Self Assessment 1-6
The nurse educator is aware that the nursing student understands the importance of roles within a family when the nursing student states: "Family members can only play one role at a time." "Family roles are restricted to the immediate family." "Selection of specific roles to be played in any family depends on the family's structure, needs, and patterns of functioning." "Family member roles are determined by those outside the family."
"Selection of specific roles to be played in any family depends on the family's structure, needs, and patterns of functioning."
You are conducting a program for a group of nurses working with Spanish-speaking migrant families. After describing this population and their health issues to your Caucasian group, you determine that additional teaching is necessary when the group identifies which situation as problematic? "Yes, this group has higher rates of tuberculosis and we must understand how to help in their treatment." "Yes, this group has higher rates of childhood nutritional deficiencies and we should focus on how to improve this." "Yes, this group has increased access to care now, but we must address barriers to get the care they need." "Yes, this group has a higher life expectancy than the general population, but it's because they work in the fresh air."
"Yes, this group has a higher life expectancy than the general population, but it's because they work in the fresh air."
The community health nurse is caring for a farm migrant worker client who reports difficulty in paying for his medications. Which action would the nurse take next to assist the client with acquiring their medication? Contact the pharmaceutical sales representative for sample packs of medications. Ask the client if his cultural health practices have a remedy he could use instead. Ask the health care provider which medications the client could have discontinued. Ask the health care provider to prescribe a less expensive medication on behalf of the client.
Ask the health care provider to prescribe a less expensive medication on behalf of the client.
Which intervention by the community health nurse would be classified as a secondary prevention measure to combat homelessness? Assist homeless clients in locating temporary shelter Provide effort for services for the mentally ill and homeless Prevent individuals and families from becoming homeless by assisting them with factors that contribute to homelessness Make referrals for employee assistance programs to allow clients to eliminate factors that contribute to homelessness
Assisting homeless clients in locating temporary shelter would be classified as a secondary prevention measure that aims to reduce the impact of a disease, injury, or incidence that has already occurred.
A community health nurse is preparing a presentation for a group of local community nurses about measures to help decrease health disparities. Which suggestion would be the least effective? Avoiding political involvement in issues Working with schools to reduce the dropout rate Organizing task forces to raise community awareness Holding community meetings to identify needs
Avoiding political involvement in issues
A prospective nursing student is interested in working in community health nursing after graduation. Which level of education would be most appropriate for this student to complete? Diploma program Associate degree Baccalaureate degree Master's degree
Baccalaureate degree
When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which action must the nurse take first? Prepare to teach clients about the limits and benefits of cultural health practices Assess the client or family adequately to ascertain their belief system and choices Individualize caregiving for the client within his or her culture Be knowledgeable about health care practices and choices
Be knowledgeable about health care practices and choices
What is the most important reason for the nurse to conduct a cultural assessment? Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action To meet the nurse's professional learning needs Because usually there is no culturally based reason that causes clients to engage in or avoid certain actions Because it is often assigned by nursing faculty
Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action
The community health nurse is leading a discussion with a group of students about the eight principles of public health nursing. When asked why following the principles is important, what is the best response? Can help achieve the most beneficial outcomes. The word principle is universally understood. They were identified by the ANA. They must be adhered to in order to protect the health of communities.
Can help achieve the most beneficial outcomes.
When preparing to conduct research on a vulnerable population, which of the following would the community health nurse attribute to the differential vulnerability hypothesis? Exposure to risk factors affects the population's social and human capital. Everyone is at risk because of stressful events occurring in life. A risk for a negative outcome increases with lower education and income levels. Certain groups are impacted by stressful events more than others.
Certain groups are impacted by stressful events more than others.
A community health nurse who will be working with a homeless population is planning care. Which action would the nurse need to take first? Develop trust with the population Clarify personal values and beliefs Focus on the issue of homelessness Visit the local shelter where the clients are
Clarify personal values and beliefs
A community health nurse is collecting data about the local community concerning a recognized health issues. Understanding there are various sources for the information, the nurse chooses to start with a primary source that would involve which entity? World Health Organization Community members State health department Other community health nurses
Community members
Which one of the statements about families is most accurate? Culture explains why families behave as they do. Individual family members decide which one role they will play. Family behavior influences family values. Family members are always cognizant of all family values.
