Exam 1

In your own words, describe what respite care is. Discuss any barriers or limitations of respite care

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A community health nurse is providing care to several cultural groups in the community. When providing transcultural nursing, which action would be the priority? A) Examining one's own culture carefully and recognizing that alternative viewpoints are possible B) Actively and attentively listening to demonstrate respect while learning about other cultures C) Obtaining health-related information about a cultural group concerning their values, beliefs, and practices D) Recognizing that cultural values, beliefs, and practices influence people's health and lifestyles

A

A home health care nurse performs an initial visit to a client and determines that the client meets the criteria for services with Medicare reimbursement. The nurse understands that this service will be reimbursed for which period? A) 60 days B) 120 days C) 1 year D) 30 days

A

A school nurse is describing the responsibilities associated with this specialty to a group of nurses at a job fair. One of the nurses asks, "What is your primary responsibility?" Which response would be most appropriate? A) "I work to prevent illness among the school community" B) "I conduct health screenings" C) "I assess acute health problems" D) "I provide care to children with special health needs"

A

After teaching a group of students about hospice and its views of end-of-life care, which statement by the students indicates a need for additional teaching? A) Medical terminology should be used wisely B) Clients have a right to truthful discussion C) Care should attend to the body, mind, and spirit D) Death is not considered a taboo topic

A

An instructor is teaching a group of students about the settings of public health nursing. The instructor recognizes that the teaching is successful when the students identify which focused on the home setting? A) Lillian Wald B) Jessie Sleet C) Margaret Sanger D) Lina Rogers

A

As part of a group exercise, students are to compare and contrast home care and hospice care. The instructor determines that the activity was successful when the students identify which as reflective of home health care? A) Emphasis on rehabilitation B) Focus on the whole family C) Expert use of opioids for suffering D) Management of symptoms

A

Home health nursing has its roots in and shares many of the principles of community and public health nursing, applying them to the home context. However, some aspects of home health nursing are unique. Which nursing challenge is more likely to be encountered in home health nursing than other types of nursing? A) Personal safety of nurse B) Risk for falls C) Medication safety D) Infection control

A

When fulfilling the function of assessment, which action would be the most important for the community health nurse to take? A) Secure the trust of the clients B) Interact with key community leaders C) Gather appropriate information D) Use a variety of assessment tools

A

When visiting a client in the home for the first time, which information is absolutely critical to remember? A) The nurse is a guest in the client's home B) There may be dangers lurking around every corner C) Clients are glad to have the nurse in their home D) The nurse knows what is best for the client

A

Which scenario does NOT meet the criteria of homebound? A) Son drives patient to work out at Planet Fitness three times a week B) Neighbor assists patient to Sunday church, and patient is wiped out on the couch for a day or two afterward C) Grandson drives patient to grocery store every two weeks, but must unpack groceries and get patient comfortable to recover afterward D) Daughter drives patient for her monthly hair appointment

A

Which statement about the focus of nurse-led health centers is most accurate? A) They are truly community oriented B) They only focus on health promotion and wellness C) The focus is providing clinical experiences for nursing students D) They all have the same practice models

A

Select the term that matches each description A) Home remedies B) Herbalism C) Complementary and alternative medicine D) Holistic view E) Magicoreligious view

A) Caregiving practices passed down from generation to generation B) Therapeutic use of plants C) Aromatherapy, music therapy D) Maintaining health through all facets of the individual's nature E) Supernatural forces control health and illness

When providing palliative care to a client receiving hospice care, which would be important? Select all that apply. A) Believe what the client is reporting B) Use the most complex interventions first C) Be persistent in trying different strategies D) Wait until the symptoms recur to relieve them E) Assume nothing about what is wrong

A, C, E

The community health nurse is developing a plan of secondary prevention activities. Which actions might the nurse include? Select all that apply. A) Participating in skin cancer screening programs for those with a history of tanning booth usage B) Providing annual flu vaccines C) Providing skin testing for tuberculosis for children over 1 year of age in high prevalence areas D) Encouraging parents to install safety devices in electrical outlets E) Teaching college age students about the importance of meningococcal vaccinations F) Participating in hypertension screening programs at health fairs

A, C, F

A community health nurse has collected data for several months on the birth weights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role? A) Clinician B) Researcher C) Collaborator D) Manager

B

A home health care nurse is assigned to visit a client's home. The nurse identifies the area as a problem neighborhood. Which action would be the most appropriate for the nurse to take? A) Perform the visit via telephone B) Make joint visits with another nurse or security C) Reschedule the visit for another time D) Leave the cell phone at home

