Week 1: chapter 5

Question 1

The Canada Health Act (1984) sets the requirements that must be met by all provinces and territories in or to ensure:
a. Reasonable access to medically necessary hospital and doctors’ services anywhere in Canada
b. Reasonable access to all services related to healthcare anywhere in Canada
c. Reasonable access to medically necessary hospital, doctors’ and nurses’ services anywhere in
Canada
d. Reasonable access to medically necessary hospital nurses’ services anywhere in Canada

Answer 1

a. Reasonable access to medically necessary hospital and doctors’ services anywhere in Canada

Question 2

According to the Canada Health Act (1984), home care is recognized as:
a. An essential service that is insured under the Canada Health Act
b. An extended health service that is not insured under the Canada Health Act
c. An essential service but the principles of the Canada Health Act do not apply
d. An extended health service but the principles of the Canada Health Act do apply

Answer 2

b. An extended health service that is not insured under the Canada Health Act

Question 3

Which of the following statements best reflects the definition of home health nursing:
a. Home health nursing focuses on the provision of care to only chronically ill patients of all ages
b. Home health nurses work in isolation from other health care providers
c. Home health nursing is delivered in the client’s home, school, workplace or other setting that
requires nurses to travel from place to place to care for individuals
d. Home health nursing focuses on health promotion initiatives only

Answer 3

c. Home health nursing is delivered in the client’s home, school, workplace or other setting that
requires nurses to travel from place to place to care for individuals

Question 4

According to the Ontario Home Care Association (2011), the unique contribution of home health nurses is their ability to:
a. Combine knowledge from primary health care, nursing science, and social science to focus on prevention of health deterioration and health restoration
b. Combine knowledge from secondary health care and social science to focus on health maintenance and end of life care
c. Combine knowledge from medical science and nursing science to work on the pathophysiology of illness in the home environment
d. Combine knowledge from secondary health care to work with well populations in the community

Answer 4

a. Combine knowledge from primary health care, nursing science, and social science to focus on prevention of health deterioration and health restoration

Question 5

In 2010, what percentage of registered nurses were home health nurses?
a. Less than 1%
b. More than 20%
c. More than 30%
d. Less than 5%

Answer 5

d. less than 5%

Question 6

Which of the following is true of the features of home health nursing?
a. Home health nurses work on their terms with clients and families
b. Home health nurses do not need to know about cultural diversity as they work with the same
clients over time
c. Home health nurses experience both rewards and challenges
d. Home health nurses identify their own needs for the client

Answer 6

c. Home health nurses experience both rewards and challenges

Question 7

What is the primary area of focus for home health nurses?
a. Disease and injury prevention
b. Policy development
c. Program planning for health and wellness
d. Treatment of diseases or conditions

Answer 7

d. Treatment of diseases or conditions

Question 8

The Competencies for Home Health Nursing place a strong emphasis on the highly independent and autonomous, flexible, and adaptive nature of home health nursing in the context of:
a. Being a guest in the home
b. Being the expert in the home
c. Being the most qualified health professional in the home
d. Being licensed to practice in the home

Answer 8

a. Being a guest in the home

Question 9

An important role of the home health nurse is to assess the family’s coping. It continues to be an expectation that
a. Only Registered Nurses and Licensed Practical Nurses will provide care in the home
b. Friends who can help may not do so as they are under qualified
c. Family and friends will provide care to supplement the care provided by home health nurses
d. Family hire additional care providers as home health nurses have minimal time

Answer 9

c. Family and friends will provide care to supplement the care provided by home health nurses

Question 10

which document introduced concepts such as protected job leaves, caregiver allowance and tax credits as provinces and territories shift to home-based care?
a. The Canada Health Act
b. The Romanow Report
c. The Declaration of Alma Ata
d. The Kirby Report

Answer 10

d. The Kirby Report

Question 11

In 2008, how many people across Canada purchased home care privately?
a. 3.5 million
b. 5.5 million
c. 0.5 million
d. 8.5 million

Answer 11

c. 0.5 million

Question 12

The diversity of home visiting interventions carried out by home health nurses can:
a. Decrease functional status and mortality rates
b. Increase depression and functional status
c. Favourably affect health and functional status
d. Decreased functional status and quality of life

