Deck 7: Community Nursing and Care Continuity

Question 1

A nurse educator is explaining primary health care (PHC)and the extension of its boundaries beyond traditional health care services to a group of community members.What issues related to PHC should the nurse include in this discussion?

A)Distribution and participation
B)Environment,agriculture,and housing
C)Consumerism and governmental subsidies
D)Low life expectancies and high mortality rates among children

Answer 1

Environment,agriculture,and housing

Question 2

The new community health nurse is compiling information about the community and wants to understand more about services to maintain and promote health.What entity should the nurse access to learn this information?

A)Chamber of commerce
B)Public and university libraries
C)Recreational directors
D)Teachers and school nurses

Answer 2

Teachers and school nurses

Question 3

Several nurses at the county health department are involved in planning community health.In order to create a plan that will be acceptable to members of the community,who else should be involved in this venture?

A)As many people from the community as possible
B)Physicians and other nurses
C)Members of the chamber of commerce and governing board of the community
D)Just the nurses at the county health department

Answer 3

As many people from the community as possible

Question 4

The nurse is helping in discharge planning of a client who needs extensive rehabilitation and is on a complicated medication schedule.Which individual should the nurse include in this client's plan?

A)Client's spouse
B)Physician
C)Pharmacist
D)Social worker

Question 5

After a community was hit by a tornado,the nurses of the local Red Cross Chapter helped to make sure people had adequate food and clothing.Which function of community were these nurses focused on restoring?

A)Social control
B)Social interparticipation
C)Mutual support
D)Distribution of goods and services

Question 6

A parish nurse is helping a group of new parents within the congregation find appropriate health care providers within the community who specialize in infant/child and family health care needs.In which role is the nurse functioning?

A)Health educator
B)Referral source
C)Facilitator
D)Integrator

Question 7

A nurse is working in collaboration with a group of health care providers in a community clinic setting.They have defined a problem and now are focusing on objectives and considering various viewpoints presented by the group.Which collaboration competency is this nurse demonstrating?

A)Mutual respect
B)Trust
C)Communication
D)Decision making

Question 8

A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services.In which role is this nurse functioning?

A)Counselor
B)Educator
C)Referral source
D)Facilitator

Question 9

A multi-organization medical system is designing a community-based facility to support the health care needs of members who live in an urban area.What should the medical system keep in mind when designing the new facility?
Standard text: Select all that apply.

A)Affordable
B)Easy to travel to the facility
C)A focus on the needs of mothers and children
D)Many services available to meet community members' needs
E)Communication of care needs to the community members' other health care providers

Question 10

A nurse is helping to set up an elder social group at a local senior center where residents can come to play cards or participate in structured activities three times a week.In which community function is this nurse working?

A)Socialization
B)Social control
C)Social interparticipation
D)Mutual support

Question 11

The nurse is explaining the difference between community and population to a group of community members.What should the nurse use as an example for population?

A)Commuters on the subway
B)A grade school class
C)Graduating nursing students
D)A group of employees at a local plant

Question 12

Several nurses are working with other health care providers to provide care for a group of community members who have complications of diabetes mellitus and require extensive dressing changes and comprehensive education.In what capacity are the nurses and care providers working?

A)Collaboration
B)Case management
C)Health promotion
D)Health education

Question 13

When completing a community assessment,the community health nurse will take several aspects into account.What is the first stage of this assessment that the nurse will complete?

A)Learn about the people in the community.
B)Understand the major illnesses present in the community.
C)Identify the boundaries of the community.
D)Make sure resources are available in the community.

Question 14

A public health nurse is working with a group of home health nurses in an isolated,mountainous region where access to smaller communities and individuals is quite difficult,especially in the winter and early spring-seasons when the health needs of these individuals are quite high.The public health nurse has set up video conferencing and video clinics for these home health nurses regarding various client teaching and health promotion activities.What activity did the public health nurse conduct?

A)Community-based nursing
B)Parish nursing
C)Telenursing
D)Collaborative health care

Question 15

After implementing health promotion activities and plans to prioritize health problems,the community must evaluate the effectiveness of the interventions.Which groups should be involved in this process?

A)Health care providers at the community level
B)Hospital and clinic personnel who administered health care needs
C)Health care providers,consumers,community leaders,and politicians
D)Those consumers who were directly affected by the services provided

Question 16

While completing a community assessment,the nurse needs to learn the location of main health facilities and the number of who receive welfare.Where should the nurse access this information?

A)Police department
B)City health planning board
C)County health department
D)State census data

Question 17

A client in the ambulatory clinic asks if there are any community programs to help with health and wellness issues.What should the nurse access to locate these types of activities?

A)Online computer services
B)Recreational directors
C)Local newspapers
D)Telephone book

Question 18

A client is getting ready to go home from an intermediate care facility following surgery and a lengthy recovery period.On which item should the home health nurse focus to determine effectiveness of discharge teaching?

A)Activity restrictions
B)Follow-up appointment dates
C)Return demonstration of dressing change
D)Signs of complications

Question 19

The nurse case manager's office is in a cluster of offices that share a fax machine.Which action by the nurse ensures that HIPAA requirements are met?

A)Have the client sign a consent form for information to be released.
B)Have sending agencies call ahead before any information is sent.
C)Do not utilize the fax machine;depend on the mail system.
D)Take relevant information over the phone.

Question 20

A large community clinic provides health education,illness prevention,acute care,screening,and rehabilitation and health promotion services for the chronically ill.What should the community health nurse identify this approach to health care as being?

A)Community-based setting
B)Integrated health care system
C)Wellness center
D)Community outreach center

Question 21

The community health nurse is identifying approaches to support a community's health care needs.Which programs should the nurse select to support community-based health care?
Standard Text: Select all that apply.

A)Smoking cessation classes
B)Personal safety classes for women
C)Blood pressure measurement clinic
D)Outpatient clinic for minor ailments
E)Allergy injection clinic on weekends