Deck 29: Private Settings
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Deck 29: Private Settings
1
After reviewing the history of nurse-led models, the instructor determines that the teaching was successful when the students identify which decade as the beginnings of today's model?
A) 1920s
B) 1940s
C) 1960s
D) 1980s
A) 1920s
B) 1940s
C) 1960s
D) 1980s
1960s
2
When teaching about nurse-managed health centers to a group of students, which would the instructor highlight as a unique to the health care delivery system?
A) Use as a vital safety-net health care provider
B) An alternative to primary care for insured persons
C) Focus on the individual in the community
D) Affiliation with a local acute care facility
A) Use as a vital safety-net health care provider
B) An alternative to primary care for insured persons
C) Focus on the individual in the community
D) Affiliation with a local acute care facility
Use as a vital safety-net health care provider
3
After describing the various models for nurse-managed health centers, the instructor determines that the student understand the information when they identify which organization structure as being partnered legally with a human services organization?
A) Academic nursing center
B) Freestanding center
C) Subsidiary center
D) Affiliated center
A) Academic nursing center
B) Freestanding center
C) Subsidiary center
D) Affiliated center
Affiliated center
4
Which statement about the focus of nurse-led health centers is most accurate?
A) The focus is providing clinical experiences for nursing students.
B) They are truly community oriented.
C) They all have the same practice models.
D) They only focus on health promotion and wellness.
A) The focus is providing clinical experiences for nursing students.
B) They are truly community oriented.
C) They all have the same practice models.
D) They only focus on health promotion and wellness.
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5
A nursing instructor is preparing a group of students for a clinical rotation in a nurse-led health center. Which would the instructor include when describing the students' role?
A) Clinical supervision
B) Passive participation
C) Use of tertiary level activities
D) Change agent
A) Clinical supervision
B) Passive participation
C) Use of tertiary level activities
D) Change agent
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6
Which source of funding for services provided in a comprehensive primary care center would be the most likely?
A) Government grants
B) Medical insurance plans
C) Another nurse-managed care center
D) Private contracts
A) Government grants
B) Medical insurance plans
C) Another nurse-managed care center
D) Private contracts
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7
Which criterion must a nurse-managed health center meet to ensure designation as a Federally Qualified Health Center?
A) Located in a densely populated area
B) For- profit status
C) Consumers comprise the majority of the board of directors
D) Care provision to women and children exclusively
A) Located in a densely populated area
B) For- profit status
C) Consumers comprise the majority of the board of directors
D) Care provision to women and children exclusively
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8
Which statement about funding sources for nurse-managed health clinics is most accurate?
A) All nurse-managed health clinics can be reimbursed by Medicaid and managed care medical insurance plans.
B) Grants can be used as a source of initial start up funding and/or to support ongoing activities.
C) It is common for nurse-managed health clinics to receive funding from one primary source.
D) Contracts are awarded based on competition and are renewable when goals and objectives are not met.
A) All nurse-managed health clinics can be reimbursed by Medicaid and managed care medical insurance plans.
B) Grants can be used as a source of initial start up funding and/or to support ongoing activities.
C) It is common for nurse-managed health clinics to receive funding from one primary source.
D) Contracts are awarded based on competition and are renewable when goals and objectives are not met.
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9
After discussing nurse-managed care centers with a group of community health nursing students, the instructor determines that the teaching was effective when the students identify which action as one of the main challenges?
A) Ensuring adequate populations for services
B) Exerting a positive influence on community's health
C) Continuing services after funding has stopped
D) Managing the multitude of services provided
A) Ensuring adequate populations for services
B) Exerting a positive influence on community's health
C) Continuing services after funding has stopped
D) Managing the multitude of services provided
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10
In a nurse-led health clinic, which party is usually required to describe detailed plans for sustainability after the award period ceases?
A) The client
B) The funder
C) The providing organization
D) The insurer
A) The client
B) The funder
C) The providing organization
D) The insurer
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11
Which statement about faith community nursing is most accurate?
A) Nurses are uniquely able to focus on the spiritual influences on health.
B) Faith community nursing is one of the newest nursing specialties and one of the oldest means of health care delivery.
C) Faith community nursing is restricted to Christian religious institutions in the United States.
D) For hundreds of years, deaconesses, sisters, and lay members of religious communities have been engaged in health promotion.
A) Nurses are uniquely able to focus on the spiritual influences on health.
B) Faith community nursing is one of the newest nursing specialties and one of the oldest means of health care delivery.
C) Faith community nursing is restricted to Christian religious institutions in the United States.
D) For hundreds of years, deaconesses, sisters, and lay members of religious communities have been engaged in health promotion.
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12
A community health nursing instructor is developing a class plan about faith community nursing for a group of community health nursing students. Which information would the instructor expect to include?
A) One of the oldest nursing specialties
B) One of the newest means of health care delivery
C) Diversity in activities and interventions
D) Differences from parish nursing
A) One of the oldest nursing specialties
B) One of the newest means of health care delivery
C) Diversity in activities and interventions
D) Differences from parish nursing
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13
Which agency was instrumental in developing the first Scope and Standards of Parish Nursing Practice?
