[community Public Health] Chapter 1: Responsibilities For care In Community/Public Health Nursing
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- 1.
A community/public health nurse is best defined as a nurse who
- A.
Applies concepts and knowledge from nursing and public health.
- B.
Gives care to families in the community.
- C.
Has a baccalaureate and previous experience in community health.
- D.
Is employed outside of an acute care setting.
Correct Answer
D. Is employed outside of an acute care setting.Explanation
A community/public health nurse is best defined as a nurse who is employed outside of an acute care setting. This means that the nurse works in a non-hospital environment, such as a community clinic, public health department, or home health agency. These nurses focus on promoting and protecting the health of individuals, families, and communities, and they often work with vulnerable populations or in underserved areas. While the other options in the question may also be true for a community/public health nurse, being employed outside of an acute care setting is the most defining characteristic of this role.Rate this question:
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- 2.
The only clear distinction between a community health nurse and a public health nurse is that
- A.
The community health nurse gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation.
- B.
Community health nurse is a title that has historically been used, whereas public health nurse is the new in title for the role.
- C.
The community health nurse is employed to give care to families and groups, whereas the public health nurse works in public health departments.
- D.
Community health nurse is the broader term that includes public health nursing, school nursing, and home health nursing.
Correct Answer
A. The community health nurse gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation.Explanation
The correct answer is that the community health nurse gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation. This distinction highlights that community health nursing is a broader term that encompasses various roles, including public health nursing, school nursing, and home health nursing. Public health nurses receive specialized education to work in public health departments and address population-level health issues. On the other hand, community health nurses provide care to individuals, families, and groups within the community, regardless of their personal educational background.Rate this question:
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- 3.
When the nurse is caring for a family or a community, it is important that the nurse provide care that is
- A.
Similar to that described in the textbook or procedure manual
- B.
Consistent with agency policies
- C.
Inexpensive
- D.
Culturally congruent
Correct Answer
D. Culturally congruentExplanation
When the nurse is caring for a family or a community, it is important that the nurse provides care that is culturally congruent. This means that the nurse should consider and respect the cultural beliefs, values, and practices of the individuals or community they are caring for. By providing culturally congruent care, the nurse can ensure that the care is appropriate and respectful, promoting better health outcomes and patient satisfaction. This also helps to build trust and rapport with the individuals or community, leading to improved communication and collaboration in the healthcare process.Rate this question:
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- 4.
What is the meaning of the term aggregate as used in community health?
- A.
. A group of persons who reside in a specific geographic area
- B.
All the persons who live in a specific community
- C.
A set of persons who have some characteristic in common
- D.
The public in professional terminology
Correct Answer
C. A set of persons who have some characteristic in commonExplanation
The term "aggregate" in community health refers to a set of persons who have some characteristic in common. This could be a specific health condition, demographic characteristic, or behavior. It is a way of categorizing individuals within a community based on shared traits or attributes. This concept helps in understanding and addressing health issues that affect specific groups within a community, allowing for targeted interventions and support.Rate this question:
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- 5.
What is the appropriate approach for the community/public health nurse in balancing individual privacy and autonomy and the communities needs for safety and security?
- A.
Fulfill agency policies first.
- B.
Implement professional standards of nursing practice.
- C.
Seek a balance between individuals needs and the communities needs.
- D.
Remember that group needs outrank individual needs.
Correct Answer
C. Seek a balance between individuals needs and the communities needs.Explanation
The appropriate approach for the community/public health nurse in balancing individual privacy and autonomy and the communities needs for safety and security is to seek a balance between individuals needs and the communities needs. This means considering the rights and preferences of individuals while also addressing the safety and security concerns of the community as a whole. It involves finding a middle ground that respects individual autonomy while also promoting the well-being and protection of the community.Rate this question:
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- 6.
In which situation would the community/public health nurse be applying the ethical principle of doing good for the greatest number of persons with the least amount of harm?
- A.
Asking the agency supervisor how to approach an ethical dilemma
- B.
Focusing on providing basic services for everyone in the community
- C.
Following agency policies
- D.
Delivering care to families who have health insurance
Correct Answer
B. Focusing on providing basic services for everyone in the communityExplanation
The correct answer is focusing on providing basic services for everyone in the community. This situation aligns with the ethical principle of doing good for the greatest number of persons with the least amount of harm because it prioritizes the provision of essential services to the entire community. By ensuring that everyone has access to basic services, the community/public health nurse is promoting the well-being and health of a large number of individuals while minimizing harm and disparities in healthcare. This approach reflects a commitment to fairness, justice, and equitable distribution of resources.Rate this question:
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- 7.
