Deck 3: Community-Based Nursing Practice

Question 1

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

A) Exert greater control over individual or family decisions.
B) Provide services close to where patients live.
C) Isolate patients and prevent the spread of disease.
D) Reduce the need for self-care.

Answer 1

Provide services close to where patients live.

Question 2

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

A) Restrict the number of visitors for the patient's welfare.
B) Voice concerns to the patient and proceed according to the patient's wishes.
C) Allow visitors to come and go freely as they have been.
D) Create visiting hours when the patient may see non-family members.

Answer 2

Voice concerns to the patient and proceed according to the patient's wishes.

Question 3

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

A) Tell the father to stop and give the daughter Tylenol.
B) Ask the mother and/or father to explain the procedure.
C) Explain to the father that what he is doing will not work.
D) Let the father finish and then give the daughter Tylenol.

Answer 3

Ask the mother and/or father to explain the procedure.

Question 4

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

A) Are provided where patients live.
B) Reduce the cost of health care for the patient.
C) Provide direct access to nurses.
D) Exclude interference from family or friends.

Question 5

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

A) "All poor people are members of a vulnerable population."
B) "Poor people are members of a vulnerable population only if they take drugs."
C) "Poor people are members of a vulnerable population only if they are homeless."
D) "Members of vulnerable groups frequently have a combination of risk factors."

Question 6

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

A) Public health
B) Community health
C) Community-based
D) Community-focused

Question 7

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?

A) Structure
B) Population
C) Welfare system
D) Social system

Question 8

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

A) Focuses on individuals and families.
B) Understands the needs of a population.
C) Ignores political processes.
D) Considers the individual as one member of a group.

Question 9

A specialist in public health nursing requires

A) The same level of education as the community health nurse.
B) Preparation at the basic entry level.
C) An advanced degree regardless of public health experience.
D) A graduate level education with a focus in public health science.

Question 10

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

A) Insist that the patient speak with a "Right-to-Life" advocate.
B) Provide a referral to an abortion service.
C) Refuse to provide referral to an abortion service.
D) Delay referral to an abortion service.

Question 11

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

A) Focuses on the health care of individuals, families, and groups in a community.
B) Focuses only on the health of a specific subgroup in a community.
C) Requires an advanced nursing degree, so the student need not worry.
D) Focuses only on maintaining the health of the community.

Question 12

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

A) Pregnancy.
B) Nontraditional healing practices.
C) Excessive risk.
D) Unlimited access to health care.

Question 13

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?

A) Lack of transportation
B) Fear of walking at night
C) Reimbursement issues
D) Noncompliance

Question 14

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

A) Ask the boy if the man hurt him.
B) Confront the man directly.
C) Ask the man and woman to step out.
D) Ask the woman if the man hurt the boy.

Question 15

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

A) Focusing on subpopulations leads to community health.
B) Community health nursing focuses on individuals only.
C) Community health nursing excludes direct care to subpopulations.
D) The focus is on preventing illness and unwanted pregnancy.

Question 16

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

A) Preventing individual illness.
B) Preventing community outbreak of illness.
C) Preventing outbreak of illness in the family.
D) The needs of the individual or family.

Question 17

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

A) Demonstrate caregiver techniques for providing care.
B) Stress to the family how difficult it will be to provide care at home.
C) Encourage the family to send the patient to an extended care facility.
D) Teach the family how to have the patient declared incompetent.

Question 18

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

A) Family theory
B) Communication
C) Group dynamics
D) Focus on the individual
E) Cultural diversity

Question 19

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

A) Understands the needs of the population.
B) Focuses on the needs of the individual.
C) Is the first level of contact in the health care system.
D) Involves the family in decision making.

Question 20

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

A) An immigrant who speaks only Chinese
B) An Hispanic truck driver who speaks limited English
C) A 22-year-old pregnant woman
D) A 15-year-old rape victim
E) A 40-year-old schizophrenic