Chapter 03 Community-Based Nursing Practice

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Chapter 03  Community-Based Nursing Practice

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

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?
A.
Acute care hospital
B.
Rehabilitation hospital
C.
Nursing home
D.
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 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?
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

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.
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?
A.
Building a relationship with pregnant teens
B.
Responding to changes within the community
C.
Influencing community 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.

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?
A.
Acute care hospital
B.
Rehabilitation hospital
C.
Community-based nursing center
D.
Physician office

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

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