Home Visiting MCQ Quiz With Answers
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How much do you understand home-visiting healthcare? Are you confident that you can take this home visiting MCQ quiz and get a high score? Try your best then. A home visit is meant by a family nurse contact that allows the health worker to provide care to the home and family situation. Here are some questions to see if you have got home visiting nursing skills or not. Try to answer as many questions correctly as you can! Good luck!
- 1.
A senior student nurse asked the instructor, Why do we have to make home visits? The client learned self-care in the hospital. Which of the following statements would be the best response from the instructor?
- A.
Home visits allow you to focus on the entire family and see threats to health and safety.
- B.
Making home visits will increase your marketability after you graduate.
- C.
Our State Board of Nursing requires home visits as part of community/public health education.
- D.
The national accreditation policies require that students make home visits before they graduate.
Correct Answer
A. Home visits allow you to focus on the entire family and see threats to health and safety.Explanation
Home visits allow nurses to assess the living conditions and environment of their patients, which can provide valuable insights into the overall health and safety of the entire family. By visiting patients in their homes, nurses can identify potential threats to health, such as unsanitary living conditions or safety hazards, that may not be apparent during a hospital stay. This information can then be used to develop appropriate care plans and interventions to promote the well-being of the patient and their family.Rate this question:
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- 2.
It was suggested a public health departments funding for home visits be cut because so much time and money were spent in travel and such expenses seemed inappropriate in a time of fiscal restraint. Which of the following would be the nurses best response to this suggestion?
- A.
Research has shown home visits save far more than their cost in decreasing child abuse, drug-resistant infections, and even emergency department visits.
- B.
The public health department staff members are the most knowledgeable concerning funding needed and how best to spend the funds.
- C.
The voters agreed on the tax levy funding the department. It would not be politically wise to act against voters obvious desires.
- D.
With all the fear about bioterrorism, it is an inappropriate time to cut funds to the public health department.
Correct Answer
A. Research has shown home visits save far more than their cost in decreasing child abuse, drug-resistant infections, and even emergency department visits.Explanation
The nurse's best response to the suggestion of cutting funding for home visits is to provide evidence from research that shows the cost-effectiveness of home visits. This response highlights the positive outcomes of home visits, such as decreasing child abuse, drug-resistant infections, and emergency department visits. By emphasizing the potential savings and benefits of home visits, the nurse can argue against cutting funding and advocate for the importance of this service in improving public health.Rate this question:
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- 3.
A new mother asked the community/public health nurse what a nurse visiting her at home would do differently from what the nurses in the hospital had already done. Which of the following would be the best response from the nurse?
- A.
All nurses try to help people stay well, but I can also help you assess your home for any dangers to the baby.
- B.
Hospital nurses and I all try to be helpful, but I can also tell you how to obtain excellent child care.
- C.
In the hospital, you had a nurse focus on your baby and another nurse focus on your care. Ill be focusing on both you and your baby.
- D.
The other nurses in the hospital focus on helping you and the baby get off to a great start. I'm going to repeat everything to be sure you really know it.
Correct Answer
A. All nurses try to help people stay well, but I can also help you assess your home for any dangers to the baby.Explanation
The best response from the nurse would be "All nurses try to help people stay well, but I can also help you assess your home for any dangers to the baby." This answer acknowledges the common goal of all nurses to promote wellness, but also highlights the unique role of a community/public health nurse in assessing the home environment for potential risks to the baby's safety. This response indicates that the nurse will provide additional support and guidance beyond what was provided in the hospital setting.Rate this question:
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- 4.
After leaving the home of a new mother and her newborn, the student nurse asked the instructor, What will the new mother do when we arent there to help? Which of the following statements would be the best reply from the nursing instructor?
- A.
I am going to ask you to come back tomorrow to help the new mother further.
- B.
Why would the new mother experience any problems?
- C.
We have to assume that the new mother will be able to manage without us.
- D.
We'll have another nurse stop by tomorrow to help the new mother.