Culture explains why families behave as they do.
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 further education on the concept of culture? "Culture refers to the beliefs, values, and behavior that are shared by members of a society." "Culture tells what is acceptable or unacceptable in a given situation." "Culture provides a 'roadmap' for living." "Culture is not a learned behavior."
Culture is not a learned behavior
Which statement regarding mental illness and homelessness is most accurate? Seventy-five percent of the sheltered homeless report a severe mental illness. Deinstitutionalization or being released from institutions into the community contributes to the number of persons who have a severe mental illness who are homeless. Mental illness only contributes to homelessness because poor mental health adversely affects an individual's ability to make sound judgments, solve problems, and make wise decisions. Mental illness and substance abuse are not often comorbid conditions that contribute to homelessness.
Deinstitutionalization or being released from institutions into the community contributes to the number of persons who have a severe mental illness who are homeless.
A community health nurse is working to change the focus of the public health department from one of needs oriented to one of being a partner and recognizing the community's strengths. Which nursing priority will help assist make the transition? Determine available assets. Identify barriers to communication. Evaluate previous unsuccessful programs for weaknesses. Identify local subcultures to ensure all are represented.
Determine available assets.
Which statement best describes the difference between health promotion and disease prevention? Health promotion and disease prevention include all efforts that seek to move people closer to optimal well-being or higher levels of wellness. Disease prevention differs from health promotion in that disease prevention is targeted toward a specific disease or diseases. Health promotion can be described in terms of primary, secondary, and tertiary prevention. The goal of disease prevention is to raise levels of wellness for individuals, families, populations, and communities.
Disease prevention differs from health promotion in that disease prevention is targeted toward a specific disease or diseases.
After discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which comment? "Dominant values are those held by the male head of the household in most American families." "The percentages of minorities are rising, and this group is projected to comprise 50% of the population by 2044." "Nurses maintain their original culture as they are socialized throughout the educational process." "America has become an amalgamation of people who have different values, ideals, and behaviors, rather than the melting pot that was once envisioned."
Dominant values are those held by the male head of the household in most American families.
Which activities would be associated with a community health nurse? Participating in a health clinic office party. Providing emergency care in an acute care facility Examining infants in a city well-baby clinic Caring for elderly stroke victims in the hospital.
Examining infants in a city well-baby clinic
Which definition of family is most inclusive and yet the simplest? Families are the primary social agent in the promotion of health and well-being. Families consist of two or more individuals who share a residence or live near one another. Families possess some common emotional bond and engage in interrelated social positions, roles, and tasks. Families are defined by the members.
Families are defined by the members.
When applying the epidemiologic triad model to a community's plan of care, which would the community health nurse address? Incidence, prevalence, and case fatality Health, illness, and injury Host, agent, and environment model. Immunity, causation, and risk
Host, agent, and environment model.
Which statement made by a student would the nurse educator recognize as evidence that a student understands the health continuum? Illness refers to a state of being relatively unhealthy. Treatment of acute conditions reflects the current focus of health care. The distinction between health and illness is well demarcated. The term health is limited to reflect an individual's state.
Illness refers to a state of being relatively unhealthy.
Which statement made by a student would the nurse educator recognize as evidence that a student understands the health continuum? The distinction between health and illness is well demarcated. Illness refers to a state of being relatively unhealthy. The term health is limited to reflect an individual's state. Treatment of acute conditions reflects the current focus of health care.
Illness refers to a state of being relatively unhealthy.
Which statement about immunization is most accurate? Immunization is helpful in the spread of all communicable diseases. Immunization cannot provide herd immunity. Immunization is the process of introducing a form of a disease-causing organism into a person's system to promote the development of antibodies that will resist the disease. Immunization is the process of administering antibodies to a person.
Immunization is the process of introducing a form of a disease-causing organism into a person's system to promote the development of antibodies that will resist the disease.
