The client is being seen for the first time by the home health nurse.

The client is being seen for the first time by the home health nurse. The nurse determines that the client will need speech therapy, physical therapy, and custodial care several times a week. When can the client’s care begin?

1. As soon as the nurse completes the initial assessment
2. As soon as the client agrees to the care.
3. When the physician signs the plan of care the nurse develops
4. Within 48 hours of the nurse’s visit

ANSWER

Correct Answer: 3
Rationale 1: This intervention identifies but does not initiate client care.
Rationale 2: This intervention shows client involvement in the process but does not initiates client care.
Rationale 3: At the initial visit, the nurse develops a plan of care that identifies the client’s needs. This plan must by reviewed, approved, authorized, and signed by the attending physician before the home health agency providers can continue with services.
Rationale 4: This may be true but initiation is dependent on many other factors.