community nursing unit 5

A 45-year-old client with breast cancer is being discharged from Chamberlain Oncology Unit and prescribed hospice care services. The client will be needing assistance with pain management and activities of daily living. Hospice services include respite care, skilled nursing care, and home aide services. ​ Question 1 / 2 The client expresses a primary goal to implement nonpharmacological approaches for relaxation and pain management, stating, "I just want to be more comfortable without having to rely on pain meds all the time." Which nursing diagnosis would be the priority?​

readiness for enhanced comfort

home healthcare use is ______ as more clients are requesting client-centered, individualized care in ____ setting. The percentage of people aged 65 and older has ____ and they are the primary receivers of home care services

is increasing, a home, increased

What types of funding sources are available to clients to help pay for home care services? Select all that apply.

medicare private pay long-term care insurance workers comp private health insurance

Which statement is true regarding the benefits of home care service use?

medicare promotes the use of home healthcare services as an alternative to inpatient hospitalization

consistent or not consistent with signs of ineffective pain management: BP 128/76, T 97.8

not consistent

consistent or not consistent with signs of ineffective pain management: declined cancer treatment

not consistent

selected ___ tasks in a school environment can be delegated by the ___ to a competent unlicensed assistive personnel. Implementation of a task is bound by the legal constraints of nursing practice defined by the _____

nursing, school nurse, state's nurse practice act

hospice or palliative: anyone living with a serious illness

palliative

hospice or palliative: curative treatment

palliative

hospice or palliative: does not have a life expectancy of 6mo or less

palliative

hospice or palliative: focusing on symptom management while receiving other treatment

palliative

Global violence can result in which of the following adverse health outcomes? Select all that apply.

physical injury physiological effects death psychological trauma

as with other areas of community health nursing, the levels of prevention provide the framework for occupational nursing care with an emphasis on the ___ level of prevention

primary

occupational nurses provide education on health and wellness strategies, such as vaccinations, exercise, smoking cessation, healthy eating, personal protective equipment, and annual primary healthcare provider services. what level of prevention are these strategies?

primary

why are nurses needed in community health settings? (SATA)

promote healthy lifestyles increase quality of life improve client outcomes

The occupational nurse is providing teaching to nursing students about how they can mitigate risk. Which statement indicates an understanding of a way to prevent legal liability while functioning as a professional occupational health nurse?

"I will maintain competencies consistent with the needs of clients in occupational health settings"

A 35-year-old client has applied to Chamberlain Manufacturing and has a conditional job offer. Prior to any new hire, an appointment with the occupational health nurse is made for a pre-employment health screening and drug testing. ​The potential new hire asks the occupational health nurse, "Why do I need drug testing for employment?" Which statement is most appropriate?

"We are a drug-free workplace and we screen all potential new hires for drug-use issues."

The American Nurses Association (2019) acknowledges that nurses have an ethical responsibility to manage client pain and the suffering it causes. Identify the following ways through which hospice nurses can help manage client pain and the suffering it causes. ​Select all that apply​.

- Assess and address the factors in nurses themselves and their practice environment that constrain their ability and willingness to relieve pain and the suffering it causes. - Preserve the nurse's professional and personal integrity by developing the moral courage and resilience necessary to reduce moral distress when managing pain. - Provide an individualized pain management plan with monitoring. - Provide clinically excellent care to address a client's pain.

Which of the following statements are true in how forensic nurses aim to improve the quality of life for individuals and communities who have experienced violence? Select all that apply.

- Forensic nurses recognize violence as a global, health care problem. - Forensic nurses organize and participate in facilitating the development of policies and procedures that foster the implementation of prevention and intervention programs in response to violence. - Forensic nurses promote the development of a coordinated and culturally sensitive response and care for clients who have experienced violence or abuse. - Forensic nurses have an ethical responsibility to serve, advocate for and empower patients, families, and their communities. - Forensic nurses bring attention the effects of violence and the need to reduce immediate, intermediate, and long term physical and psychological injuries that are associated with violence.

A 45-year-old client with breast cancer is being discharged from Chamberlain Oncology Unit and prescribed hospice care services. The client will be needing assistance with pain management and activities of daily living. Hospice services include respite care, skilled nursing care, and home aide services.​ Question 2 / 2 Which nursing actions support the client's priority goal to enhance comfort based on nonpharmacological approaches? Select all that apply.