A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful? Increase use of early screenings Increase emergency room visits Increase episodic care Increase disparities in care
Increase use of early screenings
A community health nurse is conducting orientation for new nurses to the clinic. Which factor should the nurse emphasize as most important when dealing with the community? Cyclic nature Client focus Interaction Flexibility
Interaction
A group of community health nurses are assessing the current health status of the community and note certain individuals are not utilizing the services of the clinic. What is the best action for the nurses to take? Increase advertisement of services Meet with local leaders to inform of disparity Investigate the situation to determine possible cause Offer incentives to new clients for checking out the services available
Investigate the situation to determine possible cause
Which of the following are reasons why it is difficult to estimate the number of persons who are homeless? (Select all that apply.) It is difficult to estimate the number of people who are homeless because homelessness is a temporary condition. It is difficult to locate and account for people who are homeless. Some people are unable to access shelters where they would be counted as homeless because the shelter is already overcrowded and there is limited capacity. In rural areas, there are fewer housing options and resources for the homeless, and as a result, people may be forced to live temporarily with friends or family. Homelessness is increasing due to poverty and the growing shortage of affordable rental housing.
It is difficult to estimate the number of people who are homeless because homelessness is a temporary condition. It is difficult to locate and account for people who are homeless. Some people are unable to access shelters where they would be counted as homeless because the shelter is already overcrowded and there is limited capacity. In rural areas, there are fewer housing options and resources for the homeless, and as a result, people may be forced to live temporarily with friends or family.
Which statement about teaching at three levels of prevention is most accurate? Ideally, the community health nurse would focus at the tertiary level of prevention. The outcome of focusing on the tertiary level of prevention is to help diminish years of morbidity and limit subsequent infirmity. It is ideal to focus on the primary level of prevention. Community health nurses do not spend a significant share of time teaching at the secondary level.
It is ideal to focus on the primary level of prevention.
A public health nurse using an upstream approach to improve heart health would most likely focus on which contributing factors to improving heart health? Unhealthy diets Decreased physical activity Smoking tobacco Lack of safe places to exercise
Lack of safe places to exercise
Which would the community health nurse include when integrating epidemiology of wellness into practice? Communicable disease control Lifestyle with its self-created risks The natural history of disease Vital statistics and reportable diseases
Lifestyle with its self-created risks
An instructor is teaching a group of students about the history of public health nursing. The instructor recognizes the teaching is successful when the students identify which individual to use the term "public health nursing" first? Margaret Sanger Lina Rogers Lillian Wald Jessie Sleet
Lillian Wald
When assessing a population's vulnerability, which would the community health nurse identify as a predisposing factor? Social support networks Crime rates Transportation Living conditions
Living conditions
The community health nurse is developing a plan of secondary prevention activities. Which actions would the nurse incorporate into the plan? Participating in diabetes screening programs at health fairs Educating high school students about safe sex practices Developing an exercise plan for COPD clients Providing a community-based stroke rehabilitation program
Participating in diabetes screening programs at health fairs
Actions to protect against disease and disability are: Primary prevention Secondary prevention Tertiary prevention
Primary prevention
You are working to offer increased health care services to meet the needs of a local migrant population. Which idea would be most effective for the nurse to implement with this population? (Select all that apply.) Providing a mobile van clinic that comes to the farms during the day Offering a clinic at the migrant camp from 7 PM to 10 PM Asking local doctors to stay open until 6 PM during the summer Offering school-based health services for the children Providing a breakfast program for the children at school
Providing a mobile van clinic that comes to the farms during the day Offering a clinic at the migrant camp from 7 PM to 10 PM Offering school-based health services for the children Providing a breakfast program for the children at school
Which intervention by the nurse is most likely to have a positive influence on the client's adoption of a new healthy behavior? Providing feedback about what the client is doing incorrectly Providing feedback about what the client is doing correctly Not providing feedback Not providing role modeling of the desired change
Providing feedback about what the client is doing correctly
Activities that strive to identify and detect disease in its earliest stages or try to prevent the spread of communicable diseases are: Health promotion Primary prevention Secondary prevention Tertiary prevention
Secondary prevention
When fulfilling the function of assessment, which action would be most important for the community health nurse to take? Secure the trust of the clients Gather appropriate information Interact with key community leaders Use a variety of assessment tools
Secure the trust of the clients
A group of community health nurses are evaluating the community to determine which issues should be addressed. As the group complete various assessments, they recognize an assets assessment will be important to evaluate which factor of the community? Key informants Strengths of the community Specific problem of the community Overall life of the community
Strengths of the community
A community health nurse is developing a community diagnosis which addresses an issue that has been identified. What should the nurse remember to do when writing the diagnosis? Focus primarily on deficits of the community Use broad statements to guide a range of interventions Employ a revised nursing diagnosis format Substitute the terms client, family, group, or aggregate for the word patient
Substitute the terms client, family, group, or aggregate for the word patient
A community health nurse uses Roy's model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which community action? Coping mechanisms for use in adaptation Lines of resistance and defense to stresses Environmental conditions to improve negative conditions Collective ability for independence and self-care
Substitute the terms client, family, group, or aggregate for the word patient.
