Deck 18: Providing Care in Home and Community

Question 1

A community health nurse collected data for several months on the birth weights of newborns of mothers who drank alcohol during their pregnancy.Which role did this nurse perform?

A)Teacher
B)Care provider
C)Collaborator
D)Researcher

Answer 1

Researcher

Question 2

On what do community health nurses focus?

A)Ability to pay for care
B)Diagnoses
C)Client aggregates
D)The total person

Answer 2

Client aggregates

Question 3

What would be included in the assessment of the health and social services subsystem of a community? (Select all that apply. )

A)Availability of emergency centers
B)The size of the community
C)Evidence of traditional healers
D)Presence of mental health facilities
E)Where families and children play

Answer 3

Availability of emergency centers
Evidence of traditional healers
Presence of mental health facilities

Question 4

What are advantages of home health care? (Select all that apply. )

A)Accessibility
B)Preference
C)Convenience
D)Cost
E)Relationship

Question 5

Data indicate that of 100 residents in a nursing home,there are 25 older adults with influenza at this time,or 25%.What would this be termed?

A)Prospective rate
B)Prevalence rate
C)Incidence rate
D)Epidemiologic rate

Question 6

When a home health nurse consults the patient's physician and pharmacy about a patient's medications,which role is being demonstrated?

A)Teacher
B)Researcher
C)Collaborator
D)Care provider

Question 7

What would be included in the assessment of the economic subsystem of a community? (Select all that apply. )

A)Industries in the community
B)Places where people shop
C)The number of bike trails
D)The number of parks
E)The unemployment rate

Question 8

Data indicate that there were 14 deaths in the year 2003 related to suicide in a specific community.What would this be termed?

A)Prospective rate
B)Prevalence rate
C)Incidence rate
D)Epidemiologic rate

Question 9

The high school nurse reviewed past records of female students in the school to determine the rate of teenage pregnancy.What is this an example of?

A)A retrospective study
B)A controlled study
C)A prospective study
D)An experimental study

Question 10

What would be included in the assessment of the education subsystem of a community? (Select all that apply. )

A)Graduation and dropout rates
B)Libraries in the community
C)Number of public bus routes
D)Bookstores in the community
E)Educational issues

Question 11

What constitutes a healthy community?

A)Uses natural resources wisely
B)Encourages maximum governmental control over decision making
C)Being a problem-solving community with open communication among its members
D)Defers community crises to the federal government
E)Strives to provide for all members

Question 12

The nurse implemented an immunization program for influenza for members of a parish.Following the implementation of the program,the nurse gathered data on the incidence of flu.What is this an example of?

A)A retrospective study
B)A controlled study
C)A prospective study
D)An experimental study

Question 13

What would be included in the assessment of the safety and transportation subsystem of a community? (Select all that apply. )

A)The types of public transportation
B)The number of local published newspapers
C)Modes of transportation
D)Air and water quality monitoring
E)Number of schools in the area

Question 14

Which is the largest source of reimbursement for home health services?

A)Self-pay
B)Private insurance
C)Medicaid
D)Worker's compensation

Question 15

What would be included in the assessment of the physical environment subsystem of a community? (Select all that apply. )

A)The appearance of the environment
B)The number of schools
C)The size of the community in square miles
D)The number of homeless shelters
E)A map of the area

Question 16

When formulating a nursing diagnosis for a client,what must the home health nurse consider?

A)The needs of the client,needs of the client's family,and the characteristics of the home.
B)The needs of the client and the caregivers of the client.
C)The current needs of the client and any potential "at risk" needs.
D)The community the client lives in and any potential risks for the client.

Question 17

What would be included in the assessment of the recreation subsystem of a community? (Select all that apply. )

A)The air and water quality
B)Where children play
C)The number of libraries
D)Who participates in sports programs
E)Gyms and pools

Question 18

What would be included in the assessment of the politics and government subsystem of a community? (Select all that apply. )

A)The predominant political party affiliation
B)The number of crimes committed
C)The unemployment rate
D)Participation of residents in decision making
E)Election of a local board of education

Question 19

What would be the greatest difference in care delivery when comparing the hospital-based nurse to the community and public health nurse?

A)The hospital-based nurse does not have to follow as many policies as the community and public health nurses.
B)The community and public health nurses have a higher degree of autonomy and independence than the hospital-based nurse.
C)All three groups of nurses perform their jobs identically.
D)The community and public health nurses do not have to document care as much as the hospital-based nurse.

Question 20

Which are considered factors that have contributed to the growth of home health? (Select all that apply. )

A)The ability of home care agencies to provide high-technology services in the home
B)The preference of third-party payers
C)Government mandates for home care rather than hospitalization
D)The increase in the population of older adults
E)Lack of consumer interest in home care

Question 21

The community health nurse usually works in which area?

A)Providing care to a client who is recovering from an illness
B)Providing care for individuals in their homes
C)Health promotion and illness prevention
D)Planning care related to Medicare reimbursement

Question 22

The administrator of a healthcare-related business published the following position description online:
Wanted: Are you a registered nurse with maternal-child,pediatric,or adult medical-surgical experience? If so,consider a position with ABC Agency.We have several positions available to provide care to patients in their homes and to provide care in neighborhood clinics.Call XXX-XXX-XXXX for more information.
Which type of nursing practice is being advertised?

A)Public health
B)Population health
C)Community-based
D)Community-oriented

Question 23

The nurse includes the following information as part of daily documentation:
The air quality at Elizabeth,PA has reached the unhealthful range with >100 microns/unit of particulate matter.The ozone level is elevated and individuals with respiratory illnesses should stay indoors during the afternoon hours.
In which type of role is this nurse practicing?

A)Public health
B)Occupational health
C)Environmental health
D)Patient-centered medical home

Question 24

On what do home health services focus?

A)Intravenous therapy
B)Individualized,episodic care with curative,short-term outcomes
C)Prevention of disease processes
D)Reimbursement issues first

Question 25

The administrator of an organization is preparing a posting for an online employment web site and includes the following sentence: "Nurses in this role have the main objective of primary prevention with the goal of achieving health equity." For which type of organization is the administrator seeking a registered nurse to hire?

A)Parish
B)School
C)Home health
D)Public health