- Perform a self-care assessment to identify current nonpharmacological strategies, if any, being used.​ - Help the client identify strategies to enhance comfort, such as meditation, mindfulness exercises, and massage. - Collaborate with professionals, such as healthcare providers, pharmacists, social workers, and chaplains, in planning interventions that address comfort needs in various contexts including physical, psychospiritual, sociocultural, and environmental settings.​ - Support the client's awareness that using nonpharmacological approaches is an attainable and positive comfort goal.​ - Promote social support and family involvement.​

A 45-year-old client is being discharged from Chamberlain Rehabilitation Unit and prescribed home care services. The client was diagnosed with a traumatic brain injury from a motor vehicle accident and will be homebound. Home care therapy services include occupational and physical therapy and skilled nursing care.​ The following services need to be coordinated:​ weekly visits to the neurologist's office​ transportation services​ medication administration​ home aide services to assist with activities of daily living Question 2 / 2 Which nursing actions support the client's ability to enhance self-care based on functional abilities? Select all that apply.

- Support the client's awareness that enhanced self-care is an attainable and positive life goal. - Perform a self-care assessment to identify baseline functional ability. - Help the client identify strategies to enhance self-care and reduce barriers. - Promote social support through facilitation of family involvement or through support groups.

According to the Institute for Healthcare Improvement (2018), what are the principles that guide safety in the home? Select all that apply.

- a robust learning and improvement system - effective team-based care and care coordination - self determination in all aspects of care - organizations must create and maintain a safety culture

Which of the following clients require holistic medical and legal care? Select all that apply.

- an 80yo woman who is abused and neglected - a 35yo inmate with schizophrenia - a 4yo child who is sexually abused - a 18yo adult who died in a work related accident

Which statements are true regarding caregiver wellness? Select all that apply​.

- client care interventions are directed toward preventing a decline in caregiver's health - the hospice nurse assesses the caregivers mental and physical health

Home care nursing referrals come from which sources? Select all that apply.

- client requests - HCP - case managers - therapy services - social services

which nursing interventions do community health nurses implement? (SATA)

- perform a cultural assessment to identify client care preferences - educate clients with diabetes how to count carbs and help control blood glucose levels - provide education on importance of prenatal vitamins during pregnancy to prevent neural tube defects - teach a client with disability how to use a walker to prevent falls - assess a child for trauma related injury using head to toe assessment

An employee reached out to the occupational health nurse due to chronic health issues and an increase in absenteeism. Which nursing actions would help provide client support? Select all that apply.

- validate the client's reasons for being forthcoming and reaching out for help - set a positive tone and inform cleitn about employee assistance program benefits - share that self-care and managing health is an attainable and positive life goal - if it is a work-related health problem, investigate further - act immediately to make a quick assessment to determine how best to help the client

there are various types of hospice care services. identify 3 types

- visits from a hospice aide to provide personal care - visits from a chaplain to provide spiritual support - nursing visits to address physical symptoms

Upon arrival at the school office, there are 4 students waiting to be seen by the school nurse. In what order should the nurse assess these children

1. 11yo with audible wheezing 2. 6yo who reports a headache after being hit in the face by a ball 3. 9yo w a fever 4. 7yo with an abrasion on the knee

which four types of healthcare services are offered by school nurses

1. immunizations and screenings 2. health prevention activities 3. first aid and emergency care 4. medication administration

which are the 4 primary tasks performed by an occupational health nurse?

1. manage workers' compensation cases 2. provide work health screenings 3. conduct health and wellness fairs 4. complete pre-placement baseline medical evaluations

whicha re the 3 primary types of home care services?

1. personal care and companionship 2. private duty 3. home healthcare

hospice care is when life expectancy is ____ months of less, and the focus of the care is on ____ rather than ____

6, comfort, cure

education and health data is protected by legislation known as the

Family Educational Rights and Privacy Act (FERPA)

which sources can hospice referrals come from (SATA)

HCP, social services, client request, friends, clergy members

Which nurse coordinates with community health nurses to develop daily care plans, manage financial responsibilities, facilitate optimal health outcomes, and identify inadequate or duplicated healthcare services?

