Fundamentals Of Nursing Chapter 3 Review Questions

Front 1

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

Back 1

1. provides direct care to subpopulations who make up the community as a whole

Front 2

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

Back 2

3. making essential community-wide health serviced available and accessible

Front 3

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

Back 3

2. assess the clients learning needs and readiness to learn

Front 4

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

Back 4

4. a specific population with a uniques health care plan

Front 5

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

Back 5

4. case manager

Front 6

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

Back 6

1. an assessment of the community structures, population, and local social system in which the client lives

Front 7

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

Back 7

4. ensuring the protection of the mother

Front 8

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

Back 8

1. The advantages, how realistic, compatible and adaptable the change is when implements

Front 9

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

Back 9

2. the lack of storage for medication and the inability to obtain nutritious meals

Front 10

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

Back 10

4. fear of being turned in to the criminal authorities

Front 11

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

Back 11

1. increase the life expectancy and quality of life and eliminate health disparities

Front 12

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

Back 12

2. public health sciences

Front 13

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

Back 13

3. self care and promotes autonomy in decision making

Front 14

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

Back 14

4. excess risks limits in access to health care services and dependency on others for care.

Front 15

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

Back 15

2. physical emotional and sexual abuse as well as neglect

Front 16

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

Back 16

3. tertiary intervention

Front 17

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

Back 17

3 educator

Front 18

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

Back 18

4. counselor

Front 19

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

Back 19

3. the innovation of change must be triend on a limited basis

Front 20

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

Back 20

1. structure or locale the poeple and the social systems