Community Exam 2
25. Which question would the community health nurse use as a guide to determine a client's participation in a teaching program? A) "What does the client know about the current problem?" B) "How does the client view the current situation?" C) "Does the client need special seating?" D) "What does the client want to learn?"
D) "What does the client want to learn?"
7. A community health nurse determines that a family is stressed beyond its limits. The nurse identifies that which attribute is being affected? A) Family boundaries B) Goal-directed behavior C) Interdependency D) Adaptive behavior
D) Adaptive behavior
19. A community health nurse discovers that a bill in the legislature would eliminate a state law that currently funds child health promotion services for low-income children. Which action at the primary level of prevention would be most appropriate? A) Advocate for amendment to the passed law to allow some funding for children to remain B) Once the bill has been passed, seek private resources to support funding of health promotion services for low-income children. C) Gather a group of health professionals to volunteer to provide the health promotion services eliminated by the passed bill D) Advocate through active lobbying against the bill and gather community support
D) Advocate through active lobbying against the bill and gather community support
A nurse is planning a research study to answer a clinical question. Which of the following would be most appropriate for qualitative research approach? A) Evaluating the reported cases of post vaccination complications after varicella immunization B) Determining the use of complementary and alternative health care by middle-aged adults in rural areas C) Ascertaining the effect of using calming music on older adults with dementia in extended care facilities D) Assessing the emotional responses and feelings of individuals requiring isolation due to a highly communicable illness
D) Assessing the emotional responses and feelings of individuals requiring isolation due to a highly communicable illness
Which of the following statements about the steps of the EBP process is most accurate? A)One of the last steps of the EPB process is to search for and collect the most relevant best evidence. B)One of the earliest steps in the EBP process is to disseminate the outcomes of the EBP decision or change. C)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. D)The first step in the EBP process is to cultivate a spirit of inquiry.
D)The first step in the EBP process is to cultivate a spirit of inquiry.
21. A community health nurse is working to support programs to encourage preschool immunizations. The nurse is integrating which ethical principle in his or her practice? A) Beneficence B) Autonomy C) Nonmaleficence D) Justice
A) Beneficence
14. A community health nurse is developing health promotion programs for a local community that consists predominantly of African Americans. Which of the following areas would be a priority for health promotion with this group? A) Cardiac health B) Respiratory care C) Mental health D) Skin care
A) Cardiac health
29. Which of the following endings to this sentence most accurately describes the reason a community health nurse must consider the social determinants of health? The community health nurse must consider the social determinants of health A) because the social determinants of health affect a wide range of health, functioning, and quality-of-life outcomes and risks. B) because in our country all people are treated equally. C) because it is the right thing to do. D) because the community health nurse believes in social justice.
A
3. A client who needs to lose weight as part of an overall plan to become healthier has contracted with a nurse for behavior change. The client is working on increasing fruits and vegetables in his or her diet and currently consumes less than one fruit or vegetable per day. The nurse knows that the client is in the unfreezing stage of change when the client stated: A) "I have been reading a lot about the healing powers of many fruits and vegetables. I never ate many fruits and vegetables as a child so I am not sure how to prepare them. Can you refer me to some sources of information?" B) "I have started to try one serving of fruits and one serving of vegetables at each meal. I am starting to discover some of my favorites." C) "I still hate fruits and vegetables and I don't think I will be successful at integrating them into my diet." D) "Today I ate a total of 10 servings of fruits and vegetables. I really do like them and I feel great!"
A) "I have been reading a lot about the healing powers of many fruits and vegetables. I never ate many fruits and vegetables as a child so I am not sure how to prepare them. Can you refer me to some sources of information?"
8. Which of the following statements is an accurate description of the characteristic shared by all cultures, culture is integrated? A) A person's culture is an interrelated and interdependent web of ideas and practices. B) In order to describe a person's culture, it is necessary to describe each trait independently. C) Aspects of a person's culture are best described as unrelated to other aspects of the person's culture. D) A person's culture is an assortment of various customs and traits.
A) A person's culture is an interrelated and interdependent web of ideas and practices.
23. When developing an educational program for the community, which of the following must the community health nurse do first? A) Assess the clients' readiness to learn B) Ensure a conducive environment for learning C) Assess the client's perception of the problem D) Determine the appropriate subject matter
A) Assess the clients' readiness to learn
Application of nursing research results to community health nursing practice is essential. Which of the following must occur first before results can be applied? A) Be informed about research findings B) Demonstrate skill in examining research reports C) Assess abstracts of relevant research studies D) Check if the study was funded by a drug company
A) Be informed about research findings
7. As part of a class presentation, a nursing instructor describes the characteristics shared by all cultures. Which description of culture being tacit indicates that the teaching was successful? A) Culture is mostly unexpressed. B) Cultures do not remain static. C) Culture is a functional and integrated whole. D) Patterns of cultural behavior are acquired.
A) Culture is mostly unexpressed.
24. When working with the older adult population in the community, which of the following would be most important for the community health nurse to do? A) Develop case management programs to channel clients to appropriate services B) Place the older adult in skilled nursing facilities for the best care available C) Raise funds to support the needs of the older adults in the community D) Emphasize tertiary prevention at this stage in the lives of the older adult
A) Develop case management programs to channel clients to appropriate services
chap 5 1. 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 of the following comments? A) Dominant values are those held by the male head of the household in most American families.î B) The percentages of White European descent Americans are rising, while the percentages of other ethnicities are declining and this is projected to continue into the year 2050 at least.î C) Nurses maintain their original culture as they are socialized throughout the educational process.î D) America has become an amalgamation of people who have different values, ideals, and behaviors, rather than the melting pot that was once envisioned.î
A) Dominant values are those held by the male head of the household in most American families.î
17. Which one of the following statements about elder abuse is most accurate? A) Elder abuse is a problem that is under recognized and underreported. B) It is more common for elderly men to be abused rather than elderly women. C) If there is long-term domestic violence in an elderly couple, it is not considered elder abuse for the perpetrator to continue to abuse the victim. D) Self-neglect is not considered to be a form of mistreatment.
A) Elder abuse is a problem that is under recognized and underreported.
16. As part of a group exercise, students are to compare and contrast home care and hospice care. The instructor determines that the activity was successful when the students identify which of the following as reflective of home health care? A) Emphasis on rehabilitation B) Focus on health of the whole family C) Expert use of opioids for suffering D) Management of symptoms
A) Emphasis on rehabilitation
While providing care to a community group, a community health nurse provides culturally sensitive care by avoiding which of the following? A) Ethnocentrism B) Ethnorelativism C) Enculturation D) Ethnicity
A) Ethnocentrism
21. A community health nurse is providing care to several cultural groups in the community. When providing transcultural nursing, which of the following would be the priority? A) Examining one's own culture carefully and recognizing that alternative viewpoints are possible B) Recognizing that cultural values, beliefs, and practices influence people's health and lifestyles C) Obtaining health-related information about a cultural group concerning their values, beliefs, and practices D) Actively and attentively listening to demonstrate respect while learning about other cultures
A) Examining one's own culture carefully and recognizing that alternative viewpoints are possible
19. 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 of the following would be important to include as the priority? A) Increased focus on preventing teen pregnancy B) Increased insurance coverage for contraception C) Increased male involvement in teen pregnancies D) Increased access to prenatal services
A) Increased focus on preventing teen pregnancy
4. A community health nurse is applying the normative-reductive strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption? A) Information alone is not enough, and behaviors change through persuasion. B) Compliance by the client system will occur through the use of power to effect change. C) People are rational and will adopt a new practice because it is in their best interest. D) The clients can assume a high degree of responsibility for their own help.