B

A nurse is discussing the growth and changes of community health nursing with a group of student nurses. Which factor will the nurse mention is most notable before the 1800s? A) Technical advances with the Industrial Revolution making major changes B) Care provided by family members, friends, and religious groups in the home C) Accomplishments stemming from the work of Florence Nightingale D) Formal organization of visiting nursing to provide care to the sick poor

B

The home health nurse is discussing home health nursing practice with a student nurse. Which statement made by the student nurse summarizes the home care nursing? A) "The home health nurse must be able to transport clients to the hospital if they note a decline in the client during a scheduled home health visit" B) "The home health nurse must coordinate a variety of services and other professional caregivers in order to manage clients care" C) "The home health nurse must work closely with the agency social worker who serves as the coordinator of care for clients" D) "The home health nurse may only provide care for 60 days per calendar year"

B

What is the most serious negative effect of a nurse maintaining ethnocentric views but not recognizing or acknowledging this? A) Nurses are immune to the effects of ethnocentrism B) The nurse's ethnocentrism causes damage to interpersonal relationships and interferes with the effectiveness of nursing interventions C) The nurse does not communicate effectively with members of other cultures because of his or her ethnocentrism D) The nurse fails to understand the views of other cultures because of his or her ethnocentrism

B

Which statement about the importance of the role of collaborator is true? A) Community health nurses must assert themselves as the most powerful person on the health care team to ensure each client receives services that are necessary B) Successful community health practice depends on multidisciplinary collegiality and leadership C) It is best for community health nurses to focus on what they, as nurses, can do for their clients D) Community health nurses frequently practice isolation

B

Which statement is most accurate about the concept of community? A) Community members are biologically related B) A community is a collection of people who share some important features of their lives C) Community members live in the same geographic location D) A community is made up of people who do not necessarily interact with one another and do not necessarily share a sense of belonging to that group

B

A public health nurse is participating as a member of a job fair in a local community. One of the attendees asks the nurse how public health nursing differs from nursing in general. When describing the differences, which characteristics would the nurse include as reflecting public health nursing? Select all that apply. A) Health restoration B) Seek out clients in need C) Focus on the greater good D) Community commitment E) Acute care services

B, C, D

Which activities would be associated with a community health nurse? Select all that apply. A) Providing emergency care in an acute care facility B) Caring for elderly stroke victims in their homes C) Examining infants in a city well-baby clinic D) Participating in health care policy analyze E) Carrying out epidemiologic research

B, C, D, E

A community health nurse is developing a community-wide drug campaign targeting middle school children. The nurse is incorporating information about the dangers of addiction. Which level of prevention would the nurse classify this information? A) Tertiary B) Secondary and tertiary C) Primary D) Secondary

C

A community health nurse is working at juvenile group home. This nurse is practicing which setting? A) Faith community B) Ambulatory service C) Residential institution D) Community at large

C

A home health care nurse is working with informal caregivers. Which action is most important? A) Use nurse's intuition to determine what to teach first B) Visit frequently to manage and maintain equipment C) Focus on caretakers abilities, not their limitations D) Include the client's spouse or significant other in the plan

C

A public health nurse is conducting a program for a group of nurses that describes the opportunities for public health nursing, school nursing, and correctional nursing. The nurse determines that the program was successful based on which statement by the group about the common roles and functions of these three specialties? A) These specialties are paid very well because their setting is supported through public funds B) They all serve the population as client as opposed to individuals as clients C) Emphasis is placed on the treatment of disease and disability D) Public health nurses influence the health of vulnerable populations more than the other specialties

C

An occupational and environmental health nurse recently treated approximately 20 employees for hand injuries. The employees all work on the factory assembly line. The nurse decides to implement a program for primary prevention. Which activity would be appropriate? A) Ensure adherence to physical therapy regimen for injured workers B) Institute whirlpool treatments for injured extremities C) Institute an orientation for employees about the equipment D) Conduct hearing screening tests of the employees

C

Faith community nurses engage in seven diverse nursing roles. Which one of the roles is distinctly unique to faith community nursing? A) Coordinator of volunteers B) Developer of support groups C) Integrator of faith and health D) Advocate

