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20 Cards in this Set

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The focus of community health nursing differs from public health nursing becasue the nursing care
1. provides direct care to subpopulations who make up the community as a whole
2. is administered to a collection of individuals who have in common one or more personal or enviromental characteristics
3. is directed at the individual client only
4. is provided by nurses with a graduate degree in community health nursing
1. provides direct care to subpopulations who make up the community as a whole
In Healthy people 2010, assurance refers to the role of public health as:
1. providing leadership in developing policies that support the populations health
2. providing disease prevention, health protection, and health promotion
3. making essential community-wide health services available and accessible
4. achieving a healthy enviroment for each individual, family, and the community
3. making essential community-wide health serviced available and accessible
The home care nurse educator has repeatedly counseled a 33-year old male diabetic concerning the need for dietary compliance. In writing an eeffective teaching plan the nurse will first:
1. provide a detailed description of complications associated with the disease process
2. assess the clients learning needs and readiness to learn
3. repeat the old teaching plan to ensure the clients comprehension
4. reprimand the client for noncompliant behavior
2. assess the clients learning needs and readiness to learn
vulnerable populations are more likely to develop health problems. These poplulations can be decribed as:
1. being limited to the very young and older adult age-groups
2. living in communities with similar cultures, beliefs, and values
3. Experiencing frequent positive outcomes to community health interventions
4. a specific population with a unique health care problem
4. a specific population with a uniques health care plan
A competent community based nurse must be skilled in carrying out a variety of roles. The ability to establish an appropriate plan of care based on assessment of clients and families to include the coordination of needed resources and services across a continuum of care defines the competency of:
1. collaborator
2. change agent
3. client advocate
4. case manager
4. case manager
When completing an individual total assessment of a client, the community based nurse will include
1. an assessment of the community structures, population, and local social system in which the client lives
2. the amount of industrial development in the past 5 years in the community
3. the type of pollution present in the community
4. an assessment of predominent cultural and religious groups found in the community
1. an assessment of the community structures, population, and local social system in which the client lives
During a well-baby visit the community-based nurse assessed patterned bruises and skin abrasions to the face, arms, and throat of the infants 21-year old mother. In questioning the mother, the nurse discovers that she is a recent victim of spousal abuse. An important principle in dealing with this client is
1. educating the mother on well baby development issues
2. informing the authorities of the attack
3. continuing with the well baby examination and disregarding the mothers situation
4. ensuring protection of the mother
4. ensuring the protection of the mother
a proposal written by a community based nurse for a quality older adult care center will have increased probability of acceptance of the proposal reflects:
1. the advantages, how realistic, compatible, and adaptable the change is when implemented
2. the up-front cost and managerial framework of the new older adult center
3. All building plans and a list of contactors to complete the job
4. the codes and buliding requirements of local government agencies
1. The advantages, how realistic, compatible and adaptable the change is when implements
A nurse is caring for a 64 year old homeless woman with a chronic respiratory disease in the local community based clinic. The nurse realizes the client is at risk of experiencing exacerbation of the disease process related to:
1. the individuals lack of concern about the disease
2. the lack of storage for medication and the inability to obtain nutritous meals
3. poor attire and cleanliness practices
4. the lack of education and ability to read
2. the lack of storage for medication and the inability to obtain nutritious meals
substance abusers frequent avoid health care providers as a result of:
1. fear of institutions and people
2. fear of being without the recreational drug of choice
3. fear of the cost of health care
4. fear of being turned in to the criminal authorities
4. fear of being turned in to the criminal authorities
Healthy People 2010's overall goals are to:
1. increase the life expectancy and quality of life and eliminate health disparities
2. gather information on incident rates of certian diseases and social problems
3. assess the health care needs of individuals, families, or communities
4. develop and implement public health policies and improve access to care
1. increase the life expectancy and quality of life and eliminate health disparities
Community health nursing is a nursing approach that merges knowledge from professional nursing theories and the
1. population sciences
2. public health sciences
3. environment sciences
4. mental health sciences
2. public health sciences
Community based nursing involves the acute and chronic care of individuals and families that enhance their capacity for:
1. nursing care that promotes autonomy in decision making
2. improving their health care and self care
3. self care promotes autonomy in decision making
4. learning about their illness
3. self care and promotes autonomy in decision making
Vulnerable populations of clients are those who are more likely to develop health problems as a result of:
1. chronic diseases, homelessness and poverty
2. lack of transportation, dependent on other for care and homelessness
3. poverty and limits in access to health care services
4. excess risks limits in access to health care services and dependency on others for care
4. excess risks limits in access to health care services and dependency on others for care.
Major public health problems affecting older adults, women, and children are:
1. prescribed medication abuse, poverty, sexual, abuse
2. Physical emotional and sexual abuse as well as neglect
3. Acute illness neglect, abandonment
4. Financial strain, poverty, physical abuse
2. physical emotional and sexual abuse as well as neglect
Control of spread of disease is an example of which level of prevention?
1. primary intervention
2. secondary intervention
3. tertiary intervention
4. nursing intervention
3. tertiary intervention
Teaching classes about infant care, child safety, and cancer screening are examples of a nurse in the role of a(n):
1. case manager
2. collabotator
3. educator
4. counselor
3 educator
A community based nurse working in employee assistance programs is an example of a nurse in the role of a (n)
1. educator
2. collaborator
3. case manager
4. counselor
4. counselor
The nurse has his client try a new technology that the client finds works for her. The nurse is using the following change factor that increases the likelihood that she will accept and adopt her situation
1. the innovation or change must be perceived as more advantageous that other alternatives
2. the innovation or change must be compatible with existing values past experiences and needs of potential adopters
3. the innovation or change must be tried on a limited basis
4. simple innovations or changes are more readily adopted than those that are complex
3. the innovation of change must be triend on a limited basis
Assessment of a community includes three elements which are:
1. structure or locale the people and the social systems
2. people neighborhoods and social systems
3. health care systems, geographic boundaries and the people
4. Environment families and social systems
1. structure or locale the poeple and the social systems