A) Information alone is not enough, and behaviors change through persuasion.
17. A 32-year-old wife and mother of two children was a bank manager before entering the nursing program. She is finishing a Baccalaureate nursing program in a few months. She learns best when she can plan and carry out her own learning activities, uses past experiences to help with current learning, and applies learning immediately. Which learning theory best fits this woman's learning style? A) Knowles' adult learning theory B) Bandura's social learning theory C) The Gestalt-Field family of theories D) Maslow's Hierarchy of Needs theory
A) Knowles' adult learning theory
6. As part of a community-wide program addressing the needs of seniors in the county, the nurse engages the seniors as well as their families in the program. The nurse is demonstrating which principle for effecting positive change? A) Participation B) Proper timing C) Resistance to change D) Interdependence
A) Participation
13. When developing the plan of care for a client receiving home health care services, which of the following would be the most important goal? A) Promotion of client independence B) Complete resolution of the problem C) Detecting family conflicts D) Ensuring access to resources
A) Promotion of client independence
10. When providing home health care, which individual is responsible for coordinating the care? A) Registered nurse B) Social worker C) Physician D) Dietician
A) Registered nurse
13. A group of students are reviewing for an examination on values. Identification of which of the following as an instrumental value indicates the need for continued study? A) Spiritual salvation B) Confidentiality C) Honesty D) Promise keeping
A) Spiritual salvation
26. Which of the following is the best example of a positive learning environment for a group of developmentally disabled adults? A) A local diner, seated near the door to the kitchen during lunchtime B) A brightly lit conference room with comfortable chairs C) A kindergarten classroom with small chairs that are low to the ground D) A park on a beautiful, sunny day
B) A brightly lit conference room with comfortable chairs
11. A community health nurse, visits an 81-year-old newly diagnosed insulin-dependent diabetic who lives alone. The nurse has visited the family three previous times and is visiting early in the morning to observe his client's insulin administration technique. The nurse finds the client depressed over his or her situation one morning. The nurse suggests that together they list positive points about his or her situation and discuss his or her feelings. This is an example of which of the following? A) Strengthening B) Data collection C) Goal-directed questioning D) Measuring family functioning
A) Strengthening
22. Which of the following is the best example of a community health nurse focusing on the secondary level of prevention? A) Teaching clients how to navigate the health care system to receive prompt treatment B) Teaching clients about the importance of immunization C) Teaching stroke survivors about the importance of diet, rest, and exercise to prevent a secondary health problem D) Teaching a class on sensible nutrition for adolescents
A) Teaching clients how to navigate the health care system to receive prompt treatmenT
6. Which one of the following statements about the definition of family is most accurate? A) The United Nations defines family "as the basic unit of society." B) The United States Census recognized that there have been many changes in families in the last 50 years due to societal forces such as delayed marriage and childbearing, smaller family sizes, increases in divorce rate and migration. C) The United Nations views families as "a householder and one or more other persons living in the same household who are regarded as members of his or her family." D) A family could be a single person residing in his or her own household.
A) The United Nations defines family "as the basic unit of society."
15. A community health nurse develops a written teaching plan for a community education program about nutrition and salt-reduction. Which objective would reflect synthesis learning in the cognitive domain? A) The client will create an enjoyable meal using low-sodium foods. B) The client will compare the salt content in a variety of packaged foods. C) The client will practice eating meals that contain low-sodium foods. D) The client will list foods that are low in sodium.
A) The client will create an enjoyable meal using low-sodium foods.
1. When preparing for a class on family and family health, which of the following would the instructor include as the most appropriate description of family? A) The members of the family are self-defined. B) Persons are related by a common bloodline. C) Persons are involved in the same social community groups. D) Individuals live in close proximity to one another.
A) The members of the family are self-defined
CHAP 24 1. When describing the changes occurring in the older adult population globally, which of the following would be most accurate? A) The over-80 years age group is the fastest growing segment of the group. B) Males have a longer projected life expectancy when compared with females. C) Most countries have adequate numbers of social programs for older adults. D) Adults over age 65 are expected to account for about 25% of the population by 2050.
A) The over-80 years age group is the fastest growing segment of the group.
Which of the following research studies would most likely use a quantitative research approach? A) The relationship of maternal age and history of parents' vaccine-preventable disease and parents' efforts to have their children immunized B) The experience of parents whose children have had serious complications subsequent to immunization C) The experience of parents whose children were not properly immunized and developed a vaccine-preventable illness D) Reasons that parents who practice a particular religion do not have their children properly immunized
A) The relationship of maternal age and history of parents' vaccine-preventable disease and parents' efforts to have their children immunized
5. Which of the following are characteristics of healthy older adults? A) They are able to perform functional activities of daily living. B) They are able to adapt, to continue to handle stress, and to be active in life and living. C) They maintain the maximum degree of physical, mental, and social vigor. D) They are likely to be dependent on others. E) They reside in institutions.
A) They are able to perform functional activities of daily living.
14. A community health nurse is applying an interactional framework to assess a family's health. Which of the following would the nurse do? A) View them in terms of the family's internal relationships B) Look at them from a life-cycle perspective C) Evaluate the members' changing roles and tasks D) Assess them as a social system relating to other social systems
A) View them in terms of the family's internal relationships
5. An instructor is describing the various types of home health care agencies and uses the visiting nurse association as an example of which of the following types? A) Voluntary nonprofit B) Hospital-based C) For-profit proprietary D) Noncertified
A) Voluntary nonprofit
23. A public health nurse is faced with an ethical dilemma. Which question should the nurse consider first when deciding how to resolve the dilemma? A) What exactly is the ethical dilemma? B) What are the alternative courses of action? C) What are the consequences of each alternative courses of action? D) How should this dilemma be solved?
A) What exactly is the ethical dilemma?
