This option is incorrect. The standard criterion for hospice care is a prognosis of six months or less to live if the disease follows its usual course. Documentation stating a life expectancy of less than 12 months does not meet the hospice eligibility requirement.

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A home health nurse is reviewing a list of staff activities for the upcoming month. The nurse should identify that which of the following activities will provide feedback regarding care quality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","D","E"]

Explanation

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Correct Answer is B

Explanation

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