When faced with an ethical conflict about limited resources and unlimited need, which action is the most just?
- A.
Giving care to clients whose needs most closely match the nurses abilities
- B.
Giving care to whichever prospective clients ask for care first
- C.
Working as hard as possible and not worrying about it
- D.
Trying to achieve the outcome of the greatest good for the greatest number of persons
Correct Answer
D. Trying to achieve the outcome of the greatest good for the greatest number of personsExplanation
When faced with an ethical conflict regarding limited resources and unlimited need, the most just action is to try to achieve the outcome of the greatest good for the greatest number of persons. This means prioritizing the allocation of resources to benefit as many people as possible, rather than focusing solely on individual needs or personal abilities. By considering the overall impact and maximizing the benefits for a larger number of individuals, this approach ensures fairness and justice in the distribution of limited resources.Rate this question:
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- 8.
Which document is helpful in describing competent and appropriate nursing care in the community?
- A.
Community Health: Standards of Nursing
- B.
Healthy People 2020
- C.
The Joint Commission: The Comprehensive Accreditation Manual
- D.
Public Health Nursing: Scope and Standards of Practice
Correct Answer
D. Public Health Nursing: Scope and Standards of PracticeExplanation
The document "Public Health Nursing: Scope and Standards of Practice" is helpful in describing competent and appropriate nursing care in the community. This document specifically focuses on the scope and standards of practice for public health nursing, which includes the care provided in the community. It outlines the competencies and guidelines that nurses should follow in order to provide effective and appropriate care in the community setting. This document is a valuable resource for nurses working in public health and community health settings to ensure they are providing high-quality care.Rate this question:
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- 9.
How does a community/public health nurse provide indirect care to clients in homes, clinics, senior citizen centers, schools, prisons, homeless shelters, and other living environments?
- A.
Being employed in community settings such as outpatient clinics
- B.
Providing anticipatory guidance and health promotion activities to community members
- C.
Providing care in mobile vans to citizens in their own neighborhoods
- D.
Being involved on a political action committee to create new client services
Correct Answer
D. Being involved on a political action committee to create new client services -
- 10.
How would the actions of the community/public health nurse caring for a recently discharged client in his home differ from those of the acute care nurse?
- A.
The community/public health nurse would assess the health and needs of all the family members.
- B.
The community/public health nurse would be careful to be nonjudgmental about the families living situation.
- C.
The community/public health nurse would explain why each nursing intervention was being performed.
- D.
The community/public health nurse would help the family understand the basis for the treatment.
Correct Answer
A. The community/public health nurse would assess the health and needs of all the family members.Explanation
The community/public health nurse would assess the health and needs of all the family members because their role focuses on the overall health and well-being of the community. Unlike the acute care nurse who primarily focuses on the individual patient, the community/public health nurse takes a broader approach and considers the impact of the client's health on the entire family. By assessing the health and needs of all family members, the nurse can provide appropriate care and support to promote the overall health and well-being of the entire family unit.Rate this question:
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- 11.
When a community/public health nurse cannot meet a need of the client, it is most appropriate for the nurse to
- A.
Encourage the client to pay someone to meet that need.
- B.
Inform the client that insurance will not pay for the care.
- C.
Refer the client to a person or agency that may be able to provide assistance.
- D.
Suggest that the client discuss the need with the physician.
Correct Answer
C. Refer the client to a person or agency that may be able to provide assistance.Explanation
When a community/public health nurse cannot meet a need of the client, it is most appropriate for the nurse to refer the client to a person or agency that may be able to provide assistance. This ensures that the client receives the necessary help from a professional or organization that specializes in addressing their specific need. It also demonstrates the nurse's commitment to advocating for the client's well-being and connecting them with appropriate resources. Encouraging the client to pay someone or informing them about insurance coverage does not address the underlying issue of the nurse's inability to meet the need. Suggesting that the client discuss the need with the physician may not be the most effective solution as the physician may not have the expertise or resources to directly address the need.Rate this question:
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- 12.
12. What is the nurses most appropriate action when it becomes apparent that another agency is needed to help a family best meet their health needs?
- A.
Call the other agency to set up care for the family.
- B.
Give the family information to initiate contact with the other agency.
- C.
