Chapter 01: Responsibilities For care In Community/Public Health Nursing(Free) Nursing School Test Banks

The appropriate approach for the community/public health nurse in balancing individual privacy and autonomy and the community's needs for safety and security is to seek a balance between individuals' needs and the community's needs. This means considering both the rights and preferences of individuals while also ensuring the safety and well-being of the community as a whole. It involves finding a middle ground that respects individual autonomy while also taking into account the greater good and the collective needs of the community. This approach allows for a fair and ethical decision-making process that considers both individual rights and community interests.

The correct answer is d. Public Health Nursing: Scope and Standards of Practice. This document is helpful in describing competent and appropriate nursing care in the community because it outlines the scope of practice for public health nurses and sets the standards for their professional performance. It provides guidance on the knowledge, skills, and competencies required to deliver high-quality care in the community setting. This document is specific to public health nursing and focuses on the unique needs and challenges of providing care in the community. It is a valuable resource for public health nurses to ensure they are delivering safe and effective care to their patients.

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 and support from someone who is better equipped to meet their needs. By referring the client, the nurse is acknowledging their limitations and acting in the best interest of the client's well-being. This approach promotes collaboration and ensures that the client receives the appropriate care and support they require.

When the nurse is caring for a family or a community, it is important that the nurse provide care that is culturally congruent. This means that the nurse should take into consideration the cultural beliefs, values, and practices of the individuals or community being cared for. By providing care that is culturally congruent, the nurse can ensure that the care is respectful, sensitive, and appropriate for the specific cultural context, promoting better health outcomes and patient satisfaction. This approach recognizes and respects the diversity and uniqueness of each individual and community, and promotes a more holistic and patient-centered approach to care.

The correct answer is b. Focusing on providing basic services for everyone in the community. This answer aligns with the ethical principle of doing good for the greatest number of persons with the least amount of harm. By focusing on providing basic services for everyone in the community, the community/public health nurse is ensuring that the needs of the majority are met, thereby maximizing the overall benefit and minimizing harm. This approach promotes equity and fairness in healthcare delivery.

The correct answer is a. The community health nurse gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation. This answer explains that the main distinction between a community health nurse and a public health nurse lies in their educational preparation. Community health nurses provide care in community settings regardless of their personal education, while public health nurses have specific educational preparation for their role. This implies that public health nurses have a more specialized knowledge and skill set compared to community health nurses.

In the case of a client with tuberculosis who refuses treatment, a community/public health nurse may ignore the individual's wishes because tuberculosis is a highly contagious disease that can pose a risk to the health and safety of others. It is the nurse's responsibility to protect the community and prevent the spread of the disease, even if it means overriding the individual's autonomy. Treatment for tuberculosis is crucial to prevent the transmission of the disease to others and to ensure the client's own health and well-being.

When faced with an ethical conflict about limited resources and unlimited need, trying to achieve the outcome of the greatest good for the greatest number of persons is the most just action. This approach focuses on maximizing overall benefit and minimizing harm by prioritizing the needs of a larger group of people. It takes into consideration the principle of justice and fairness, ensuring that resources are distributed in a way that benefits the most individuals possible. This approach promotes equality and fairness in resource allocation, making it the most just action in such situations.

The correct answer is c. Discuss his perceived barriers to practicing safe sexual behaviors. This is the most appropriate action for the nurse to take because it addresses the potential reasons why the young man may not be practicing safe sexual behaviors. By discussing his perceived barriers, the nurse can identify any misconceptions or concerns he may have and provide education and support to help him overcome these barriers and engage in safer sexual practices. This approach is more comprehensive and individualized than simply determining his sexual orientation or emphasizing abstinence.

A community/public health nurse is best defined as a nurse who is employed outside of an acute care setting. This means that they work in settings such as clinics, schools, and community centers, where they focus on promoting and improving the health of the community as a whole. They apply concepts and knowledge from nursing and public health to provide care and support to individuals, families, and populations in the community. While the other options may also be true to some extent, they do not fully capture the role and scope of a community/public health nurse.