Correct Answer
C. We have to assume that the new mother will be able to manage without us.Explanation
The best reply from the nursing instructor would be "We have to assume that the new mother will be able to manage without us." This response acknowledges that the new mother is capable of taking care of herself and her newborn without the constant presence of the student nurse or instructor. It promotes independence and self-confidence in the new mother, while also recognizing that she may need additional support if necessary.Rate this question:
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- 5.
A clinical specialist in gerontology accepted a position with the local health department as a community/public health nurse. For whom can the nurse expect to provide care?
- A.
To geriatric clients and the local senior citizen centers
- B.
To the neighborhood at highest risk in the city
- C.
To the neighborhood where the nurse lives
- D.
To wherever the nurse selects
Correct Answer
A. To geriatric clients and the local senior citizen centersExplanation
The nurse can expect to provide care to geriatric clients and the local senior citizen centers because the nurse is a clinical specialist in gerontology, which is the study of aging and care for older adults. This expertise makes the nurse well-suited to provide care for geriatric clients and support the needs of senior citizen centers in the community.Rate this question:
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- 6.
A home health nurse was making an initial visit to an elderly man. As the nurse began the assessment, the wife gave all the information requested. Which of the following actions would the nurse take next?
- A.
Agreeing upon appropriate interventions with the family
- B.
Creating appropriate nursing diagnoses
- C.
Assessing the environment of the wider community
- D.
Confirming the information obtained with the client
Correct Answer
D. Confirming the information obtained with the clientExplanation
The nurse would take the action of confirming the information obtained with the client because it is important to ensure the accuracy and completeness of the information provided by the wife. This step helps to establish a trusting relationship with the client and allows the nurse to gather additional details or clarify any discrepancies. Confirming the information with the client also ensures that the nurse has a comprehensive understanding of the client's health needs and can provide appropriate care and interventions.Rate this question:
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- 7.
As the nurse entered the house of an elderly couple and was invited to sit, three cats rubbed against the nurses legs. Which of the following would be the most appropriate comment for the nurse to make?
- A.
Are these cats hungry? Or do they want something else?
- B.
Cats can really cause health problems. Would you like me to call the animal shelter for you?
- C.
Would you like to introduce me to your cats?
- D.
Would you please lock up your cats until were done?
Correct Answer
C. Would you like to introduce me to your cats?Explanation
The most appropriate comment for the nurse to make would be "Would you like to introduce me to your cats?" This response shows an interest in the cats and acknowledges their presence without making assumptions or suggesting any negative consequences. It also allows the elderly couple to share information about their pets if they wish to do so.Rate this question:
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- 8.
Which of the following would be the nurses primary goal during the first visit to home-bound clients?
- A.
To assess the health of all family members and the immediate environment
- B.
To discuss the time and financial limits to the care the nurse can give
- C.
To establish rapport with the clients and work with them to define mutually agreeable goals
- D.
To implement the nursing care plan established before hospital discharge
Correct Answer
C. To establish rapport with the clients and work with them to define mutually agreeable goalsExplanation
The nurse's primary goal during the first visit to home-bound clients is to establish rapport with the clients and work with them to define mutually agreeable goals. This is important because building a trusting relationship with the clients will help the nurse understand their needs and preferences, and collaborate with them to set goals that are realistic and achievable. By doing so, the nurse can provide personalized care that meets the clients' specific needs and promotes their overall well-being.Rate this question:
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- 9.
Confirming that all needed assessment data are obtained
- A.
Confirming that all needed assessment data are obtained
- B.
Creating an accurate and appropriate list of nursing diagnoses
- C.
Establishing a systematic evaluation plan
- D.
