The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?
Has limited vision at night when out of the home
Is bedridden and requires assistance to get into a wheelchair
Lives alone in a private residence with children about 5 miles away
Would require a taxing effort to leave the home for a prescribed event
The Correct Answer is D
A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
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.
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