1.
The use of oxygen requires special instruction to prevent fires due to the flammability of O2. All of the following should be instructed except:
Correct Answer
C. Keep the oxygen tubing out of the way under furniture or throw rugs.
Explanation
The use of oxygen requires special instruction to prevent fires due to the flammability of O2. It is important to keep the oxygen system upright to prevent any leaks or accidents. Smoking or allowing others to smoke near the oxygen system should be strictly prohibited as it can lead to ignition. Keeping a fire extinguisher on hand is a good safety practice in case of fire emergencies. However, keeping the oxygen tubing out of the way under furniture or throw rugs can pose a risk as it can become tangled or blocked, potentially causing oxygen flow issues or even a fire hazard.
2.
All of the following are means to prevent falls in the home except:
Correct Answer
A. Wearing slippers
Explanation
Wearing slippers is not a means to prevent falls in the home because slippers can be slippery and increase the risk of falling. The other options mentioned, such as using good transfer techniques, clearing a path, and having bright lighting, are all effective measures to prevent falls in the home.
3.
A home health aide meeting Medicare qualifications must:
Correct Answer
C. Be certified by the state
Explanation
To meet Medicare qualifications, a home health aide must be certified by the state. This means they have undergone the necessary training and have met the requirements set by the state to practice as a home health aide. Being certified ensures that they have the necessary skills and knowledge to provide quality care to patients. The other options mentioned, such as developing a care plan, completing in-service hours, and being able to change Foley catheters, may also be important aspects of a home health aide's job, but they are not specifically required for Medicare qualification.
4.
To "delegate" a task to the aide who is out of their ordinary duties, the RN must:
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above." To delegate a task to an aide who is out of their ordinary duties, the RN must first assess the acuity and stability of the patient to ensure that it is appropriate to delegate the task. The RN must also demonstrate the task to the aide to ensure they understand how to perform it correctly. Finally, the RN must document the demonstrated competency in the patient's record to ensure that it is properly documented for future reference.
5.
All of the following are true about the documentation except:
Correct Answer
C. It is accepted practice to use "white out" when correcting a documentation error.
6.
Appropriate infection control practices are important in the home. The nurse:
Correct Answer
D. Should wash their hands at the beginning and end of the home visit.
Explanation
Infection control practices are crucial in preventing the spread of infections. Washing hands at the beginning and end of a home visit is important because it helps to remove any potential pathogens that may have been picked up during the visit. Wearing gloves is not a substitute for hand hygiene, as gloves can still become contaminated and can also transmit pathogens. Setting the nursing bag directly on the floor, even if it is clean, can still introduce contaminants onto the bag and potentially spread them to other surfaces. Therefore, the nurse should prioritize hand hygiene to maintain a safe and clean environment.
7.
Good coordination of care promotes good patient outcomes. The case manager:
Correct Answer
C. Is a patient advocate, intervening for the patient when he/she is unable to do so.
Explanation
The correct answer is "Is a patient advocate, intervening for the patient when he/she is unable to do so." This answer is supported by the statement that good coordination of care promotes good patient outcomes. Being a patient advocate involves advocating for the patient's needs and preferences, ensuring that their voice is heard and respected in the coordination process. This role includes intervening on behalf of the patient when they are unable to advocate for themselves, such as in times of vulnerability or when facing barriers to accessing care.
8.
Each patient must have a comprehensive assessment. All of the following are on the assessment except for:
Correct Answer
C. Consent for treatment
Explanation
A comprehensive assessment of a patient involves evaluating various aspects of their health and well-being. This includes assessing their nutritional needs, presence of pain, and the condition of their environment. However, consent for treatment is not part of the assessment process. While consent is important in providing medical care, it is a separate process that occurs before any treatment is administered. Therefore, it is not included in the comprehensive assessment of a patient.
9.
The OASIS questions are part of the comprehensive assessment. The OASIS questions are complete on the following schedule except for:
Correct Answer
C. Every 90 days that the patient is active with the agency
Explanation
The correct answer is "Every 90 days that the patient is active with the agency." This means that the OASIS questions are not completed every 90 days when the patient is active with the agency. The OASIS questions are completed on admission, following a significant change in condition, and on discharge.
10.
In thinking about the learning habits of adults, the nurse knows that:
Correct Answer
C. The nurse can influence the patient's "readiness to learn."
Explanation
The nurse can influence the patient's "readiness to learn" because adults have different motivations and learning preferences. By understanding the patient's readiness to learn, the nurse can tailor the teaching strategies and create a conducive learning environment to enhance the patient's learning experience. This can include assessing the patient's level of motivation, addressing any barriers to learning, and adapting teaching methods to suit the patient's individual needs and preferences.