A) International Parish Nurse Resource Center
B) Health Ministries Association
C) American Nurses Association
D) Parish Nurse Institute
A) International Parish Nurse Resource Center
B) Health Ministries Association
C) American Nurses Association
D) Parish Nurse Institute
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14
Faith community nurses engage in seven diverse nursing roles. Which one of the roles is distinctly unique to faith community nursing?
A) Advocate
B) Integrator of faith and health
C) Coordinator of volunteers
D) Developer of support groups
A) Advocate
B) Integrator of faith and health
C) Coordinator of volunteers
D) Developer of support groups
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15
Which roles would be critical to a faith community nurse to execute in order to achieve the goals of this practice? Select all that apply.
A) Advocate
B) Health educator
C) Volunteer coordinator
D) Health counselor
E) Case manager
F) Direct care provider
A) Advocate
B) Health educator
C) Volunteer coordinator
D) Health counselor
E) Case manager
F) Direct care provider
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16
A faith community health nurse networks with a local transportation service to provide service to several clients in the community needing rides to health care appointments. The nurse is functioning in which role?
A) Developer of support groups
B) Referral agent
C) Advocate
D) Health counselor
A) Developer of support groups
B) Referral agent
C) Advocate
D) Health counselor
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17
Place in order, the steps involved in creating a faith community nursing position within a faith community.
1) Seek support of the faith community members and staff.
2) Seek formal approval from the organization's governing body.
3) Assess the community the nurse plans to serve and identify the health needs of the faith community and the roles of the faith community nurse that meet those needs.
4) Solicit input from the staff and spiritual leaders of the faith community.
A) 3, 1, 4, 2
B) 1, 4, 2, 3
C) 2, 3, 1, 4
D) 1, 4, 3, 2
1) Seek support of the faith community members and staff.
2) Seek formal approval from the organization's governing body.
3) Assess the community the nurse plans to serve and identify the health needs of the faith community and the roles of the faith community nurse that meet those needs.
4) Solicit input from the staff and spiritual leaders of the faith community.
A) 3, 1, 4, 2
B) 1, 4, 2, 3
C) 2, 3, 1, 4
D) 1, 4, 3, 2
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18
Which are the main categories of occupational health nursing practice? Select all that apply.
A) Safety
B) Compliance
C) Health promotion
D) Care
E) Referrals
A) Safety
B) Compliance
C) Health promotion
D) Care
E) Referrals
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19
An occupational and environmental health nurse recently treated approximately 20 employees for hand injuries. The employees all work on the factory assembly line. The nurse decides to implement a program for primary prevention. Which activity would be appropriate?
A) Institute an orientation for employees about the equipment.
B) Conduct hearing screening tests of the employees.
C) Institute whirlpool treatments for injured extremities.
D) Ensure adherence to physical therapy regimen for injured workers.
A) Institute an orientation for employees about the equipment.
B) Conduct hearing screening tests of the employees.
C) Institute whirlpool treatments for injured extremities.
D) Ensure adherence to physical therapy regimen for injured workers.
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20
When describing the major functions of an occupational and environmental health nurse, which would the nurse identify as being the most time consuming?
A) Activities involving safety education
B) Care of injured employees
C) Programs for improved working conditions
D) Teaching activities for healthy nutrition
A) Activities involving safety education
B) Care of injured employees
C) Programs for improved working conditions
D) Teaching activities for healthy nutrition
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21
After teaching a group of community health nursing students about the trends affecting occupational and environmental health nursing, the instructor determines that more teaching is needed when the students identify which as a trend?
A) Continued escalation of health care costs
B) Upturn in the global economy
C) Increase in worldwide competition
D) Increase in technologic hazards
A) Continued escalation of health care costs
B) Upturn in the global economy
C) Increase in worldwide competition
D) Increase in technologic hazards
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22
Which activity would an occupational and environmental health nurse expect to perform in the future based on current trends?
A) Supervise care for emergency illnesses.
B) Counsel employees about health risks.
C) Perform periodic health assessments.
D) Suggest cost-effective in-house health services.
A) Supervise care for emergency illnesses.
B) Counsel employees about health risks.
C) Perform periodic health assessments.
D) Suggest cost-effective in-house health services.
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23
Which information would an occupational and environmental health nurse need to keep in mind when selecting the field of nursing?
A) The workplace is very similar to a health care institution.
B) The nurse focuses on health not workforce productivity.
C) Production or service is a primary goal.
D) The nurse functions in a supervisory position.
A) The workplace is very similar to a health care institution.
B) The nurse focuses on health not workforce productivity.
C) Production or service is a primary goal.
D) The nurse functions in a supervisory position.
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24
A community health nursing student is interviewing several occupational and environmental health nurses about their experiences. Each of the nurses works in a small organization and is the only nurse for the company. Which would the student most likely note as being similar among the nurses?
