Exam #5 Community

Question 1

What does research say regarding the health provider’s gender and a patient’s gender?

Answer 1

There is a powerful interaction between the health provider’s gender and the patient’s gender.

Question 2

Which gender perceives and reports having better health?

Answer 2

Males

Question 3

Women are more likely to have most acute health conditions than men except for one health problem. What is that problem?

Answer 3

Injuries

Question 4

Which gender has higher morbidity rates with a higher prevalence of chronic diseases that cause disability and limitation of activities?

Answer 4

Females

Question 5

What is the probable reason that men are sicker on hospital admission than women?

Answer 5

Men don’t seek treatment until they are very ill.

Question 6

What is the diagnosis of the largest number of men admitted for hospital-based care?

Answer 6

Mental disorders

Question 7

What is one biological explanation for gender differences in health status?

Answer 7

Influence of hormones such as estrogen or testosterone

Question 8

What has research found is effective in helping males choose more healthy lifestyle behaviors?

Answer 8

Support from a female family member concerned about the man’s well-being

Question 9

What does theory suggest men usually do when they become ill?

Answer 9

Ignore symptoms or refuse to see them as symptoms of illness and act tough

Question 10

Why do some researchers believe data regarding health behaviors may be inaccurate in relation to men?

Answer 10

Most of the data are collected about and from women.

Question 11

What action would improve a man’s probability of obtaining health screenings and health-promoting education?

Answer 11

Joining the military

Question 12

Which single action has been most influential in changing men’s health behaviors?

Answer 12

Legislative action

Question 13

What is the most useful action an employer can take to support a man who has been off work because of injury or illness?

Answer 13

Encourage the man to return to work as soon as possible, possibly at something less physically demanding

Question 14

What question might be a good opening to address male health concerns with a male client?

Answer 14

“What are your usual physical activities, and how do you take care of yourself while doing that?”

Question 15

What is an accurate definition of impairment?

Answer 15

An anatomical, mental, or psychological loss or abnormality

Question 16

Which problem depends on the responses of other people and therefore cannot be measured?

Answer 16

Handicap

Question 17

What is a problem with the Nagi model that uses functional limitations to determine whether an individual is disabled?

Answer 17

Environment can help determine whether a person can function in a social role.

Question 18

What insight is being stressed by advocacy groups regarding persons with disabilities today?

Answer 18

Disability results when physical and social barriers in the environment prevent a person from taking equal part in community life.

Question 19

What concerns can a nurse as a citizen help address?

Answer 19

Advocating for removal of environmental and social barriers to needed services

Question 20

When a person was brought into the clinic in a wheelchair, the new nurse asked the patient if he felt a need for a priest. Why would the nurse be asking about spiritual health during the intake assessment?

Answer 20

Some people perceive disabilities as punishment for sin.

Question 21

A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him. What should be the nurse’s question after welcoming him to the clinic?

Answer 21

“What brings you to the clinic today?”

Question 22

A young woman rolled her wheelchair up the ramp into the clinic to the desk where the intake nurse greeted her. What should be the nurse’s first response?

Answer 22

Sit so the nurse is on eye level with the young woman

Question 23

Approximately what proportion of the U.S. population is made up of persons with a long-lasting condition or disability?

Answer 23

The proportion is almost 20% and increasing.

Question 24

About how many households with at least one child with a disabling condition should a school nurse working in an elementary school expect to see?

Answer 24

About 20%

Question 25

The mother confided in the nurse, “I don’t think my child is improving.” What would be your response?

Answer 25

“What is causing you concern?”

Question 26

What should every school-aged child with a disability have?

Answer 26

An Individualized Education Plan (IEP)

Question 27

What is the current perspective on how communities should treat persons with disabilities (PWD)?

Answer 27

Maximize opportunities for PWDs to work and otherwise contribute to community life

Question 28

The professional strongly encouraged institutionalization so the parents could focus on care of their other family members. What do you suggest to the parents would be best for the child?

Answer 28

The child has a right to an education in the least-restrictive setting.

Question 29

A man came for follow-up care to the free clinic, explaining that he had applied for a job based on his education and years of previous work experience, but, being in a wheelchair, he was turned down. What do you tell the man?

Answer 29

“If you know you can do the job, go to the free legal aid clinic for assistance. The employer may not know the law.”

Question 30

What problem was the Ticket to Work and Work Incentives Improvement Act (TWWIIA) designed to address?

Answer 30

Persons with disabilities not seeking employment for fear of losing their health care and other governmental supports

Question 31

What was the result when the American Recovery and Reinvestment Act of 2009 was passed, which offered money to employers willing to hire persons with disabilities (PWD)?

Answer 31

Little change has occurred.