Which are examples of a community health nurse providing health promotion teaching? (Select all that apply.) The community health nurse teaches a class of kindergartners how to properly wash their hands. The community health nurse is a guest on a radio talk show to provide information how to avoid an infection that is endemic. The community health nurse encourages an individual whose blood pressure screening was elevated to have his or her blood pressure rechecked in 1 week. The community health nurse teaches a group of preschoolers about different fruits and vegetables that they might like to try. The community health nurse teaches a mother and baby exercise group. The community health nurse leads a group of stroke survivors in soft exercise.
The activities of teaching a class of kindergartners how to properly wash their hands, teaching a group of preschoolers about different fruits and vegetables that they might like to try, and teaching a mother and baby exercise group are focused on well-being and not a particular illness.
The community health nurse is discussing family health nursing with a group of students. Which statement made by a student nurse indicates an effective teaching regarding family health nursing? "The family does not play a critical role in the health of its members." "The community health nurse is in a unique position to influence and promote family health." "Health habits are not developed in the context of family." "Genetic influences always take place within the family environment."
The community health nurse is in a unique position to influence and promote family health."
A community health nurse is preparing to assess a family. Which characteristic would the nurse not integrate into the assessment as universal? The family members are stuck in one stage of development. Cultural values and rules. Every family has structure. Every family is a small social system.
The family members are stuck in one stage of development.
Which statement about the steps of Evidence Based Practice is most accurate? One of the last steps of the EBP process is to search for and collect the most relevant best evidence. One of the earliest steps in the EBP process is to disseminate the outcomes of the EBP decision or change. It is optional to integrate the best evidence with one's clinical expertise and patient preferences and values in making a practice decision or change. The first step in the EBP process is to cultivate a spirit of inquiry.
The first step in the EBP process is to cultivate a spirit of inquiry.
Which statement best represents an upstream focus? The upstream approach does not focus on socioeconomic factors and the environmental origins of disease and health problems. The upstream approach pertains to the purity of water supplies. The focus of an upstream approach is the institution and system level. The focus of an upstream approach is healthy lifestyle issues.
The focus of an upstream approach is the institution and system level.
As a nurse, you are designated as a "mandated reporter." Which best describes this designation? The nurse must witness abuse and neglect before being mandated to report. The nurse commands that battered women report the abuse. The supervising community health nurse is responsible for reporting only known cases of elder abuse. The nurse must report any case of known or suspected abuse and neglect in children or elders.
The nurse must report any case of known or suspected abuse and neglect in children or elders.
Which principle guides and enhances family nursing practice? The nurse should expect that the family will be normal and will not change. The nurse should start where the family is at the present time and not the ideal level of functioning. The nurse should focus on each family member individually. The nurse should evaluate the family based on consistency with traditional family patterns.
The nurse should start where the family is at the present time and not the ideal level of functioning.
