Question 1

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

Accepted Answer

Although the nurse should provide care in all the ways described,for recipients to accept the care,the care must be consistent with their cultural expectations and norms.

Question 2

How might case management be defined?

Accepted Answer

Case management is defined as the development and coordination of a plan of care for a selected client.

Question 3

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

Accepted Answer

The document Public Health Nursing: Scope and Standards of Practice (2007)was developed in concert with the steps of the nursing process to help nurses promote the health of persons.Healthy People 2020 focuses on achieving health goals for persons living in the United States.The Joint Commission Manual is used by organizations pursuing accreditation from this organization.There is no such document as Community Health: Standards of Nursing.

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?

Accepted Answer

Well-being requires learning to create meaning and a sense of belonging in life while recognizing that control (i.e.,preventing the death)is not always possible.

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?

Accepted Answer

To provide for the greatest good to the greatest number,it is often necessary to focus on basic services,such as immunization or prenatal care,because such care has the most effect on the whole community.

Question 6

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

Accepted Answer

Community/public health nurses obtain membership in decision-making groups as another way to increase their influence and contribute to health planning.

Question 7

What is the significance of the credentials APHN,BC?

Accepted Answer

Certification is a voluntary process that validates an individual registered nurse's qualifications in a specified area of nursing.A community health nurse who completes educational preparation in community health or public health at the graduate level may choose to seek certification in this specialty area.After passing the certification exam,the credentials APHN,BC may be used.

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?

Accepted Answer

Although both nurses would give excellent care to the individual client,the acute care nurse would assess the client individually and adapt interventions accordingly.The community/public health nurse would seek to identify others in the family who might need intervention or referral as well.The community/public health nurse provides care from a family-focused model,being concerned not only with the health of the identified client but also with the health of other family members.

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?

Accepted Answer

While the nurse's practice should be consistent with employing agency policies,legal mandates,and professional standards,the nurse must seek a balance between individual autonomy and other individual rights and the rights of all other community members.It is a delicate balance.

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?

Accepted Answer

Nurses usually encourage clients to initiate contact as one way of maintaining responsibility for their own care without encouraging dependency.Nurses work with clients with a specific difficulty or barrier,such as language,in a way that empowers them to follow up on the referral.

Question 11

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

Accepted Answer

Referral or directing someone to another source of assistance is an appropriate response when the nurse cannot fulfill the need.

Question 12

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

Accepted Answer

Many states require treatment for patients whose diseases are contagious to persons around them.The other choices are unfortunate,but patients have the right to choose their lifestyle behaviors,and nurses are not police officers.

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?

Accepted Answer

Because the young man has presumably been taught the advantages of abstinence or protection for engaging in sex,and yet continues to return for further testing,it is clear that information alone has not changed his behavior.Therefore,the nurse should interview the client about his values and help him perceive how reducing his risks may help him achieve his goals.

Question 14

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

Accepted Answer

By definition,an aggregate is a group of persons who have one or more characteristics in common,particularly a set of persons under statistical study with some common personal or environmental characteristic.Aggregate is a synonym for population.

Question 15

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

Accepted Answer

Although option B fulfills the criteria of egalitarian (equal)justice,it is a short-term answer to an ongoing problem.Trying to achieve the outcome of the greatest good for the greatest number of persons is a utilitarian approach to justice,which is more helpful in dealing with large populations such as clients seen by the community/public health nurse.

Question 16

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

Accepted Answer

Public health nurses synthesize all their nursing expertise,as well as knowledge,from public health,whereas nurses with varied educational backgrounds may be employed in community settings.

Question 17

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

Accepted Answer

The term community health nursing is an umbrella term used for all nurses who work in a community.This term denotes the setting of practice for the nurse.

Question 18

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

Accepted Answer

The World Health Organization (WHO)points out that values underlying health for a community include equity,empowerment,and cooperation.As a balance to some of the values of efficiency,materialism,and hierarchic power structures,nurses are speaking for connectedness and caring.

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?

Accepted Answer

Nurses give care directly,as in all the answers given,but provide care indirectly by trying to promote health and well-being through creating new resources,improving the environment,or using social and political mechanisms for solving problems.

Question 20

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

Accepted Answer

Nurses must establish and maintain relationships with professionals in other agencies and create partnerships to address community problems.Through networking with other community groups,nurses may be able to improve the health of special interest groups and improve case management services.The purpose of community health planning meetings is not to receive advice from others.However,the increased networking may help nurses solve problems that they may be encountering.

Quiz 1: Responsibilities for Care in Communitypublic Health Nursing