4. A community health nurse is about to make the first home visit to a family based on a referral from the hospital where the high-risk infant was born to an adolescent mother about 6 days ago. The nurse plans to assess the family and home environment and provide anticipatory guidance. On arrival, the mother sleepily answers the door after the nurse rings the bell and knocks several times. The mother lets the nurse in but is not happy to see the nurse. She gets the infant and places him in the nurse's arms, then sits across the room and turns on the TV. Which response by the nurse would be most appropriate? A) ìYou must be very tired caring for a newborn baby.î B) ìI wasn't planning to hold the baby. You should hold him, you are the mother.î C) ìI need to talk to you, so please turn off the TV.î D) ìHow do you feel being a mother at 17?î
A) ìYou must be very tired caring for a newborn baby.î
17. A community health nurse is preparing a presentation for a local community group of families who are in the childbearing stage of the family life cycle. Which of the following would the nurse address as critical for this group? A) Establishing a mutually satisfying relationship B) Adjusting to infants to encourage their development C) Coping with the lack of privacy as parents D) Balancing the needs of the immediate family with the needs of aging parents
B) Adjusting to infants to encourage their development
16. Situations in which self-determination should be restricted include which of the following? Select all that apply. A) When some objectives of individuals are contrary to the public interest or the interests of others in society B) When a person's decision making is so defective or mistaken that the decision fails to promote the person's own values or goals C) When it interferes with self-interest D) Self-determination and personal autonomy must never be restricted. E) When self-determination deteriorates into self-interest and poses a major roadblock to equitable care
A, B
Which of the following statements about the impact of research on community health nursing are true? Select all that apply. A) It is important to conduct research to affect public policy. B) Public policy will continue to have a negative effect on the community's health. C) Research will affect the effectiveness of community health nursing practice. D) Research will affect the status and influence of nursing as a profession. E) The impact that research has on community health nursing is negligible.
A, C, D
20. Which of the following statements accurately describe Pender's Health Promotion Model? Select all that apply. A) It has been revised to reflect a number of major theoretical changes. B) It is not effective. C) It is unrelated to interpersonal influence of others. D) It allows the community health nurse to predict health promotion behaviors which enhances the ability to work with clients. E) Individual characteristics and experiences are seen to interact with behavior-specific cognitions and affect to influence specific behavioral outcomes.
A, D, E
9. Which of the following are examples of a community health nurse providing health promotion teaching? Select all that apply. A) The community health nurse teaches a class of kindergartners how to properly wash their hands. B) The community health nurse is a guest on a radio talk show to provide information how to avoid an infection that is endemic. C) The community health nurse encourages an individual whose blood pressure screening was elevated to have his or her blood pressure rechecked in 1 week. D) The community health nurse teaches a group of preschoolers about different fruits and vegetables that they might like to try. E) The community health nurse teaches a mother and baby exercise group. F) The community health nurse leads a group of stroke survivors in soft exercise.
A, D, E
6. Which of the following things does a nurse who is traveling by automobile to make a home visit need? Select all that apply. A) A full gas tank and well-operating vehicle B) A map that includes the geographic location where the home visit will be made C) A cellular telephone D) A bus schedule E) Exact change
A,B,C
18. Which of the following comprise the primary criteria for effective programs for older adults? A) Coordination B) Accessibility C) Comprehensive D) Complex E) Quality
A,B,C,E
23. Which of the following Medicare definitions prevent people who could benefit from home care services from receiving those services, even when it would be most cost effective for the client to receive home care rather than more expensive emergent and inpatient interventions? Select all that apply. A) Home-bound status B) Medical necessity C) Prospective payment D) Skilled nursing
A,B,D
19. Which of the following are included in a comprehensive set of services? Select all that apply. A) Adequate financial support B) Health education C) Encouragement to spend much time alone D) Adult day care programs E) Access to high quality health care services F) In-home services
A,B,D,E,F
24. A community health nurse is providing informal teaching to groups of parents about typical childhood developmental milestones. Which of the following would the nurse mostly likely be using? A) Lecture B) Demonstration C) Anticipatory guidance D) Visual images
C) Anticipatory guidance
7. Which of the following are specific safety measures the nurse should apply when making a home visit? Select all that apply. A) Plan to reschedule the visit if you find a large group of people assembled between you and the client's door. B) Immediately leave the home when family members begin to physically fight with one another. C) Enter the residence before you determine that the family you are intending to visit does live there and is home. D) Travel only in pairs for all home visits. E) If someone approaches you and indicates that they want your nursing bag, throw your bag away from where you are and run in the opposite direction. F) Leave an itinerary of your planned travels, the telephone numbers of families you will attempt to visit and your cellular phone number at your base of operation.
A,B,E,F
13. Which of the following are examples of the family life cycle stage of expansion? Select all that apply. A) The family of four welcomes the newborn into their family. B) The head of a family of four dies. C) The single mother of one marries and the new spouse has two children. D) The family of four's eldest daughter and her child return to the family home after divorce. E) The parents in a family of four divorce and one parent lives elsewhere.
A,C,D
14. When providing palliative care to a client receiving hospice care, which of the following would be important? Select all that apply. A) Assume nothing about what is wrong B) Use the most complex interventions first C) Believe what the client is reporting D) Be persistent in trying different strategies E) Wait until the symptoms recur to relieve them
A,C,D
5. Community health nurses need to know that families are systems. Which of the following attributes of systems are also attributes of families? Select all that apply. A) Families are part of a larger suprasystem that includes many subsystems. B) Family members are independent. C) A family is greater than the sum of all its parts. D) A change within the family system not only affects the individual member but all of the family members. E) Families cannot be visualized as a mobile in which all of the pieces are suspended freely by a string.
A,C,D
11. Which of the following statements about family structures are true? Select all that apply. A) Throughout the world, families—in all varied forms—are the basic social unit. B) A family consists of a husband, wife, and children living under one roof with the man as breadwinner and the woman as homemaker. C) 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. D) The varying family structures or compositions comprise the collective characteristics of individuals who make up a family unit. E) Families structures can be categorized into two general categories: traditional and contemporary.
A,C,D,E
3. Which of the following statements about family health nursing are true? Select all that apply. A) There are multiple ways that community health nurses can approach families. B) When providing care to individuals, it is not necessary to include the family in the assessment. C) Some nurses view family nursing as its own distinct specialty. D) Nurses can provide care to individuals within the family or to the family as the client or to the family as a system. E) Some nurses view family nursing as part of other specialties such as community health nursing, maternal child nursing, or mental health nursing.
A,C,D,E
12. A home health care nurse reviews the most common conditions managed at home. Which of the following are the most common conditions managed at home? Select all that apply. A) Chronic skin ulcer B) COPD C) Heart failure D) Terminal cancer E) Diabetes
A,C,E
9. When assessing a family, which statement by the family would the nurse interpret as reflecting the family's cultural influences on its own unique values? Select all that apply. A) "Family problems stay within the family." B) "Bring me the milk since you are near the refrigerator." C) "Dinner is ready and is on the stove." D) "Report cards come out on Friday." E) "You can't go to the dance unless we meet the boy." F) "We always go to grandma's for dinner on Sunday."
A,E,F
4. Which of the following statements are common misconceptions about older adults? Select all that apply. A) It is normal for older adults to become more confused and childlike, forgetful, and lose contact with reality as they age. They become "senile." B) As older adults age, they become more different and less alike other older adults. C) Older people are very capable of learning new things. D) As age increases, older adults withdraw, become inactive, and cease being productive.
