Deck 4: Community-Based Nursing Practice

Question 1

Which are socioeconomic factors that contribute to the health of a community?

A) The community covers a total area of 14 square miles.
B) Almost 25% of the residents are of Native American descent.
C) Nearly 35% of the residents are eligible for free school lunches.
D) Approximately half of the residents work in the local automobile factory.
E) The community recently built a new hospital and medical office building.

Answer 1

Almost 25% of the residents are of Native American descent.
Nearly 35% of the residents are eligible for free school lunches.
Approximately half of the residents work in the local automobile factory.
The community recently built a new hospital and medical office building.

Question 2

Which is an appropriate action of the community-based nurse when functioning in the role of case manager?

A) The nurse calculates the immunization rate for junior high-school students in the district.
B) The nurse arranges for a transportation service to take the patient to physician appointments.
C) The nurse uses therapeutic touch to help relieve the patient's chronic low back pain.
D) The nurse helps the patient to sit upright and use pursed lip breathing during periods of dyspnea.

Answer 2

The nurse arranges for a transportation service to take the patient to physician appointments.

Question 3

Which communication methods will the community nurse use when interacting with recent immigrants who do not speak English?

A) The nurse will obtain the assistance of a speech pathologist.
B) The nurse will speak in a louder tone of voice than usual.
C) The nurse will be sensitive to nonverbal communication cues.
D) The nurse will identify the preferred language for each family member.
E) The nurse will utilize an interpreter when explaining health care procedures.

Answer 3

The nurse will be sensitive to nonverbal communication cues.
The nurse will identify the preferred language for each family member.
The nurse will utilize an interpreter when explaining health care procedures.

Question 4

Which findings are included in the nurse's community assessment?

A) Approximately 15% of the residents are college graduates.
B) The community's water system is free of arsenic and lead.
C) The community's mayor has been in office for the last 18 years.
D) The community average summer temperature is 78° F.
E) The community has paid police officers and volunteer firefighters.

Question 5

The nurse identified the source of food poisoning as a local restaurant and ensured that no further patrons became ill.Which community health nursing role was demonstrated by these actions?

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

Question 6

Which patients are considered to belong to vulnerable populations?

A) An HIV-positive young adult working as a finance expert
B) A college graduate living in his parents' basement
C) A registered nurse who works at two different clinics
D) An unemployed single mother with four small children
E) A family that just moved to Florida and speaks no English

Question 7

Which is the priority goal for a patient who is being abused by the spouse?

A) The patient's dignity will remain intact.
B) The patient will remain free from injury.
C) The patient will develop a sense of trust with the nurse.
D) The patient will be able to verbalize fears to the nurse.

Question 8

Which is the highest priority problem for a homeless patient without family in December?

A) Risk for loneliness
B) Risk for hypothermia
C) Risk for social isolation
D) Risk for compromised human dignity

Question 9

Which is an appropriate goal within the scope of Healthy People 2020?

A) Uninsured patients will receive the same level of care as patients with private health insurance.
B) The patient will be able to transfer to the wheelchair with a gait belt and assistance of one person.
C) The patient's family will verbalize reduction of stressors when respite care is provided for the patient.
D) Family members are taught how to assist the patient with feeding and other activities of daily living.

Question 10

Which problem is the highest priority for a family who has just moved to the United States and does not speak any English?

A) Risk for acute confusion
B) Disturbed energy field balance
C) Impaired verbal communication
D) Readiness for enhanced decision making

Question 11

Which is an appropriate goal for the public health nurse working in the community?

A) At least 95% of children in the elementary schools will be up to date on immunizations.
B) The family will learn how to transfer the patient to the toilet and assist the patient to dress each morning.
C) The patient's white blood cell count will return to normal by the time the antibiotic treatment has been completed.
D) Nursing assistants will be allowed to administer routine medications to residents of assisted care facilities.

Question 12

Which is an example of an incidence rate?

A) The patient was able to ambulate 50 feet in 10 minutes.
B) 65% of the hospital's registered nurses are bachelor-prepared.
C) The hospital has a 12% ventilator-associated pneumonia rate.
D) The patient's hemoglobin rate is 50% lower than the previous day.