A clinic nurse is providing care for a 65-year-old woman diagnosed with chronic heart failure. Despite receiving optimal medical treatment, the client frequently experiences exacerbations that result in hospitalizations. During a routine clinic visit, the nurse emphasizes the significance of tertiary prevention strategies with the client. Which intervention demonstrates tertiary prevention and would offer the most benefit for managing the client's condition?

Teaching the client's family about the signs of worsening heart failure and when to contact the healthcare provider

Educating the client about medication side effects

Administering the influenza vaccine to the client

Educating the client about dietary modifications to manage heart failure symptoms

Answer and Explanation

The Correct Answer is A

A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.

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Correct Answer is B

Explanation

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

A. It is used by state governments to verify Medicare status of clients receiving care in the home. B. It is a form designed by Medicare to be used on all clients receiving services of any kind. C. It is used to determine how Medicare reimburses agencies for services provided. D. It is a framework for Medicare-sponsored agencies to use to assign healthcare personnel.

Correct Answer is C

Explanation

A. The OASIS is not used by state governments to verify Medicare status; it is used for assessing clients' needs and outcomes.
B. The OASIS is specific to home health care and not designed for all clients receiving any kind of service.
C. The OASIS is crucial for determining Medicare reimbursement rates for home health care services, making accuracy important for financial and care planning.
D. The OASIS is not a framework for assigning healthcare personnel; it is used for assessing patient outcomes and care needs.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

The nurse is completing an Outcome and Assessment Information Set (OASIS) for a client who is on Medicare. Which of the following statements would describe the importance of accuracy in completing this form?

Correct Answer is C

Explanation

A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier?

A nurse is visiting a client in the home to assess for potential safety risks. Which of the following findings would the nurse identify as being risks to the client's safety? (Select all that apply)

What level of prevention does the nurse achieve by conducting a walk-through to identify workplace hazards?

A community health nurse reviews Healthy People 2030 when considering the health needs that will be addressed in the community. Which goal would the document include?

A hospice nurse educator is instructing nursing staff on providing fundamental care and comfort for hospice clients. The educator would recognize effective staff if they correctly identify which of the following interventions as essential for comfort and care?

The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)