A.D
12. A teaching plan for a group of new mothers has the following objective: "The mothers will describe the principles that relate to safety while diapering their newborn." The nurse is attempting to achieve learning at which level of the cognitive domain? A) Knowledge B) Comprehension C) Application D) Analysis
C) Application
18. A community health nurse is preparing a teaching program for a group of elementary school-aged children about substance abuse awareness. The nurse would implement strategies that address which cognitive phase of development? A) Preconceptual B) Intuitive thought C) Concrete operations D) Formal operations
C) Concrete operations
13. A community health nurse is attempting to empower a family to become independent. Which of the following would be most appropriate? A) Focus attention on the problem areas B) Do for the family what they cannot C) Emphasize the family's strengths D) Reinforce positive traits
C) Emphasize the family's strengths
After teaching a class on values, which of the following, if stated by the class, indicates the need for additional teaching? A) Some values are descriptive, while others are evaluative. B) Keeping a promise is an example of a terminal value. C) Values persist, remaining relatively stable over time. D) Certain values have more importance than others.
B) Keeping a promise is an example of a terminal value.
4. Which one of the following statements about family health nursing is most accurate? A) The family does not play a critical role in the health of its members. B) The community health nurse is in a unique position to influence and promote family health. C) Health habits are not developed in the context of family. D) Genetic influences always take place within the family environment.
B
9. An older adult interested in nutrition asks the community health nurse about the number of calories that he or she should eat every day. Which of the following would be most appropriate? A) 800 to 1,200 calories B) 1,200 to 1,600 calories C) 1,600 to 2,000 calories D) 2,000 to 2,400 calories
B) 1,200 to 1,600 calories
7. A home health care nurse performs an initial visit to a client and determines that the client meets the criteria for services with Medicare reimbursement. The nurse understands that this service will be reimbursed for which period? A) 30 days B) 60 days C) 90 days D) 120 days
B) 60 days
20. When working with gay and lesbian families, which of the following is the most important challenge? A) Determining if the union is legal in the state that the family resides B) Creating an environment in which the family feels confident, relaxed, and comfortable C) Addressing the usual parental fears and concerns related to their children D) Planning additional services to address the delayed development of each of the children
B) Creating an environment in which the family feels confident, relaxed, and comfortable
19. When applying the principles of transcultural nursing, which of the following must the nurse do first? A) Cultivate cultural sensitivity B) Develop cultural awareness C) Learn the client's group culture D) Demonstrate respect for culture
B) Develop cultural awareness
16. When describing elder abuse to the families of older adults who are attending a local community presentation, which of the following would the community health nurse identify most commonly as the perpetrator? A) Elder's adult child B) Elder's partner C) Elder's neighbor D) Elder's grandchild
B) Elder's partner
11. A community health nurse meets with a group of adults at the local senior center. They range in age from 65 to 70 years. The nurse would recommend vision screening at which frequency? A) Every year B) Every 2 years C) Every 5 years D) Every 10 years
B) Every 2 years
18. After teaching a class about the functions of a family, the instructor determines that the class needs further instruction when they identify which of the following statements as true of family functions? A) One family function is providing affection. B) Family functions include ensuring the happiness of all family members. C) In the United States, certain social institutions help perform some aspects of traditional family functions. D) An important family function is providing socialization for the young members of the family.
B) Family functions include ensuring the happiness of all family members.
20. Which of the following would a community health nurse use when conducting an outcome evaluation? A) Organization B) Family progress C) Timing D) Performance
B) Family progress
22. A community health nurse working with a group of families who come to local community health care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center. Three months have passed, and the nurse still has not instituted the child care program. The nurse has violated which ethical principle? A) Veracity B) Fidelity C) Justice D) Respect
B) Fidelity
15. The family of a hospice client is holding a vigil at the client's bedside. During a visit, a hospice nurse participates in this vigil and encourages each of the family members to say their good-byes. The nurse is demonstrating which of the following? A) Palliative care B) Guided letting go C) Connecting D) Responsive use of self
B) Guided letting go
14. To ensure learning in the psychomotor domain, which of the following would be most important for the nurse to ensure about the learner? A) Has a sensory image of how to do the skill B) Has the ability to perform the necessary skill C) Is willing to listen to the information about the skill D) Can continue to practice the skill independently
B) Has the ability to perform the necessary skill
17. A home health care nurse is assigned to visit a client's home. The nurse identifies the area as a problem neighborhood. Which of the following would be most appropriate for the nurse to do? A) Perform the visit via telephone B) Have another nurse buddy along C) Reschedule the visit for another time D) Leave the cell phone at home
B) Have another nurse buddy along
2. The population that community health nurses serve in the United States is changing. Because of population shifts, nurses must become sensitive to the cultural differences and language differences among new community members. Which minority group currently represents the largest group? A) African Americans B) Hispanic Americans C) Asian Americans D) American Indians
B) Hispanic Americans
12. The community health nurse is working in the health department of a major city that has a large Hispanic/Latino population. Which of the following would the nurse need to integrate into the plan of care for this population? A) View of the female as superior to the male B) Importance of an extended, cohesive family C) Males as the binding force of the family D) Adherence to strict time schedules
B) Importance of an extended, cohesive family
10. An older adult comes to the community health center for a checkup. During the visit, he or she mentions that he or she is somewhat constipated. Which of the following suggestions would be most appropriate? A) Use a laxative about once or twice a week B) Increase your intake of fresh fruits and vegetables C) Drink about four 8-oz. glasses of fluid each day D) Walk around the block once a week
B) Increase your intake of fresh fruits and vegetables
12. A community health nurse is assessing an older adult's ability to perform activities such as shopping, doing the laundry, using the telephone, and handling finances. Which assessment tool would be most appropriate for the nurse to use? A) Barthel Index B) Instrumental Activities of Daily Living Scale C) Katz Index of Activities of Daily Living D) Modified Rankin Scale
B) Instrumental Activities of Daily Living Scale
18. When developing an in-service program for a group of community health nurses about culture, which of the following would the presenter expect to include? A) All members of a cultural group are alike. B) Intraethnic variations underscore a population's cultural diversity. C) Ethnicity has a major impact on the effectiveness of health care. D) Ethnocentric attitudes are key to working with different cultures.
B) Intraethnic variations underscore a population's cultural diversity.
6. When describing culture as shared, which of the following would be most accurate? A) It is acquired, not inherited. B) It is a product of aggregate behavior. C) It is interrelated and interdependent. D) It undergoes change.
B) It is a product of aggregate behavior.
21. The nurse educator knows that the nursing student has grasped the concept of self-evaluation when the nursing student makes which one of the following statements? A) It is important for the family to evaluate itself. B) It is important for the nurse's growth and effectiveness as a community health nurse. C) Evaluations by others are not helpful. D) Individuals can always see their own strengths or flaws.
B) It is important for the nurse's growth and effectiveness as a community health nurse.
15. A community health nurse is providing care to a family in the community who are Muslim. Which of the following would be most important for the nurse to integrate when providing care for this family? A) Rules are stricter for boys than for girls. B) Modest dressing is key for both men and women. C) Most Arabic women work outside the home. D) Most adhere to the three tenets of Islam.
