Deck 1: Responsibilities for Care in Communitypublic Health Nursing

Question 1

When the nurse is caring for a family or a community,it is important that the nurse provide care that is

A)Similar to that described in the textbook or procedure manual
B)Consistent with agency policies
C)Inexpensive
D)Culturally congruent

Answer 1

Culturally congruent

Question 2

How might case management be defined?

A)An incident that necessitates intervention
B)A synonym for cost containment
C)Developing and coordinating a plan of care for a client
D)Advocating for groups of clients who have a specific illness

Answer 2

Developing and coordinating a plan of care for a client

Question 3

Which document is helpful in describing competent and appropriate nursing care in the community?

A)Community Health: Standards of Nursing
B)Healthy People 2020
C)The Joint Commission: The Comprehensive Accreditation Manual
D)Public Health Nursing: Scope and Standards of Practice

Answer 3

Public Health Nursing: Scope and Standards of Practice

Question 4

A nurse includes well-being in her definition of health.What will the focus be when the nurse provides care to a family confronting the imminent death of a family member?

A)Sharing the nurse's knowledge of the physiology behind the client's symptoms and the appropriate interventions for comfort
B)Administering pain medication so that the client can be kept comfortable
C)Reinforcing the need for the whole family to adapt to the impending death
D)Discussing the perceived meaning of life with the family

Question 5

In which situation would the community/public health nurse be applying the ethical principle of doing good for the greatest number of persons with the least amount of harm?

A)Asking the agency supervisor how to approach an ethical dilemma
B)Focusing on providing basic services for everyone in the community
C)Following agency policies
D)Delivering care to families who have health insurance

Question 6

Why would a nurse choose to be an active member of several professional associations?

A)To be able to spend time with friends and colleagues
B)To be part to the organization's annual convention/conference
C)To be part of the decision-making and political action activities
D)To be able to have professional development opportunities

Question 7

What is the significance of the credentials APHN,BC?

A)A special professional development program for community/public health nurses
B)A special title given to nurses who join the American Nurses Association
C)A voluntary process that demonstrates knowledge,education,and experience
D)A title given to a nurse who has a special master's degree

Question 8

How would the actions of the community/public health nurse caring for a recently discharged client in his home differ from those of the acute care nurse?

A)The community/public health nurse would assess the health and needs of all the family members.
B)The community/public health nurse would be careful to be nonjudgmental about the family's living situation.
C)The community/public health nurse would explain why each nursing intervention was being performed.
D)The community/public health nurse would help the family understand the basis for the treatment.

Question 9

What is the appropriate approach for the community/public health nurse in balancing individual privacy and autonomy and the community's needs for safety and security?

A)Fulfill agency policies first.
B)Implement professional standards of nursing practice.
C)Seek a balance between individuals' needs and the community's needs.
D)Remember that group needs outrank individual needs.

Question 10

What is the nurse's most appropriate action when it becomes apparent that another agency is needed to help a family best meet their health needs?

A)Call the other agency to set up care for the family.
B)Give the family information to initiate contact with the other agency.
C)Report the need to the community/public health nurse's supervisor for action.
D)Write a letter to the appropriate agency suggesting that it contact the family.

Question 11

When a community/public health nurse cannot meet a need of the client,it is most appropriate for the nurse to

A)Encourage the client to pay someone to meet that need.
B)Inform the client that insurance will not pay for the care.
C)Refer the client to a person or agency that may be able to provide assistance.
D)Suggest that the client discuss the need with the physician.

Question 12

A community/public health nurse may ignore an individual's wishes in which of the following circumstances?

A)Caring for a client with tuberculosis who refuses treatment
B)Educating a client who adds salt to food while following a cardiac diet
C)Discovering that a client drinks wine before dinner every night
D)Finding evidence that the client may be smoking marijuana

Question 13

A young man has repeatedly visited the sexually transmitted disease (STD)clinic for human immunodeficiency virus (HIV)testing.What should the nurse do in addition to completing the testing?

A)Determine whether the young man is heterosexual or homosexual.
B)Emphasize repeatedly the importance of abstinence.
C)Discuss his perceived barriers to practicing safe sexual behaviors.
D)Teach the importance of using protection for engaging in sexual acts.

Question 14

What is the meaning of the term aggregate as used in community health?

A)A group of persons who reside in a specific geographic area
B)All the persons who live in a specific community
C)A set of persons who have some characteristic in common
D)"The public" in professional terminology

Question 15

When faced with an ethical conflict about limited resources and unlimited need,which action is the most just?

