Exam 51: Community-Based Nursing Practice

The patient is being readmitted to an inner city hospital for chest pain after being discharged 3 months earlier after having a heart attack.The patient was referred to the hospital's cardiac rehabilitation program after her previous admission.The patient states that she began going to cardiac rehabilitation and liked it but stopped.When asked why,she states that,at the beginning,the classes were at 9 AM,but then got switched to 7 PM,when it's dark.The cardiac rehabilitation program was within walking distance of the patient's home.What is the most likely cause of the patient's unwillingness to go to cardiac rehabilitation?

The community has three components: structure or locale,the people,and the social systems.While doing a community assessment,the nurse seeks data on the average household income and the number of residents on public assistance.In doing so,the nurse is evaluating which of the following?

Of the following list of patients,which would be considered at high risk to be members of a vulnerable population?

The nurse is making a home visit to a Korean family whose daughter gave birth 6 weeks earlier.She finds the daughter in bed with a severe headache.The daughter's father is holding her hand and is pressing different parts of the hand and lower arm.The mother explains that the father is trying to cure the headache by using pressure points.The nurse's best response would be to

The student nurse is trying to determine what type of nurse she wants to be after graduation.In class,she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics.The instructor's most appropriate response would be that community health nursing

The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems.The patient,however,receives many visitors from the neighborhood and from former coworkers,as well as frequent phone calls from extended family.When concerned about how the large number of visitors may be fatiguing the patient,the nurse should

Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system.Ideally,health care services

The nurse is working in a community clinic when a man and woman bring a 12 year-old boy in,stating that the child fell down a flight of stairs and hurt his arm.The nurse notices several other bruises on the child's body at varying stages of healing.The boy is placed on the stretcher.When asked how he hurt himself,he states that he does not remember.However,the nurse notices that the boy continuously avoids looking at the man,while the man stares at him constantly.The nurse should

The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks,"Why is it that not all poor people are considered members of vulnerable populations?" The instructor's best answer would be

The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known as _____ nursing.

Community-based nursing requires a strong knowledge base in which of the following?

The patient is in the hospital with the diagnosis of early-onset Alzheimer's disease.Before the patient is discharged,the community-based nurse is making a visit to the patient's home,where he lives with his daughter and her family.A major focus of this visit will be to

Vulnerable populations include those patients who are more likely to develop health problems as a result of

The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion.The nurse provides the patient with information on alternatives to abortion,but after several sessions,the patient still insists on having the abortion.The competency of the counselor requires the nurse to

The community health nurse is administering flu shots to children at a local playground.In doing so,the nurse's focus is on

Public health nursing differs from community health nursing in that public health nursing

The community health nurse differs from the community-based nurse in that the community health nurse

The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention.The nurse does this because

Community-based nursing care takes place in community settings such as the home or a clinic.Ideally,this is done to

A specialist in public health nursing requires