Public Health Nursing Population Centered Health Care in the Community 9th Edition by Marcia Stanhope
Public Health Nursing Population Centered Health Care in the Community 9th Edition by Marcia Stanhope
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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
| 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
| 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
| 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
| 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
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