Deck 21: The Nurse-led Health Center: A Model for Community Nursing Practice

Question 1

A nurse executive reports that the nursing center receives reimbursement through contracted rates.Which of the following types of reimbursement mechanism is being used?

A) Fee-for-service
B) Federally Qualified Health Center (FQHC)
C) HMO provider
D) Third-party reimbursement

Answer 1

HMO provider

Question 2

What is the focus of a special care nursing center?

A) A particular demographical group or those with special care needs
B) An affiliation with a school of nursing
C) Providing services while maintaining a not-for-profit status
D) Providing fee-for-service care with designated Health Maintenance Organization (HMO) providers

Answer 2

A particular demographical group or those with special care needs

Question 3

A nursing center is going to be placed in a rural community.Which of the following would have the most power and influence on model development and team composition?

A) The rural community
B) The mayor
C) The nursing executive
D) The center's staff

Answer 3

The rural community

Question 4

Which type of nursing center actively integrates service,education,and research in its model?

A) Special care
B) Free-standing
C) Fee-for-service
D) Academic

Question 5

A nursing student would like to become involved by working at a nursing center.Which of the following would be an appropriate role for a nursing student?

A) Leader
B) Follower
C) Advocate
D) Researcher

Question 6

A nurse executive would like to hire a neighborhood resident who is trained in community outreach to work at the nursing center.Which of the following would most likely be the title of this position?

A) Community health worker
B) Support staff member
C) Clinical specialist
D) Specialty care provider

Question 7

A nurse develops a plan to describe the development and direction of the nursing center and identifies how the center will meet its goals.Which of the following best describes this plan?

A) Feasibility study
B) Business plan
C) Strategic plan
D) Organizational framework

Question 8

Which term addresses the multiple levels of intervention required for bringing about and sustaining change?

A) Community collaboration
B) Community assessment
C) Strategic planning
D) Partnership

Question 9

Which characteristic is common among all nursing centers?

A) Provision of community-based culturally competent care
B) Services provided by physicians and health care providers
C) Focus on the biological factors contributing to the development of disease
D) Fee-for-service reimbursement model

Question 10

A nurse is employed by a nursing center.Which of the following types of services will be provided here?

A) Illness-oriented care
B) Direct access to nursing services
C) Free services
D) Physician diagnosis of health problems

Question 11

Individuals,families,groups,organizations,policy makers,and staff who are involved in community collaboration are known as:

A) nursing center workers.
B) policy makers.
C) stakeholders.
D) diversity.

Question 12

A nurse would like to improve the ability of the nursing center to be responsive to the needs of the community.Which of the following best describes how this can be accomplished?

A) Having staff examine the needs of the community
B) Determining the services to be provided by the center
C) Involving the community in assessing its own needs
D) Addressing the problems in the community

Question 13

A client would like to enroll in a smoking cessation program.Which of the following types of nursing centers would be most likely to provide this type of programming?

A) Academic Nursing
B) Wellness
C) Comprehensive Primary Care
D) Special Care

Question 14

A nurse executive is managing a nursing center.Which of the following would be an expected responsibility of a nurse in this role?

A) Managing the business operations
B) Managing the data systems
C) Providing patient care and referral
D) Overseeing contracts and grants

Question 15

A nurse is working with a group and would like to facilitate successful collaboration.Which of the following would be the most important factor for the nurse to consider?

A) Focus of the group
B) Planned change that will occur
C) Decisions made by executive director
D) Open and frequent communication

Question 16

A nurse needs to make the final decision about establishing a nursing center in the local community.Which of the following factors would be the most important for the nurse to consider?

A) Legal and regulatory considerations
B) Community involvement
C) Nursing interest
D) Potential grant funding

Question 17

Which type of nursing center operates under a service model?

A) Free-standing center
B) Affiliated center
C) Comprehensive primary care center
D) Proprietary

Question 18

What was the overarching concept upon which Healthy People 2020 was built?

A) Establish nursing centers for the purpose of health promotion
B) Create partnerships among individuals, communities, and systems
C) Eliminate disease in lesser-developed countries
D) Further the agenda of the World Health Organization (WHO)

Question 19

A nurse working at a nursing center has been asked to develop materials about a health promotion topic that can be used at the center.Which of the following topics would the nurse most likely select?

A) Advanced care of the chronically ill elderly at home
B) Smoking cessation and weight management techniques
C) How to access specialty services
D) Providing financial support for nursing students

Question 20

A community health center conducts blood lead screenings on a regular basis for children under 6 years old.Which of the following best describes the level of prevention that is being used?

A) Tertiary prevention
B) Primary prevention
C) Secondary prevention
D) Health education

Question 21

A nurse executive publishes information about the effectiveness of a prenatal program.Which of the following describes this essential step of evaluation of this program?

A) Focusing on design
B) Engaging stakeholders
C) Ensuring use and sharing lessons learned
D) Gathering credible evidence

Question 22

A nursing faculty member is discussing the importance of joining a professional organization as a registered nurse with a group of undergraduate students.Which of the following statements would be most appropriate for the faculty member to include in this discussion?

A) "All nurses should be members of the American Nurses Association."
B) "Membership in a professional organization helps nurses organize around critical health issues."
C) "Dues for professional organizations are expensive, so it is important to set aside money to pay these dues."
D) "Membership in a professional organization will foster change in legislation."

Question 23

A nurse has recently completed a research study in a nursing center.Based on the historical pattern of research in nursing centers,what would likely have been the focus of this research?

A) The development and characteristics of nursing centers
B) The effects of nursing models of care in nursing centers
C) Client outcomes
D) Managed competition in nursing centers

Question 24

A nurse is using the Health Insurance Portability and Accountability Act (HIPAA).Which of the following situations is the nurse most likely in?

A) Counseling an employee that his insurance will remain the same after changing jobs
B) Supervising staff to ensure that all work has been completed
C) Adhering to client confidentiality when providing care
D) An employee takes additional time off of work to care for a sick family member

Question 25

A nurse is examining the strengths,limitations,and capacity of an organization and the community to support the establishment and viability of a nursing center.Which of the following best describes what the nurse has completed?

A) Data collection
B) Feasibility study
C) Focus groups
D) Community forums

Question 26

A nurse is looking for financial support when developing a nursing center.Which of the following would be an appropriate source for funding? (Select all that apply.)

A) Grant funding
B) Charitable organizations
C) Private pledges
D) Foundations
E) State and federal agencies

Question 27

A nurse is presenting information to community members about the potential development of a retail care clinic in the neighborhood.Which of the following information would the nurse include in this presentation?

A) These clinics are typically staffed by physicians.
B) These clinics are usually located in community centers.
C) These clinics focus on providing information related to health promotion.
D) These clinics are often owned by for-profit organizations.

Question 28

A nurse is performing the role of researcher in a nurse center.Which of the following types of data would most likely be collected by a nurse in this setting? (Select all that apply.)

A) Client use of services
B) Trends in community characteristics
C) Staff compliance with HIPAA
D) Client satisfaction
E) Morbidity rates