Chapter 23 Public Health, Community Base, and Home Health Care

Chapter 23  Public Health, Community Base, and Home Health Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The student learns that which is the best definition of a public health nurse?
a.
Works with the public
b.
Works in public areas
c.
Works with the greater community
d.
Works with public funding

ANS: C
A public health nurse works with communities as a larger whole and is concerned with specific target or vulnerable groups within that community. The other options are inaccurate.

DIF: Remembering REF: p. 428 OBJ: 23.1
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion

2. A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
a.
Assess the patient’s ability to read and understand.
b.
Determine if the patient wants to take written material home.
c.
Give the patient the same material as other patients get.
d.
Ask the patient if he/she has a need for written material.

ANS: A
Health literacy in an important concept in health. If the patient cannot read or comprehend written material, it will be of limited use. The nurse first assesses the patient’s ability to read and comprehend written material before choosing the material with which to send him/her home. Patients may or may not realize what they need for discharge, if anything. Giving the patient the same material other patients get does not acknowledge their need for holistic and individualized care.

DIF: Applying REF: p. 430 OBJ: 23.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion
NOT: Concepts: Health Promotion, Patient Education

3. A nurse is planning primary prevention activities. Which activity would the nurse include in this plan?
a.
Safer sex education for teens
b.
Mammogram screening
c.
Medication compliance
d.
Annual physical exams

ANS: A
Primary prevention includes activities designed to prevent a disease or condition from occurring in the first place. Examples of primary prevention activities include vaccinations, wellness programs, good nutrition for health, and safer sex programs. Mammograms and physical exams are secondary prevention measures. Medication compliance would be tertiary prevention.

DIF: Applying REF: p. 432 OBJ: 23.2 TOP: Planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion

4. A nurse wants to volunteer for a community group providing secondary prevention. What activity would the nurse attend?
a.
Stroke rehabilitation support group
b.
Blood pressure screening at the mall
c.
Bicycle safety class at the elementary school
d.
Drop by nutrition station at the grocery store

ANS: B
Secondary prevention activities are aimed at early diagnosis and prompt intervention. Blood pressure screening events are a good example. Stroke rehabilitation is tertiary prevention. Bicycle safety classes and nutrition education are examples of primary prevention.

DIF: Applying REF: p. 432 OBJ: 23.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion

5. A nurse is orienting to a new job in a home health care agency and is told that most of her patients need tertiary prevention. What activity does the nurse plan to include in the daily routine?
a.
Household safety checks
b.
Well-baby checkups
c.
Antibiotic administration
d.
Monthly blood pressure assessments

ANS: C
Tertiary care is aimed at people who are already experiencing a health alteration, such as those with an infection who need antibiotics. The other options are secondary prevention.

DIF: Applying REF: p. 432 OBJ: 22.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion