Evolve Adaptive Quizzing Ch. 1-5

The nurse in a new community-based clinic has been asked to complete a community assessment. Place the steps in the correct order to complete this assessment.

1. Structure or locale 2. Population 3. Social system

The nurse works in a community health center. A patient approaches the nurse for help. The patient is unemployed and has a family of three children to support. In addition, the patient is taking treatment for tuberculosis. What actions should the community health nurse perform to help this patient? Select all that apply.

Assess the patient's surroundings. Educate the patient regarding tuberculosis. Find out which providers in the community could help solve the patient's problems.

The nurse is recording the results of all the laboratory reports of a patient. Which standard of practice is the nurse performing?

Assessment

What are the key aspects of community-based health care? Select all that apply.

Focus on primary care Emphasis on health promotion Health education about diseases

There is an outbreak of acute gastroenteritis in a school. What are the interventions a community health nurse would perform as an epidemiologist? Select all that apply.

Perform active case finding. Provide health teaching. Track incidence rates of illness

The nurse educator is delivering a lecture on nursing as a profession to a group of nursing students who have recently joined the baccalaureate nursing degree course. The nurse is explaining the nursing processes by giving examples. Which examples should the nurse give while explaining nursing assessment? Select all that apply.

Recording body temperature two hours after administering antipyretic medication. Asking the patient about hygiene and sanitation in the patient's community. Identifying the signs of respiratory distress in a hospitalized patient.

The American Nursing Association (ANA) strives to improve the quality of nursing care. Which statements are true about ANA? Select all that apply.

ANA is a part of the International Council of Nurses (ICN). ANA employs registered nurses as lobbyists at the federal level. ANA lobbied state legislatures to restrict the length of overtime for individual nurses.

A community health nurse visits a patient with chronic diabetic ulcers. The nurse cleans the ulcer and applies a dressing. The next day, the nurse takes the patient to a diabetologist for expert care. What are the roles that the nurse played here? Select all that apply.

Caregiver; client advocate

A registered nurse has recently started her nursing career by joining a cardiac care unit. The mentor explains the duties of the nurse. The mentor states that the nurse does not require any permission or orders to give routine hygiene care measures. The nurse's duty is to provide holistic care to the patient. Which aspects of nursing do these duties illustrate? Select all that apply.

Caregiving Autonomy Accountability

Using Healthy People 2020 as a guide, which action would improve delivery of care to a community? Select all that apply.

Community assessment Implementing public health policies Increasing access to care Determining rates of specific illnesses

A hospital-based nurse has been asked to join a community-based nursing center. In what aspects does the community-based nursing center differ from a hospital setting? Select all that apply.

Community health care services focus on vulnerable populations. Community health care services can be directly accessed by patients. Community health care services are provided where the patients live

An elderly couple visits the hospital for regular health checkups. The woman, who is 67 years old, has been diagnosed with dementia. She lives with her husband, who is 75 years old. He has hypertension and is on antihypertensive drugs. He is looking for information on health care providers and services to take appropriate care of his wife. What role is the nurse playing when giving information about the community resources to the patient?

Counselor

While caring for a patient in a community-based hospital, the nurse helps the patient identify and clarify health issues, and choose appropriate measures to solve those issues. Which nursing role is the nurse performing in this scenario?

Counselor

An elderly couple visits the hospital for regular health checkups. The woman, 67 years old, has been diagnosed with advanced dementia. She lives with her husband, her sole caregiver, who is 75 years old. He is a hypertensive patient and is on antihypertensive drugs. What interventions should the nurse perform to promote well-being of the patient's wife? Select all that apply.

Demonstrate the techniques of dressing, feeding, and bathing his wife. Provide encouragement and emotional support. Advise the patient to seek help from respite care and support groups. Recommend financial services if needed.

The nurse is learning about the standards of nursing practice. Which activities are part of the practice of implementation? Select all that apply.

Educating patients for health awareness Using therapeutic procedures for patient care Providing consultation to enhance patient care

What factors predispose vulnerable populations of patients to develop health problems?

Excess health risks, limited access to health care services, and dependency on others for care

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. What are the responsibilities of the nurse as a patient educator? Select all that apply.

Explain concepts and facts about health to patients. Teach the patient to self-administer insulin injections.

The nurse works in a community with a high prevalence of cancer. What nursing interventions would be helpful in reducing cancer-related morbidity at the community level? Select all that apply.

Help people quit smoking. Motivate the women to go for annual Pap smears

A 54-year-old woman is poor and suffering from tuberculosis. Other people with tuberculosis live in her area. She has a 17-year-old daughter. The patient has neglected her health for the sake of saving some money for her daughter. How should the nurse ensure that the patient and her family improve their health conditions? Select all that apply.

Help the daughter find a job. Ensure that the environment where they live is clean and safe. Spread awareness about tuberculosis

How can the nurse improve the quality and lifestyle of an older adult population of a community? Select all that apply.

