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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. A 72-year-old client with a leg cast may need short-term care or rehabilitation rather than long-term placement in an assisted living community.
B. An 86-year-old client with poor vision who lives alone would benefit from an assisted living community, as these facilities can provide assistance with daily activities and offer safety and social support.
C. An 82-year-old client with terminal lung cancer who is on hospice would be more appropriately placed in a hospice care setting rather than assisted living, as hospice care focuses on end-of-life care.
D. A 78-year-old client who is bedridden following a stroke would require a higher level of care than what is typically provided in an assisted living community and might be better suited for a skilled nursing facility.

A. Quaternary prevention B. Tertiary prevention C. Primary prevention D. Secondary prevention

Correct Answer is D

Explanation

A. Quaternary prevention aims to avoid unnecessary interventions and harm, rather than focusing on early detection and treatment.
B. Tertiary prevention involves managing and reducing the impact of an existing condition, rather than early detection.
C. Primary prevention focuses on preventing the onset of disease by addressing risk factors before disease occurs.
D. Secondary prevention involves early detection and prompt treatment of diseases or conditions to prevent further progression, such as through screening and early intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case management nurse is evaluating clients for placement in various facilities. Which client would the nurse determine to be the most appropriate candidate for an assisted living community?

Correct Answer is B

Explanation

Which level of prevention focuses on early detection and prompt treatment of a disease or condition to prevent further progression?

Correct Answer is D

Explanation

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