Deck 3: Community Care

Question 1

The nurse is implementing which level of health promotion when providing recommended immunizations and school health education?

A) Primary
B) Secondary
C) Tertiary
D) Primordial

Answer 1

Primary

Question 2

Which represents a critical community indicator of perinatal health?

A) Breastfeeding rates
B) First-trimester prenatal care
C) Spontaneous and therapeutic abortion rate
D) Availability of telephonic nursing care in the community

Answer 2

First-trimester prenatal care

Question 3

Which is one of the three broad areas that the community health assessment wheel focuses on?

A) Pollutants
B) Food supply
C) Health and disease status
D) Health care delivery system

Answer 3

Health care delivery system

Question 4

Which situation would be considered safe by a nurse who is making a home visit?

A) A group of teens is sitting on the stairs in front of the patient's apartment.
B) Parking is only possible three blocks from the patient's house.
C) The family dog is on a chain in the front yard.
D) The door of the home is open when the nurse arrives.

Question 5

Which behaviour is appropriate for a nurse during an in-home visit?

A) Smoke if the expectant mother smokes.
B) Ask to have the volume on the TV turned down or move to a quiet room.
C) Give ample advice and reassurance to establish a relationship.
D) Freely move whatever furniture and belongings the nurse feels necessary.

Question 6

The nurse is implementing which level of health promotion when providing various methods of health screening for early detection of disease?

A) Primary
B) Secondary
C) Tertiary
D) Primordial

Question 7

Which generally rises with greater socioeconomic disadvantage?

A) Length of hospital stay
B) Intrauterine growth restriction
C) Prenatal clinic visits and screening tests
D) Weight gain in the mother in excess of the recommended gain for her stature

Question 8

When weighing the advantages and disadvantages of home care versus hospital-based clinics for perinatal services,what should the nurse keep in mind in relation to home care services?

A) It is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse.
B) It is more cost-effective for the nurse than office visits.
C) Home care allows the nurse to interact with and include family members in teaching.
D) It is made possible by the ready supply of nurses with expertise in perinatal and pediatric care.

Question 9

Which is an acquired people factor in the community health assessment wheel?

A) Values
B) Climate
C) Genetics
D) Mobility

Question 10

Which statement reflects telephonic nursing care?

A) It was developed as a reaction to impersonal nursing care.
B) It was set up to assist vulnerable populations in the postpartum period.
C) This is the second option when 911 hot lines are busy for new parents.
D) Nurse advice lines are interactive and responsive to immediate health questions.

Question 11

What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful on the day after discharge?

A) Visiting a pediatric screening clinic at the hospital
B) Accessing telephonic nursing care
C) Calling the pediatrician for a lactation consult referral
D) Requesting a home visit

Question 12

Which sexually transmitted infection is currently increasing in prevalence in Canada?

A) Syphilis
B) Gonorrhea
C) Genital herpes
D) Human papillomavirus

Question 13

Which health-related issue is on the rise currently in Canada?

A) Post-mature birth
B) Teenage pregnancy
C) Sexually transmitted infections
D) Maternal morbidity and mortality

Question 14

Which health care service represents an example of tertiary level prevention?

A) Stress management seminars
B) Childbirth education classes for single parents
C) A breast self-examination (BSE)pamphlet and teaching
D) A premenstrual syndrome (PMS)support group

Question 15

Which is a common health problem reported by older women?

A) Coronary artery disease
B) Hypotension
C) Arthritis
D) Diabetes

Question 16

Which health promotion activity is an example of the secondary level of prevention?

A) Approved infant car seats
B) Breast self-examination (BSE)
C) Immunizations
D) Support groups for parents of children with Down syndrome

Question 17

When preparing for maternal home visits,what should the nurse be aware of?

A) The patient's safety is more important than the nurse's safety.
B) Infection control is less important at home than at the hospital.
C) Hospital policies for name tags and guidelines for rubber gloves are inappropriate.
D) Nurses should wash their hands thoroughly before and after each visit.

Question 18

Which area would be appropriate to include in a physical assessment of the home?

A) Bathtub,toilets,sinks,countertops,inside china cabinet drawers
B) Baby's bed,changing table,baby's clothes,inside diaper bag,inside keepsake box
C) Bedroom closets,inside jewelry boxes,under beds
D) Electrical wall outlets,telephones,bathroom sink and faucets,stove,and refrigerator

Question 19

Which health care service represents the primary level of prevention?

A) Immunizations
B) Breast self-examination
C) Home care for high-risk pregnancies
D) Blood pressure screening

Question 20

Which level of health promotion is reflected when the nurse is providing treatment and rehabilitation for people with chronic diseases?

A) Primary
B) Secondary
C) Tertiary
D) Primordial

Question 21

Which are quality-of-care dimensions according to Donabedian (1988)to measure quality of health care? Select all that apply.Express answers with small letters,followed by a comma and a space-e.g. ,a,b,

A) Assessment
B) Structure
C) Collaboration
D) Process
E) Evaluation
F) Outcome