Question 1

A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is $\bold{most}$ likely to develop health problems?

Accepted Answer

A)   One who is pregnant
B)   One who has excessive risks
C)   One who has unlimited access to health care
D)   One who uses nontraditional healing practices  B

Question 2

A nurse is assessing a community. Match each community element the nurse will assess with the correct example.
-Structure

Accepted Answer

A)  Education level
B)  Housing
C)  Government B

Question 3

A nurse is assessing a community. Match each community element the nurse will assess with the correct example.
-Social system

Accepted Answer

A)  Education level
B)  Housing
C)  Government C

Question 4

A community-based nursing is working with a family. For which key areas will the nurse need a strong knowledge base? (Select all that apply.)

Accepted Answer

A)   Family theory
B)   Communication
C)   Group dynamics
D)   Cultural diversity
E)   Individual-centered care

Question 5

A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?

Accepted Answer

A)   It occurs in hospitals.
B)   Its focus is on ill individuals.
C)   Its priority is health promotion.
D)   It provides services primarily to the poor.

Question 6

A nurse is working as a public health nurse. What will be the nurse's primary focus?

Accepted Answer

A)   The individual as one member of a group
B)   Individuals and families
C)   Needs of a population
D)   Health promotion

Question 7

A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use?

Accepted Answer

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

Question 8

Before a patient with beginning stage of Alzheimer's disease is discharged, the community-based nurse is making a visit to the patient's home. The patient's daughter and family live in the home with the patient. What is the major focus of this visit?

Accepted Answer

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

Question 9

A nurse is assessing the social system of a community. Which area should the nurse assess?

Accepted Answer

A)   Housing
B)   Economic status
C)   Volunteer programs
D)   Predominant ethnic groups

Question 10

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?" How should the nurse respond?

Accepted Answer

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 11

A nurse is using the Healthy People 2020 to establish goals for the community. Which goal is priority?

Accepted Answer

A)   Reduce health care costs.
B)   Increase life expectancy.
C)   Provide services close to where patients live.
D)   Isolate patients to prevent the spread of disease.

Question 12

A nurse wants to become a specialist in public health nursing. Which educational requirement will the nurse have to obtain?

Accepted Answer

A)   A baccalaureate degree in nursing
B)   Preparation at the basic entry level
C)   The same level of education as the community health nurse
D)   A graduate level education with a focus in public health science

Question 13

While conducting 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 component of a community assessment?

Accepted Answer

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

Question 14

A nurse is working in community-based nursing. Which competency is $\bold{priority}$ for this nurse?

Accepted Answer

A)   Caregiver
B)   Collaborator
C)   Change agent
D)   Case manager

Question 15

The nurse uses statistics on increased incidence of communicable disease to influence legislatures to pass a bill for mandatory vaccinations to enroll in school. Which type of nursing will the nurse use in this process?

Accepted Answer

A)   Public health nursing
B)   Community-based nursing
C)   Community health nursing
D)   Vulnerable population nursing

Question 16

Which community-based nursing activities indicate the nurse is working in the role of educator? (Select all that apply.)

Accepted Answer

A)   Offers prenatal classes
B)   Offers a child safety program
C)   Offers to defend patients' decisions
D)   Offers creative solutions to local problems
E)   Offers coordinate resources after discharge

Question 17

A nurse is working as a community health nurse. Which action is a $\bold{priority}$ for this nurse?

Accepted Answer

A)   Provide direct care to subpopulations.
B)   Focus on the needs of the ill individual.
C)   Provide first level of contact to health care systems.
D)   Focus on providing care in various community settings.

Question 18

The nurse is making a home visit to a Korean mother after the birth of girl. The spouse is pressing different parts of the patient's hand and lower arm to relieve a headache. What is the nurse's next action?

Accepted Answer

A)   Tell the spouse to stop and give the mother acetaminophen.
B)   Let the spouse finish and then give the mother medication.
C)   Ask the mother and/or spouse to explain the procedure.
D)   Explain to the spouse that it will not work.

Question 19

A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing?

Accepted Answer

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

Question 20

A nurse is caring for vulnerable populations in a local community. Which patients will the nurse care for in this community? (Select all that apply.)

Accepted Answer

A)   A 47-year-old immigrant who speaks only Spanish
B)   A 35-year-old living in own home
C)   A 22-year-old pregnant woman
D)   A 40-year-old schizophrenic
E)   A 15-year-old rape victim

Exam 3: Community-Based Nursing Practice

A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is most\bold{most}most likely to develop health problems?

A nurse is assessing a community. Match each community element the nurse will assess with the correct example. -Structure

A nurse is assessing a community. Match each community element the nurse will assess with the correct example. -Social system