Deck 4: Community Health Nursing Practice

Question 1

Vulnerable populations include patients who are more likely than others to develop health problems as a result of what?

A)Pregnancy.
B)Nontraditional healing practices.
C)Exposure to excessive risk.
D)Unlimited access to health care.

Answer 1

Exposure to excessive risk.

Question 2

When discussing social justice,how does the nurse describe it?

A)The focus of social justice is on disease prevention.
B)Social justice is used only with people in precarious situations.
C)Social justice is rooted in societal responsibility and fairness.
D)Social justice is a process to exercise the ability to enhance control.

Answer 2

Social justice is rooted in societal responsibility and fairness.

Question 3

The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems.The patient,however,receives many visitors from the neighbourhood and from former co-workers,as well as frequent phone calls from extended family.When concerned about how the large number of visitors may be fatiguing the patient,what should the nurse do?

A)Restrict the number of visitors for the patient's welfare.
B)Voice concerns to the patient and proceed according to the patient's wishes.
C)Allow visitors to come and go freely as they have been.
D)Create visiting hours when the patient may see non-family members.

Answer 3

Voice concerns to the patient and proceed according to the patient's wishes.

Question 4

The nurse is working with a 16-year-old pregnant girl who tells the nurse that she needs an abortion.The nurse provides the patient with information on alternatives to abortion,but after several sessions,the patient still insists on having the abortion.The competency of the nurse as a consultant requires what of the nurse?

A)Insist that the patient speak with a "right-to-life" advocate.
B)Provide a referral to an abortion service.
C)Refuse to provide a referral to an abortion service.
D)Delay providing a referral to an abortion service.

Question 5

The nurse is working in a community clinic when a man and woman bring a 12-year-old boy in,stating that the child fell down a flight of stairs and hurt his arm.The nurse notices several other bruises on the child's body at varying stages of healing.The boy is placed on the stretcher.When asked how he hurt himself,he states that he does not remember.However,the nurse notices that the boy continuously avoids looking at the man,while the man stares at him constantly.What should the nurse do?

A)Ask the boy if the man hurt him.
B)Confront the man directly.
C)Ask the man and woman to step out of the room.
D)Ask the woman if the man hurt the boy.

Question 6

The community has three components: structure or locale,the people,and the social systems.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 of the following?

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

Question 7

Community-based nursing centres function as the first level of contact between members of a community and the health care delivery system.Which situation is ideal for health care services? (Select all that apply. )

A)They are provided where patients live.
B)They reduce the cost of health care for the patient.
C)They provide direct access to nurses.
D)They exclude interference from family or friends.

Question 8

The instructor is teaching student nurses about identifying members of vulnerable populations when one nursing student asks,"Why is it that not all poor people are considered members of vulnerable populations?" What would be the instructor's best 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 9

How does a community health nurse differ from the community-based nurse?

A)The community health nurse understands the needs of the population.
B)The community health nurse focuses on the needs of the individual.
C)The community health nurse is the first point of contact in the health care system.
D)The community health nurse involves the family in decision making.

Question 10

The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known as what kind of nursing?

A)Public health nursing.
B)Community health nursing.
C)Home health nursing.
D)Community-focused nursing.

Question 11

Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply. )

A)Family theory
B)Communication
C)Group dynamics
D)Focus on the individual
E)Cultural diversity

Question 12

The nurse is making a home visit to a Korean family whose daughter gave birth 6 weeks earlier.She finds the daughter in bed with a severe headache.The daughter's father is holding her hand and is pressing different parts of the hand and lower arm.The mother explains that the father is trying to cure the headache by using pressure points.What would be the nurse's best response?

A)Tell the father to stop and give the daughter Tylenol.
B)Ask the mother or father,or both,to explain the procedure.
C)Explain to the father that what he is doing will not work.
D)Let the father finish and then give the daughter Tylenol.

Question 13

The patient is in the hospital with the diagnosis of early-onset Alzheimer's disease.Before the patient is discharged,the community-based nurse is making a visit to the patient's home,where he lives with his daughter and her family.What would be a major focus of this visit?

A)Demonstrate to the caregiver techniques for providing care.
B)Stress to the family how difficult it will be to provide care at home.
C)Encourage the family to send the patient to an extended-care facility.
D)Teach the family how to have the patient declared incompetent.

Question 14

The patient is being readmitted to an inner-city hospital for chest pain 3 months after having a heart attack.The patient was referred to the hospital's cardiac rehabilitation program after her previous admission.The patient states that she began going to the program and liked it but stopped.When asked why,she states that,at the beginning,the classes were at 9a.m.but then were switched to 7 p.m. ,when it is dark out.The cardiac rehabilitation program was within walking distance of the patient's home.What is the most likely cause of the patient's unwillingness to go to the program?

A)Lack of transportation
B)Fear of walking at night
C)Reimbursement issues
D)Noncompliance

Question 15

How does public health nursing differ from community health nursing?

A)Public health nurses focus on individuals and families.
B)Public health nurses understand the needs of a population.
C)Public health nurses ignore political processes.
D)Public health nurses consider the individual as one member of a group.

Question 16

Of the following list of patients,which would be considered at high risk to be members of a vulnerable population? (Select all that apply. )

A)An immigrant who speaks only Chinese.
B)A truck driver from Central America who speaks limited English.
C)A 22-year-old pregnant woman.
D)A 15-year-old rape victim.
E)A 40-year-old schizophrenic.

Question 17

Community-based nursing care takes place in community settings such as the home or a clinic.Why is this an ideal setting?

A)To exert greater control over individual or family decisions.
B)To provide services close to where patients live.
C)To isolate patients and prevent the spread of disease.
D)To reduce the need for self-care.

Question 18

The community health nurse is administering flu shots to children at a local playground.In doing so,the nurse's focus is on what?

A)Preventing individual illness.
B)Preventing community outbreak of illness.
C)Preventing outbreak of illness in the family.
D)The needs of the individual or family.

Question 19

The student nurse is trying to determine what type of nurse she wants to be after graduation.In class,she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics.What would be the instructor's most appropriate response?

A)Community health nursing focuses on the health care of individuals,families,and groups in a community.
B)Community health nursing focuses only on the health of a specific subgroup in a community.
C)Community health nursing requires an advanced nursing degree,and so the student need not worry.
D)Community health nursing focuses only on maintaining the health of the community.

Question 20

A group of teenage girls is receiving counselling about birth control and disease prevention.Why does the community health nurse provide such counselling?

A)Focusing on subpopulations leads to community health.
B)Community health nursing focuses on individuals only.
C)Community health nursing excludes direct care to subpopulations.
D)The focus is on preventing illness and unwanted pregnancy.