RN COMMUNITY HEALTH NURSING—CHAPTER 7: Continuity of Care

4. A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier? A. Costs associated with services B. Decreased motivation C. inadequate knowledge of resources D. Lack of transportation

A. CORRECT: Costs associated with services are an example of a resource barrier to community referrals. B. Decreased motivation is an example of a client barrier to community referrals. C. Inadequate knowledge of resources is an example of a client barrier to community referrals. D. Lack of transportation is an example of a client barrier to community referrals.

1. A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply.) A. Being a leading partner with decision-making authority B. flexibility among partners when considering new ideas C. adherence of partners to ethical principles D. Varying goals for the different partners E. Willingness of partners to negotiate roles

A. Shared power must exist for a partnership to be successful. B. CORRECT: flexibility must exist for a partnership to be successful. C. CORRECT: integrity must exist for a partnership to be successful. D. Shared goals must exist for a partnership to be successful. E. CORRECT: negotiation must exist for a partnership to be successful.

3. A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following actions should the nurse take first? A. Monitor the client's satisfaction with the referral. B. Provide the client information to referral agencies. C. Review available resources with the client. D. Identify referrals that the client needs.

A. The nurse should monitor the client's satisfaction with the referral as part of patient-centered care. However, another action must occur first in the referral process. B. The nurse should provide the client with information to referral agencies to enable the client to access needed services. However, another action must occur first in the referral process. C. The nurse should review available resources with the client to promote self-determination. However, another action must occur first in the referral process. D. CORRECT: using the nursing process, the first action the nurse should take at this point in the referral process is to assess client needs. After gathering client data, the nurse should identify referrals that the client needs and prioritize plans. This allows the nurse and client to focus on specific needs while moving forward in the referral process.

5. A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process? A. Coordinating services to meet the client's needs B. Comparing outcomes with original goals C. Determining the client's financial constraints D. Clarifying roles of interprofessional team members

A. CORRECT: Coordinating services to meet the client's needs is an action the nurse should take in the implementation phase of the case management process. B. Comparing outcomes with original goals is an action the nurse should take in the evaluation phase of the case management process. C. Determining the client's financial constraints is an action the nurse should take in the assessment phase of the case management process. D. Clarifying roles of interprofessional team members is an action the nurse should take in the planning phase of the case management process

2. A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? A. advocating for federal funding of local health screening programs B. updating state officials about health needs of the local community C. facilitating discussion of a client's ongoing needs with an interprofessional team D. Performing health screenings for high blood pressure at a local health fair

A. The nurse should identify advocacy as a function of a change agent. B. CORRECT: updating officials about community health needs is an example of a nurse functioning as a consultant. Community health nurses serve as a consultant regarding the health care needs of individuals, families, and groups within the community served. C. The nurse should identify working with an interprofessional team as a function of a case manager. D. The nurse should identify performing health screening as a function of a caregiver.