BASIC NURSING ESSENTIALS FOR PRACTICE 7TH EDITION BY POTTER-Test Bank.

MULTIPLE CHOICE 1. A student nurse is beginning her community health rotation. She anticipates that her assignment in community-based health care will most likely be at which of the following organizations? ANS: DHig ...

MULTIPLE CHOICE 1. A student nurse is beginning her community health rotation. She anticipates that her assignment in community-based health care will most likely be at which of the following organizations? ANS: DHigh schools focus on primary rather than acute care and provide knowledge about health andhealth promotion that occurs outside traditional health care institutions, such as hospitals and nursing homes. PTS: 1 DIF: Cognitive Level: Application REF: 40 OBJ: Discuss the role of the nurse in community-based practice TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 2. What is the primary characteristic of a community health nurse? ANS: A Community health nursing incorporates knowledge from published health sciences. It is broader than the focus of public health. A community-based nurse works in an established program that provides health services to specific populations in the community. PTS: 1 DIF: Cognitive Level: Knowledge REF: 39 OBJ: Differentiate community health nursing from community-based nursing TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. Which of the following is considered the overall goal of Healthy People 2010? A. Acute care hospital B. Rehabilitation hospital C. Nursing home D. High school A. Providing care to subpopulations B. Providing care in existing services C. Being a specialist in public health science D. Having a case management certification A. To increase the life expectancy of people in the United States B. To increase the health status of people throughout the world C. To eradicate HIV/AIDS D. To reduce health care costs ANS: A The overall goals of Healthy People 2010 are to increase the life expectancy and quality of life and to eliminate health disparities through an improved delivery of health care services to people in the United States. PTS: 1 DIF: Cognitive Level: Comprehension REF: 37 OBJ: Discuss the role of the nurse in community-based practice TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 4. The teen pregnancy rate in one community significantly increased, and, as a result, the school system was seeing an increase in the drop-out rate of teenage mothers. A student nurse recently worked with the local school system to develop a day care program for the children of high school students so that they could return to school. This is an example of which of the following? ANS: B Successful community health nursing practice involves building relationships with the community and responding to changes within the community. PTS: 1 DIF: Cognitive Level: Analysis REF: 44 OBJ: Describe selected competencies important for success in community-based nursing practice TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 5. The most cost-effective health care is which of the following? ANS: C Community-based nursing centers are the first level of contact between members of a community and the health care delivery system. Ideally, a nurse provides care close to the patient’s residence. This approach helps to reduce the cost of care and to improve access to health care services. PTS: 1 DIF: Cognitive Level: Application REF: 40 OBJ: Discuss the role of the nurse in community-based practice TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment A. Building a relationship with pregnant teens B. Responding to changes within the community C. Influencing community environmental factors D. Managing disease A. Acute care hospital B. Rehabilitation hospital C. Community-based nursing center D. Physician office 6. A 56-year-old immigrant from the Czech Republic has diabetes and hypertension. She lives with her daughter whose job requires her to travel. The patient speaks English very well. The community health nurse knows that she may be a vulnerable patient because of which of the following? ANS: BFrequently, vulnerable patients come from varied cultures, have different beliefs and values, facelanguage barriers, and have few sources of social support. PTS: 1 DIF: Cognitive Level: Application REF: 42 OBJ: Explain the characteristics of patients from selected vulnerable populations that influence a nurse’s approach to care TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 7. The most important competency in community nursing is which of the following? ANS: A Most important is the caregiving role. In the community setting a nurse manages and cares for the community. Using the nursing process and critical thinking skills, a nurse develops appropriate, individualized nursing care for specific patients and their families. In addition, the nurse individualizes care within the context of the patient’s community to achieve long-term successful health care outcomes. PTS: 1 DIF: Cognitive Level: Application REF: 44 OBJ: Describe selected competencies important for success in community-based nursing practice TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment SHORT ANSWER 1. Community-based nursing provides services that will improve the health of specific populations; in contrast, public health practice _. ANS: aims at achieving a healthy environment for all individuals to live in The principles of public health practice focus on achieving a healthy environment for all individuals to live in. These principles apply to individuals, families, and the communities in which they live. PTS: 1 DIF: Cognitive Level: Comprehension REF: 38 OBJ: Explain the relationship between public health and community health nursing TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance A. Her age B. Her immigration status C. Her diabetes D. Her hypertension