Help them maintain their own health. Help them improve their level of functioning. Understand what health means to older adults.

On the basis of an assessment, the nurse identifies an increase in the immigrant population group in the community. How would the nurse determine some of the health needs of this population? Select all that apply.

Identify which two health needs the immigrant population views as most important. Apply information from Healthy People 2020. Determine how the population uses available health care resources. Identify perceived barriers to health care

Which nursing action indicates that the nurse is performing the role of a change agent?

Identifying the quality of community child care service

The nurse is working in a community clinic. Which population groups are at high risk of developing diseases? Select all that apply.

Immigrants Homeless people People in abusive relationships

The nurse has many roles to perform. Which statements illustrate the nurse's role as a patient caregiver? Select all that apply.

Implements postoperative exercises for a patient who recently had surgery Provides measures that restore a patient's emotional, spiritual, and social well-being Assists the patient in meeting therapeutic goals with minimal financial cost, time, and energy

A community nurse in a diverse community is working with health care professionals to provide prenatal care for underemployed and underinsured South African women. Which overall goal of Healthy People 2020 does this represent?

Increase life expectancy and quality of life (QOL) and eliminate health disparities.

The nurse is interviewing a female patient. The nurse finds that she is an immigrant and spends a lot of time traveling for work. She is married and has two children. Her husband abuses her often. She earns just enough to feed her children. The nurse understands that the patient is vulnerable. What patient factors make her vulnerable? Select all that apply.

Patient is an immigrant, the patient, is abused by her husband, and the patient doesn't make sufficient enough income for her family's needs.

The registered nurse is planning to pursue a career as a certified nurse midwife. What are the duties of a certified nurse midwife? Select all that apply.

Perform Papanicolaou (Pap) smear tests. Perform normal delivery procedures. Prescribe medications for minor vaginal infections.

A patient is diagnosed with gastroenteritis. The nurse finds that the patient is an unemployed immigrant and doesn't understand the language well. What should the nurse do to help this patient? Select all that apply.

Plan a visit to the patient's home and try to find a language translator for the patient to better communicate during the next session.

The nurse practitioner is assessing a patient who has been admitted for congestive cardiac failure. The nurse suspects a pulmonary pathology and asks for a chest x-ray to confirm the findings. Which standard of practice is the nurse performing?

Prescriptive authority

In a community, a large population of people have arthritis. What nursing interventions would be helpful in reducing the incidence and impact of arthritis? Select all that apply.

Promote stress management. Teach correct body mechanics. Teach management of daily activities. Educate about the availability of mechanical appliances.

A patient with asthma approaches a primary care center for management of the illness. What is the role of the nurse practitioner during the patient's visit for primary care? Select all that apply.

Provide direct medical care. Provide comprehensive care. Establish a collaborative provider-patient relationship.

A neighborhood with old homes is undergoing a lot of restoration. Lead paint was used in the buildings. The clinic is initiating a lead screening program. This activity is an example of which level of prevention?

Secondary prevention

While conducting surveillance for complications of cigarette smoking, the nurse found a high risk of lung cancer in two patients in a small community of 150 people. What should the community health nurse do? Select all that apply

Study the incidence of lung carcinoma. Act as a change agent in the community. Help the high-risk patients to make decisions about further care. Discourage the people of the community from smoking cigarettes

A schizophrenic patient has been discharged from the hospital to community-based health service assistance. What is true of community-based assistance for someone with a mental disorder? Select all that apply.

There are fewer services offered. The services are limited and fragmented. These service a vulnerable population. Increased collaboration with community resources is essential for treatment

The nurse is placed in a community clinic. The nurse attends to many patients living in poverty. What are the reasons that make these patients vulnerable to various health ailments? Select all that apply.

They work at high-risk jobs. They do not eat a well-balanced diet. They live in a hazardous environment.

A 54-year-old woman is poor and suffering from tuberculosis. Other people with tuberculosis live in her area. What should the nurse include in her assessment of the community? Select all that apply.

Water and sanitation facilities Economic status Transportation

A registered nurse is teaching a group of student nurses about various guidelines for assessing members of vulnerable population groups in a community. Which statement made by a student nurse indicates the need for further teaching?

We should avoid examining the clothes if substance abuse is suspected.

Which factors are included under the Structure component of the Community Assessment list? Select all that apply.

economic status, water and sanitation, and geographical boundaries

Which action indicates that the health care nurse is assessing the structure component in a community?

observing the location of available health care services

The nurse informs a patient who is planning to move that lead-based paint was banned for use in homes in 1978, so newer homes do not have lead in the paint. What level of care does the nurse provide through this activity?

primary care

The nurses set up flu vaccine clinics in local churches and senior citizen centers. This activity is an example of which level of prevention?

primary care