Question 1

A community health nurse is discussing with a student nurse, the importance of engaging in assurance activities. Which statement made by the student nurse would demonstrate an understanding of assurance activities?

A) "I will be gathering and analyzing information that will affect the health of the people to be served."
B) "I should provide leadership in facilitating community groups toward meeting their needs and work toward making changes in existing laws."
C) "I should be involved in activities that ensure necessary services are being provided to the community."
D) "I will be accessing relevant data that enable identification of strengths, weaknesses, and needs within the community."

"I should be involved in activities that ensure necessary services are being provided to the community."

Accepted Answer

Assurance activities are those activities that make certain that services are provided and include focusing on the availability of necessary health services throughout the community, maintaining the ability of public health agencies and private providers to manage day-to-day operations as well as the capacity to respond to critical situations and emergencies. Assessment involves gathering and analyzing information that will affect the health of those to be served and accessing relevant data to enable the nurse to identify strengths, weaknesses, and needs. Policy development involves providing leadership in facilitating community groups.

Question 2

When fulfilling the function of assessment, which action would be most important for the community health nurse to take?&#10;A) Secure the trust of the clients.&#10;B) Gather appropriate information.&#10;C) Interact with key community leaders.&#10;D) Use a variety of assessment tools.

Accepted Answer

Although securing and maintaining the trust of others is pivotal to all nursing practice, it is even more critical when working in the community. Trust can afford a nurse access to client populations that are difficult to engage, to agencies, and to health care providers. As difficult as it may be for the nurse to gain the trust and respect of the community, if it is ever lost, these attributes can be difficult if not impossible to regain. Gathering information, interacting with key community leaders, and using a variety of assessment tools are important, but they can only occur after trust is established.

Question 3

The community health nurse is engaging in the core function of policy development. With which of the activity would the nurse most likely be involved?&#10;A) Monitoring health status to identify community health problems&#10;B) Empowering communities about important health issues&#10;C) Linking individuals to needed personal health services&#10;D) Ensuring a competent health care workforce is available

Accepted Answer

With policy development, the community health nurse would be involved in informing, educating, and empowering people about health issues. Monitoring health status is associated with the assessment function. Linking individuals to needed personal health services and ensuring a competent public health and personal health care workforce are associated with assurance.

Question 4

A community health nurse is collaborating with local community leaders to prepare a community disaster plan. Which function is the nurse fulfilling?&#10;A) Research&#10;B) Assurance&#10;C) Policy development&#10;D) Assessment

Accepted Answer

Community health nurses perform the assurance function at the community level when they collaborate with community leaders in the preparation of a community disaster plan. Research is demonstrated by gaining new insights and innovative solutions to health problems. Policy development would involve client information, education and empowerment, mobilization of community partnerships, and the development of plans and policies to support community health efforts. Assessment involves monitoring health status for community health problems and diagnosing and investigating health problems and hazards in the community.

Question 5

A community health nurse has collected data for several months on the birth weights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role?&#10;A) Collaborator&#10;B) Manager&#10;C) Researcher&#10;D) Clinician

Accepted Answer

The nurse is assuming the role of a researcher, that is, engaging in systematic investigation that includes data collection. In the collaborator role, the nurse would work with numerous members of the health team, working jointly with others in a common endeavor. In the manager role, the nurse exercises administrative direction toward the accomplishment of specified goals. In the clinician role, the nurse ensures the provision of health care services to individuals, families, groups, and populations.

Question 6

A nurse in community health nursing setting works with police officers, social workers, health educators, and other nurses to promote the health of clients. The nurse is acting in which role?&#10;A) Clinician&#10;B) Educator&#10;C) Researcher&#10;D) Collaborator

Accepted Answer

The nurse is assuming the role of collaborator. In this role, the community health nurse works jointly with many individuals to benefit client care. In the clinician role, the nurse ensures the provision of health care services to individuals, families, groups, and populations. As an educator, the nurse is the health teacher and provides information to community clients. In the researcher role, the community health nurse engages in systematic investigation, collection, and analysis of data for solving problems and enhancing community health practice.

Question 7

A community health nurse is interviewing for employment. The interviewer describes some of the typical activities that the nurse would be involved in, such as making home visits to families, holding immunization clinics for infants and children, and setting up flu shot clinics for elders. The interviewer is describing which role?

A) Educator
B) Advocate
C) Clinician
D) Manager

Accepted Answer

The interviewer is describing direct care activities associated with the clinician role. As an educator, the nurse is the health teacher and provides information to community clients. In the advocate role, the nurse pleads for the clients' cause or acts on their behalf. In the manager role, the nurse exercises administrative direction toward the accomplishment of specified goals.

Question 8

A community health nurse is reviewing his or her schedule for the day. Included in his or her activities are planning client care, leading a staff conference, and supervising a new staff member. This nurse is fulfilling which role?