A) Use of critical thinking skills
B) Collegial relationships
C) Decrease in workload
D) Role certainty
A) Use of critical thinking skills
B) Collegial relationships
C) Decrease in workload
D) Role certainty
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25
Which statement about the educational preparation for occupational and environmental health nursing is most accurate?
A) Any licensed nurse can provide the services necessary.
B) Because it is a specialty of nursing, a bachelor's degree in nursing is required.
C) Ideally, a nurse would be prepared for these specialties at the graduate level.
D) This career option is restricted to advanced practice nurses.
A) Any licensed nurse can provide the services necessary.
B) Because it is a specialty of nursing, a bachelor's degree in nursing is required.
C) Ideally, a nurse would be prepared for these specialties at the graduate level.
D) This career option is restricted to advanced practice nurses.
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26
Which adverse working conditions may impact the health status of nurses? Select all that apply.
A) Physical hazards
B) Radiation hazards
C) Biological hazards
D) Chemical hazards
E) Low pay
A) Physical hazards
B) Radiation hazards
C) Biological hazards
D) Chemical hazards
E) Low pay
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27
After discussing the effects of shift work on workers' health, the nurse educator knows that the nursing students understand this concept when the nursing students make which comment?
A) "It is beneficial for workers to have their circadian rhythms disturbed."
B) "Rotating shifts negatively impacts sleep and rest cycles."
C) "Shift work interferes with a person's social life."
D) "Insufficient sleep is associated with respiratory problems and weight loss."
A) "It is beneficial for workers to have their circadian rhythms disturbed."
B) "Rotating shifts negatively impacts sleep and rest cycles."
C) "Shift work interferes with a person's social life."
D) "Insufficient sleep is associated with respiratory problems and weight loss."
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28
Which statement about nurse entrepreneurship in community/public health practice is most accurate?
A) It allows for innovation in meeting needs of the community.
B) Nurse entrepreneurs are most commonly associated with institutions.
C) It is very easy for a nurse to become an entrepreneur.
D) It is most likely to fail.
A) It allows for innovation in meeting needs of the community.
B) Nurse entrepreneurs are most commonly associated with institutions.
C) It is very easy for a nurse to become an entrepreneur.
D) It is most likely to fail.
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29
Which principle represents the central to the role of the faith community nurse (FCN)?
A) Community support system
B) Spiritual dimension of care
C) Willingness to be a servant to those in need
D) Faith consistent with the church community being served
A) Community support system
B) Spiritual dimension of care
C) Willingness to be a servant to those in need
D) Faith consistent with the church community being served
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30
Which statement made by the student nurse indicates a need for further teaching from the faith community nurse (FCN)?
A) "FCN is one of the newest nursing specialties and one of the oldest means of health care delivery."
B) "The scope and standards of faith community practice suggest that FCN is a nationally recognized specialty of nursing."
C) "FCNs often perform health education that often aligns with national health issues."
D) "FCNs engage in health promotion interventions and integrate spiritual and religious practices into their approaches."
A) "FCN is one of the newest nursing specialties and one of the oldest means of health care delivery."
B) "The scope and standards of faith community practice suggest that FCN is a nationally recognized specialty of nursing."
C) "FCNs often perform health education that often aligns with national health issues."
D) "FCNs engage in health promotion interventions and integrate spiritual and religious practices into their approaches."
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31
The faith community nurse (FCN) is partnering with a local health department to develop primary prevention activities. Which would the FCN use as a guide for the development?
A) Healthy People 2020 goals
B) Partnering facilities inclinations
C) Journal articles
D) National Patient Safety Goals
A) Healthy People 2020 goals
B) Partnering facilities inclinations
C) Journal articles
D) National Patient Safety Goals
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32
The occupational nurse in a factory is offering free hearing screenings. Which level of prevention would the nurse be implementing?
A) Primary
B) Secondary
C) Tertiary
D) Health promotion
A) Primary
B) Secondary
C) Tertiary
D) Health promotion
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33
The occupational nurse in a factory is providing a class on safe lifting procedures for employees. Which level of prevention would the nurse be implementing?
A) Primary
B) Secondary
C) Tertiary
D) Health promotion
A) Primary
B) Secondary
C) Tertiary
D) Health promotion
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34
A nurse who works in home health has stated to the manager of the division that the nurse has been experiencing pain in the wrists after working all day. Which type of hazard is the nurse experiencing?
A) Physical hazard
B) Biological hazard
C) Radiation hazard
D) Chemical hazard
A) Physical hazard
B) Biological hazard
C) Radiation hazard
D) Chemical hazard
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35
A nurse is reviewing the numbers of clients using health centers over time.-Which statement best summarizes the data from 2000 through 2018?
A) There has been a 196% increase in clients using health centers.
B) There is a steady increase in clients using health centers.
C) More clients are using hospitals compared to health centers.
D) Every 9 years, there has been a decrease in clients using health centers.
A) There has been a 196% increase in clients using health centers.
B) There is a steady increase in clients using health centers.
C) More clients are using hospitals compared to health centers.
D) Every 9 years, there has been a decrease in clients using health centers.
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