Report the need to the community/public health nurses supervisor for action.
- D.
Write a letter to the appropriate agency suggesting that it contact the family.
Correct Answer
B. Give the family information to initiate contact with the other agency.Explanation
The most appropriate action for the nurse in this situation is to give the family information to initiate contact with the other agency. This allows the family to take the necessary steps to seek help from the other agency themselves, giving them autonomy and control over their own healthcare decisions. It also ensures that the family is fully informed and aware of the resources available to them, empowering them to take charge of their own health needs.Rate this question:
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- 13.
A young man has repeatedly visited the sexually transmitted disease (STD) clinic for human immunodeficiency virus (HIV) testing. What should the nurse do in addition to completing the testing?
- A.
Determine whether the young man is heterosexual or homosexual.
- B.
Emphasize repeatedly the importance of abstinence.
- C.
Discuss his perceived barriers to practicing safe sexual behaviors.
- D.
Teach the importance of using protection for engaging in sexual acts.
Correct Answer
C. Discuss his perceived barriers to practicing safe sexual behaviors.Explanation
The nurse should discuss the young man's perceived barriers to practicing safe sexual behaviors. This is important because it allows the nurse to understand the factors that may be preventing the young man from engaging in safe sexual practices. By identifying and addressing these barriers, the nurse can provide appropriate education and support to help the young man make informed decisions about his sexual health.Rate this question:
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- 14.
A nurse includes well-being in her definition of health. What will the focus be when the nurse provides care to a family confronting the imminent death of a family member?
- A.
Sharing the nurses knowledge of the physiology behind the clients symptoms and the appropriate interventions for comfort
- B.
Administering pain medication so that the client can be kept comfortable
- C.
Reinforcing the need for the whole family to adapt to the impending death
- D.
Discussing the perceived meaning of life with the family
Correct Answer
D. Discussing the perceived meaning of life with the familyExplanation
When a nurse includes well-being in her definition of health, it means that she acknowledges the importance of addressing not only physical symptoms but also the emotional, psychological, and spiritual aspects of a person's well-being. In the context of a family confronting the imminent death of a family member, discussing the perceived meaning of life with the family would be the focus of care. This allows the nurse to provide emotional support, facilitate open communication, and help the family find meaning and purpose during this difficult time.Rate this question:
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- 15.
A community/public health nurse may ignore an individuals wishes in which of the following circumstances?
- A.
Caring for a client with tuberculosis who refuses treatment
- B.
Educating a client who adds salt to food while following a cardiac diet
- C.
Discovering that a client drinks wine before dinner every night
- D.
Finding evidence that the client may be smoking marijuana
Correct Answer
A. Caring for a client with tuberculosis who refuses treatmentExplanation
In the case of caring for a client with tuberculosis who refuses treatment, a community/public health nurse may ignore the individual's wishes because tuberculosis is a highly contagious and potentially life-threatening disease. Ignoring the individual's wishes in this circumstance is necessary to protect the public health and prevent the spread of the disease to others. Treatment for tuberculosis is crucial to control the infection and prevent further transmission, so the nurse has a duty to prioritize the health and well-being of the community over the individual's autonomy.Rate this question:
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- 16.
How might case management be defined?
- A.
An incident that necessitates intervention
- B.
A synonym for cost containment
- C.
Developing and coordinating a plan of care for a client
- D.
Advocating for groups of clients who have a specific illness
Correct Answer
C. Developing and coordinating a plan of care for a clientExplanation
Case management can be defined as the process of developing and coordinating a plan of care for a client. This involves assessing the client's needs, identifying appropriate services and resources, and ensuring that the client receives the necessary care and support. Case managers work closely with clients, their families, and other healthcare professionals to ensure that the client's needs are met and that they receive the best possible care. This definition emphasizes the proactive and comprehensive nature of case management, as it involves not only developing a plan of care but also coordinating and monitoring its implementation.Rate this question:
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- 17.
Why is it necessary for public health nurses to attend community health planning meetings?
- A.
To network with other community groups
- B.
To protect the health of special interest groups
- C.
To coordinate case management efforts
- D.
To seek advice from others in the community
Correct Answer
A. To network with other community groupsExplanation
Public health nurses need to attend community health planning meetings in order to network with other community groups. By attending these meetings, nurses can establish connections with various organizations and individuals who are also working towards improving public health. This networking allows for collaboration, sharing of resources and information, and the development of partnerships that can enhance the effectiveness of public health efforts. It also provides an opportunity to exchange ideas, learn from others' experiences, and gain support for future initiatives. Overall, attending these meetings helps public health nurses to build relationships and engage in collective efforts to address community health needs.Rate this question:
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- 18.