B) Modest dressing is key for both men and women.
2. A community health nurse is working with an older adult population ranging in age from 75 to 85 years. The nurse correctly classifies this group as which of the following? A) Young-old B) Old-old C) Oldest-old D) Elite-old
B) Old-old
3. A community health nurse arrives at a family's home. Which of the following would behaviors by the nurse would be nontherapeutic? A) Maintaining eye contact with the family members B) Paging through paperwork for information C) Sitting on the furniture near the family members D) Placing car keys in the nurse's carryall bag
B) Paging through paperwork for information
23. Which one of the following statements is most accurate when differentiating hospice from palliative care? A) Both palliative care and hospice focus on cure; however, hospice focuses on terminal illnesses, and palliative care focuses on diseases that are more chronic in nature. B) Palliative care consists of comfort and symptom management and is often a part of hospice care. C) Hospice is more of a specific place than a concept of care, whereas palliative care is more of a concept of care. D) Hospice is intended for people who have a projected life expectancy of 6 months or more, and palliative care is intended for people who are actively dying.
B) Palliative care consists of comfort and symptom management and is often a part of hospice care.
7. The community health nurse evaluates his or her own past personal habit of smoking as he or she prepares to talk to a group of people about the importance of smoking cessation. The nurse recalls that he or she had several unsuccessful attempts before quitting 1 year ago today. The nurse decides to share this information with the group and tells them that all the attempts he or she had made before stopping smoking were necessary steps for his or her eventual success. Which principle of change was the nurse enacting? A) Principle of flexibility B) Principle of self-understanding C) Principle of interdependence D) Principle of proper timing
B) Principle of self-understanding
13. Which of the following interventions by the nurse is most likely to have a positive influence on the client's adoption of a new healthy behavior? A) Providing feedback about what the client is doing incorrectly B) Providing feedback about what the client is doing correctly C) Not providing feedback D) Not providing role modeling of the desired change
B) Providing feedback about what the client is doing correctly
10. A community health nurse working a large metropolitan city has a large Asian American client base. Which of the following would the nurse be least likely to assess in this population? A) Belief that illness results from a body imbalance B) Reliance on Western medical practices C) Use of traditional self-care practices D) A focus on patriarchal family structures
B) Reliance on Western medical practices
22. When describing the role of hospice nurses to a group of students, a hospice nurse identifies which of the following as most important? A) Speaking the truth B) Sustaining oneself C) Encouraging choice D) Strengthening the family
B) Sustaining oneself
24. Which one of the following Medicare policies prevent people who could benefit from hospice services from receiving those services, even when it would be most cost-effective for the client to receive hospice rather than inpatient interventions? A) Controlled cost at the expense of assuring quality of life and comfort B) That a person must discontinue treatment in order to receive hospice service. C) Education and support for clients and family caregivers D) Refusing to pay for homemaking and personal care that might keep a person at home as long as possible
B) That a person must discontinue treatment in order to receive hospice service.
4. When evaluating a client's eligibility for Medicare-reimbursed home care, which of the following is crucial? A) The client needs visits by a homemaker. B) The client is homebound. C) The client is a veteran. D) The client is terminally ill.
B) The client is homebound.
12. Which one of the following is a principle that guides and enhances family nursing practice? A) The nurse should expect that the family will be normal and will not change. B) The nurse should start where the family is at the present time and not the ideal level of functioning. C) The nurse should focus on each family member individually. D) The nurse should evaluate the family based on consistency with traditional family patterns.
B) The nurse should start where the family is at the present time and not the ideal level of functioning.
19. When choosing an appropriate model for health education, community health nurses often select the PRECEDE-PROCEED model for which reason? A) It emphasizes the desired outcome of the teaching. B) The steps are similar to those of the nursing process. C) The nurse's perception of the problem is the key to this model. D) Evaluation of outcomes is the final step.
B) The steps are similar to those of the nursing process.
16. Which of the following statements about the distribution and use of power within a family is most accurate? A) In all families, one member holds most of the family power. B) The trend in many American families is the equal distribution of power. C) The dominant power holds all of the decision-making power. D) The dominant power is always male, unless there are no males in the family.
B) The trend in many American families is the equal distribution of power.
4. As a community health nurse, you overhear a colleague say, ìI don't understand why the Yang's take their young teenage daughters to the Hmong New Year celebration and have them play these match-making games. The girls meet boys every day at school and they are too young to be looking for husbands.î Which of the following would be the most appropriate response? A) ìThe Yang's are very different from us; maybe in time we can convince them that their practices are not right.î B) ìEvery culture has its differences; I think it is valuable that the Yang's are keeping their cultural practices alive.î C) ìI know what you mean, I was thinking the same thing. You wouldn't catch me doing something similar with my teens.î D) ìI feel sorry for those girls; they must feel funny in those cultural costumes. Let's talk to the parents and tell them how teens in America feel about such things.î
B) ìEvery culture has its differences; I think it is valuable that the Yang's are keeping their cultural practices alive.î
19. A community health nurse determines that it is time for teaching a family about health promotion activities when they say which of the following? A) ìIs there a place we can go for the medicine?î B) ìIt's time we do something about eating right.î C) ìWhen are you coming back to visit?î D) ìOur grandchildren visit every summer.î
B) ìIt's time we do something about eating right.î
Which one of the following statements about cultivating a spirit of inquiry is most accurate? A)It is not very important; research will be performed anyway. B)In order for effective change to occur, current practices must be continually examined, questioned, and challenged. C)It involves ìasking the burning clinical question.î D)The agency does not have an important role in cultivating a spirit of inquiry.
B)In order for effective change to occur, current practices must be continually examined, questioned, and challenged
According to the Institute of Medicine's landmark report, The Future of Nursing, nurses should: Select all that apply. A)work independently from other health professionals to promote the profession of nursing. B)work collaboratively with other health professionals to promote health care. C)attempt to redesign health care. D)Improve practices through evidence-based means. E)The Future of Nursing report does not express the importance of evidence-based nursing.
B, C, D
9. A community health nurse is working with several Native American groups in Arizona. Which of the following would the nurse be most likely to assess? Select all that apply. A) The value of competition B) Respect for advancing age and elders C) Focus of living in the future D) Frequent dialogue and discussion E) Each tribe or nation has its own distinct language, beliefs, customs, and rituals.
B, C, E
12. When preparing for the lesson related to Family Health Nursing by reading the textbook in advance of the class meeting, the nursing student learns that which of the following are important related to the family life cycle? Select all that apply. A) The developmental stages that apply to individual growth are unrelated to those of families. B) A family's composition, set of roles, and interpersonal relationships change with time. C) It is appropriate for community health nurses to provide anticipatory guidance for families. D) There are two broad stages in the family life cycle: one of expansion and one of contraction. E) Stage critical family developmental tasks can be completed in any order.