The most appropriate action for the nurse when it becomes apparent that another agency is needed to help a family best meet their health needs is to give the family information to initiate contact with the other agency. This allows the family to take the necessary steps to seek assistance from the appropriate agency. It empowers the family to make their own decisions and take control of their own healthcare. It also respects their autonomy and ensures that they are actively involved in the process of seeking help.

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, creating a comprehensive plan that addresses those needs, and coordinating the implementation of the plan with various healthcare professionals and service providers. Case managers advocate for their clients and ensure that they receive the appropriate services and resources to meet their healthcare needs. This definition encompasses the key aspects of case management, such as care coordination, client advocacy, and individualized care planning.

Justice might be difficult for the community/public health nurse to implement because it involves ensuring fairness and equal distribution of resources and opportunities. 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 groups. Additionally, addressing social determinants of health and addressing health disparities may require systemic changes that are beyond the control of the nurse alone.

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, age group, socioeconomic status, or any other shared characteristic. It is important to identify and study aggregates in order to understand the health needs and issues of specific populations within a community. By focusing on these specific groups, community health initiatives can be tailored to address their unique needs and promote better health outcomes.

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 and build relationships with other organizations and individuals who are also working towards improving community health. This networking allows for collaboration, sharing of resources and information, and the development of partnerships that can enhance the effectiveness of public health interventions. It also helps nurses stay informed about the activities and initiatives of other community groups, enabling them to identify potential areas for collaboration and better address the needs of the community.

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 contribute to shaping policies and decisions that affect the nursing profession and healthcare system. Additionally, being part of these activities allows the nurse to advocate for their profession and work towards positive changes in healthcare. It provides an opportunity to have a voice and actively participate in making a difference in the field of nursing.

A healthy community should have underlying values of connectedness and caring. This means that community members should feel a sense of belonging and support, and should actively care for and help each other. This fosters a strong sense of community, promotes social cohesion, and enhances overall well-being. It also encourages collaboration, empathy, and a willingness to work together towards common goals.

When the nurse provides care to a family confronting the imminent death of a family member, the focus will be on discussing the perceived meaning of life with the family. This is because the nurse includes well-being in her definition of health, and discussing the meaning of life can help the family find comfort, closure, and a sense of understanding during this difficult time. The nurse recognizes that addressing existential concerns can contribute to the overall well-being and emotional support of the family.

The credentials APHN, BC signify a voluntary process that demonstrates knowledge, education, and experience. This means that individuals who hold these credentials have undergone a process to showcase their expertise in the field of nursing. It is not a special professional development program or a title given by any specific organization. Additionally, it is not related to having a special masters degree.

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A community/public health nurse provides indirect care to clients in various settings by being involved in a political action committee to create new client services. This means that the nurse actively participates in advocating for policies and initiatives that will improve the health and well-being of the community members. By being involved in a political action committee, the nurse can contribute to the development and implementation of new services and programs that address the needs of clients in their homes, clinics, senior citizen centers, schools, prisons, homeless shelters, and other living environments. This indirect care focuses on creating systemic changes that benefit the community as a whole.

Documenting the savings and benefits of home care services is crucial because of current national health care goals. This is because healthcare systems are increasingly focused on cost-effectiveness and efficiency. By documenting the savings and benefits, home health nurses can provide evidence of the value and effectiveness of home care services, which can help in advocating for and promoting the expansion of these services. This aligns with the goal of improving healthcare outcomes while reducing costs.

The actions of the community/public health nurse caring for a recently discharged client in his home would differ from those of the acute care nurse by assessing the health and needs of all the family members. This is because in the community/public health setting, the nurse takes a holistic approach to care and recognizes 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 comprehensive care and support to promote the well-being of the entire family unit.

Community/public health nurses have a unique focus on vulnerable groups in the community. While all nurses provide care for the sick and dying, promote health, and provide holistic care, community/public health nurses specifically prioritize the needs of vulnerable populations. They work to address health disparities and provide healthcare resources to those who may have limited access or face barriers to care. This includes individuals who are homeless, low-income, elderly, or have chronic illnesses. By focusing on these groups, community/public health nurses aim to improve overall community health and well-being.