A) Advocate
B) Manager
C) Collaborator
D) Researcher

Accepted Answer

When functioning in the manager role, the nurse exercises administrative direction toward the accomplishment of specified goals. Overseeing client care as a case manager, supervising ancillary staff, managing caseloads, running clinics, or conducting community health needs assessment projects are examples of activities associated with the manager role. In the advocate role, the nurse pleads for the clients' cause or acts on their behalf. In the collaborator role, the nurse would work with numerous members of the health team, working jointly with others in a common endeavor. In the researcher role, the community health nurse engages in systematic investigation, collection, and analysis of data for solving problems and enhancing community health practice.

Question 9

While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family attain assistance with health insurance coverage and a list of pharmacies to get their prescriptions filled. The nurse is acting in which role?

A) Educator
B) Leader
C) Clinician
D) Advocate

Accepted Answer

The nurse is acting in the role of advocate, by pleading their cause and acting on their behalf. The nurse acts as an advocate by showing clients what services are available, the ones to which they are entitled, and how to obtain them. As an educator, the nurse is the health teacher and provides information to community clients. As a leader, the nurse directs, influences, or persuades others to effect change that will positively impact people's health and move them toward a goal. In the clinician role, the nurse ensures the provision of health care services to individuals, families, groups, and populations.

Question 10

Which action best exemplifies the attributes of a community health nurse in the researcher role?&#10;A) Gaining the trust and respect of the staff members&#10;B) Interpreting abstract ideas so others can understand&#10;C) Implementing a staff development program for a technique&#10;D) Evaluating the correlation between variables in specific health conditions

Accepted Answer

Attributes of a researcher include a spirit of inquiry; careful observation; analytic skills, such as evaluating the possible cause and effect of a situation; and tenacity. Gaining the trust and respect of staff, interpreting abstract ideas, and implementing a staff development program are examples of the management skills used in the role of manager.

Question 11

Which statement about the role of educator within the framework of public health nursing functions is true?&#10;A) The educator role has the potential for finding greater receptivity and providing higher-yield results.&#10;B) People are unable to recognize the value of health and are not well motivated to achieve higher levels of wellness.&#10;C) It is only possible for a nurse to reach a limited number of persons.&#10;D) The public's higher level of health consciousness hinders the educator's role.

Accepted Answer

The answer of Which statement about the role of educator...

Question 12

Which statement about the importance of the role of collaborator is true?&#10;A) Community health nurses frequently practice in isolation.&#10;B) Successful community health practice depends on multidisciplinary collegiality and leadership.&#10;C) Community health nurses must assert themselves as the most powerful person on the health care team to ensure each client receives services that are necessary.&#10;D) It is best for community health nurses to focus on what they, as nurses, can do for their clients.

Accepted Answer

The answer of Which statement about the importance of the...

Question 13

Which statement about the community health nurse's selection and practice of each role is true?&#10;A) Within a given time, a community health nurse may practice multiple roles.&#10;B) The knowledge that vulnerable populations need someone to guide them through the complexities of the health care system and the nurse can serve as an advocate for them.&#10;C) The researcher role for community health nurses involves only the use of quantitative statistics.&#10;D) The leadership role consists solely of managing staff.

Accepted Answer

The answer of Which statement about the community health nurse's...

Question 14

A community health nurse is involved in education, screening, referral, and support for the individuals of a specific religious congregation. The nurse is practicing in which setting?&#10;A) Occupational health nursing&#10;B) Faith community nursing&#10;C) School nursing&#10;D) Residential institution nursing

Accepted Answer

The answer of A community health nurse is involved in...

Question 15

Which statement is true regarding the differentiation of the home setting for community health nursing from other settings?&#10;A) The nurse acts primarily as an educator.&#10;B) The client is viewed within his or her environment.&#10;C) Technologically advanced care is limited.&#10;D) The home is being used less frequently today.

Accepted Answer

The answer of Which statement is true regarding the differentiation...

Question 16

After teaching a group of students about the various settings for community health nursing, the instructor determines that this teaching was successful when the students identify which facility as an example of ambulatory service setting?

A) Local preschool
B) Halfway house
C) Continuing care center
D) Family planning clinic

Accepted Answer

The answer of After teaching a group of students about...

Question 17

After teaching a group of students about the changing roles of the community health nurse in the occupational setting, the instructor determines that the students need additional teaching when they state:

A) "Occupational health nurses are increasing their role as employee advocates."
B) "Health education is a key function of the occupational health nurse."
C) "There is a greater emphasis on the occupational health nurse's role as a clinician."
D) "Collaboration with other health care providers fosters the offering of better services."

Accepted Answer

The answer of After teaching a group of students about...

Question 18

A community health nurse is working as a lobbyist for health legislation for AIDS research at the state capital. This nurse is practicing in which setting?&#10;A) Faith community&#10;B) Ambulatory service&#10;C) Residential institution&#10;D) Community at large

Accepted Answer

The answer of A community health nurse is working as...

Question 19

Which statement is true regarding the description of school nursing?&#10;A) &#34;This role of the community health nurse is static in this setting.&#34;&#10;B) &#34;The primary role of school nurses is clinician.&#34;&#10;C) &#34;The practice of school nurses is widening.&#34;&#10;D) &#34;School nurses rarely act as advocates.&#34;

Accepted Answer

The answer of Which statement is true regarding the description...