A)Giving care to clients whose needs most closely match the nurse's abilities
B)Giving care to whichever prospective clients ask for care first
C)Working as hard as possible and not worrying about it
D)Trying to achieve the outcome of the greatest good for the greatest number of persons

Question 16

The only clear distinction between a community health nurse and a public health nurse is that

A)The community health nurse gives care in community settings regardless of personal education,whereas public health nurses have specific educational preparation.
B)Community health nurse is a title that has historically been used,whereas public health nurse is the new "in" title for the role.
C)The community health nurse is employed to give care to families and groups,whereas the public health nurse works in public health departments.
D)Community health nurse is the broader term that includes public health nursing,school nursing,and home health nursing.

Question 17

A community/public health nurse is best defined as a nurse who

A)Applies concepts and knowledge from nursing and public health.
B)Gives care to families in the community.
C)Has a baccalaureate and previous experience in community health.
D)Is employed outside of an acute care setting.

Question 18

What underlying values should be a part of a healthy community?

A)Responsibility and respect
B)Connectedness and caring
C)Stability and safety
D)Marketability and security

Question 19

How does a community/public health nurse provide indirect care to clients in homes,clinics,senior citizen centers,schools,prisons,homeless shelters,and other living environments?

A)Being employed in community settings such as outpatient clinics
B)Providing anticipatory guidance and health promotion activities to community members
C)Providing care in mobile vans to citizens in their own neighborhoods
D)Being involved on a political action committee to create new client services

Question 20

Why is it necessary for public health nurses to attend community health planning meetings?

A)To network with other community groups
B)To protect the health of special interest groups
C)To coordinate case management efforts
D)To seek advice from others in the community

Question 21

Which action by home health nurses is crucial because of current national health care goals?

A)Administer medications and treatments correctly and safely.
B)Document the savings and benefits of home care services.
C)Guide a group to an appropriate resource to best meet their needs.
D)Teach an ill person's family how to promote self-care.

Question 22

Which interventions are most commonly used by community/public health nurses caring for families? (Select all that apply.)

A)Administering screening tools to all family members
B)Applying the nursing process to the care of individuals
C)Collaborating and coordinating referrals as needed
D)Providing health teaching,including anticipatory guidance
E)Participating in collecting data on clients for clinical research
F)Resolving conflict among family members

Question 23

Which ethical principle might be difficult for the community/public health nurse to implement?

A)Nonmaleficence
B)Beneficence
C)Justice
D)Respect for autonomy

Question 24

What is the value of nurses' discussions of their vision for the health of the community? (Select all that apply.)

A)Other persons are assisted in seeking possibilities that they may not have considered.
B)Other persons are encouraged to become partners in a specific project.
C)Other persons are forced to think about health issues and nurses' power.
D)Other persons are coerced to become partners in the nurse's dream.
E)Attention is drawn away from issues pushed by other professions.
F)The vision becomes a source of energy and motivation for everyone involved in the discussion.

Question 25

Which nursing actions would help ensure a healthful environment? (Select all that apply.)

A)Help an elderly couple obtain access to a health clinic that will accept Medicare.
B)Help parents fight to get soda and candy vending machines out of the school.
C)Help the high school student government establish a waste recycling program.
D)Refer a single mother to a public assistance program.
E)Recognize that individuals have a right to smoke if they so desire.
F)Support members of Mothers Against Drunk Driving who testify to Congress.

Question 26

What would a new baccalaureate-prepared community/public health nurse be expected to do to improve personal competency and quality of care? (Select all that apply.)

A)Apply the nursing process to a large aggregate.
B)Be actively involved in peer review.
C)Provide the best possible care to individuals and families.
D)Participate in relevant continuing education programs.
E)Integrate relevant research findings for evidence-based practice.
F)Systematically evaluate personal professional practice performance.

Question 27

The nurse was caring for several single teenage mothers who desperately needed supplies such as diapers and cribs,but no resource in the community provided these specific items.Which of the following actions would be most helpful? (Select all that apply.)

A)Asking churches and other community charities to donate such supplies
B)Asking the local hospital to not bill the mothers for labor and delivery costs
C)Empowering the mothers by helping them form a self-help group to share resources
D)Engaging the community in recognizing the problem and implementing changes
E)Holding fundraisers to give cash to the mothers to purchase such supplies
F)Teaching a sex education course in all the schools for prepubescent students

Question 28

Which nursing activity is unique to community/public health nurses?

A)Care for the sick and dying
B)Commitment to promote health of individuals and families
C)Focus on vulnerable groups in the community
D)Provide holistic care to clients in the presence of their families

Question 29

Which commitments are unique to community/public health nursing? (Select all that apply.)

A)Advocacy for equitable distribution of health care
B)Care of ill,disabled,and suffering persons
C)Political action for a healthful physical environment
D)Promotion of self-responsibility or self-care in relation to health
E)Focus on a standard of living that supports health for all
F)Support for human growth and development throughout the life span