Chapter 02: Community-Based Nursing Practice (2)
A nurse acts as preceptor to a student nurse who is performing discharge planning for a client. What statement made by the student nurse about discharge planning indicates that the student needs additional teaching? (pg. 19)
"Discharge planning occurs when the patient is discharged."
A nurse educator for a local home care company is teaching staff nurses on the use of the Outcome and Assessment Information Set (OASIS). What statement will the nurse include when teaching about the OASIS? (pg. 20)
"Results are used to improve overall quality improvement efforts."
What is the purpose of early discharge planning as explained to a client? (pg. 19)
"To ensure you have the resources you need when you leave"
The nurse is providing a community education program about sexually transmitted infections for a group of 13- to 16-year-olds. What type of prevention is the nurse targeting? (pg. 19)
Primary prevention
What should the school nurse working in the elementary school setting be aware is one of the most frequent health care problems to affect this population? (pg. 25)
Infections
A client presenting with symptoms of left-sided heart failure has been admitted to a health care center. Which statement accurately reflects the priority in this client's nursing care at admission and the days immediately after discharge from the acute care setting? (pg. 19)
Initial nursing care at the hospital includes a respiratory assessment; after discharge, the home nurse provides education related to medical management of heart failure.
Which is a role of a school nurse? (pg. 25)
Monitoring immunization status
A novice public health nurse desires to learn more about developing professional cultural competence skills. What action by the nurse would best support the nurse's goal? (pg. 19)
Reflecting on own cultural beliefs
A nurse who is considering the possibility of becoming involved in home care asks a home care nurse about the characteristics needed for this practice area. Which of the following would the home care nurse be least likely to include? (pg. 21)
Need for control over a situation
A novice nurse is learning the difference between community-based nursing and community-oriented nursing. Which scenario does the nurse recognize as a role of the community-oriented nurse? (pg. 18)
Nurse working a booth at a health fair performing blood pressure and glucose screenings
A group of nursing students are preparing for a class presentation that describes community-based nursing. Which of the following would they most likely include? (pg. 18-19)
Practice on all the three levels of preventive care
A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have? (pg. 12)
Provide early, thorough discharge planning.
In which situation is the nurse providing tertiary prevention? (pg. 19)
Teaching rehabilitation exercises to a client after a mastectomy
A home care nurse is planning to visit a 60-year-old client diagnosed with heart failure for the first time. Which of the following would be most appropriate for the nurse to do? (pg. 21)
Telephone the client to obtain permission to visit.
A home care nurse is planning to visit a client newly diagnosed with diabetes. Further review of the chart reveals the client is of Japanese heritage. Upon arriving at the home, the home care nurse observes several pairs of shoes on a mat next to the door. Which of the following actions by the nurse demonstrates cultural competence? (pg. 19)
The nurse removes her shoes and announces her arrival.
The nurse is making an initial home visit for a client requiring wound care. What statement is true regarding safety during a home visit by a nurse? (pg. 22)
The nurse should never walk into a patient's home uninvited.
A client receiving home care observes the visiting nurse place a bag on a paper barrier at the beginning of the visit. To avoid misunderstanding, what does the nurse teach the client about the practice of placing the supplies on the barrier? (pg. 21)
The placement of the barrier is to follow universal precautions.
A community health nurse understands the importance and impact of cultural competence when caring for clients in the community. In what situation will the nurse find that cultural competence is particularly important? (pg. 19)
When members of the community share a heritage that is unfamiliar to the nurse
A client is being treated for injuries resulting from a skateboarding accident and is very agitated as the nurse cleans several gashes on the client's head. Which of the nursing responsibilities outlined by the American Nurses Association is the nurse fulfilling? (pg. 18)
administering medications, wound care, and numerous other personal interventions
Which tools do case managers commonly rely on to plan and coordinate client care? (pg. 12)
clinical pathways, practice guidelines, and standards of care