B,C,D
2. A community health nurse is preparing to assess a family. Which of the following characteristics would the nurse need to integrate into the assessment as universal? Select all that apply. A) The family members are stuck in one stage of development. B) Cultural values and rules C) Every family has structure. D) Every family is a small social system. E) No particular structure, as families are dynamic
B,C,D
28. Which of the following are factors to consider related to the social determinants of health? Select all that apply. A) Being marginalized B) Access to safe housing C) Safe workplaces D) Being related to a politician E) Access to social and economic opportunities
B,C,E
chap 4 A nursing instructor is preparing a teaching plan for a class comparing evidence-based practice and critical thinking. Which of the following would the instructor include? A)Evidence-based practice and critical thinking are polar opposites. B)Both involve problem clarification of central concepts. C)Interpretation of accumulated evidence is unique to evidence-based practice. D)Problem exploration is unique to evidence-based practice.
B. Both involve problem clarification of central concepts.
14. After teaching a group of older adult women about preventing osteoporosis, which of the following if stated by the group indicates the need for additional teaching? A) "We should eat foods that are high in calcium and vitamin D." B) "We need to get bone density screenings regularly." C) "We should avoid activities that involve weight bearing." D) "We need to make sure that maintain a healthy weight."
C) "We should avoid activities that involve weight bearing."
3. While working with another group of community health nurses, a nurse overhears one of the nurses saying, "That older man should just retire. He's 70 years old. How productive can he be?" The nurse interprets this statement as reflecting which of the following? A) Prejudice B) Bias C) Ageism D) Insight
C) Ageism
8. A community health nurse is teaching a group of older adults at a senior center about strategies for successful aging. Which of the following would the nurse include? A) "Limit drinking alcohol to once or twice a month" B) "Avoid eating too many fruits and vegetables" C) "Keep in touch with friends and family" D) "Get up early in the morning"
C) "Keep in touch with friends and family"
1. The nurse educator knows that the nursing student understands the contributions that Lillian Wald made to home care when the nursing student makes which one of the following statements? A) "Lillian Wald made the earliest known effort to care for the sick poor at home." B) "Lillian Wald trained nurses so that wealthy women would hire them as visiting nurses." C) "Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses." D) "Lillian Wald approached congress with the idea of Medicare Home Health Benefit."
C) "Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses."
10. The nurse educator is aware that the nursing student understands the importance of roles within a family when the nursing student states which of the following? A) "Family members can only play one role at a time." B) "Family roles are restricted to the immediate family." C) "Selection of specific roles to be played in any family depends on the family's structure, needs, and patterns of functioning." D) "Family member roles are determined by those outside the family."
C) "Selection of specific roles to be played in any family depends on the family's structure, needs, and patterns of functioning."
7. When visiting a local senior center, a community health nurse engages several of the older adults in a discussion about immunizations. Which statement best reflects the importance of older adult immunization? A) "We're at greater risk of dying from the flu or pneumonia." B) "You don't get the flu from the flu shot." C) "The doctor told us that we should get it." D) "Many of us get the shot here at the center for free."
C) "The doctor told us that we should get it."
15. After teaching a group of students about the most common health problems affecting older adults in the community, which of the following if identified by the students would alert the instructor to the need for additional teaching? A) Arthritis B) Hypertension C) Emphysema D) Peripheral vascular disease
C) Emphysema
2. After reviewing the various events associated with the history of home health care, the students demonstrate understanding of the events when they state which of the following as the most significant influence on the growth of home care agencies? A) Creation of the visiting nurse associations B) Era of the Medicare Home Health Benefit C) Enactment of the Balanced Budget Act D) Discharge of nonacute clients
C) Enactment of the Balanced Budget
15. Which one of the statements about families is most accurate? A) Culture explains why families behave as they do. B) Individual family members decide which one role they will play. C) Family behavior influences family values. D) Family members are always cognizant of all family values.
C) Family behavior influences family values.
9. A home health care nurse is working with informal caregivers. Which of the following is most important? A) Include the client's spouse or significant other in the plan B) Visit frequently to manage and maintain equipment C) Focus on caretaker abilities, not their limitations D) Use nurse's intuition to determine what to teach first
C) Focus on caretaker abilities, not their limitations
22. A community health nurse is assessing a family during a home visit. The nurse is examining the mother who is pregnant with her second child. The nurse asks the mother to raise her arms above her head. The mother replies, ìI can't do this because it will cause the umbilical cord to strangle the baby.î The nurse interprets this statement as reflective of which of the following? A) Home remedy B) Herbalism C) Folk medicine D) Alternative therapy
C) Folk medicine
19. When describing the philosophy of hospice care to a group of students, which of the following would the instructor include? A) The right to die and euthanasia B) Working with people in their last year of life C) Holistic and family-centered care to terminally ill clients D) Weaving hospice concepts around curative treatment
C) Holistic and family-centered care to terminally ill clients
18. When working with clients, a community health nurse promotes the clients' self-concept and health promoting behaviors. The nurse is attempting to achieve which outcome? A) A value system B) Prescriptiveñproscriptive beliefs C) Individual autonomy D) Values clarification
C) Individual autonomy
21. Which of the following statements about teaching at three levels of prevention is most accurate? A) Ideally, the community health nurse would focus at the tertiary level of prevention. B) The outcome of focusing on the tertiary level of prevention is to help diminish years of morbidity and limit subsequent infirmity. C) It is ideal to focus on the primary level of prevention. D) Community health nurses do not spend a significant share of time teaching at the secondary level.
C) It is ideal to focus on the primary level of prevention.
15. A community health nurse constructs an eco-map for a family based on the understanding that this tool is useful for which reason? A) Family relationships over three or more generations are depicted. B) The ecological system of a family's neighborhood is charted. C) It was originally devised to depict the complexity of the client's story. D) Directions for gathering data about neighborhoods are provided.
C) It was originally devised to depict the complexity of the client's story.
20. After teaching a group of students about hospice and its view of end-of-life care, which statement by the students indicates a need for additional teaching? A) Care should attend to the body, mind, and spirit. B) Death is not considered a taboo topic. C) Medical technology should be used widely. D) Clients have a right to truthful discussion.
C) Medical technology should be used widely.
6. Assessment of a client in the home reveals that his or her services will be paid by a government source. Which of the following would be a possible source of payment? A) Insurance company B) Health maintenance organization C) Medicare D) Preferred provider organization
C) Medicare
20. After teaching a class on ethical principles, the instructor determines that the class needs additional instruction when they identify which of the following as an ethical principle? A) Respect B) Autonomy C) Morality D) Justice
C) Morality
13. A group of nursing students are studying for a test about various cultural communities. The students demonstrate that they understand the material when they identify which cultural group as believing in predestination? A) Hispanic/Latinos B) African Americans C) Muslims D) Native Americans
C) Muslims
After a class discussion on moral evaluations, which characteristic if identified by the class would lead the instructor to determine that the discussion has been effective? A) There is specificity that applies to an individual person. B) A special place is given to a person's own welfare. C) Other values cannot override the moral evaluation. D) They relate to a matter of individual taste.
C) Other values cannot override the moral evaluation.
