The nurse learns that two new home care agencies are opening in a community. What should the nurse consider as reasons why home care agencies are increasing in numbers?
1. The need for custodial care
2. Third-party payers who support cost control measures
3. The increase in the older adult population
4. The decreasing need for acute care
5. The focus on the needs of the community
Correct Answer: 2, 3
Rationale 1: A common misconception about home health nursing is that it is custodial in its scope of practice.
Rationale 2: Factors that have contributed to the growth of home care services include third-party payers that favor home care to control costs.
Rationale 3: Factors that have contributed to the growth of home care services include the increase in the older population.
Rationale 4: Acute care has not decreased, but the length of stay in acute care has.
Rationale 5: The focus of home health care nursing is individuals and their families.
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