C

The community health nurse is discussing the importance of understanding the concept of culture in relation to delivering quality nursing care. Which statement made by the student indicates a need for further education on the concept of culture? A) "Culture refers to the beliefs, values, and behavior that are shared by members of a society" B) "Culture tells what is acceptable or unacceptable in a given situation" C) "Culture is not a learned behavior" D) "Culture provides a roadmap for living"

C

When teaching about Nurse-Led Health Centers to a group of students, which would the instructor highlight as unique to the health care delivery system? A) Affiliation with a local acute care facility B) An alternative to primary care for insured persons C) Use as a vital safety-net health care provider D) Focus on the individual in the community

C

Which statement best describes the family caregiver burdens of providing home care? A) Family members are expected to contribute financially to cover all the costs of home care B) Individuals recovering from severe illness or living with debilitating chronic illness rely on family members for unpaid assistance C) Caregivers often describe themselves as emotionally and physically drained D) Informal caregivers assume a considerable physical, psychological, and economic burden in the care of their loved one at home

C

While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family attain assistance with health insurance coverage and a list of pharmacies to get their prescriptions filled. The nurse is acting in which role? A) Educator B) Clinician C) Advocate D) Leader

C

A community health nurse is developing a plan of tertiary prevention activities. Which actions might the nurse include? Select all that apply. A) Educating children on swimming safety B) Providing bicycle safety education during a health fair for children C) Developing an exercise plan for COPD clients D) Developing a nutritional plan of care for clients with eating disorders E) Participating in hypertension screenings at health fairs F) Participating in bone density screenings at health fairs

C and D

The community health nurse is developing a plan of primary prevention activities. Which might the nurse include? Select all that apply. A) Working with a group testing random water samples for contamination B) Providing skin testing for tuberculosis for children over 1 year of age in areas of high incidence C) Providing regular immunization programs D) Participating in cholesterol screening program for adults over age 30 E) Teaching about safe sex practices to high school students F) Encouraging older adults to install safety devices in the bathroom

C and E

Nightingale's work is fundamental to nursing today. Which are essential elements learned in those early years and still essential to optimal health and healing in today's community health nursing? Select all that apply. A) Culturally acceptable diet B) Well-organized exercise regimens C) Efficient drainage D) Reduction of airborne pathogens E) Hand hygiene F) Adequate lighting

C, D, E, F Five essential components to optimal health and healing are pure air, efficient drainage, cleanliness especially hand hygiene, and adequate lighting (pure air, pure water, efficient drainage, cleanliness, and light)

A community health nurse is involved in education, screening, referral, and support for the individuals of a specific religious congregation. The nurse is practicing in which setting? A) Residential institution nursing B) Occupational health nursing C) School nursing D) Faith community nursing

D

A correctional nurse is proactively working with the institution to develop programs for the facility to address problems and the trends for the future. Which type of program would be most appropriate for the nurse to recommend? A) Treatment of typical disorders found in younger inmates B) Education for release after shorter incarcerations C) Clinics to address acute disease conditions D) Dealing with older, sicker, an longer periods of incarceration for many inmates

D

A public health nurse is working at the secondary level of prevention in the community to address the issue of cervical cancer. Which activity would the nurse most likely be involved with? A) Encourage the use of condoms with sexual activity B) Provide emotional support after surgical treatment C) Administer HPV vaccine at recommended ages D) Provide pap smear testing at regular intervals

D

The occupational nurse in a factory is providing a class on safe lifting procedures for employees. Which level of prevention would the nurse be implementing? A) Tertiary B) Health promotion C) Secondary D) Primary

D

Using Healthy People 2030 as a guide, the community health nurse would include which factor in a teaching plan to demonstrate that the targeted population understands the basic information provided during an educational session? A) Self-care B) Episodic needs C) Health disparities D) Health literacy

D

When developing the plan of care for a client receiving home health care services, which goal would be the most important? A) Detecting family conflicts B) Guaranteeing access to resources C) Complete resolution of the problem D) Promotion of client independence

D

A community health nurse works in a busy community health nursing practice. Today, the nurse is devoting the day to the educator role. With which activities would the nurse be involved? Select all that apply. A) Tabulating data from surveys distributed to elders during a flu shot clinic B) Planning seven home visits today C) Meeting with colleagues to discuss organizational changes in the office D) Going to social services to speak up for a family in his or her caseload E) Working on a new curriculum for high-risk teens F) Ordering pamphlets over the Internet to be used in a parenting class

E, F

True or false: Race refers to a biologically designated group of people with the term ethnic group refers to a group with common origins and a shared culture and identity.

True