The nursing student is preparing a report for class relating to Healthy People 2020 and environmental health. Which should the nurse highlight in this report? One of the six focus areas is individual health. The document provides instructions for persons in the community regarding how to protect their own health. The overall goal is to promote health for all through a healthy environment. The agency that prepared this initiative is the World Health Organization.
The overall goal is to promote health for all through a healthy environment.
Determinants of health are: (select all that apply) The economic factors impacting individuals or populations. The physical environment impacting individuals or populations. A person's individual characteristics and behaviors. A person's genetic makeup. The social factors impacting individuals or populations.
The physical environment impacting individuals or populations. A person's individual characteristics and behaviors. A person's genetic makeup. The social factors impacting individuals or populations.
For which reason are homeless youth at higher risk for HIV, hepatitis, and sexually transmitted infections? They are not likely to receive treatment for HIV, hepatitis, and sexually transmitted infections. Homeless adolescents may have difficulty accessing emergency shelter because of shelter policies that prohibit older youth from the facility. They lack education or job training skills and may resort to prostitution or survival sex, which increases their risk for HIV, hepatitis, and sexually transmitted infections. It is not uncommon for homeless youth to be arrested for running away, breaking curfews, or being without supervision.
They lack education or job training skills and may resort to prostitution or survival sex, which increases their risk for HIV, hepatitis, and sexually transmitted infections.
The home health nurse is making an initial home visit with a family and asks the family to identify their extended family and other persons/groups they interact with each week. Which statement provides the best rationale for asking the family this question? To assist the family in identifying financial resources To identify an emergency contact person To understand how the family operates as a social system To assess the family's environment
To understand how the family operates as a social system
A community health nurse is orienting a new group of nurses recently hired by the community agency. The nurse is describing the Public Health Nursing Practice model used by the agency. Which would the nurse include? Twelve leading indicators for Healthy People 2020 Practice priorities for achieving public health Regulator processes in response to stimuli Modifying factors that influence people's perceptions
Twelve leading indicators for Healthy People 2020
When a community health nurse is planning to teach a group of new immigrants from a non -English-speaking country about the need for immunizations, the nurse should include which in his or her plans? Using a lot of pictures Guessing about the native language and attempting to speak it Using an interpreter Talking clearly and slowly, being sure to enunciate each word
Using an interpreter
A community health nurse is preparing a presentation for a group of nursing students about community health nursing. Which description about community health nursing would the nurse most likely include in the presentation? Encouraging clients to reach out to the nurse Engaging in tertiary prevention as the priority Working with the client as an equal partner Focusing on addressing continuous needs
Working with the client as an equal partner
A community health nurse is asked to be part of a community-wide effort to address the issue of teen parenthood. When planning appropriate programs, which would be important to include as the priority? Increased focus on preventing teen pregnancy Increased insurance coverage for contraception Increased male involvement in teen pregnancies Increased access to prenatal services
part of the goals of Healthy People 2020, the priority is to reduce pregnancy rates among adolescent females.
When reporting the identification of a communicable disease and need for investigation, which organization would the community health nurse notify first? Centers for Disease Control and Prevention State health department Local health department National Reported Disease list
Local health department
When a community health nurse is conducting a family assessment on an assigned family, which action would be most appropriate? Use quantitative data only to maintain and preserve objectivity Interview one family member to avoid confusion and repeated information Use a checklist format, completing the tool in the family's presence Make several visits and accumulate data from all family members
Make several visits and accumulate data from all family members
Employees working with hazardous chemicals have the "Right to Know" about the chemicals they are working with. Which resource teaches employees about information regarding the chemicals they may be exposed to? Material Safety Data Sheet (MSDS) Consumer Confidence Report Centers for Disease Control and Prevention (CDC) Fact Sheets AQI Reports
Material Safety Data Sheet (MSDS)
A community health nurse arrives at a family's home. Which behaviors by the nurse would be nontherapeutic? Maintaining eye contact with the family members Paging through paperwork for information Sitting on the furniture near the family members Placing car keys in the nurse's carryall bag
Paging through paperwork for information
After teaching a group of students about factors associated with vulnerable populations, the instructor determines the need for additional teaching when the students identify which as a factor? Homelessness Acute illness Income Immigrant status
Acute illness
A community health nurse is explaining the chain of causation to a family that includes a child who has developed Lyme disease. The nurse correctly describes the opening in the child's skin caused by the actual tick bite as the: reservoir. mode of transmission. portal of entry. host.
portal of entry.