Question 20

A community health nurse is assuming the role of a manager. Which problem-solving activity would be most important for the nurse to address first when designing a community health fair?&#10;A) Planning&#10;B) Organizing&#10;C) Leading&#10;D) Controlling

Accepted Answer

The answer of A community health nurse is assuming the...

Question 21

A nursing student is interviewing a community health nurse about the various roles the nurse assumes and the skills and behaviors necessary to perform each role. Which would the community health nurse identify as being essential to the role of an advocate? Select all that apply.

A) Assertiveness
B) Ability to plan
C) Ability to negotiate
D) Risk taking
E) Holistic view
F) Questioning attitude

Accepted Answer

The answer of A nursing student is interviewing a community...

Question 22

A community health nurse works in a busy community health nursing practice. Today, the nurse is devoting the day to the educator role. With which activities would the nurse be involved? Select all that apply.

A) Planning seven home visits today
B) Working on a new curriculum for high-risk teens
C) Meeting with colleagues to discuss organizational changes in the office
D) Ordering pamphlets over the Internet to be used in a parenting class
E) Tabulating data from surveys distributed to elders during a flu shot clinic
F) Going to social services to speak up for a family in his or her caseload

Accepted Answer

The answer of A community health nurse works in a...

Question 23

A community health nurse is devoting the day to being a manager. Which activities would the nurse expect to perform? Which activities are part of this role? Select all that apply.&#10;A) Orienting three new community health nurses in the agency&#10;B) Attending a strategy meeting for a new service the community will be offering&#10;C) Working with a team to direct a smoking cessation program in public areas&#10;D) Investigating an outbreak of Salmonella in the community&#10;E) Tabulating the findings of exploring immunization practices among teens&#10;F) Reviewing the staff evaluations to assist with planning future in-services

Accepted Answer

The answer of A community health nurse is devoting the...

Question 24

The community health nurse is discussing the roles assumed by community health nurses with a student nurse. Which statement made by the student nurse demonstrates the correct interpretation of which role must be assumed in every situation?

A) "A community health nurse assumes the role of researcher in each situation."
B) "A community health nurse assumes the role of manager in each situation."
C) "A community health nurse assumes the role of leader in each situation."
D) "A community health nurse assumes the role of clinician in each situation."

Accepted Answer

The answer of The community health nurse is discussing the...

Question 25

Which are core values of professional behavior that are unique to public health nursing? Select all that apply.&#10;A) Community/population as client&#10;B) Prevention&#10;C) Rehabilitation&#10;D) Partnership&#10;E) Healthy environment&#10;F) Diversity

Accepted Answer

The answer of Which are core values of professional behavior...

Question 26

A community health nurse is serving as a health consultant for the local school board. This nurse is practicing in which setting?&#10;A) Community at large&#10;B) Residential institution&#10;C) Ambulatory service&#10;D) Faith community

Accepted Answer

The answer of A community health nurse is serving as...

Question 27

A community health nurse is working as a cardiac rehabilitation nurse. This nurse is practicing in which setting?&#10;A) Residential institution&#10;B) Faith community&#10;C) Community at large&#10;D) Ambulatory service

Accepted Answer

The answer of A community health nurse is working as...

Question 28

A community health nurse is developing a community-wide drug campaign targeting middle school children. The nurse is incorporating information about the dangers of addiction. Which level of prevention would the nurse classify this activity?

A) Primary
B) Secondary
C) Tertiary
D) Secondary and tertiary

Accepted Answer

The answer of A community health nurse is developing a...

Question 29

A community health nurse is working in a clinic on tribal lands. This nurse is practicing in which setting?&#10;A) Faith community&#10;B) Ambulatory service&#10;C) Residential institution&#10;D) Community at large

Accepted Answer

The answer of A community health nurse is working in...

Question 30

A community health nurse is working at juvenile group home. This nurse is practicing in which setting?&#10;A) Faith community&#10;B) Ambulatory service&#10;C) Residential institution&#10;D) Community at large

Accepted Answer

The answer of A community health nurse is working at...

Question 31

A nurse is providing health services to groups and populations. What role is the nurse performing?&#10;A) Educator role&#10;B) Clinician role&#10;C) Advocate role&#10;D) Manager role

Accepted Answer

The answer of A nurse is providing health services to...

Question 32

A nurse is shadowing the nurse manager of the clinic. Which behavior is consistent with this role?&#10;A) The nurse is providing health education to a group of type 2 diabetics.&#10;B) The nurse is initiating a new screening process for young children who have experienced trauma in the community.&#10;C) The nurse is making a referral to a food pantry for a client who is in need of food.&#10;D) The nurse collaborates with other members of the clinic to evaluate the utilization of resources offered by the clinic.

Accepted Answer

The answer of A nurse is shadowing the nurse manager...

Deck 2: Public Health Nursing in the Community