13. A community health nurse is preparing a teaching program that addresses chronic diseases common among older adults. Which of the following would be most appropriate to include? A) Forty percent of older adults are diagnosed with diabetes. B) Weight-bearing exercises are related to increased cases of osteoporosis. C) Postural hypotension can be related to falls in elders. D) Older White men have the highest rates of hypertension.
C) Postural hypotension can be related to falls in elders.
5. The community health nurse is presenting sexuality education to a group of sixth grade students. The community health nurse tells the students that they must never have unprotected sexual intercourse or they will die from a sexually transmitted infection and displays pictures of people dying from AIDS. The nurse is using which change strategy? A) Normative-reeducative B) Rational-empiric C) Power-coercive D) Planned change
C) Power-coercive
chap 11 1. After teaching a class about the stages of change, the instructor determines that the class understands the information when they identify the following as the proper sequence of stages? A) Unfreeze, plan, and integrate B) Plan, organize, and coordinate C) Plan, relearn, and integrate D) Unfreeze, change, and refreeze
D) Unfreeze, change, and refreeze
11. While visiting an Asian American family in their home, the community health nurse inspects the skin of the 3-year-old child and notices a bruise-like lesion on the child's abdomen. The mother states that the child has been experiencing diarrhea for 2 days. Which of the following would the nurse do next? A) Report the family to the local child abuse agency B) Recognize this as a normal skin variation C) Question the family about the use of cupping D) Obtain a blood test for clotting function
C) Question the family about the use of cupping
18. A home health care nurse is invited as a guest speaker to talk to a group of students about challenges of working in the home. As part of the discussion, the nurse describes medication safety. Which of the following would the nurse include as a measure to address this issue? A) Asking the client what he or she takes the drug for B) Throwing out any medications over 1 month old C) Reconciling drugs in the home with those on the discharge sheet D) Setting up medication boxes to organize the medications
C) Reconciling drugs in the home with those on the discharge sheet
11. When visiting a client in the home for the first time, which of the following is absolutely critical to remember? A) There may be dangers lurking around every corner. B) Clients are glad to have the nurse in their home. C) The nurse is a guest in the client's home. D) The nurse knows what is best for the client.
C) The nurse is a guest in the client's home.
21. Which of the following is most accurate of the role of the community health nurse in promoting the health of contemporary families? A) It is important for the nurse to determine if each family is functional or dysfunctional. B) Some families are deviant or abnormal and the nurse must recognize this. C) The nurse is in a unique position to assess families in a strength-based model. D) Society recognizes that the traditional nuclear family is the only legitimate type of family.
C) The nurse is in a unique position to assess families in a strength-based model.
10. Which of the following statements most accurately describes the nurse's role as an educator related to the social determinants of health? A) The nurse must focus on individual behavior and encourage people to take responsibility for their own behavior. B) The nurse must examine one or two factors that contribute to our state of health. C) The nurse must look at the root causes of disease and health inequities. D) The nurse must lecture people about what is right and wrong behavior.
C) The nurse must look at the root causes of disease and health inequities.
5. What is the most serious negative effect of a nurse maintaining ethnocentric views but not recognizing or acknowledging this? A) The nurse fails to understand the views of other cultures because of his or her ethnocentrism. B) The nurse does not communicate effectively with members of other cultures because of his or her ethnocentrism. C) The nurse's ethnocentrism causes damage to interpersonal relationships and interferes with the effectiveness of nursing interventions. D) Nurses are immune to the effects of ethnocentrism.
C) The nurse's ethnocentrism causes damage to interpersonal relationships and interferes with the effectiveness of nursing interventions.
14. The nurse educator knows that the nursing student has grasped the concept of the stages in the life cycle of a family when the nursing student identifies which one of the following statements as accurate? A) Families are either contracting or expanding. B) Families always remain static over time. C) The stages of expansion and contraction may be repeated in some families. D) In the contraction stage of the family life cycle, the number of family members increases.
C) The stages of expansion and contraction may be repeated in some families.
27. 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? A) Using a lot of pictures B) Guessing about the native language and attempting to speak it C) Using an interpreter D) Talking clearly and slowly, being sure to enunciate each word
C) Using an interpreter
18. During a home visit and assessment of an infant and new mother, the nurse determines that the infant looks healthy. The mother asks several questions and listens attentively. One question she asks is whether the nurse is going to visit her again. Which response would be most appropriate? A) ìYour baby looks healthy. You should not have any further questions.î B) ìThe agency limits the number of visits I can make; I will let you know.î C) ìI plan to visit again. What would you like to accomplish at the next visit.î D) ìI can come weekly for the next 16 weeks, and then a staff nurse will visit.î
C) ìI plan to visit again. What would you like to accomplish at the next visit.î
10. During a home visit, a client asks the community health nurse to take his or her shopping to purchase some of the food items he or she needs for his or her diet. Which response by the nurse would be most appropriate? A) ìI can't, I'm going in a totally different direction.î B) ìYou need to find some other way to get to the store.î C) ìI'll help you find a way to get to the store.î D) ìUse the foods you have in the house and shop next week.î
C) ìI'll help you find a way to get to the store.î
Which of the following statements about evidence-based practice has been identified by multiple reports over the past decade, such as To Err Is Human: Building a Safer Health System (2000), Crossing the Quality Chasm: A New Health System for the 21st Century (2001), and Priority Areas for National Action: Transforming Health Care Quality (2003)? A)We must continue to cling to ìthe way we've always done it.î B)We have spent billions of dollars each year researching new treatments and have translated that knowledge into clinical practice. C)We are not translating the knowledge that we are gaining into clinical practice. D)We have continued to spend more than a trillion dollars a year providing care and do translate that capacity into improved clinical practice.
C)We are not translating the knowledge that we are gaining into clinical practice.
8. Which definition of family is most inclusive and yet the simplest? A) Families are the primary social agent in the promotion of health and well-being. B) Families consist of two or more individuals who share a residence or live near one another. C) Families possess some common emotional bond and engage in interrelated social positions, roles, and tasks. D) Families are defined by the members.
D) Families are defined by the members.
16. A community health nurse is providing care to an Asian American family who believes that a member's current illness is due to an excess of yin. The nurse integrates knowledge of this belief, expecting the family to avoid which foods? A) Rice B) Eggs C) Chicken D) Fruits
D) Fruits
23. When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which of the following must the nurse do first? A) Prepare to teach clients about the limits and benefits of cultural health practices B) Assess the client or family adequately to ascertain their belief system and choices C) Individualize caregiving for the client within his or her culture D) Be knowledgeable about health care practices and choices
D) Be knowledgeable about health care practices and choices
17. What is the most important reason for the nurse to conduct a cultural assessment? A) Because it is often assigned by nursing faculty B) Because usually there is some culturally based reason that causes clients to engage in or avoid certain actions C) To meet the nurse's professional learning needs D) Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action
D) Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action
2. When implementing a program for teaching parenting to a group of teenagers, the community health nurse determines that the group is in the changing/moving stage of change when the group demonstrates which of the following? A) Motivation for change B) Integration of the change C) Lack of resistance to the change D) Beginning adoption of the change
D) Beginning adoption of the change
20. A community health nurse is making a home visit to a family who is providing care to an older adult member with Alzheimer's disease for the past 6 months. During the visit, which of the following would be most important for the nurse to assess? A) Cognitive status B) Medication regimen C) Personality changes D) Caregiver's status
D) Caregiver's status
3. Which one of the following statements best describes the family caregiver burdens of providing home care? A) Family members are expected to contribute financially to cover all of the costs of home care. B) Individuals recovering from severe illness or living with debilitating chronic illness rely on family members for unpaid assistance. C) Informal caregivers assume a considerable physical, psychological, and economic burden in the care of their loved one at home. D) Caregivers often describe themselves as emotionally and physically drained.