Why would a nurse choose to be an active member of several professional associations?
- A.
To be able to spend time with friends and colleagues
- B.
To be part to the organizations annual convention/conference
- C.
To be part of the decision-making and political action activities
- D.
To be able to have professional development opportunities
Correct Answer
C. To be part of the decision-making and political action activitiesExplanation
A nurse may choose to be an active member of several professional associations in order to be part of the decision-making and political action activities. By being involved in these associations, the nurse can have a voice in shaping policies and regulations that affect their profession. They can actively participate in discussions, advocate for their profession, and contribute to the decision-making process. This involvement allows the nurse to have a direct impact on the direction and future of their profession, ensuring that their interests and concerns are represented and addressed.Rate this question:
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- 19.
What underlying values should be a part of a healthy community?
- A.
Responsibility and respect
- B.
Connectedness and caring
- C.
Stability and safety
- D.
Marketability and security
Correct Answer
B. Connectedness and caringExplanation
A healthy community should have a sense of connectedness and caring among its members. This means that people in the community should feel a sense of belonging and support from one another. They should be connected through shared values, interests, and goals, and they should care for each other's well-being. This fosters a sense of unity and cooperation, leading to a stronger and more resilient community. Additionally, connectedness and caring promote social cohesion, mental and emotional well-being, and overall happiness within the community.Rate this question:
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- 20.
What is the significance of the credentials APHN, BC?
- A.
A special professional development program for community/public health nurses
- B.
A special title given to nurses who join the American Nurses Association
- C.
A voluntary process that demonstrates knowledge, education, and experience
- D.
A title given to a nurse who has a special masters degree
Correct Answer
C. A voluntary process that demonstrates knowledge, education, and experienceExplanation
The credentials APHN, BC signify a voluntary process that demonstrates knowledge, education, and experience. This suggests that individuals who hold these credentials have undergone a process to showcase their expertise in community/public health nursing. It is not a special professional development program or a title given to nurses who join a specific association. Additionally, it is not specifically related to a nurse with a special master's degree.Rate this question:
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- 21.
Which action by home health nurses is crucial because of current national health care goals?
- A.
Administer medications and treatments correctly and safely.
- B.
Document the savings and benefits of home care services.
- C.
Guide a group to an appropriate resource to best meet their needs.
- D.
Teach an ill persons family how to promote self-care.
Correct Answer
B. Document the savings and benefits of home care services.Explanation
Documenting the savings and benefits of home care services is crucial because it aligns with current national health care goals. By documenting the savings and benefits, home health nurses can provide evidence of the effectiveness and cost-efficiency of home care services. This information can be used to support the expansion and integration of home care services into the national health care system, ultimately improving patient outcomes and reducing healthcare costs.Rate this question:
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- 22.
Which nursing activity is unique to community/public health nurses?
- A.
Care for the sick and dying
- B.
Commitment to promote health of individuals and families
- C.
Focus on vulnerable groups in the community
- D.
Provide holistic care to clients in the presence of their families
Correct Answer
C. Focus on vulnerable groups in the communityExplanation
Community/public health nurses have a unique focus on vulnerable groups in the community. While all nurses provide care for the sick and dying, community/public health nurses have a specific commitment to promoting the health of individuals and families in the community, with a particular emphasis on those who are vulnerable. This may include populations such as low-income individuals, homeless individuals, or those with limited access to healthcare resources. By focusing on these vulnerable groups, community/public health nurses aim to address health disparities and improve overall community health.Rate this question:
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- 23.
Which ethical principle might be difficult for the community/public health nurse to implement?
- A.
Nonmaleficence
- B.
Beneficence
- C.
Justice
- D.
Respect for autonomy
Correct Answer
C. JusticeExplanation
Justice might be difficult for the community/public health nurse to implement because it involves ensuring fairness and equal distribution of resources and services. In a community or public health setting, there may be limited resources and competing needs, making it challenging to allocate resources in a way that is perceived as fair by all individuals and communities. Additionally, addressing social determinants of health and addressing health disparities may require systemic changes and advocacy, which can be complex and difficult to achieve.Rate this question:
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Mar 21, 2023Quiz Edited by
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May 04, 2020Quiz Created by
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