During the first home care visit, the nurse determines that the client needs speech therapy, physical therapy, and custodial care several times a week. When should the nurse schedule the client's care to 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
Correct Answer: 3
Rationale 1: Completing the initial assessment identifies but does not initiate client care.
Rationale 2: The client agreeing to care indicates the client's involvement in the process but does not initiate 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: Care might begin within 48 hours but initiation is dependent on many other factors.
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