Chapter 02: Community-Based Nursing Practice (3)
Which safety precautions should the home care nurse implement? Select all that apply. (pg. 22)
- Become familiar with all exits from the client's home. - Schedule visits during the day. - Post the nurse's visit schedule at the agency.
The home care nurse is in the process of determining the need for future home visits. Which factors does the home care nurse need to consider? Select all that apply. (pg. 22-23)
- Mental status of the client - Educational needs of the client - Level of client self-care - Current health status of the client
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? (pg. 12)
Case management
A home care nurse is planning a first client visit. While reviewing the referral information, the orders are not clear. What priority action will the nurse take? (pg. 21)
Contact the referring agency.
Which capability corresponds with home health care? (pg. 21)
Improvises when providing care
According to the 2013 OASIS data study, which client would be at greatest risk for re-hospitalization? (pg. 20)
Male client who requires assistance to ambulate
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
In which situation is the nurse providing tertiary prevention? (pg. 19)
Teaching rehabilitation exercises to a client after a mastectomy
A nurse is caring for an older adult with emphysema. Which nursing action demonstrates primary prevention? (pg. 19)
Teaching the client various methods to help prevent pneumonia
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? (pg. 19)
Tertiary
Which level of prevention focuses on minimizing deterioration and improving quality of life? (pg. 19)
Tertiary
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? (pg. 25)
The health problems faced by homeless people are often related to their living situation.
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
Which tools do case managers commonly rely on to plan and coordinate client care? (pg. 12)
clinical pathways, practice guidelines, and standards of 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? (pg. 21)
Need for control over a situation
A home care nurse is looking at ways that home care nurses can promote holistic care of the client. What action will the nurse implement in order to accomplish this task? (pg. 20)
Collaboration with an interdisciplinary team
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? (pg. 19)
Community health nurses focus on community needs as well as the needs of individual patients.
A nurse working in the community is involved in secondary prevention. Which activity would most likely apply? (pg. 19)
Health screening for diabetes risk
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? (pg. 19)
Improving quality of life
A nurse is working as an occupational health nurse at a local factory. With which activity would the nurse least likely be involved? (pg. 18)
Providing case management services for the employees