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

24 Questions | Total Attempts: 14

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

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Questions and Answers
  • 1. 
    1. A community/public health nurse is best defined as a nurse who
    • A. 

      A. Applies concepts and knowledge from nursing and public health.

    • B. 

      B. Gives care to families in the community.

    • C. 

      C. Has a baccalaureate and previous experience in community health.

    • D. 

      D. Is employed outside of an acute care setting.

  • 2. 
    2. The only clear distinction between a community health nurse and a public health nurse is that
    • A. 

      A. The community health nurse gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation.

    • B. 

      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. 

      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. 

      D. Community health nurse is the broader term that includes public health nursing, school nursing, and home health nursing.

  • 3. 
    3. When the nurse is caring for a family or a community, it is important that the nurse provide care that is
    • A. 

      A. Similar to that described in the textbook or procedure manual

    • B. 

      B. Consistent with agency policies

    • C. 

      C. Inexpensive

    • D. 

      D. Culturally congruent

  • 4. 
    4. What is the meaning of the term aggregate as used in community health?
    • A. 

      A. A group of persons who reside in a specific geographic area

    • B. 

      B. All the persons who live in a specific community

    • C. 

      C. A set of persons who have some characteristic in common

    • D. 

      D. The public in professional terminology

  • 5. 
    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?
    • A. 

      A. Fulfill agency policies first.

    • B. 

      B. Implement professional standards of nursing practice.

    • C. 

      C. Seek a balance between individuals needs and the communitys needs.

    • D. 

      D. Remember that group needs outrank individual needs.

  • 6. 
    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. 

      A. Asking the agency supervisor how to approach an ethical dilemma

    • B. 

      B. Focusing on providing basic services for everyone in the community

    • C. 

      C. Following agency policies

    • D. 

      D. Delivering care to families who have health insurance

  • 7. 
    7. When faced with an ethical conflict about limited resources and unlimited need, which action is the most just?
    • A. 

      A. Giving care to clients whose needs most closely match the nurses abilities

    • B. 

      B. Giving care to whichever prospective clients ask for care first

    • C. 

      C. Working as hard as possible and not worrying about it

    • D. 

      D. Trying to achieve the outcome of the greatest good for the greatest number of persons

  • 8. 
    8. Which document is helpful in describing competent and appropriate nursing care in the community?
    • A. 

      A. Community Health: Standards of Nursing

    • B. 

      B. Healthy People 2020

    • C. 

      C. The Joint Commission: The Comprehensive Accreditation Manual

    • D. 

      D. Public Health Nursing: Scope and Standards of Practice

  • 9. 
    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. 

      A. Being employed in community settings such as outpatient clinics

    • B. 

      B. Providing anticipatory guidance and health promotion activities to community members

    • C. 

      C. Providing care in mobile vans to citizens in their own neighborhoods

    • D. 

      D. Being involved on a political action committee to create new client services

  • 10. 
    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. 

      A. The community/public health nurse would assess the health and needs of all the family members.

    • B. 

      B. The community/public health nurse would be careful to be nonjudgmental about the familys living situation.

    • C. 

      C. The community/public health nurse would explain why each nursing intervention was being performed.

    • D. 

      D. The community/public health nurse would help the family understand the basis for the treatment.

  • 11. 
    11. When a community/public health nurse cannot meet a need of the client, it is most appropriate for the nurse to
    • A. 

      A. Encourage the client to pay someone to meet that need.

    • B. 

      B. Inform the client that insurance will not pay for the care.

    • C. 

      C. Refer the client to a person or agency that may be able to provide assistance.

    • D. 

      D. Suggest that the client discuss the need with the physician.

  • 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. 

      A. Call the other agency to set up care for the family.

    • B. 

      B. Give the family information to initiate contact with the other agency.

    • C. 

      C. Report the need to the community/public health nurses supervisor for action.

    • D. 

      D. Write a letter to the appropriate agency suggesting that it contact the family.

  • 13. 
    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. 

      A. Determine whether the young man is heterosexual or homosexual.

    • B. 

      B. Emphasize repeatedly the importance of abstinence.

    • C. 

      C. Discuss his perceived barriers to practicing safe sexual behaviors.

    • D. 

      D. Teach the importance of using protection for engaging in sexual acts.

  • 14. 
    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. 

      A. Sharing the nurses knowledge of the physiology behind the clients symptoms and the appropriate interventions for comfort

    • B. 

      B. Administering pain medication so that the client can be kept comfortable

    • C. 

      C. Reinforcing the need for the whole family to adapt to the impending death

    • D. 

      D. Discussing the perceived meaning of life with the family

  • 15. 
    15. A community/public health nurse may ignore an individuals wishes in which of the following circumstances?
    • A. 

      A. Caring for a client with tuberculosis who refuses treatment

    • B. 

      B. Educating a client who adds salt to food while following a cardiac diet

    • C. 

      C. Discovering that a client drinks wine before dinner every night

    • D. 

      D. Finding evidence that the client may be smoking marijuana

  • 16. 
    16. How might case management be defined?
    • A. 

      A. An incident that necessitates intervention

    • B. 

      B. A synonym for cost containment

    • C. 

      C. Developing and coordinating a plan of care for a client

    • D. 

      D. Advocating for groups of clients who have a specific illness

  • 17. 
    17. Why is it necessary for public health nurses to attend community health planning meetings?
    • A. 

      A. To network with other community groups

    • B. 

      B. To protect the health of special interest groups

    • C. 

      C. To coordinate case management efforts

    • D. 

      D. To seek advice from others in the community

  • 18. 
    18. Why would a nurse choose to be an active member of several professional associations?
    • A. 

      A. To be able to spend time with friends and colleagues

    • B. 

      B. To be part to the organizations annual convention/conference

    • C. 

      C. To be part of the decision-making and political action activities

    • D. 

      D. To be able to have professional development opportunities

  • 19. 
    19. What underlying values should be a part of a healthy community?
    • A. 

      A. Responsibility and respect

    • B. 

      B. Connectedness and caring

    • C. 

      C. Stability and safety

    • D. 

      D. Marketability and security

  • 20. 
    20. What is the significance of the credentials APHN, BC?
    • A. 

      A. A special professional development program for community/public health nurses

    • B. 

      B. A special title given to nurses who join the American Nurses Association

    • C. 

      C. A voluntary process that demonstrates knowledge, education, and experience

    • D. 

      D. A title given to a nurse who has a special masters degree

  • 21. 
    21. Which action by home health nurses is crucial because of current national health care goals?
    • A. 

      A. Administer medications and treatments correctly and safely.

    • B. 

      B. Document the savings and benefits of home care services.

    • C. 

      C. Guide a group to an appropriate resource to best meet their needs.

    • D. 

      D. Teach an ill persons family how to promote self-care.

  • 22. 
    22. Which nursing activity is unique to community/public health nurses?
    • A. 

      A. Care for the sick and dying

    • B. 

      B. Commitment to promote health of individuals and families

    • C. 

      C. Focus on vulnerable groups in the community

    • D. 

      D. Provide holistic care to clients in the presence of their families

  • 23. 
    23. Which ethical principle might be difficult for the community/public health nurse to implement?
    • A. 

      A. Nonmaleficence

    • B. 

      B. Beneficence

    • C. 

      C. Justice

    • D. 

      D. Respect for autonomy

  • 24. 
    Which one do you like?
    • A. 

      Option 1

    • B. 

      Option 2

    • C. 

      Option 3

    • D. 

      Option 4

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