Question 1

Which are socioeconomic factors that contribute to the health of a community?

Accepted Answer

Eligibility for free school lunches,racial makeup of the residents,new hospital,and employment are all socioeconomic factors that contribute to the health of a community.The square mileage of the town is not a socioeconomic factor that contributes to the health of the community.

Question 2

Which is an appropriate action of the community-based nurse when functioning in the role of case manager?

Accepted Answer

The nurse fulfills the role of case manager by arranging and organizing medical services for the patient including transportation to and from appointments.Calculating the immunization rate is the role of epidemiologist.Therapeutic touch and relieving dyspnea are caring nursing interventions.

Question 3

Which communication methods will the community nurse use when interacting with recent immigrants who do not speak English?

Accepted Answer

The nurse should be sensitive to nonverbal communication cues,identify the preferred language for each family member,and utilize an interpreter when explaining health care procedures.Speaking loudly will not facilitate communication with patients who are not hard of hearing.A speech pathologist will not be helpful for communicating with family members who do not speak English.

Question 4

Which findings are included in the nurse's community assessment?

Accepted Answer

Community assessment includes educational level,water purity,and emergency services.The tenure of the mayor and average summer temperatures are not included in the nurse's community assessment.

Question 5

The nurse identified the source of food poisoning as a local restaurant and ensured that no further patrons became ill.Which community health nursing role was demonstrated by these actions?

Accepted Answer

As epidemiologist,community health nurses use basic principles of epidemiology such as tracking health problems; collecting and analyzing data to identify disease trends,outbreaks of illnesses,and disease incidence rates; and planning strategies to prevent or contain outbreaks.With the goal of helping patients assume responsibility for their own health care,the role of educator is important in a community-based setting.Case management means making an appropriate plan of care based on assessment of patients and families and coordinating needed resources and services for the patient's well-being across a continuum of care.The scenario does not indicate that the community health nurse provided direct care to the food poisoning victims.

Question 6

Which patients are considered to belong to vulnerable populations?

Accepted Answer

Individuals living in poverty,elderly people,homeless individuals,those in abusive relationships,people with substance-abuse problems and/or mental illnesses,and new immigrants are examples of vulnerable populations.Living at home and working two jobs are not examples of vulnerable populations.

Question 7

Which is the priority goal for a patient who is being abused by the spouse?

Accepted Answer

The highest priority goal for this patient is to remain free from injury.The other needs are psychosocial and less important than the patient's safety.

Question 8

Which is the highest priority problem for a homeless patient without family in December?

Accepted Answer

Safety and physiological needs are more important than psychosocial needs.Therefore hypothermia is higher priority than loneliness,social isolation,or dignity.

Question 9

Which is an appropriate goal within the scope of Healthy People 2020?

Accepted Answer

Healthy People 2020 focuses on health promotion and elimination of disparities in health care.Equal treatment for insured and uninsured patients is an appropriate goal within the scope of Healthy People 2020.Improvement in the patient's condition after illness and family involvement in care are not goals within the scope of Healthy People 2020.

Question 10

Which problem is the highest priority for a family who has just moved to the United States and does not speak any English?

Accepted Answer

The highest priority for the family is the need for effective communication because they do not speak English.This will cause difficulties with employment,health care and daily activities of living.Nothing in the scenario indicates that a family member is at risk for confusion.Enhanced decision making and energy field balance can be addressed after the language barrier is resolved.

Question 11

Which is an appropriate goal for the public health nurse working in the community?

Accepted Answer

A goal that is appropriate for a public health nurse working in the community is to ensure that a high percentage of children are up to date on their immunizations. This is a preventive approach that can help to protect the health of the community as a whole.

Answer: B, C, and D are not appropriate goals for a public health nurse working in the community. B is a goal that is more appropriate for a home health nurse working with a specific patient and family. C is a goal that is more appropriate for a medical provider managing a patient's treatment plan. D is a goal that is more appropriate for a nursing supervisor or administrator in a care facility.

Question 12

Which is an example of an incidence rate?

Accepted Answer

Incidence rates identify the frequency with which certain events occur.An example of an incidence rate is 12% of the patients in the hospital develop ventilator-associated pneumonia.Drop in hemoglobin levels,rate of ambulation,or percentage of bachelor-prepared nurses are not examples of incidence rates.

Quiz 4: Community-Based Nursing Practice