Chapter 01: Responsibilities For care In Community/Public Health Nursing(Free) Nursing School Test Banks
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1. A community/public health nurse is best defined as a nurse who
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A. Applies concepts and knowledge from nursing and public health.
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B. Gives care to families in the community.
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C. Has a baccalaureate and previous experience in community health.
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D. Is employed outside of an acute care setting.
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This quiz assesses knowledge in community and public health nursing, focusing on responsibilities, ethical considerations, and cultural congruence in care delivery. It is designed for nursing students to understand the nuances of nursing outside acute care settings and the importance of community-oriented approaches.
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2. The only clear distinction between a community health nurse and a public health nurse is that
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A. The community health nurse gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation.
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B. Community health nurse is a title that has historically been used, whereas public health nurse is the new in title for the role.
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C. The community health nurse is employed to give care to families and groups, whereas the public health nurse works in public health departments.
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D. Community health nurse is the broader term that includes public health nursing, school nursing, and home health nursing.
Correct Answer
A. 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 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.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
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A. Similar to that described in the textbook or procedure manual
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B. Consistent with agency policies
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C. Inexpensive
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D. Culturally congruent
Correct Answer
A. D. Culturally congruentExplanation
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.Rate this question:
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4. What is the meaning of the term aggregate as used in community health?
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A. A group of persons who reside in a specific geographic area
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B. All the persons who live in a specific community
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C. A set of persons who have some characteristic in common
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D. The public in professional terminology
Correct Answer
A. 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, 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.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 communitys needs for safety and security?
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A. Fulfill agency policies first.
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B. Implement professional standards of nursing practice.
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C. Seek a balance between individuals needs and the communitys needs.
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D. Remember that group needs outrank individual needs.
Correct Answer
A. C. Seek a balance between individuals needs and the communitys needs.Explanation
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.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?
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A. Asking the agency supervisor how to approach an ethical dilemma
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B. Focusing on providing basic services for everyone in the community
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C. Following agency policies
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D. Delivering care to families who have health insurance
Correct Answer
A. B. Focusing on providing basic services for everyone in the communityExplanation
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.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?
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A. Giving care to clients whose needs most closely match the nurses abilities
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B. Giving care to whichever prospective clients ask for care first
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C. Working as hard as possible and not worrying about it
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D. Trying to achieve the outcome of the greatest good for the greatest number of persons
Correct Answer
A. D. Trying to achieve the outcome of the greatest good for the greatest number of personsExplanation
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.Rate this question:
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8. Which document is helpful in describing competent and appropriate nursing care in the community?
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A. Community Health: Standards of Nursing
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B. Healthy People 2020
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C. The Joint Commission: The Comprehensive Accreditation Manual
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D. Public Health Nursing: Scope and Standards of Practice
Correct Answer
A. D. Public Health Nursing: Scope and Standards of PracticeExplanation
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.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?
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A. Being employed in community settings such as outpatient clinics
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B. Providing anticipatory guidance and health promotion activities to community members
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C. Providing care in mobile vans to citizens in their own neighborhoods
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D. Being involved on a political action committee to create new client services
Correct Answer
A. D. Being involved on a political action committee to create new client servicesExplanation
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.Rate this question:
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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?
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A. The community/public health nurse would assess the health and needs of all the family members.
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B. The community/public health nurse would be careful to be nonjudgmental about the familys living situation.
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C. The community/public health nurse would explain why each nursing intervention was being performed.
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D. The community/public health nurse would help the family understand the basis for the treatment.
Correct Answer
A. A. The community/public health nurse would assess the health and needs of all the family members.Explanation
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.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
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A. Encourage the client to pay someone to meet that need.
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B. Inform the client that insurance will not pay for the care.
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C. Refer the client to a person or agency that may be able to provide assistance.
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D. Suggest that the client discuss the need with the physician.
Correct Answer
A. 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 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.Rate this question:
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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?
