Chapter 02: Community-Based Nursing Practice (1)
Which is a role of a school nurse? (pg. 25)
Monitoring immunization status
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? (pg. 21)
Telephone the client to obtain permission to visit.
What is the purpose of early discharge planning as explained to a client? (pg. 19)
"To ensure you have the resources you need when you leave"
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? (pg. 19)
"Discharge planning occurs when the patient is discharged."
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? (pg. 19)
A higher acuity client requires a greater need for highly skilled care.
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? (pg. 22)
Client's current health status
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? (pg. 21)
Need for control over a situation
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? (pg. 18)
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? (pg. 24)
Nurse-centered
A client is being discharged home after a hemorrhagic stroke. To which discipline should the nurse case manager make a referral to improve the client's ability to perform activities of daily living? (pg. 20)
Occupational therapy
The nurse is working in an ambulatory health clinic. What is the focus of community-based nursing practice? (pg. 19)
Promoting and maintaining population health and preventing and minimizing disease progress
In which situation is the nurse providing tertiary prevention? (pg. 19)
Teaching rehabilitation exercises to a client after a mastectomy
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? (pg. 19)
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? (pg. 22)
The nurse should never walk into a patient's home uninvited.
Which statement corresponds with an action the nurse might take when providing home health care? (pg. 21)
The nurse uses a blood pressure cuff as a tourniquet to assist in locating a vein during a venipuncture.
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? (pg. 20)
The shift of resources to the community
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? (pg. 19)
When members of the community share a heritage that is unfamiliar to the nurse
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? (pg. 18)
You will care for individuals and families and play a role in health education, illness prevention, and promotion.
The nurse is transitioning to a home health setting. What factor has resulted in a shift in the health care delivery setting? (pg. 18)
growing number of elderly clients
The goal of OSHA is (pg. 24)
to ensure safe work conditions.