Establishing trust for a productive relationship
Correct Answer
D. Establishing trust for a productive relationshipExplanation
Establishing trust for a productive relationship is an important aspect of nursing care. Trust is essential in building a strong and effective nurse-patient relationship. When patients trust their nurses, they are more likely to openly communicate, share their concerns, and actively participate in their care. This trust also allows nurses to provide care that is tailored to the patient's specific needs and preferences. By establishing trust, nurses can create a safe and supportive environment for patients, which ultimately leads to better outcomes and a more positive healthcare experience.Rate this question:
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- 10.
Which of the following reasons explains why new community/public health nurses are very uncomfortable with home visiting, even in nice neighborhoods?
- A.
Home visits are a new skill to be mastered, and learning is uncomfortable.
- B.
Home visits reflect a situation under the clients control and in the clients environment.
- C.
Home visits require lots of supervision, backup, and extra resources.
- D.
Home visits take much more time and effort than does giving care in the hospital.
Correct Answer
B. Home visits reflect a situation under the clients control and in the clients environment.Explanation
New community/public health nurses may feel uncomfortable with home visiting because it reflects a situation under the clients' control and in their environment. Unlike providing care in a hospital setting, home visits involve entering the clients' personal space and working within their unique circumstances. This can create a sense of unfamiliarity and potential discomfort for the nurses, as they are navigating a new environment and adapting to the clients' preferences and routines.Rate this question:
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- 11.
The nurse is to visit newly referred clients for the first time after their discharge from the nursing home back to their apartment. Which of the following is the most likely feeling the clients will have regarding the nurses visit to them?
- A.
Ambivalence because the nurse could be helpful but also judgmental of their situation
- B.
Glad because the nurse can be of immediate help
- C.
Fearful because the nurse is someone who has the authority to intervene in their lives
- D.
Angry because the nurse is essentially an intruder into their lives
Correct Answer
A. Ambivalence because the nurse could be helpful but also judgmental of their situationExplanation
The clients are likely to feel ambivalent about the nurse's visit because they recognize that the nurse could provide assistance and support, but they also fear that the nurse may pass judgment on their current situation. This mixed feeling arises from the clients' awareness that the nurse has the potential to be both helpful and critical, leading to a sense of uncertainty and conflicting emotions.Rate this question:
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- 12.
A new mother seemed hesitant to let the community/public health nurse into her apartment. However, the visit seemed to go well, with the nurse sharing information, resources, and positive support to the new mother. At the end of the visit, the mother thanked the nurse profusely but said she thought she was all right now so there was no need for the nurse to return. Which of the following actions would be most appropriate for the nurse to take?
- A.
Chart that the mother was noncompliant and would not let the nurse return.
- B.
Plan on returning in 1 week to answer any new questions the mother might have about her baby, how to care for him, or how infants grow and develop.
- C.
Stress how to get in touch with the public health agency if the mother ever has questions or needs assistance and then wish her the very best.
- D.
Try to find free formula, baby cereal, infant clothes, and other goodies to give the new mother so she will let the nurse back into the apartment.
Correct Answer
C. Stress how to get in touch with the public health agency if the mother ever has questions or needs assistance and then wish her the very best.Explanation
The most appropriate action for the nurse to take would be to stress how to get in touch with the public health agency if the mother ever has questions or needs assistance and then wish her the very best. This response shows that the nurse is supportive and concerned about the well-being of the mother and her baby. It also provides the mother with a resource for future assistance and encourages her to reach out if needed.Rate this question:
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- 13.
Which of the following would be the first priority when a nurse is completing a home visit?
- A.
Consistency with agency rules and procedures
- B.
Legally, whatever the medical referral requires
- C.
Unless a medical emergency, whatever the client believes is most important
- D.
What the nurses professional judgment determines to be the major threat to health
Correct Answer
C. Unless a medical emergency, whatever the client believes is most importantExplanation
The first priority when a nurse is completing a home visit would be to prioritize whatever the client believes is most important, unless it is a medical emergency. This is because the client's needs and preferences should be respected and prioritized in order to provide patient-centered care. Nurses should prioritize the client's autonomy and involve them in decision-making regarding their own health and care. However, in the case of a medical emergency, immediate medical attention and intervention would take precedence over the client's preferences.Rate this question:
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- 14.
