Deck 25: Assessing the Patients Environment

Question 1

Which question is appropriate for the nurse to ask when assessing the health status/behavior of the community environment?

A) What is the incidence of hypertension?
B) What is the incidence of high cholesterol?
C) Are there at-risk groups within the community?
D) What is the quality of the soil?

Answer 1

What is the quality of the soil?

Question 2

The nurse is conducting a medication assessment for a patient who was discharged from the hospital after a new diagnosis of congestive heart failure (CHF). Which question is aimed to assess polypharmacy?

A) "Are you able to take your own medications as prescribed?"
B) "Do you take any over-the-counter medications on a normal basis?"
C) "Where do you store your medications?"
D) "Are you able to open the medication containers without assistance?"

Answer 2

"Do you take any over-the-counter medications on a normal basis?"

Question 3

The nurse is conducting a medication assessment during a home care visit. Which question is used to assess the patient's ability to pay for medications?

A) "Do you take any herbal medications?"
B) "Are you able to open all of your medication containers?"
C) "Where do you discard the syringes used to administer your insulin?"
D) "Do you have health insurance?"

Answer 3

"Do you have health insurance?"

Question 4

The nurse is conducting a home safety visit for a patient who was discharged from the hospital with portable oxygen. Which finding would require the nurse to intervene?

A) Having functional smoke detectors on both floors of the home
B) Having a fire extinguisher accessible in the kitchen
C) Having a carbon monoxide detector on the first floor of the home
D) Having a spouse who smokes in the house in the evening

Question 5

Which question is appropriate for the nurse to ask when assessing community values?

A) Who communicates with whom?
B) Does the community have any traditions?
C) What are means of communication?
D) Is communication horizontal or vertical?

Question 6

Which is the priority assessment during the first home care visit for a new patient?

A) Activities of daily living (ADLs)
B) Basic needs
C) Safety
D) Support systems

Question 7

Which question is most appropriate when assessing the patient's self-actualization and self-esteem needs?

A) "How often do your family members visit you?"
B) "Are you able to get your mail from the box at the end of the driveway?"
C) "Do you enjoy reading or listening to music?"
D) "Is your phone easily accessible?"

Question 8

Which is an example of a patient who would receive a primary-level home visit?

A) A postpartum visit to a new mother and newborn after discharge from the hospital.
B) A patient newly diagnosed with diabetes mellitus requiring medication teaching after discharge from the hospital.
C) A patient discharged from the hospital with a new diagnosis of congestive heart failure.
D) A patient discharged from the hospital after an exacerbation of chronic obstructive pulmonary disease.

Question 9

When conducting a home assessment for an older adult patient the nurse determines that the patient spends 20 hours per day in bed. Based on this data, which is the priority risk for this patient?

A) Risk for falls
B) Risk for skin breakdown
C) Risk for impaired nutrition
D) Risk for isolation

Question 10

Which question is appropriate when the nurse is assessing the nonverbal communication of the community?

A) How do people respond to outsiders?
B) Who communicates with whom?
C) What are means of communication?
D) Is communication horizontal or vertical?

Question 11

The nurse is assessing the home for a patient who has difficulty with vision. Which recommendation is appropriate for this patient to enhance communication with family and friends?

A) Nightlights in the hallways and bathroom
B) Disposal of throw rugs
C) Large lettering on medication containers
D) A phone with oversized numbers

Question 12

The nurse is assessing a patient's home for safety. Which would place the patient at risk for crime or injury?

A) A phone that is readily accessible to make emergency calls.
B) A firearm that is secured in a lock box with ammunition stored separately.
C) Toxic cleaning solutions that are properly labeled and stored out of reach of small children.
D) Several windows without properly working locks.

Question 13

Which question is most appropriate when assessing a patient's ability to maintain follow-up care with the primary care physician?

A) "How often does your family visit you?"
B) "How often do you attend church?"
C) "Is there anyone who can help you care for your pet?"
D) "Is there anyone who can assist you with transportation?"

Question 14

The nurse is conducting a home care assessment for a patient who was recently discharged from the hospital after being treated for pneumonia. Which question is asked to assess the patient's risk for impaired skin integrity?

A) "Do you have clean clothes to wear?"
B) "Who is responsible for doing the laundry?"
C) "Do your clothes properly fit?"
D) "Do you require assistance when dressing?"

Question 15

The home care nurse is teaching the family of an older adult patient methods to enhance safety when using the stairs. Which statement by the family member indicates appropriate understanding of the information presented?

A) "We will pick up the throw rugs that are in the hallway upstairs."
B) "We will clearly mark the first and last step of the stairs."
C) "We will make sure that there is a nightlight in the hallway and in the bathroom."
D) "We will make sure that the kitchen chairs are sturdy."

Question 16

The nurse is assessing a patient's physical needs. Which question is appropriate when assessing nutrition?

A) "Who prepares your meals?"
B) "Are you able to properly care for your teeth?"
C) "Do you take any over-the-counter medications?"
D) "Do you ever feel like skipping meals during the day?"

Question 17

The nurse is conducting a home care assessment for a patient who was recently discharged from the hospital. Which question will assess safety needs regarding elimination?

A) "Is your bathroom accessible?"
B) "Do you have grab bars installed by the toilet?"
C) "Do you get up often in the middle of the night to use the toilet?"
D) "Do you require help with hygiene after using the toilet?"

