Question 1

A community health nurse is using the goals of the Healthy People 2020 to focus care.Which goal is the priority?

Accepted Answer

A)  To increase the life expectancy of people in the United States 
B)  To increase the health status of people throughout the world 
C)  To eradicate the human immunodeficiency virus (HIV) 
D)  To reduce health care costs 
A)  To increase the life expectancy of people in the United States 
B)  To increase the health status of people throughout the world 
C)  To eradicate the human immunodeficiency virus (HIV) 
D)  To reduce health care costs A

Question 2

A community health nurse is assessing the structure of a community.Which component will the nurse assess?

Accepted Answer

A)  Available health systems 
B)  Available colleges and schools 
C)  Geographical boundaries 
D)  Predominant religious groups 
A)  Available health systems 
B)  Available colleges and schools 
C)  Geographical boundaries 
D)  Predominant religious groups C

Question 3

A nurse is performing a community assessment.Which areas should the nurse include? (Select all that apply.)

Accepted Answer

A)  Structure 
B)  Population 
C)  Social systems 
D)  Environment 
E)  Vital signs 
A)  Structure 
B)  Population 
C)  Social systems 
D)  Environment 
E)  Vital signs A,B,C

Question 4

A nurse notices that a particular area of the community had food poisoning.The nurse collected data from the people who were affected,identified a local restaurant that served all the people,and determined it was the chicken dish that caused the poisoning.Which community health nurse competency did the nurse demonstrate?

Accepted Answer

A)  Public health 
B)  Educator 
C)  Epidemiologist 
D)  Case manager 
A)  Public health 
B)  Educator 
C)  Epidemiologist 
D)  Case manager

Question 5

A nurse wants to use the most important competency in community nursing.Which competency should the nurse use?

Accepted Answer

A)  Caregiver 
B)  Case manager 
C)  Educator 
D)  Epidemiologist 
A)  Caregiver 
B)  Case manager 
C)  Educator 
D)  Epidemiologist

Question 6

A nurse is practicing as a community health nurse.What is the primary focus of care for this nurse?

Accepted Answer

A)  Providing care to subpopulations 
B)  Practicing care in existing services 
C)  Being a specialist in public health science 
D)  Having a case management certification 
A)  Providing care to subpopulations 
B)  Practicing care in existing services 
C)  Being a specialist in public health science 
D)  Having a case management certification

Question 7

A community health nurse is caring for vulnerable populations.The nurse is caring for which patients? (Select all that apply.)

Accepted Answer

A)  Patients living at home 
B)  Patients with abusive habits 
C)  Immigration patients 
D)  Middle-aged patients 
E)  Patients living in poverty 
A)  Patients living at home 
B)  Patients with abusive habits 
C)  Immigration patients 
D)  Middle-aged patients 
E)  Patients living in poverty

Question 8

A nurse in community-based practice needs a variety of skills and talents while rendering care to patients in the community.Which are competencies of the community health nurse? (Select all that apply.)

Accepted Answer

A)  Case manager 
B)  Care giver 
C)  Educator 
D)  Advocate 
E)  Counselor 
A)  Case manager 
B)  Care giver 
C)  Educator 
D)  Advocate 
E)  Counselor

Question 9

Upon assessment the nurse finds the following: a 46-year-old immigrant patient from the Czech Republic has diabetes and hypertension and just recently moved in to live with a family member who must travel frequently.The patient speaks English very well.The community health nurse knows that this patient may be vulnerable because of which assessment finding?

Accepted Answer

A)  Age 
B)  Immigration status 
C)  Diabetes 
D)  Language 
A)  Age 
B)  Immigration status 
C)  Diabetes 
D)  Language

Question 10

The teen pregnancy rate in one community significantly increased; as a result,the school system was seeing an increase in the dropout rate of teenage mothers.A nurse recently worked with the local school system to develop a day care program for the children of high school students so that they could return to school.Which technique did the nurse use?

Accepted Answer

A)  Incorporating immunizations for the infants and mothers 
B)  Responding to changes within the community 
C)  Influencing chronic environmental factors 
D)  Managing disease 
A)  Incorporating immunizations for the infants and mothers 
B)  Responding to changes within the community 
C)  Influencing chronic environmental factors 
D)  Managing disease

Question 11

A student nurse is beginning the community-based primary care rotation.The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?

Accepted Answer

A)  An acute care hospital 
B)  A rehabilitation hospital 
C)  A nursing home 
D)  A high school 
A)  An acute care hospital 
B)  A rehabilitation hospital 
C)  A nursing home 
D)  A high school

Question 12

A community-based nurse is working with a family.The nurse needs to be knowledgeable in what key areas? (Select all that apply.)

Accepted Answer

A)  Family theory 
B)  Group dynamics 
C)  Political affiliations 
D)  Cultural diversity 
E)  Communication principles 
A)  Family theory 
B)  Group dynamics 
C)  Political affiliations 
D)  Cultural diversity 
E)  Communication principles

Exam 4: Community-Based Nursing Practice

A community health nurse is using the goals of the Healthy People 2020 to focus care.Which goal is the priority?

A community health nurse is assessing the structure of a community.Which component will the nurse assess?

A nurse is performing a community assessment.Which areas should the nurse include? (Select all that apply.)

A nurse wants to use the most important competency in community nursing.Which competency should the nurse use?

A nurse is practicing as a community health nurse.What is the primary focus of care for this nurse?

A community health nurse is caring for vulnerable populations.The nurse is caring for which patients? (Select all that apply.)

A nurse in community-based practice needs a variety of skills and talents while rendering care to patients in the community.Which are competencies of the community health nurse? (Select all that apply.)

A student nurse is beginning the community-based primary care rotation.The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?

A community-based nurse is working with a family.The nurse needs to be knowledgeable in what key areas? (Select all that apply.)

The Nursing Profession

Health and Wellness

The Health Care Delivery System

Legal Principles in Nursing

Ethics

Evidence-Based Practice

Critical Thinking

Nursing Process

Informatics and Documentation

Communication

Patient Education

Managing Patient Care

Infection Prevention and Control

Vital Signs

Health Assessment and Physical Examination

Administering Medications

Fluid,Electrolyte,and Acid-Base Balances

Caring in Nursing Practice

Cultural Awareness

Spiritual Health

Growth and Development

Self-Concept and Sexuality

Family Context in Nursing

Stress and Coping

Loss and Grief

Exercise and Activity

Safety

Hygiene

Oxygenation

Sleep

Pain Management

Nutrition

Urinary Elimination

Bowel Elimination

Immobility

Skin Integrity and Wound Care

Sensory Alterations

Surgical Patient

Filters