Nurse case manager

Federal law that states employers must provide a place of emplyment free from recognized hazards that are causing or likely to cause death or serious physical harm to employees

OSHA (occupational safety and health act)

one of the most common forensic nurse examiners are

Sexual Assault Nurse Examiners (SANE) or Sexual Assault Forensic Examiners (SAFE)

forensic nurses provide medical and legal care to cleints who have experienced which of the following? (SATA)

interpersonal violence human trafficking sexual assault unintentional injury child abuse

An adolescent client who presents for a sexual assault medical forensic examination states past sexual abuse by a childhood friend, and a suicide attempt at age 10. The forensic nurse asks the client, "Do you have any thoughts of wanting to hurt yourself now." The client states, "I don't know, maybe." What is the priority action of the nurse?

address safety concerns regarding suicidal ideation

a student's health is directly related to which characteristic?

ability to learn

federal law that states employers must make reasonable accommodations to enhance opportunities for individuals with disabilites and prohibit discrimination based on disability

americans with disabilities act

Forensic nurses _____ an extension of ________ as nurses practice under our state Nurse Practice Act and scope and standards of nusing and forensic nursing practice. Forensic nurses incorporate aspects of the law (such as evidence collection) in the care of clients needing nursing care

are not, law enforcement

Which health hazard is related to this scenario: An unlicensed assistive personnel enters the room of a client on contact precautions wearing gloves and a mask

biological infectious hazard

Which health hazard is related to this scenario: A nurse spills a container of liquid on the OR floor and wipes it with towels

chemical hazard

consistent or not consistent with signs of ineffective pain management: HR 126 and RR 30

consistent

consistent or not consistent with signs of ineffective pain management: anxiety

consistent

consistent or not consistent with signs of ineffective pain management: inability to sleep

consistent

consistent or not consistent with signs of ineffective pain management: pain 9/10 on the pain scale

consistent

which health people objectives aim to prevent work-related injury and illnesses and make workplaces safer? (SATA)

decrease exposure to lead levels reduce work related skin diseases understand factors that impact the use of protective eyewear increase worksites with policies to ban smoking

A students health is ____ related to their ability to learn. Children with ____ health needs have a difficult time engaging in the educational process

directly, unmet

After doing a forensic nursing internship in a psychiatric correctional facility, Richard became interested in becoming a correctional nurse. While providing care, he would like to be able to offer input on policy changes in the corrections setting and offer evaluation services for inmates.​ Which credential will be most useful to Richard's goal of influencing policy changes in the corrections systems as it relates to a forensic nurse's role?

doctor of nursing practice (DNP)

Which health hazard is related to this scenario: a nurse calls for assistance in lifting a client after finding that the mechanical life is in use by another nurse

enviro-mechanical, physical, and psychosocial hazard

hospice or palliative: anyone living with a terminal illness

hospice

hospice or palliative: comfort rather than cure

hospice

hospice or palliative: focusing on symptom relief only

hospice

hospice or palliative: life expectancy of 6 mo or less

hospice

forensic nurses work in a variety of settings. identify 3 primary work settings

hospitals jails/prisons coroner's office

health problems lead to an ____ in absenteeism. The school nurse supports student success by providing healthcare through assessment, intervention, and ____ for all children within the school setting

increase, evaluation

A 45-year-old client is being discharged from Chamberlain Rehabilitation Unit and prescribed home care services. The client was diagnosed with a traumatic brain injury from a motor vehicle accident and will be homebound. Home care therapy services include occupational and physical therapy and skilled nursing care.​ The following services need to be coordinated:​ weekly visits to the neurologist's office​ transportation services​ medication administration​ home aide services to assist with activities of daily living Question 1 / 2 The client expresses the desire to enhance independence with health and activities of daily living (ADLs). Based on this information, which primary nursing diagnosis would be a priority?

readiness for enhanced self-care

what does holistic care help to promote that accounts for the cultural, social, and economic needs of communities? (SATA)

reduce health disparities improve outcomes social justice health equity

in hospice care, pain management is most effective if scheduled ____

regularly

occupational health nurses deliver health and ___ programs and services for workers and community groups. This nursing practice focuses on health ___, restoration of ____, prevention of illness, and protection from work-related and environmental ___ and hazards.

safety, promotion, health, injuries

after the family, the ___ is a major institution responsible for the development of children and adolescents in the US

school

one way to offer comprehensive healthcare to school-aged populations is to provide an interdisciplinary team approach that includes which members? (SATA)

social services educational board healthcare professionals psychologists families

according to the world health organization (2017), patient-centered care in community health settings consists of (SATA)

the right place the right care at the right time

the occupational health nurse is busy with safety programs and first aid when employees are hurt. However, the nurse still finds time to walk through the entire facility once a day. Which is the most likely reason

to observe effectiveness of safety education and equipment

home care services that can be performed by UAP

vitals, bathing and grooming, oral hygiene

home care services that can be performed by LVN (licensed vocational nurse)

vitals, catheter insertion, bathing and grooming, med administration, oral hygiene

home care services that can be performed by RN

vitals, catheter insertion, bathing and grooming, med administration, oral hygiene

Federal law that provides income replacement and healthcare for employees who sustain a work-related injury of death

workers' compensation acts