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A. Call the other agency to set up care for the family.
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B. Give the family information to initiate contact with the other agency.
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C. Report the need to the community/public health nurses supervisor for action.
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D. Write a letter to the appropriate agency suggesting that it contact the family.
Correct Answer
A. B. Give the family information to initiate contact with the other agency.Explanation
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.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?
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A. Determine whether the young man is heterosexual or homosexual.
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B. Emphasize repeatedly the importance of abstinence.
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C. Discuss his perceived barriers to practicing safe sexual behaviors.
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D. Teach the importance of using protection for engaging in sexual acts.
Correct Answer
A. C. Discuss his perceived barriers to practicing safe sexual behaviors.Explanation
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.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?
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A. Sharing the nurses knowledge of the physiology behind the clients symptoms and the appropriate interventions for comfort
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B. Administering pain medication so that the client can be kept comfortable
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C. Reinforcing the need for the whole family to adapt to the impending death
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D. Discussing the perceived meaning of life with the family
Correct Answer
A. D. Discussing the perceived meaning of life with the familyExplanation
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.Rate this question:
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15. A community/public health nurse may ignore an individuals wishes in which of the following circumstances?
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A. Caring for a client with tuberculosis who refuses treatment
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B. Educating a client who adds salt to food while following a cardiac diet
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C. Discovering that a client drinks wine before dinner every night
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D. Finding evidence that the client may be smoking marijuana
Correct Answer
A. A. Caring for a client with tuberculosis who refuses treatmentExplanation
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.Rate this question:
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16. How might case management be defined?
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A. An incident that necessitates intervention
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B. A synonym for cost containment
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C. Developing and coordinating a plan of care for a client
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D. Advocating for groups of clients who have a specific illness
Correct Answer
A. 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, 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.Rate this question:
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17. Why is it necessary for public health nurses to attend community health planning meetings?
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A. To network with other community groups
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B. To protect the health of special interest groups
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C. To coordinate case management efforts
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D. To seek advice from others in the community
Correct Answer
A. 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 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.Rate this question:
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18. Why would a nurse choose to be an active member of several professional associations?
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A. To be able to spend time with friends and colleagues
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B. To be part to the organizations annual convention/conference
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C. To be part of the decision-making and political action activities
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D. To be able to have professional development opportunities
Correct Answer
A. 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 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.Rate this question:
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19. What underlying values should be a part of a healthy community?
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A. Responsibility and respect
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B. Connectedness and caring
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C. Stability and safety
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D. Marketability and security
Correct Answer
A. B. Connectedness and caringExplanation
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.Rate this question:
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20. What is the significance of the credentials ApHN, BC?
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A. A special professional development program for community/public health nurses
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B. A special title given to nurses who join the American Nurses Association
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C. A voluntary process that demonstrates knowledge, education, and experience
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D. A title given to a nurse who has a special masters degree
Correct Answer
A. 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 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.Rate this question:
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21. Which action by home health nurses is crucial because of current national health care goals?
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A. Administer medications and treatments correctly and safely.
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B. Document the savings and benefits of home care services.
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C. Guide a group to an appropriate resource to best meet their needs.
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D. Teach an ill persons family how to promote self-care.
Correct Answer
A. B. Document the savings and benefits of home care services.Explanation
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.Rate this question:
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22. Which nursing activity is unique to community/public health nurses?
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A. Care for the sick and dying
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B. Commitment to promote health of individuals and families
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C. Focus on vulnerable groups in the community
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D. Provide holistic care to clients in the presence of their families
Correct Answer
A. 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, 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.Rate this question:
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23. Which ethical principle might be difficult for the community/public health nurse to implement?
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A. Nonmaleficence
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B. Beneficence
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C. Justice
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D. Respect for autonomy
Correct Answer
A. 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 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.Rate this question:
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Which one do you like?
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Option 1
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Option 2
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Option 3
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Option 4
Correct Answer
A. Option 1 -
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