Chapter 10
A client is surprised the public health nurse does not ask many questions concerning the past medical history but appears to already know it. What is the best response by the nurse to address the client's concerns? A) The information is already available in the electronic health record. B) The past medical history is not relevant to this visit C) The old records have been requested and will be reviewed when received. D) The last nurse to see you shared your history with me.
A
A community health nurse and a client are negotiating a contract for home health services. After agreeing on the shared goals, which statement/question by the nurse would be most appropriate? A) "Great, now that we know our goals, let's decide on when we want to accomplish them." B) "Okay, so at the next appointment we will see how well the plan is working." C) "So what else would you like to accomplish at these meetings?" D) "Is there anything you would like to change?"
A
A community health nurse working with a local community has found entering into a contract with clients to be very beneficial, and positive results are being achieved. Which concept does the nurse recognize to best explain this successful outcome? A) Encourages client participation in the decision-making process B) Contributes to a trusting nurse-client relationship C) Decreases client stress during home visits D) Reduces client visit time by over 50%
A
A public health nurse has been meeting with a group of clients who have recently been diagnosed with HIV. The nurse has noted improved appointment compliance among the group with the use of which technique? A) Text messaging B) Mailed post cards C) Monthly newsletters D) V oice messages
A
A public health nurse has been working with a small community group for several months, and although things were progressing well, the nurse notes a subtle shift in the group with increasing lack of cooperation. After a recent meeting, the nurse recognizes which situation needs to be addressed to bring the group back to working successfully? A) Rejecting ideas before they are discussed B) Determining what the problem is C) Request for more information D) Restatement of suggestions after group discussions
A
A public health nurse in the state's health department notes various facilities in a large community are reporting increased numbers of whooping cough. What should be the nurse's first response? A) Gather more information such as immunization records B) Organize an immunization event for the community C) Send the information to the CDC D) Contact the local health facilities to encourage immunizations
A
A public health nurse is organizing a group consisting of health care providers from other clinics and facilities in the community to address various challenges in providing adequate care to the community. The nurse recognizes that inadequate sharing of health records among the facilities can be addressed best by which solution? A) Use of compatible software programs among facilities B) Educating public on advantages of sharing information C) Management of electronic health records by a local information technology (IT) company D) Encourage each citizen to store their medical information in a portable electronic device to carry with them to share
A
A public health nurse is preparing a report for the town council concerning a specific health concern and is researching specific information to share. Which option will provide the nurse with the best information? A) Drill down the big data information B) Sample surveys in the community C) Drill up the big data information D) Review EHRs from local clinics and offices
A
A public health nurse is preparing to work with a group of college students to help decrease the incidence of STIs. What is the best response from the nurse when asked why a contract is needed? A) It provides motivation for each of us to achieve the intended outcomes. B) The contract identifies what can happen if you don't follow the plan. C) It provides documentation for requesting grants to cover the expenses for the group. D) The contract is just a document outlining what we plan to do.
A
A public health nurse is tasked with establishing a local health clinic in a rural community, which currently only has a small hospital that is struggling to adequately assist all in the emergency department. Which goal should be a priority for the nurse? A) Address health literacy in the community B) Apply for grants to help finance the new clinic C) Form a partnership with the hospital to redirect patients to the clinic D) Seek support from the local government to encourage the community to use the clinic's facilities
A
An instructor is role-playing with a group of students by negotiating a contract to demonstrate the proper format. After the completion of the role-playing, which statement by the students indicates understanding of the process? A) The process is dynamic as it moves through various phases. B) Contracting involves a unidirectional client-nurse relationship. C) The process must move backward before it can move forward. D) Once the contract is developed, it remains relatively stable.
A
A group of student nurses are discussing the effect of health literacy on health care and how it may impact their future clients. Which key issues should these future nurses be most aware of? Select all that apply. A) Health literacy is characterized as critical to health promotion and disease prevention. B) Limited health literacy only affects those who have low educational levels. C) Poor health literacy skills can contribute to increased health care costs. D) Health literacy involves the ability to read, understand, and act on health information. E) Health literacy goes beyond the basic definitions of literacy.