The community health nurse is discussing the roles assumed by community health nurses with a student nurse. Which statement made by the student nurse demonstrates the correct interpretation of which role must be assumed in every situation? "A community health nurse assumes the role of researcher in each situation." "A community health nurse assumes the role of manager in each situation." "A community health nurse assumes the role of leader in each situation." "A community health nurse assumes the role of clinician in each situation.'
"A community health nurse assumes the role of manager in each situation."
A community health nurse determines that it is time for teaching a family about health promotion activities one member states: "Is there a place we can go for the medicine?" "It's time we do something about eating right." "When are you coming back to visit?" "Our grandchildren visit every summer."
"It's time we do something about eating right."
Organize the following steps in the epidemiologic study from the first step to the last. 1. Collect the data. 2. Identify the problem. 3. Analyze the findings. 4. Disseminate the findings. 5. Review the literature. 6. Develop conclusions and applications. 7. Design the study. 5, 2, 7, 1, 6, 3, 4 2, 7, 1, 5, 6, 4, 3 5, 2, 7, 1, 3, 6, 4 2, 5, 7, 1, 3, 6, 4
2, 5, 7, 1, 3, 6, 4
Community health nurses practice within the three levels of prevention. In which actions would the community health nurse engage at the primary level of prevention for communicable disease control? Select the answer that does not apply. Administering immunizations to senior citizens Administering prompt treatment for the symptoms of gonorrhea Teaching kindergarten students to wash their hands Encouraging parents to complete their children's immunizations
Administering prompt treatment for the symptoms of gonorrhea
Community health nurses need to know that families are systems. Which attributes of systems are also attributes of families? A change within the family system not only affects the individual member but all of the family members. Family members are independent. Families cannot be visualized as a mobile in which all of the pieces are suspended freely by a string. Families are only a subsystem.
A change within the family system not only affects the individual member but all of the family members.
Which statements about family structures is not true? Throughout the world, families in all varied forms are the basic social unit. A family consists of a husband, wife, and children living under one roof with the man as breadwinner and the woman as homemaker. The people who are members of a family interact, care for one another, and bond in ways that may never be fully understood by anyone outside the family. Families structures can be categorized into two general categories: traditional and contemporary.
A family consists of a husband, wife, and children living under one roof with the man as breadwinner and the woman as homemaker.
The term health can be described in many different ways. How the community health nurse would interpret health? The absence of disease The potential to lead a productive life An environment free of toxins A holistic state of well-being
A holistic state of well-being
The term health can be described in many different ways. How the community health nurse would interpret health? The potential to lead a productive life The absence of disease A holistic state of well-being An environment free of toxins
A holistic state of well-being
A community health nurse is conducting a program for local community leaders about rural and urban area needs. The nurse identifies the need for additional teaching based on which statement by the group? An urban area consists of at least 50,000 people. Urban areas are much more densely populated than rural areas. There are many factors that are considered when determining if a community is rural or frontier other than population density. A rural area has six or fewer persons per square mile.
A rural area has six or fewer persons per square mile.
An asthma action plan helps to: Take the guesswork out of treating episodes by telling you what to do when you or your child has an asthma episode. Often, you can treat symptoms without going to the doctor's office or the hospital. Prevent or reduce the severity of episodes by letting you know what to watch for and how to treat the episode early. Control asthma symptoms so that you or your child continues to be active with fewer asthma problems. All of the above.
All of the above.
Which of the following variables that occur in nature would not have a negative impact on humans? Apples grow on trees. Risks for waterborne and food-borne pathogens in drinking water, seafood, and fresh produce because of climate variability. The effect of climate change upon weather extremes (droughts, floods, and storms). Changes in rainfall and water supply for soil.
Apples grow on trees.