During the second visit, a nurse noticed that although an elderly gentleman had not been able to clean up the apartment, he had been able to clean up the kitchen. Why would the nurse praise him for his cleaning efforts when only one room had changed?
- A.
It demonstrated that the home-bound man was trying to be compliant with the nurses suggestion.
- B.
It made the apartment so much nicer for both the client and the nurse.
- C.
It was a successful short-term achievement toward the long-term goal of environmental safety.
- D.
The elderly gentleman obviously expected considerable praise for doing such a female task.
Correct Answer
C. It was a successful short-term achievement toward the long-term goal of environmental safety.Explanation
The nurse praised the elderly gentleman for his cleaning efforts in the kitchen because it showed that he was making progress towards the long-term goal of environmental safety. Even though only one room had changed, it indicated that he was taking the nurse's suggestion seriously and making an effort to improve the cleanliness of his living space. This small achievement was a step in the right direction and showed that he was motivated to create a safer and healthier environment for himself.Rate this question:
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- 15.
On the first home visit, a nurse explained to an elderly couple how the nurse could help them. Who would be the most knowledgeable concerning the couples health needs?
- A.
The nurse who had analyzed all of the background data
- B.
The hospital case manager who had coordinated the couples care
- C.
The elderly couple themselves
- D.
The nurse who had been the primary care provider in the hospital before discharge
Correct Answer
C. The elderly couple themselvesExplanation
The elderly couple themselves would be the most knowledgeable concerning their health needs because they are the ones experiencing the symptoms and can provide firsthand information about their conditions. While the nurse who analyzed the background data and the hospital case manager may have some knowledge about the couple's health needs, they may not have the complete understanding of the couple's individual experiences and preferences. Similarly, the nurse who was the primary care provider in the hospital before discharge would have some knowledge, but the couple themselves would have the most accurate and up-to-date information about their health needs.Rate this question:
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- 16.
Which of the following would be essential characteristics of a professional helping relationship?
- A.
Acceptance and sympathy
- B.
Enthusiasm and energy
- C.
Positive intent, supportiveness, and trust
- D.
Positive regard, empathy, and genuineness
Correct Answer
D. Positive regard, empathy, and genuinenessExplanation
Positive regard, empathy, and genuineness are essential characteristics of a professional helping relationship. Positive regard refers to the therapist's unconditional acceptance and non-judgmental attitude towards the client. Empathy involves understanding and sharing the client's feelings and experiences. Genuineness means being authentic and sincere in the therapeutic relationship. These characteristics create a safe and supportive environment for the client, fostering trust and promoting effective communication and growth.Rate this question:
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- 17.
The supervisor suggested that a nurse use a contract to confirm goals and plans with an elderly man who had recently moved into a self-care halfway house. Which of the following is an advantage of such a contract?
- A.
It documents the cost of each nursing service.
- B.
It protects the nurse if the nurse is ever sued for malpractice.
- C.
It is legally binding for both parties.
- D.
It clarifies who will do what, when, where, and why.
Correct Answer
D. It clarifies who will do what, when, where, and why.Explanation
An advantage of using a contract in this situation is that it clarifies who will do what, when, where, and why. This helps to establish clear expectations and responsibilities for both the nurse and the elderly man in the self-care halfway house. By outlining specific goals and plans in the contract, it ensures that both parties are on the same page and reduces the likelihood of misunderstandings or conflicts arising.Rate this question:
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- 18.
A nurse is often frustrated when clients do not comply with the nurses suggestions that would improve their health. What might be helpful to remember in such situations?
- A.
It takes a long time and much effort to change peoples behavior.
- B.
The clients may not change today, but they may change tomorrow.
- C.
The nurse may have to change the clients values in order for the client to want to change behaviors.
- D.
The only person the nurse can change is the nurse.
