Chapter 16 Flashcards
A nurse is teaching a class about different models of care. The nurse explains that ____ is the most important person in the primary health-care model.
A. the individual/family
B. the population
C. the primary care physician
D. medical specalists
A. the individual/family
A nurse is looking to reduce the number of teen smokers in her community. The nurse implements a community-wide program to raise awareness about the dangers of nicotine use and creates a support group specifically aimed at teens looking to quit smoking. This is an example of:
A. health protection
B. health promotion
C. risk reduction
D. tertiary prevention
B. health promotion
A community health nurse is training new nurses about the development of public health programs to benefit community members. The nurse explains that even though primary care focuses on caring for an individual, health promotion activities need to focus on:
A. the family
B. each individual patient
C. good medical care
D. the community
D. the community
A nurse is volunteering a community-wide health fair. The nurse is performing blood pressure and blood glucose screenings for everyone who stops by the booth. After performing the screening tests, the most important thing that the nurse must give to all of the participants is:
A. A prescription for blood pressure or diabetes medication as needed
B. An appointment for follow-up appointment with a specialist
C. A specific and individualized action plan with their next steps
D. The normal values for blood pressure and blood glucose levels so they know how to interpret their own levels
C. A specific and individualized action plan with their next steps
A young woman presents to her primary care provider. Her mother has just been diagnosed with Huntington’s disease and several other members of her family have been diagnosed with the condition as well. She wants to know her options regarding testing to see if she is a genetic carrier. The nurse discusses with her the need to consider which of the following?
A. The cost of Huntington’s disease screening
B. Whether the test is available at the local lab
C. What will happen when her insurance finds out the results
D. Ethical issues and their impact on her and her family
D. Ethical issues and their impact on her and her family
A nurse is working with a community center that primarily serves a nearby Native American tribe. The nurse knows that many of the tribe members suffer from type 2 diabetes. Which of the following interventions is an example of a tertiary prevention?
A. Reviewing blood glucose testing techniques
B. Routine blood glucose screening for everyone who comes into the clinic
C. Actively encouraging diabetic patients to have foot, eye, and hemoglobin A1C screening tests every three months
D. Publishing a guide about preventing diabetes and distributing it to people who are unaffected
C. Actively encouraging diabetic patients to have foot, eye, and hemoglobin A1C screening tests every three months
A nurse working in a primary health setting is reviewing the patient education materials they keep in the office. How should the nurse consider updating the forms?
A. Review for medical accuracy and update as needed.
B. Perform a cultural assessment to see how the population has changed since the forms were created.
C. Translate into the languages of cultural groups who frequently use the community center.
D. All of the above
D. all of the above
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3) organization. The accountant advises the nurse:
A. To charge patients his or her regular fees
B. To waive her professional fees, but charge for testing and more advanced care
C. To charge a nominal fee if the patient can afford to pay, but provide services regardless
D. To charge a small fee, usually around 25% of the service value
C. To charge a nominal fee if the patient can afford to pay, but provide services regardless
A nurse is doing a presentation for a group of community members who are concerned about the passage of the Affordable Care Act and how it will affect their community. They are an economically disadvantaged community with very few local physicians. How does the nurse respond?
A. “We’ve received a large federal grant to help increase your access to affordable primary care services.”
B. “Taxes will need to be increased in order to open new community health centers.”
C. “There will be a large multispecialty medical group opening in the nearest city.”
D. “You will all be required to purchase costly health insurance.”
A. “We’ve received a large federal grant to help increase your access to affordable primary care services.”
A nurse is working in a community health clinic in an inner city. The nurse has been caring for a particular family for many years, helping them to reduce their weight. At their last visit, the mother expresses frustration at being unable to find fresh fruits and vegetables in their neighborhood. How should the nurse proceed?
A. Have them keep track of their intake in a food journal to see what substitutions could be made.
B. Perform a community assessment to determine what stores and food sources are available in the community.
C. Arrange for free bussing from the community center to the closest supermarket.
D. Refer them to the local SNAP office to help them obtain benefits.
B. Perform a community assessment to determine what stores and food sources are available in the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for use in high-risk populations. A primary care nurse should offer the vaccine to which patient population?
A. Pregnant women
B. Elderly men and women
C. Everyone who visits the office
D. The nurse should wait for direction from the CDC
D. The nurse should wait for direction from the CDC
A student nurse is interviewing a primary care nurse about her role in the community. The student asks about the most important part of the nurse’s job, outside of patient care. The nurse cites:
A. The need to network and build strong relationships in the community
B. Continuous learning through continuing nursing education
C. Strong assessment skills
D. The ability to focus on the big picture
A. The need to network and build strong relationships in the community
A nurse has worked at a community health center for many years. Over the last several months, the nurse has noticed a significant decline in community members using the resources available at the clinic. What is the first thing the nurse should do?
A. Begin offering daycare services and free transportation to the clinic to make it more convenient.
B. Reach out to former patients to determine why they are no longer returning to the clinic.
C. Perform a community assessment.
D. Begin offering a new patient reduced fee rate.
C. Perform a community assessment.
A nurse is reviewing lab results from a routine health screening for one of her patients. The nurse notes a new diagnosis of Hepatitis B. The nurse sits with the patient after he has spoken with the doctor and the patient expresses concern that someone will find out about his diagnosis. How does the nurse respond?
A. “Don’t worry; no one will find out.”
B. “You will need to inform all of your previous sexual partners.”
C. “I will need to inform the local health department about your diagnosis.”
D. none of the above
C. “I will need to inform the local health department about your diagnosis.”
A primary health nurse has observed an increase in the rate of patients being treated for pertussis in her community. The nurse has seen multiple news reports on the issue and knows that this isn’t an isolated problem. The nurse decides to brainstorm strategies to reduce the pertussis rate in her community. First, the nurse should:
A. Consult with local pediatricians about increasing vaccination rates in children.
B. Begin creating patient education materials to distribute in the waiting room.
C. Perform a health and cultural evaluation of her community.
D. Begin offering vaccinations free of charge.
C. Perform a health and cultural evaluation of her community.