D) Caregivers often describe themselves as emotionally and physically drained.
16. A community health nurse has been getting good attendance and group participation in her Saturday class on newborn care for young mothers. The participants receive free transportation and a $10 food voucher for attending. When they participate, prizes are distributed. This nurse is using behavioral theory to encourage clients, focusing the teaching on which of the following concepts? A) Meeting a hierarchy of needs B) The learner's self-confidence and personal mastery C) A person's natural tendency to learn D) Changes in response to a stimulus
D) Changes in response to a stimulus
Which of the following would the community health nurse do first when making an ethical decision? A) Engage in critical thinking B) Choose a value C) Identify isolated values D) Clarify one's values
D) Clarify one's values
8. Quality measures are being determined for a home health care agency. Which of the following would the agency want to achieve higher percentage rates? A) Hospital admissions B) Urgent unplanned medical care C) Deteriorating wound status D) Decreased pain with movement
D) Decreased pain with movement
15. Which of the following statements about basic values that guide decision making in community health nursing is true? A) Client empowerment means that the provider must use a paternalistic approach to health care. B) Self-interest does not interfere with self-determination. C) When matters of well-being are considered, the client's preferences and needs should not be considered. D) Equity is not possible in times of limited resources.
D) Equity is not possible in times of limited resources.
8. Which one of the following has a negative influence on family health and individual health? A) The level at which a family functions significantly affects the individual's level of health. B) A healthy family fosters individual growth and sustains members during times of crisis. C) Family patterns dictate whether members participate in their own health care. D) Individuals can obstruct the family's health and families can obstruct individual family members' health.
D) Individuals can obstruct the family's health and families can obstruct individual family members' health.
20. A community health nurse implements a plan of care that combines aromatherapy and acupuncture with medication therapy and surgery. The nurse is applying which of the following? A) Holistic health care B) Folk medicine care C) Herbalistic health care D) Integrated health care
D) Integrated health care
17. When a community health nurse is conducting a family assessment on an assigned family, which of the following would be most appropriate? A) Use quantitative data only to maintain and preserve objectivity B) Interview one family member to avoid confusion and repeated information C) Use a checklist format, completing the tool in the family's presence D) Make several visits and accumulate data from all family members
D) Make several visits and accumulate data from all family members
11. A community health nurse has been teaching nutrition to a group of seniors in a local senior center. After attending the nurse's class on nutrition, the nurse determines the group's cognitive level of learning. Which of the following indicates knowing? A) Comparing the nutrient value in foods B) Eating well-balanced meals C) Planning recipes that are low in fat D) Naming three foods high in iron
D) Naming three foods high in iron
8. The community health nurse is talking to a group of clients about the health importance of consuming a low-fat diet. The clients are members of a particular cultural group that grows their own food and consumes a lot of animal protein. The clients state that their forefathers ate a diet that was high in animal protein and they had lived into their 90s. The community health nurse expects this argument and points out that their ancestors did not have the luxury of modern machines and they had to engage in a lot more activity than the current generation. This is an example of which principle of effecting change? A) Principle of participation B) Principle of proper timing C) Principle of self-understanding D) Principle of resistance to change
D) Principle of resistance to change
21. A group of community health nurses who work in continuing care retirement centers are asked to talk to a group of seniors about what they do. Which of the following would the nurses identify as unique for this setting? A) Accept clients who primarily need skilled nursing services B) Are similar to board and care homes C) Are respite centers for family members of older adults D) Provide a variety of housing and care options that elders need as they age
D) Provide a variety of housing and care options that elders need as they age
CHAP 19 Which of the following would be most appropriate for the community health nurse to do first when planning an initial home visit to a family? A) Obtain the basic supplies that will be needed B) Gather appropriate educational materials C) Contact the family via telephone D) Review the referral information
D) Review the referral information
2. When planning for a home visit, which of the following would be most helpful to ensure a successful home visit? A) Documentation in a timely manner B) Summarizing the main visit points C) Providing incidental teaching D) Scheduling an appropriate visit time
D) Scheduling an appropriate visit time
14. A community health nurse obtains a client's informed consent for care demonstrating the understanding that this is derived from which value? A) Self-interest B) Well-being C) Equity D) Self-determination
D) Self-determination
22. Which of the following care options would be most appropriate for an older adult who experiences confusion, requires daily insulin injections and blood glucose monitoring, and needs assistance with bathing, dressing, and feeding? A) Personal care home B) Respite care C) Intermediate care facility D) Skilled nursing facility
D) Skilled nursing facility
5. 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? A) Continue the visit with caution B) Suggest the relative go in another room and take a nap C) Ask the sober family members to take the visitor home D) Terminate the visit, making plans for another visit
D) Terminate the visit, making plans for another visit
9. When assessing a family, which of the following would lead the nurse to question the health of a family? A) Role relationships are inflexible. B) Coping is actively attempted. C) Family members communicate regularly. D) The family lacks regular links with the broader community.
D) The family lacks regular links with the broader community.
21. A client will receive hospice care under the Medicare Hospice Benefit. The nurse understands that which of the following is true? A) The client denies terminal prognosis. B) The client has a prognosis of at least 6 months of life. C) The client chooses life-extending care. D) The hospice acts as clinical and financial case manager.
D) The hospice acts as clinical and financial case manager.
6. The nurse educator is aware that the nursing student has a grasp of the primary prevention needs of older adults when the nursing student makes which of the following comments? A) It is unnecessary for older adults to receive immunizations. B) All older adults must restrict their sodium intake. C) Older adults don't need to drink as much fluid as they are often less thirsty. D) The oral health of older adults is often neglected and so it is important that they see a dentist regularly.
D) The oral health of older adults is often neglected and so it is important that they see a dentist regularly.
17. A community health nurse is applying the value of equity in decision making with clients. Which of the following best describes this value? A) Forming, revising, and pursuing personal life plans B) Promoting clients' health and a sense of well-being C) Fulfilling one's desires over those of others D) Treating similar cases in the same fair fashion
D) Treating similar cases in the same fair fashion
16. A community health nurse is collecting data about the family's demographics. Which of the following would the nurse include? Select all that apply. A) Dietary patterns B) Housing C) Climate D) Socioeconomic status E) Education of members F) Ethnicity
D,E,F
