The nurse recognizes which of the following as the largest contributing factor for the rise in the need and use of home care?
1. Government funding of the home care setting has increased greatly.
2. Clients are more acutely ill when discharged from the acute care facility.
3. There are 7 days/week services for the elderly in home care agencies.
4. The existence of more single-income families has increased the need for their el-derly relatives to receive care in the home.
ANSWER
ANS: 2
Because hospital stays are being shortened to control health care costs, clients are returning home more acutely ill. This is the largest contributing factor for the rise in the need and use of home care. Government funding of home care is not the largest contributing factor for the rise in the need and use of home care. There are 7 days/week services for the elderly in a variety of settings, such as in acute care or long-term care, not just in the home care setting. Being able to provide daily services for the elderly in the home care setting is not the largest contributing factor for the rise in the need and use of home care. The existence of more single-income families is not the largest contributing factor for the rise in the need and use of home care.
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