When employing a population-oriented focus, which would the community health nurse do? Assess the groups' relationships looking for a common need. Promote the groups' dependency for improving health. Consider the members individually for similarities. Focus on the geographical area of the population.
Assess the groups' relationships looking for a common need.
Which action would the community health nurse take first when making an ethical decision? Engage in critical thinking Choose a value Identify isolated values Clarify one's values
Clarify one's values
Activities that attempt to prevent disease-related complications are considered: Health promotion Primary prevention Secondary prevention Tertiary prevention
Tertiary prevention
How would a community health nurse define vulnerable populations? Those persons with higher mortality rates Those with increased risk for adverse health outcomes Individuals with lower life expectancy Individuals with chronic illness
Those with increased risk for adverse health outcomes
A nursing instructor is discussing the fundamental concepts of community health nursing with a group of students. The instructor recognizes the students understand the discussion by identifying which entity as the primary client? Aggregate Agent Community Total system
Total system
The community health nurse must apply the social determinants of health when caring for clients: because the social determinants of health affect a wide range of health, functioning, and quality-of-life outcomes and risks. because in our country all people are treated equally. because it is the right thing to do. because the community health nurse believes in social
because the social determinants of health affect a wide range of health, functioning, and quality-of-life outcomes and risks.
A public health nurse is collecting information to present at a meeting of community members who are trying to decide the best response to a local health care need. What information will be important for the nurse to include? Select all that apply. Short-and long-term costs of the program List of potential grants to apply for Sample poll of community members desires Latest research regarding suggested solution Ways to improve existing program
the nurse should be prepared with information to include short-and long-term costs of the program, what the latest research says regarding the suggested solutions, and ways to either improve the existing programs or reasons to terminate them.
After teaching a group of nursing students about the similarities and differences between public health and community health, which statement by a nursing student would best describe the similarities and differences between public health and community health? "Community health nursing is defined as nursing care that is provided in a community setting, rather than an institutional setting." "Public health nursing is defined as nursing care that is provided in an institutional setting." "Community health nursing can shape the quality of community health services and improve the health of the general public." "Public health nursing is focused on the health of individuals."
"Community health nursing can shape the quality of community health services and improve the health of the general public."
How is tuberculosis (TB) spread? Direct contact Fecal-oral route Droplets Cross contamination
Droplets
Which is the best example of a community health nurse focusing on the secondary level of prevention? Teaching clients how to navigate the health care system to receive prompt treatment Teaching clients about the importance of immunization Teaching stroke survivors about the importance of diet, rest, and exercise to prevent a secondary health problem Teaching a class on sensible nutrition for adolescents
Teaching clients how to navigate the health care system to receive prompt treatment
While making a family health visit, an older relative who is visiting has been drinking and becomes verbally abusive and increasingly loud. Which action by the community health nurse would be best? Terminate the visit, making plans for another visit Ask the sober family members to take the visitor home Suggest the relative go in another room and take a nap Continue the visit with caution
Terminate the visit, making plans for another visit
You are a health care worker at a County Health Department. You have been working closely with Juan, a 35-year-old Hispanic agricultural worker. Juan was diagnosed with TB about 2 months ago. You have been providing DOT to Juan at a local farm where he picks oranges. Orange season is coming to an end and you realize that Juan will soon be heading North to look for more work. You have spoken to him about where he will be going next. He tells you that he is going to a farm in the next state over. He is not exactly sure where it is, but he thinks he remembers the farm is located near a town called Jasper. What steps will you take before Juan leaves to ensure the continuity of care? The state health department TB control officer should be contacted and made aware of the need for follow-up and the next possible destination of the patient. Juan should be given a clean set of clothes to prevent cross-contamination. Juan's new employer should be made aware of his diagnosis. The oranges must be tested for contamination.
The state health department TB control officer should be contacted and made aware of the need for follow-up and the next possible destination of the patient.
Which is the proper sequence of stages of change? Unfreeze, plan, and integrate Plan, organize, and coordinate Plan, relearn, and integrate Unfreeze, change, and refreeze
Unfreeze, change, and refreeze
