NUR3010: CHAPTER 2- PrepU Quizzes

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?

Provide early, thorough discharge planning.

Which of the following factors have contributed to the shift in health care delivery from inpatient to outpatient settings? Select all that apply.

New population trends Changes in federal legislation Alternative health care delivery systems

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?

Nurse working a booth at a health fair performing blood pressure and glucose screenings

Which element is least likely to be a characteristic of an expected outcome of a nursing intervention?

Nurse-centered

The charge nurse is making assignments for a group of clients on a medical unit. When reviewing the acuity of the clients, the charge nurse assigns the RN to the clients with higher acuity levels. Why would the charge nurse assign the RN to the clients with a higher acuity?

A higher acuity client requires a greater need for highly skilled care.

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?

Infections

Which is a role of a school nurse?

Monitoring immunization status

A leading health problem among elementary school children is

injuries

A major goal for home care nurses is to

restore maximum health function.

A nurse is working as an occupational health nurse at a local factory. With which activity would the nurse least likely be involved?

Providing case management services for the employees

Which level of prevention focuses on minimizing deterioration and improving quality of life?

Tertiary

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?

"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?

"Results are used to improve overall quality improvement efforts."

In which situation is the nurse providing appropriate discharge planning?

Assessing the client's support system at home during the admission assessment

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?

Primary prevention

In which situation is the nurse providing tertiary prevention?

Teaching rehabilitation exercises to a client after a mastectomy

A home care nurse is caring for an older adult with multiple medications after being discharged from the hospital with acute coronary syndrome. Which nursing action best promotes self-management of the medication regimen for this client?

Assist to identify duplicate medications.

A client is admitted to an acute care facility after having a stroke. The client will require a variety of healthcare services throughout the hospital stay as well as coordination of care prior to discharge. What referral would be a priority for overseeing the client's care?

Case management

A home care nurse is assessing a client's need for home visits. Which of the following would the nurse use as the primary determinant for future visits?

Client's current health status

The home health nurse has been working with an elderly client with limited means who required long-term wound care. The client's wound is almost healed and the client tells the nurse that he will be sorry when she no longer comes around. He reveals that he no longer has anyone to take him to the grocery store and he just can't keep the house up like he used to. He also tells the nurse that he would like to be able to participate in some social activities. The nurse knows that what type of healthcare setting would be most appropriate for this client at this time?

Congregate housing

A home health nurse is visiting a client's home to perform wound care. The client lives in an impoverished neighborhood and the nurse notes that the client does not have running water. What nursing action will best control infection, despite no running water?

Hand hygiene techniques

A home care nurse is scheduled to visit a client who lives in an area that is considered a high-crime area. Which of the following would be most appropriate?

Have another home care nurse come along on the visit.

A nurse working in the community is involved in secondary prevention. Which activity would most likely apply?

Health screening for diabetes risk

Which setting has been the traditional site for the nursing work force?

Inpatient units

A home care nurse enters the home of a client and finds that the client's son is noticeably intoxicated. The son, who is slurring his words, is becoming increasingly agitated. What action by the home care nurse would be most appropriate?

Leave the home and reschedule the visit.

According to the 2013 OASIS data study, which client would be at greatest risk for re-hospitalization?

Male client who requires assistance to ambulate

Which nursing interventions related to a client with breast cancer are appropriate for a nurse working in a community-based setting and a hospital-based nurse? Select all that apply.

Patient education Promotion of a positive body image Intravenous (IV) therapy Incision care

Which safety precautions should the home care nurse implement? Select all that apply.

Post the nurse's visit schedule at the agency. Become familiar with all exits from the client's home. Schedule visits during the day.

Which order of activities is accurate when making a home visit?

Review agency policies regarding visits, ask permission to enter home, perform hand hygiene, and document care provided.

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?

Telephone the client to obtain permission to visit.

The nurse is caring for a patient who is to be discharged from the acute care facility to a rehabilitation unit after having a stroke. What type of prevention is this considered to be?

Tertiary

After making the initial home visit, a nurse develops a plan of care for a client with diabetes. As part of the plan of care, the nurse identifies the nursing diagnosis "deficient knowledge related to daily insulin administration for diabetic self-care." Which outcome would be most appropriate?

The client will demonstrate independence in daily insulin self-administration

The nurse is making an initial home visit to assess a patient for home health services. Which patients most frequently require home health services?

The frail and elderly who need skilled care

A nurse works in a community setting that deals with a large number of homeless individuals. Which of the following would be most important for the nurse to understand?

The health problems faced by homeless people are often related to their living situation.

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?

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?

The nurse should never walk into a patient's home uninvited.

Results from the 2013 OASIS data study revealed that data from the study can be used to identify individuals at greatest risk for readmission to the hospital. Using this data, what can the nurse determine will decrease the readmission rate of hospitalizations?

The shift of resources to the community

A public health nurse administers influenza vaccines to a group of individuals during a community vaccination clinic. The nurse understands that this action is considered primary prevention due to which statement?

The vaccination focuses on health promotion and prevention of illness.

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?

When members of the community share a heritage that is unfamiliar to the nurse

Which group represents a growing proportion of those who are homeless?

Women with children

A student nurse asks the nursing instructor, "What will my role as a nurse encompass after I graduate?" What is the best response by the nursing instructor?

You will care for individuals and families and play a role in health education, illness prevention, and promotion.

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?

administering medications, wound care, and numerous other personal interventions

Which tools do case managers commonly rely on to plan and coordinate client care?

clinical pathways, practice guidelines, and standards of care

The nurse is transitioning to a home health setting. What factor has resulted in a shift in the health care delivery setting?

growing number of elderly clients

A community health nurse is helping develop teaching on the role of the community health nurse and how this discipline can help the community. What does the nurse describe as a key component of community-based care?

Improving quality of life

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?

Practice on all the three levels of preventive care

The home health nurse and the parish nurse have separate roles in health care. What best describes the common factor all community-based nurses share?

Community health nurses focus on community needs as well as the needs of individual patients

Which capability corresponds with home health care?

Improvises when providing care

In what area of nursing practice does the nurse provide palliative care in the patient's home?

Hospice

A nursing student asks an instructor to explain what roles are involved in community health nursing. Which of the following would the instructor include? Select all that apply.

Epidemiologist Case manager Visiting nurse

A nurse is working as part of a team developing a community-based care program for the local homeless population. Which of the following would be important to keep in mind when developing the program? Select all that apply.

Homeless people often have no or insufficient health insurance. Health problems are often related to a person's living situation. Ill homeless people often deteriorate more rapidly than those who are not homeless.

Which type of care is used for clients with terminal illness who have a life expectancy of less than 6 months?

Hospice care

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?

Need for control over a situation

A nurse educator is teaching about the various disciplines of community-based nursing. Which discipline will not be included when teaching about community-based care?

Public health nursing

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?

The placement of the barrier is to follow universal precautions.