Deck 51: Community Care

Question 1

What is the function of the occupational therapist in community-based nursing care? To:

A)develop activities to keep the person occupied in the home setting.
B)organise modifications to the person's home.
C)design activities to increase the person's range of motion, muscle strength, balance and endurance.
D)discuss community resources available to assist the person.

Answer 1

organise modifications to the person's home.

Question 2

What is the focus of community nursing care for the person in acute and post-acute care?

A)Quality of life
B)Restoration of health and functional wellbeing
C)Education for a healthy lifestyle, and illness and injury prevention
D)Management of acute symptoms

Answer 2

Restoration of health and functional wellbeing

Question 3

Prevalence of which condition continues to increase in the Australian community?

A)Hypotension
B)Stomach cancer
C)Diabetes
D)Hypothyroidism

Answer 3

Diabetes

Question 4

A person who is being prepared for discharge from the hospital is identified as needing more care. The family is refusing a transfer to a transitional living unit. Which of the following can the nurse do to help this person?

A)Acquiesce to the family's decision.
B)Ignore the family's wishes and schedule the person for transfer.
C)Contact protective services because the person is at risk.
D)Suggest home care.

Question 5

Tobacco smoking would be considered which type of social determinant?

A)Distal determinant
B)Intermediate determinant
C)Proximal determinant
D)Not considered a determinant

Question 6

The nurse is considering working as a community-based nurse. The nurse knows this is a role that may have many contributing factors for providing care. Which of the following factors may affect the health of a community? Select all that apply.

A)Social support systems
B)Environmental factors
C)Community healthcare structure
D)Political affiliations

Question 7

A person is in need of community nursing at home, is on oxygen therapy, is weak from surgery, has a small surgical incision and needs to increase activity to gain independence. Which of the following healthcare professionals will the nurse most likely suggest for this person?

A)Social worker
B)Occupational therapist
C)Physiotherapist
D)Dietician.

Question 8

The community nurse sees that a family member is not adhering to the person's prescribed care plan and reviews the plan with this family member. The nurse is functioning in which capacity with the family?

A)Educator
B)Provider of direct care
C)Advocate
D)Coordinator of the person's care

Question 9

Which members of the Australian community are routinely offered vaccination against influenza?

A)Older adults
B)Middle-aged mothers
C)Children
D)Young adults

Question 10

Which of the following is a socioeconomic factor that determines the health of Australians?

A)Physical activity
B)Culture
C)Education
D)Alcohol and tobacco use

Question 11

After the initial assessment of a community nursing person, the nurse identifies areas in which the person can improve their health status. What should the nurse do with this information? Select all that apply.

A)Contract with the person to meet the goals.
B)Discuss with the family what to do with the information.
C)Write this information in the plan of care.
D)Work with the person to set achievable goals.

Question 12

The nurse learns that the family has been throwing contaminated dressings in with the family's normal garbage. Which of the following would be appropriate for the nurse to instruct the family about this practice?

A)Make sure they are wearing sterile gloves when throwing the dressing away.
B)No instruction is necessary, as this is acceptable practice.
C)Store the used dressings in a bag in the person's room.
D)Bag the dressing so as not to cause infection of other family members with the soiled dressing.

Question 13

The nurse is teaching a group of persons at a senior citizen's centre about ways to reduce their blood pressure through exercise and recreation. What type of care is this nurse providing?

A)Community health
B)Skilled nursing
C)Community-based
D)Ambulatory

Question 14

The nurse is completing the community nursing assessment for a person. Which one of the following initial actions should the nurse take with the plan of care created from the assessment information?

A)Keep it in the person's home.
B)Keep it during every visit.
C)Send it to the doctor for review and approval.
D)Place it in the person's health record.

Question 15

Which group in Australia has the highest rates of overweight and obesity?

A)Middle-class Australian males
B)Rural Australians
C)Lower socioeconomic groups ?D)Upper socioeconomic groups

Question 16

The increasing emphasis on working in partnership with people to ensure the health of the population is referred to as:

A)community aged care.
B)consumer-directed care.
C)primary care.
D)transdisciplinary care.

Question 17

The community nurse is interacting with a person who is asymptomatic but who may have risk factors for a disease. This is an example of which of the following?

A)Rehabilitation
B)Health maintenance
C)Primary prevention health promotion
D)Secondary prevention health promotion

Question 18

During the home visit, the community nurse learns the person cannot remember what they were taught about bathing and wound care. The nurse realises what about this person? The person:

A)is cognitively challenged.
B)forgot what was taught.
C)has a hearing impairment.
D)has poor vision.

Question 19

A 79-year-old person is planning to have a laminectomy. In which of the following healthcare settings is this person most likely going to have this procedure? A(an):

A)day surgery hospital
B)acute care hospital
C)rehabilitation hospital
D)outpatient clinic

Question 20

The community nurse sees that the person uses a walker and oxygen. During the home assessment, the nurse identifies several safety concerns. Which of the following should the nurse be most concerned about in the person's home?

A)Throw rugs everywhere in the home
B)Light switches at arm's length
C)Grab bars in the bathroom and toilet
D)Large spaces between the furniture in the living and dining room

Question 21

During a phone call to coordinate a time for the first community nurse home visit, the nurse learns the person is on home oxygen therapy, uses a walker for ambulation and has minimal strength in their lower extremities. What will this information be used to do?

A)Plan nursing diagnoses.
B)Schedule a physical therapy evaluation.
C)Evaluate how well the person is doing since arriving home.
D)Arrange appropriate transportation for the person.