Question 18

Which question is appropriate for the nurse to ask when assessing the health status or health behaviors of the people within the community?

A) What is the quality of the air?
B) What is the quality of the food?
C) What is the relationship between birth and death rates?
D) Is the water public or well?

Question 19

The nurse is conducting a home assessment for a patient diagnosed with advanced Alzheimer disease. The caregiver states, "Sometimes I don't hear my dad in the middle of the night and that is what caused the fall." Based on this data, which will the nurse recommend?

A) Adult daycare
B) Respite care
C) Placement in a long-term care facility
D) Purchase of an intercom system

Question 20

The nurse is assessing the environment of a patient who was recently discharged from the hospital. Which finding would require the nurse to intervene?

A) Use of nightlights in the hallways and bathroom
B) Grab bars installed near the toilet and in the bathtub
C) Extension cords in the hallway to the kitchen
D) Stairway is clear of clutter

Question 21

Which question will the nurse ask when assessing the patient's environment for mobility/fall prevention?

A) Does the patient use assistive devices correctly?
B) Are there working smoke detectors in the home?
C) Is there a fire extinguisher in the home?
D) Is there an escape plan in case of a fire?

Question 22

Which question is appropriate for the nurse to ask when assessing the physical characteristics of a community?

A) What are the neighboring areas to the community?
B) What is the purpose of the community?
C) What are the community's demographics?
D) What is the predominant religion within the community?

Question 23

Which assessment finding would indicate the need for an assistive device?

A) The patient is taking several over-the-counter medications.
B) The patient stores medications out of reach of a toddler-age grandchild.
C) The patient disposes of an insulin syringe and needle in a portable sharps container.
D) The patient is unable to accurately pour liquid medications as prescribed.

Question 24

Which types of boundaries will the nurse assess for when conducting a community assessment? Select all that apply.

A) Real
B) Concrete
C) Residential
D) Conceptual
E) Religious

Question 25

The nurse is assessing the patient's physical need for sleep. Which question would best assess safety risks for this patient?

A) "Where does the patient sleep?"
B) "How many hours does the patient spend in bed each day?"
C) "Are bed rails needed for the patient?"
D) "Does the patient have privacy for sleeping?"

Question 26

Which question is appropriate for the nurse to ask when assessing fire/burn prevention within the patient's home?

A) Does the patient use assistive devices correctly?
B) Is there a smoke detector in the home?
C) Are there working locks on the windows and doors?
D) Is the patient able to make an emergency call?

Question 27

Which health practice is affected by religion within the community?

A) Treatment for dementia
B) Insulin therapy for diabetes mellitus
C) Treatment for myocardial infarction
D) Contraception for prevention of pregnancy

Question 28

The nurse determines that a community has a low socioeconomic status. Based on this data, which conclusions are appropriate? Select all that apply.

A) A decreased ability to seek preventive health care
B) An increased morbidity rate
C) A decreased mortality rate
D) A decreased risk for musculoskeletal disorders
E) An increased risk for stress-related disorders

Question 29

The nurse is assessing the patient's ability to properly dispose of insulin needles after use. Which finding would cause the nurse to provide additional teaching?

A) Needle disposal in a sharps container
B) Needle disposal in an empty plastic bleach bottle
C) Needle disposal in a trash bag
D) Needle disposal in a portable sharps container

Question 30

Which questions are appropriate for the nurse to ask when assessing the internal functions of a community? Select all that apply.

A) How much of the community's budget is allocated for healthcare services?
B) How many healthcare facilities are available in the community?
C) Is access to services adequate?
D) What is the organizational structure of the community?
E) How are decisions made in the community?

Question 31

The nurse concludes that the majority of people within the community are employed in blue-collar occupations. Which will the people of the community be at an increased risk for based on this data?

A) Mortality
B) Musculoskeletal injury
C) Stress-related disorder
D) Morbidity

Question 32

During a community assessment the nurse asks, "What and how many healthcare facilities are available within the community?" Which is the rationale for the nurse asking this question?

A) Identifies value of healthcare services
B) Identifies need for external funding
C) Determines availability of healthcare facilities
D) Determines whether services meet community needs

Question 33

Which questions are appropriate for the nurse to ask when assessing physical characteristics when conducting a community assessment? Select all that apply.

A) What is the geographic description of the community?
B) What is the criteria for membership in the community?
C) How old is the community?
D) What are the community's demographics?
E) What are the neighboring areas?

Question 34

Which psychosocial characteristics will the nurse include when conducting a community assessment? Select all that apply.

A) Religion
B) Socioeconomic class
C) Level of education
D) Occupations
E) Demographics

Question 35

Which questions are appropriate for the nurse to ask when assessing the human services available within the community? Select all that apply.

A) How much of the community's budget is allocated for healthcare services?
B) How many healthcare facilities are available in the community?
C) Is access to services adequate?
D) What is the organizational structure of the community?
E) How are decisions made in the community?

Question 36

The nurse is assessing the patient's ability to self-administer medication. Which finding would cause the nurse concern?

A) Dementia
B) Diabetes mellitus
C) Hypertension
D) Anxiety

Question 37

Which questions will the nurse ask when assessing boundaries during a community assessment? Select all that apply.

A) What is the geographic description of the community?
B) What is the criteria for membership in the community?
C) How old is the community?
D) What are the community's demographics?
E) What are the neighboring areas?