A C D E
A community health nurse is remaining calm and firmly reassuring when dealing with a family in acute crisis. The nurse recognizes this is the best defense against which barrier to communication?A) Filtering information B) Emotional influence C) Language barrier D) Selective perception
B
A public health nurse is reviewing information sent from various facilities in a large community and notes an unexpected increase in the cases of Lyme disease. Which resource is available to assist this nurse in planning an appropriate response? A) Electronic health records (EHR) from each facility B) Geographic Information System (GIS) C) Emailing a survey to each patient diagnosed with Lyme disease D) Door-to-door survey of the affected neighborhoods
B
A public health nurse is seeking grants to assist with providing low- to no-cost influenza shots for a small rural community, which routinely experiences high rates of influenza each winter. Which action by the nurse will help improve the changes of a grant being awarded to this community? A) Verified low income for the community B) Documented collaboration with other local health facilities C) Pledges from community members to accept flu shot if free D) Agreement to be involved with a research project if chosen
B
The community health nurse is a member of a collaborative partnership interdisciplinary team, which is working to improve health care to a rural community. As the group continues to work as a unit, which outcome does the nurse most anticipate? A) Secure more grants for funding educational outreaches. B) Each individual clearly understand own responsibilities. C) Each member can identify the basic goals. D) Team members will easily identify who the leader is.
B
The public health nurse recognizes proper communication is vitally important to ensure successful results when educating the community about health concerns. Which aspect of communication is most important for the nurse to ensure? A) Eliminate distractions B) Renegotiate for clarity of message C) Determine desired outcome D) Nonverbal expression
B
A public health nurse is meeting with student nurses to discuss the importance of effective communication. Which aspects of communication should the nurse indicate are under the most control of the nurse? Select all that apply. A) The decoding B) The message C) The channel D) The feedback loop E) The encoding
B C E
A collaborative community health group working with the teenage population to improve health draws on the expertise of school nurses and others working with adolescents to develop a plan. The group is demonstrating which characteristic of collaboration? A) Shared goals B) Mutual participation C) Maximized use of resources D) Clear responsibilities
C
A community health nurse is concerned that certain members of the local community do not comprehend the educational material due to low literacy. The nurse recognizes which approach to this problem is the most appropriate? A) Make the message as basic and simple as possible because the client likely has low intelligence. B) Best to use simple, written materials for clients who have low literacy. C) Very important for clients with low literacy to have ample opportunity to provide feedback. D) Health literacy is not a very important factor in mortality and morbidity.
C
A community health nurse leading a community group notes the group has moved into the norming stage. Which action by the group does the nurse most anticipate at this time? A) Help to develop mutual trust among the members B) Need for conflict management C) Sharing ideas and opinions to achieve goals D) Ability to work productively
C
A new graduate nurse is expressing frustration with the supervisor concerning the apparent lack of patients taking conversations serious and not following care plans. Which skill will be most important for the supervisor to evaluate? A) Active listening B) Paraphrasing C) Nonverbal messages D) Rapport
C
A public health nurse is responsible for teaching school-aged children how to live with type 1 diabetes mellitus. The nurse has utilized various approaches and techniques to help these young clients learn and cope with their challenges. The nurse recognizes which video game can be very effective to achieve this goal? A) Snow World B) Bronkie the Bronchiasaurus C) Packy and Marlon D) SpiroGame
C
The public health nurse is often involved with leading community groups and recognizes leading a successful group involves going through various stages. Which statements best describe some of these stages? Select all that apply. A) All groups eventually reach the performing stage. B) The storming stage is detrimental to group development. C) Loss of group affiliation often occurs with adjourning. D) The group begins to focus more on maintenance rather than just tasks during the norming stage. E) Conflict is inherent in the forming stage.
C D
A community health nurse is meeting with a group of clients and notes some clients are misinterpreting the information. What does the nurse recognize as the most likely barrier to communication for this group? A) The nurse's sharing of complete and accurate information with the clients B) The clients' use of medical terminology in the discussion C) The clients' offering of feedback to allow the nurse to learn what the client understands D) The clients' interpretation of the message through their own perceptions
D
A group of students are discussing the various parts of effective communication with the instructor. The instructor recognizes they understand the discussion when they correctly identified an e-mail request to the local health department is which part of communication? A) Sender B) Message C) Decoding D) Channel
D
A public health nurse has noticed a trend in the number of patients with low compliance in routine health maintenance from a certain area in the state. Which resource can the nurse use to best justify the creation of a new public health clinic? A) School district immunization records B) Use of telemedicine by patients C) Patient load and wait times at the surrounding emergency department D) Geographic Information System data
D
A public health nurse working with a young mother is concerned the mother is not providing accurate information during the assessment. What is the best response by the nurse in this situation? A) "What I'm seeing is not matching what you are telling me." B) "Okay, let's try this again. Tell me what happened." C) "Let's try some simple 'yes' and 'no' type questions." D) "I'm sorry, there seems to be some misunderstanding. Let's try this again, okay?"
D
