Chapter 40: The Nurse Leader in the Community

Chapter 40: The Nurse Leader in the Community

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Why are older adults in the community at high risk for medication errors?

a.	They are not competent to take their own medications and need supervision.
b.	They are often taking high-risk medications.
c.	They are not motivated to take medications correctly.
d.	They are in need of the assistance of community health nurses.

 

 

ANS:   B

Older adults often take high-risk medications and cannot read instructions for medications. This is also complicated by polypharmacy and not understanding how to take medications that have been prescribed for them. Many older adults are competent in taking their own medications, are motivated to take it correctly, and do not need additional assistance.

 

DIF:    Cognitive level: Understanding         REF:    pp. 868-869

TOP:    Nursing process: Evaluation

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

 

2. A seamless system of care is created where all client needs are met through the same system. Which of the following best describes what has happened?

a.	Horizontal integration
b.	Vertical integration
c.	Managed care
d.	Alliances

 

 

ANS:   B

Vertical integration means that the system owns all of the services that clients might need, such as clinics, hospitals, laboratories, and home health agencies. Horizontal integration is not a type of seamless care. Managed care is a system in which patients only visit certain providers and hospitals. Alliances are special relationships that exist between agencies.

 

DIF:    Cognitive level: Applying                  REF:    p. 869

TOP:    Nursing process: Evaluation

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

 

3. A nurse is functioning in the role of a community-oriented nurse manager. Which of the following interventions would most likely be performed?

a.	Help personnel perform their responsibilities effectively and efficiently
b.	Work with others to ensure a healthy community
c.	Serve as an advocate for vulnerable and high-risk populations
d.	Participate in establishing public and organizational policies

 

 

ANS:   A

One of the goals of nursing management is to help personnel perform their responsibilities effectively and efficiently, so it is most likely the nurse manager who would perform this intervention. Working with others to ensure a healthy community, serving as an advocate for vulnerable and high-risk populations, and participating in establishing public and organizational policies are goals of nursing leadership.

 

DIF:    Cognitive level: Analyzing                REF:    pp. 870-871

TOP:    Nursing process: Implementation

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

 

4. A nurse is providing nursing leadership. Which of the following interventions would most likely be completed?

a.	Monitoring the budget for an immunization program
b.	Influencing the improvement of the health of clients
c.	Coordinating an interdisciplinary team
d.	Using resources when providing clinical services

 

 

ANS:   B

Nursing leadership refers to the influence that nurses exert on improving client health, whether clients are individuals, families, groups, or entire communities. Monitoring the budget for an immunization program, coordinating an interdisciplinary team, and using resources when providing clinical services are responsibilities of the nurse manager.

 

DIF:    Cognitive level: Analyzing                REF:    pp. 870-871

TOP:    Nursing process: Implementation

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