Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice

Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which type of nursing center actively integrates service, education, and research in its model?

a.	Special care
b.	Free-standing
c.	Fee-for-service
d.	Academic

 

 

ANS:   D

Academic nursing centers actively integrate service, education, and research in their model. Special care centers provide services and specialized health knowledge and skills to a particular group, and they are an adjunct to comprehensive primary health care models. A free-standing center is an independent center with its own governing board. A fee-for-service center means that payment is provided at time of service and it may include a sliding-scale fee.

 

DIF:    Cognitive level: Understanding         REF:    p. 459

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

2. Which characteristic is common among all nursing centers?

a.	Provision of community-based culturally competent care
b.	Services provided by physicians and health care providers
c.	Focus on the biological factors contributing to the development of disease
d.	Fee-for-service reimbursement model

 

 

ANS:   A

One characteristic that is common among all nursing centers is the provision of community-based culturally competent care that is accessible, acceptable, and responsive to the populations being served. Services are provided by nurses in a nurse center. A variety of reimbursement models are used in nursing centers. Nursing centers use a holistic approach to care.

 

DIF:    Cognitive level: Understanding         REF:    p. 457

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

3. A nurse is employed by a nursing center. Which of the following types of services will be provided here?

a.	Illness-oriented care
b.	Direct access to nursing services
c.	Free services
d.	Physician diagnosis of health problems

 

 

ANS:   B

Nursing centers provide unique opportunities to improve the health status of individuals, families, and communities through direct access to nursing and nursing models of care. A nursing center deemphasizes illness-oriented care, is reimbursed for services, and uses nurses to diagnose and treat.

 

DIF:    Cognitive level: Applying                  REF:    pp. 456-457

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

4. A nurse working at a nursing center has been asked to develop materials about a health promotion topic that can be used at the center. Which of the following topics would the nurse most likely select?

a.	Advanced care of the chronically ill elderly at home
b.	Smoking cessation and weight management techniques
c.	How to access specialty services
d.	Providing financial support for nursing students

 

 

ANS:   B

Nurse centers are positioned to improve the health and well-being of vulnerable populations. One way to achieve this is by providing access to comprehensive primary health care and health promotion and disease prevention services. Smoking cessation and weight management techniques focus on health promotion, which address the main focus of the nurse center. Advanced care of the chronically ill and accessing specialty services does not address health promotion and disease prevention services. Providing financial support for nursing students does not address a health promotion and disease prevention topic and does not meet the needs of the broad population that may be served by the center.

 

DIF:    Cognitive level: Analyzing                REF:    p. 457

TOP:    Nursing process: Planning

MSC:   NCLEX: Health Promotion and Maintenance