Chapter 43 Community & Home Health Nursing

Chapter 43  Community & Home Health Nursing

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The inhabitants of Yulupa, California, form which of the following?
a)
Aggregate
b)
Community
c)
Population
d)
Vulnerable population

ANS: C
A population is all of the people inhabiting a specified area. In contrast, a community is a group of like-minded individuals or one whose members have a common purpose, and an aggregate has shared characteristics. A vulnerable population is an aggregate with increased risk for poor health outcomes.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

2. A community health nurse prepares for a new assignment. She has been assigned census tracts 131 and 132. This large area crosses the border of two towns and includes 4,000 people. What components of the community must the community health nurse assess prior to beginning her new assignment?
a)
Income levels, health status, and relationships among groups
b)
Structure of the tracts, effectiveness of the community, and current status
c)
Number of clients with health problems compared with the number of healthcare providers
d)
Community organizations and beliefs about their role in the community

ANS: B
To understand a community and its needs, the nurse must assess the community’s structure, status (the biological, social, and emotional outcome components of the community), and process (overall effectiveness of the community). Income level and demographic data, such as community organizations and healthcare providers, are included in the assessment of the community structure. The number of clients with health problems is only a part of the assessment of the community status.

Difficulty: Difficult
Nursing Process: Assessment
Client Need: Safe and Effective Care
Cognitive Level: Analysis

PTS: 1

3. A community health nurse is evaluating the current health programs in the community. Which of these outcomes would indicate a healthy community?
a)
Ninety percent of members report adequate access to primary care services.
b)
Immunization services are available at hospitals and clinics.
c)
Affordable housing in the community is under construction.
d)
Mortality rates have been stable over the past 5 years.

ANS: A
Evidence of health in a community can be judged by examining progress in the focus areas delineated in Healthy People 2020. Access to primary care services is a measurable outcome that provides evidence of effectiveness of health programs. The availability of immunization services at the hospital or at many offices does not provide evidence that these services are being used. Similarly, the fact that affordable housing is under construction does not mean that it is being accepted and used nor that enough is being built. Mortality rates may be stable but could be quite high and within unacceptable parameters.

Difficulty: Difficult
Nursing Process: Evaluation
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

4. What is the type of nursing with a focus on the community as a whole and the health status of individuals as an aggregate?
a)
School nursing
b)
Community health nursing
c)
Community-oriented nursing
d)
Public health nursing

ANS: D
Public health nursing focuses on the community at large and the eventual effect of the community’s health status on the health of individuals, families, and groups. Community health nursing focuses on the health of individuals, families, and groups and on how their health affects the health of the community. Community-oriented care combines elements of community health nursing and public health. School nursing focuses is optimizing health for a community of students in a school setting.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

5. The community health nurse is working with the residents of government-subsidized senior housing. She meets with them regularly to discuss concerns and evaluate whether they receive healthcare that meets their needs. Which of the following nursing roles best describes these actions?
a)
Case manager
b)
Client advocate
c)
Collaborator
d)
Counselor
e)
Educator

ANS: C
As a collaborator, the nurse forges partnerships and coalitions that can effectively address common concerns among different communities. In this role, the nurse facilitates discussion to work toward problem resolution. As a case manager, the nurse makes referrals to or collaborates with other health and social agencies. In the client advocate role, the nurse supports the identified or voiced concerns of the client or community. As an educator, the nurse focuses on wellness and disease prevention through patient teaching. A counselor offers practical solutions to resolve problems.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1