Chapter 04: Community-Based Nursing Practice

Chapter 04: Community-Based Nursing Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A student nurse is beginning the community-based primary care rotation. The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?

a.	An acute care hospital
b.	A rehabilitation hospital
c.	A nursing home
d.	A high school

 

 

ANS:   D

High schools focus on primary rather than acute care and provide knowledge about health and health promotion that occurs outside traditional health care institutions, such as hospitals, rehabilitation hospitals, and nursing homes.

 

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    50 | 51

OBJ:    Explain the relationship between public and community health nursing.

TOP:    Nursing Process: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

2. A nurse is practicing as a community health nurse. What is the primary focus of care for this nurse?

a.	Providing care to subpopulations
b.	Practicing care in existing services
c.	Being a specialist in public health science
d.	Having a case management certification

 

 

ANS:   A

The community health nurse provides direct care services to subpopulations within that community. Community health nursing is nursing care provided in the community, with the primary focus on the health care of individuals, families, and groups in the community. A community health nurse is not the same thing as a specialist in public health nursing. A community health nurse does not have to have case management certification. Although the community health nurse may practice care in existing services, the primary focus is on the subpopulation’s care.

 

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    52

OBJ:    Differentiate community health nursing from community-based nursing.

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

3. A community health nurse is using the goals of the Healthy People 2020 to focus care. Which goal is the priority?

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 the human immunodeficiency virus (HIV)
d.	To reduce health care costs

 

 

ANS:   A

The overall goals of Healthy People 2020 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. The focus is on the United States, not the world. It does not focus on one disease or on reducing health care costs.

 

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    51                    OBJ:    Describe the role of the community health nurse.

TOP:    Nursing Process: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

4. The teen pregnancy rate in one community significantly increased; as a result, the school system was seeing an increase in the dropout rate of teenage mothers. A 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. Which technique did the nurse use?

a.	Incorporating immunizations for the infants and mothers
b.	Responding to changes within the community
c.	Influencing chronic environmental factors
d.	Managing disease

 

 

ANS:   B

Successful community health nursing practice involves building relationships with the community and responding to changes within the community. No immunizations were given. There was no mention of managing disease in this scenario. The nurse did not influence chronic factors.

 

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    53                    OBJ:    Describe the role of the community health nurse.

TOP:    Nursing Process: Evaluation

MSC:   NCLEX: Health Promotion and Maintenance