Answer 12

c. Favourably affect health and functional status

Question 13

What proportion of home care clients have wound care needs?
a. One third to one half
b. One quarter to one third
c. Three quarters
d. Half to three quarters

Answer 13

b. One quarter to one third

Question 14

Wound care can range from basic to very complex care and is related primarily to six diagnoses. Which of the following is one of these six diagnoses?
a. Arterial leg ulcers
b. Medial wounds
c. Pilonidal sinuses
d. Diabetic arm ulcers

Answer 14

c. Pilonidal sinuses

Question 15

The home health nurse works with many clients who are dealing with end-of-life issues. In these cases, the role of the home health nurse is to:
a. Provide palliative care
b. Liaise with the funeral home
c. Psychological support for members of the health care team
d. Medication pain management for family members

Answer 15

a. Provide palliative care

Question 16

what must home health nurses do in order to achieve positive health outcomes of their clients?
a. Limit the number of student nurses in home health settings
b. Work collaboratively with other members of the health team
c. Include family members only when medically necessary
d. Communicate only with other members of the health team

Answer 16

b. Work collaboratively with other members of the health team

Question 17

where does funding for home health nursing come from?
a. The national health budget
b. Private companies
c. It differs by province
d. Only through the provincial health budget

Answer 17

c. it differs by province

Question 18

what does the home health nurse’s workload depend on?
a. The clients with the same condition who require the same nursing care
b. The number of clients in the same neighbourhood
c. The type of clients who request the nurse
d. The clients condition and the nursing care required

Answer 18

d. The clients condition and the nursing care required

Question 19

Priya is a home health nurse working with a palliative patient. In oder to demonstrate professional responsibility and accountability, Priya should do which of the following?
a. Speak with the client about their end-of-life care wishes
b. Speak with only the doctor about what type of end-of-life care should be implemented
c. Speak with individual family members about their personal wishes for their own end-lifecare

Answer 19

a. Speak with the client about their end-of-life care wishes

Question 20

Why is it important to articulate the contributions of nurses in home health? a. Because the population is decreasing in age
b. Because there are more regulated workers in the home setting
c. Because there are more unregulated workers in the home setting
d. Because there are too many registered nurses in the home setting

Answer 20

c. Because there are more unregulated workers in the home setting

Question 21

Over the last 10 years, nursing outcomes for home health have been captured through “health Outcomes for Better Information and Care.” One of the uses is to better assess the needs of clients. This is important because:
a. We can identify resources in other countries that we can copy
b. We can identify which types of people our clients need to avoid
c. We can determine different types of unhealthy snack food are okay to eat
d. We can develop ongoing connections with primary health providers

Answer 21

d. We can develop ongoing connections with primary health providers

Question 22

There is some evidence that home health nurses play a major role in health promotion at the individual level. This is due to:
a. Providing health assessment, support, and access to resources through regular home visits
b. Providing health interventions and support based on nurse led initiatives
c. Providing access to resources though irregular home visits
d. Providing health assessment and mediocre interventions that not all team members agree on

Answer 22

a. providing health assessment, support, and access to resources through regular home visits

Question 23

There is some evidence that home health nurses play a major role in health promotion at the individual level. This is due to:
a. Providing health assessment, support, and access to resources through regular home visits
b. Providing health interventions and support based on nurse led initiatives
c. Providing access to resources though irregular home visits
d. Providing health assessment and mediocre interventions that not all team members agree on

Answer 23

c. Providing access to resources though irregular home visits

Question 24

Which of the following is the most important part of the care delivered in home health?
a. Identifying evidence that only relates to the experience of colleagues
b. Evidence-informed decision making
c. Basing evidence on the client experience
d. Using research evidence only

Answer 24

b. Evidence-informed decision making

Question 25

What is required in order to maintain high-quality clinical care and a positive work environmentin home health?
a. A suggestion box and complaint phone line
b. Appropriate vehicles to reach various clients
c. Appropriate support and infrastructure
d. Enough time to fit in breaks daily

Answer 25

c. appropriate support and infrastructure