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

Question 1

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

Answer 1

ANS: C

Question 2

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.

Answer 2

ANS: A

Question 3

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

Answer 3

ANS: A

Question 4

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

Answer 4

ANS: B

Question 5

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

Answer 5

ANS: C

Question 6

6. A nurse is interested in epidemiology. What work activity would best fit this role?
   a.
   Studying census data to determine common causes of death
   b.
   Researching population variables that contribute to disease
   c.
   Developing sanitary measures to prevent foodborne illness
   d.
   Designing research to determine the connection between pollution and cancer

Answer 6

ANS: B

Question 7

7. The student studying community health nursing learns that vulnerable populations can be best assisted by which activity?
   a.
   Researching their genetic risk for health problems
   b.
   Working with the community to decrease health risks
   c.
   Studying vital statistics to determine their causes of death
   d.
   Making sure the population maintains immunizations

Answer 7

ANS: B

Question 8

8.	A nurse is completing an OASIS assessment on a patient. What data would be most important for the nurse to assess?
a.
Presence of grocery stores nearby
b.
Safety concerns within the home
c.
Number and kind of pets
d.
Proximity to a health care facility

Answer 8

ANS: B

Question 9

9.	A community was devastated by a tornado several months ago. What nursing diagnosis would be most appropriate for the nurse to consider?
a.
Social isolation
b.
Deficient community resources
c.
Ineffective community coping
d.
Deficient community health

Answer 9

ANS: C

Question 10

10.	When planning interventions for a community, what action by the nurse is best?
a.
Involve community leaders in planning.
b.
Create a plan of action addressing priorities.
c.
Determine what resources are available.
d.
Attempt to find funding for the plan.

Answer 10

ANS: A

Question 11

11. A nurse has referred a patient to a community agency. When talking to the patient later, he states that he did not find the agency helpful. What action by the nurse is best?
    a.
    Determine what the patient would find helpful.
    b.
    Review the agency’s mission and scope.
    c.
    Make another appointment with the agency.
    d.
    Warn the patient that non-adherence affects payment.

Answer 11

ANS: B

Question 12

12. A nurse has assessed a community and has found many areas in which health can be improved. As a result, the nurse has multiple ideas for programming. What action by the nurse is best?
    a.
    Determine what the community thinks is most important
    b.
    Use vital statistics to determine which is most important
    c.
    See what other communities are focusing programming on
    d.
    Choose the easiest problem to address first

Answer 12

ANS: A

Question 13

13. A home health care nurse is working with the family of a patient who has Alzheimer disease and requires 24-hour care. What assessment by the nurse indicates the family is meeting an important goal for caregiver role strain?
    a.
    Family eats dinner together every night.
    b.
    Family uses respite care one night a week.
    c.
    Family investigates research trials for patient.
    d.
    Family verbalizes exhaustion from caregiving.

Answer 13

ANS: B

Question 14

14.	The nurse has implemented a community-wide immunization program for seasonal influenza. Once the program has ended, what action by the nurse is best?
a.
Begin planning for next year’s program.
b.
Send mail surveys to participants.
c.
Determine financial gains or losses.
d.
Evaluate the program and outcomes.

Answer 14

ANS: D

Question 15

16. A nurse is a case manager for a home health care agency. The nurse often orders supplies for patients seen by the agency. What action by the nurse is best?
    a.
    Negotiate for cheaper prices from suppliers.
    b.
    Investigate what each patient’s insurance will cover.
    c.
    Refer the patient to the closest supply source.
    d.
    Use the same supplier for all patients’ needs.

Answer 15

ANS: B

Question 16

17.	The public health nurse volunteers for a missionary group caring for Ebola patients in Africa. The nurse is reviewing the data using analytic epidemiology methods. What information does the nurse collect as the priority?
a.
Cultural norms in burial practices
b.
Genetic variables in disease acquisition
c.
Statistics related to incidence and prevalence
d.
Autopsy data on direct cause of death

Answer 16

ANS: A

Question 17

1.	The student nurse learns the ANA’s Scope and Standards of Practice for public health nursing include which of the following? (Select all that apply.)
a.
Ethical practice
b.
Conducting research
c.
Ethical behavior
d.
Responsible resource use
e.
Advocacy

Answer 17

ANS: A, C, D, E

Question 18

2.	A nurse is assessing social determinants of health. Which does the nurse include in the assessment? (Select all that apply.)
a.
Vaccination compliance
b.
Family structure
c.
Communication patterns
d.
Roles for women
e.
Education

Answer 18

ANS: A, B, D, E

Question 19

3.	A nurse is studying intrinsic factors that influence the development of asthma in a community. What factors does the nurse assess? (Select all that apply.)
a.
Socioeconomic status
b.
Genetics
c.
Pollution in the area
d.
Water cleanliness
e.
Immunization status

Answer 19

ANS: A, E

Question 20

4.	The nurse is conducting a windshield survey. What items does the nurse assess? (Select all that apply.)
a.
Types of housing available
b.
Recreational facilities
c.
Cars seen in parking lots
d.
Health care facilities
e.
Places of worship

Answer 20

ANS: A, B, D, E

Question 21

5.	The community health nurse knows that which are standards of professional performance for home care nurses? (Select all that apply.)
a.
Collegiality
b.
Performance appraisal
c.
Outcome identification
d.
Ethics
e.
Resource utilization

Answer 21

ANS: A, B, D, E

Question 22

6.	A nurse wants to create a community action plan for health problems related to air pollution from a nearby factory. Which stakeholders does the nurse consult as the priority? (Select all that apply.)
a.
Factory owners
b.
Stock shareholders
c.
Community residents
d.
Local health care providers
e.
Factory employees

Answer 22

ANS: A, C, D

Question 23

7.	The nurse explains to the patient that which services will be covered under Medicare? (Select all that apply.)
a.
Infusion therapy
b.
Ostomy management
c.
Renal dialysis
d.
Grocery shopping
e.
Chemotherapy

Answer 23

ANS: A, B, C, E

Question 24

8.	The home health care nurse educates patients on which goals of hospice care? (Select all that apply.)
a.
Relieve suffering
b.
Support the patient and family
c.
Provide grief support
d.
Keep patients out of the hospital
e.
Lower medical expenses

Answer 24

ANS: A, B, C

Question 25

8.	The home health care nurse educates patients on which goals of hospice care? (Select all that apply.)
a.
Relieve suffering
b.
Support the patient and family
c.
Provide grief support
d.
Keep patients out of the hospital
e.
Lower medical expenses

Answer 25

ANS: A, B, C