Correct Answer
D. The only person the nurse can change is the nurse.Explanation
In situations where clients do not comply with the nurse's suggestions, it is important for the nurse to remember that they can only change themselves and their own behavior. They cannot force or control the actions or decisions of others. Instead of becoming frustrated, the nurse should focus on improving their own communication skills, empathy, and understanding in order to better support and educate their clients. This shift in mindset empowers the nurse to take responsibility for their own actions and approach the situation with patience and compassion.Rate this question:
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- 19.
A nurse visited a new family to help them adapt to the needs of their newborn. The family asked the nurse to help them obtain diapers, formula, and transportation to the clinic. How should the nurse respond?
- A.
I can't believe you even asked me that. I don't have any money!
- B.
I can't help with those items, but I can share with you some other resources that may help you adapt to having this new little person in your lives.
- C.
I'll ask at the home office and see if someone knows a resource for you.
- D.
My sister has some cloth diapers she isn't using anymore; I can bring those over, but I don't have any formula. Have you tried asking the hospital for free samples?
Correct Answer
B. I can't help with those items, but I can share with you some other resources that may help you adapt to having this new little person in your lives.Explanation
The nurse should respond by offering alternative resources that may help the family adapt to their newborn. While the family asked for specific items, the nurse acknowledges that she cannot provide them but still wants to assist. By offering other resources, the nurse shows empathy and a willingness to support the family in their transition.Rate this question:
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- 20.
Which of the following would be appropriate to help ensure a nurses safety?
- A.
Before leaving his or her car, he or she should check the immediate surroundings for anyone or any situation that makes the nurse uncomfortable.
- B.
The nurse should intervene immediately with a family whose fighting is starting to become physical, before it escalates further.
- C.
The nurse should visit a family over the weekend, when no one is expecting an outsider to drop by.
- D.
When approached on the street by an unknown person, the nurse should stop and tell them how to reach the agency to be formally accepted as a client.
Correct Answer
A. Before leaving his or her car, he or she should check the immediate surroundings for anyone or any situation that makes the nurse uncomfortable.Explanation
Checking the immediate surroundings before leaving the car is an appropriate measure to ensure a nurse's safety. By doing so, the nurse can identify any potential threats or dangerous situations and take necessary precautions. This step allows the nurse to assess the environment and make informed decisions about their safety before entering a potentially risky situation. It is important for nurses to be aware of their surroundings and prioritize their personal safety while carrying out their duties.Rate this question:
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- 21.
A nurse visited a middle-aged client at home after his hospital discharge. The client was cleaning a gun. When the nurse asked the client to put the gun away, the client became agitated. What is the nurses best action at this time?
- A.
Apologizing and saying that the visit will be rescheduled when the client is feeling better
- B.
Focusing on client assessment and staying calm because filling out the necessary forms will not take long
- C.
Hurrying through the visit and finishing the documentation inside the safety of the nurses car
- D.
Using a low voice and slow, calm movements, and asking whether there is a problem
Correct Answer
A. Apologizing and saying that the visit will be rescheduled when the client is feeling betterExplanation
The nurse's best action at this time is to apologize and say that the visit will be rescheduled when the client is feeling better. This is because the client is agitated while handling a gun, which poses a safety risk for both the nurse and the client. Rescheduling the visit allows for a safer environment to provide care and address any concerns or issues the client may have.Rate this question:
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- 22.
After being invited into the apartment of some elderly clients, the nurse was shocked to realize the elderly husband was smoking marijuana. Which of the following actions should the nurse take?
- A.
Indicating that he or she will return at another time and then leaving the home
- B.
Asking the man to stop and stress that the nurse cannot return if they are going to engage in illegal behavior while the nurse is there
- C.
Calling the police, reporting the illegal behavior, and agreeing to serve as a witness if the case goes to trial
- D.
Leaving and refusing to come back until all illegal drugs are out of the apartment
Correct Answer
A. Indicating that he or she will return at another time and then leaving the homeExplanation
The nurse should indicate that he or she will return at another time and then leave the home because it is not within the nurse's scope of practice to confront or report illegal activities. The nurse should prioritize the safety and well-being of the clients, but addressing the issue of illegal drug use is outside of their professional responsibilities. By indicating a need to return at another time, the nurse can maintain a professional boundary while also ensuring their own safety and comfort.Rate this question:
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- 23.
Of the five clients listed below, whom should a nurse visit first?
- A.
A married couple who have been having problems with independent living since the husband developed a staphylococcal infection
- B.
A client with acquired immune deficiency syndrome (AIDS) who is waiting for a hospice opening
- C.
A new admission who was discharged from the hospital with a diagnosis of pneumonia
- D.
A man with a draining chest abscess who is receiving intravenous antibiotics
Correct Answer
B. A client with acquired immune deficiency syndrome (AIDS) who is waiting for a hospice openingExplanation
A nurse should visit the client with acquired immune deficiency syndrome (AIDS) who is waiting for a hospice opening first because this client likely requires immediate medical attention and support. AIDS is a serious and life-threatening condition, and the client may need assistance with symptom management, emotional support, and coordination of care. The other clients listed also require attention, but their conditions may not be as urgent or critical as the client with AIDS.Rate this question:
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- 24.
What should a nurse bring to the home visit when first going to the apartment of a newly admitted patient whose referral sheet was essentially blank?
- A.
Everything that might possibly be needed
- B.
Liquid soap, paper towels, educational materials, and assessment equipment
- C.
Nothing; the nurse should assess the situation and then get supplies
- D.
Agency forms and a pen
Correct Answer
B. Liquid soap, paper towels, educational materials, and assessment equipmentExplanation
When first going to the apartment of a newly admitted patient whose referral sheet was essentially blank, a nurse should bring liquid soap, paper towels, educational materials, and assessment equipment. This is because the nurse needs to be prepared for any situation and ensure proper hygiene by bringing soap and paper towels. Additionally, educational materials can be used to provide information to the patient and assessment equipment is necessary to gather important health data.Rate this question:
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- 25.
A nurse briefly summarized a home visit with the agency supervisor. How can discussing clients with a colleague help the nurse?
- A.
By ensuring that the agencies policies and procedures are correct
- B.
By confirming the nursing inferences that have been developed
- C.
By ensuring that appropriate referrals are made for the client
- D.
By confirming that the client understands the obligations of the agency
Correct Answer
B. By confirming the nursing inferences that have been developedExplanation
Discussing clients with a colleague can help the nurse by confirming the nursing inferences that have been developed. This means that the nurse can share their observations and assessments with a colleague, who can provide a fresh perspective and offer insights or suggestions that the nurse may not have considered. This can help the nurse validate their own conclusions and ensure that their care plans and interventions are accurate and appropriate for the client's needs. It also promotes collaboration and teamwork, which can enhance the quality of care provided to the client.Rate this question:
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- 26.
After a completing a home visit, which of the following would be the priority action for the nurse?
- A.
Submit the insurance and other third-party payer forms correctly.
- B.
Call the family and determine their satisfaction with the visit.
- C.
Complete the documentation and discuss questions beyond the nurses expertise with a consultant.
- D.
Order the necessary supplies and equipment for the return visit.
Correct Answer
C. Complete the documentation and discuss questions beyond the nurses expertise with a consultant.Explanation
The priority action for the nurse after completing a home visit would be to complete the documentation and discuss questions beyond the nurse's expertise with a consultant. This is important because accurate and timely documentation is crucial for continuity of care and effective communication among healthcare providers. Additionally, discussing questions beyond the nurse's expertise with a consultant ensures that the patient receives appropriate and specialized care. Submitting insurance and other third-party payer forms, calling the family for satisfaction, and ordering necessary supplies and equipment are important tasks but may not be the priority action in this scenario.Rate this question:
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Aug 18, 2023Quiz Edited by
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May 14, 2020Quiz Created by
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