Question 32

What did the National Healthcare Disparities Report of 2008 suggest was one reason that there are such disparities in health care outcomes inside the health care system?

Answer 32

Care provider bias and poor communication

Question 33

A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that didn’t require driving. The nurse said, “I never realized how difficult it is to get some places without two good legs. Now I know

Answer 33

“Not really; you’ll be out of that cast in a few weeks.”

Question 34

What is the conclusion of research studies regarding the feelings of parents of a child with disabilities?

Answer 34

Joy amid chronic sorrow

Question 35

A student of nursing had prepared thoroughly for giving care to a long-term disabled client assigned for care. On entering the room, the student eagerly explained the most recent relevant research. The patient, rather than express appreciation, said, “I prefer to have my care given this way.” The student explained that research suggested an alternative approach was more clinically effective, but the patient said, “I am more comfortable during the day if my care is given this way.” What should the student do?

Answer 35

Accept that the patient knows best what works

Question 36

Why do some advocacy groups take a strong stand against physician-assisted suicide?

Answer 36

Fear that some persons may be “encouraged” to accept an early death merely because they are not valued by society for their contributions

Question 37

When did faith communities first begin to be involved with health and healing?

Answer 37

Throughout history, faith communities have provided basic health care.

Question 38

What has research confirmed about the relationship between religion, spirituality, and health?

Answer 38

Persons who attend services have decreased anxiety, depression, and stress.

Question 39

Why, in 2005, did the American Nurses Association (ANA) change the name of parish nursing to faith community nursing?

Answer 39

To reflect the diversity now found in the specialty

Question 40

In what way is the practice of faith community nurses (FCNs) different from the practice of other nurse specialists?

Answer 40

The central focus of the practice is the spiritual dimension.

Question 41

On which level of care do most faith community nurses (FCNs) focus?

Answer 41

Primary

Question 42

How does the faith community nurse, in the role of health educator, decide which educational programs to offer the faith community?

Answer 42

Based on the health status and needs of faith community members

Question 43

As a personal health counselor and a health advocate, what does the faith community nurse (FCN) need to know?

Answer 43

Community resources and how to assess them

Question 44

What reality may cause difficult ethical conflicts for a faith community nurse?

Answer 44

Best clinical practice may suggest behaviors contrary to the faith community’s values and beliefs.

Question 45

The faith community nurse (FCN) may find the faith community’s needs overwhelming. How can the nurse best meet the community’s many needs?

Answer 45

Recruit, train, and direct volunteers to implement needed programs

Question 46

A nurse established a new parents support group where new parents meet to share problems and solutions. After about 3 months, fewer people were attending. What should the nurse do?

Answer 46

Accept that the new parents may now be comfortable in their role and no longer need a support group

Question 47

Why is it so crucial that the faith community nurse (FCN) have at least a baccalaureate degree, as well as several years of experience in clinical practice in addition to formal education in the role?

Answer 47

To be autonomous with self-direction and independent decision making

Question 48

In what areas might the faith community nurse desire more education to continue in the role?

Answer 48

Developing spiritual assessment skills and acquiring theological knowledge

Question 49

What symptoms might the faith community nurse (FCN) expect to see that are consistent with the diagnosis of spiritual distress?

Answer 49

Hopelessness, isolation, and loneliness

Question 50

Which intervention would be appropriate for a faith community nurse who bases care on the CIRCLE Model of Spiritual Care?

Answer 50

Working with client feelings, using appropriate touch, and showing love and empathy

Question 51

A new faith community nurse (FCN) met with a client who was dying. The client asked the FCN to pray for her out loud. The FCN had an active prayer life, but privately—not out loud relating to someone else. How can the FCN respond?

Answer 51

Share a traditional prayer that the nurse had previously memorized for personal use

Question 52

Which ethical issue is often a concern to a faith community nurse (FCN)?

Answer 52

The client’s right to confidentiality if a client repents and confesses sin to the nurse

Question 53

A nurse was a volunteer at a faith community when a police officer asked for specific information related to a member’s behavior and mental health. The faith community nurse (FCN) told the police officer, “I’m a part-time volunteer; I’m not paid. Besides, I have client-professional privileges so I can’t share information with you.” What will be the outcome?

Answer 53

The nurse is still accountable and has no legal right to not disclose information requested by a legal authority.

Question 54

On the basis of what a faith community nurse (FCN) believed was best practice, she wanted to share various methods of dealing with infertility. However, the tradition of the church was that childbirth was in the hands of God and it was inappropriate to use artificial means of becoming pregnant. What should the nurse do?

Answer 54

Ask to be excused from the situation if a couple wants to obtain information inconsistent with the church’s teaching

Question 55

A client needed assistance with personal hygiene and feeding. What should a nurse coming for an initial assessment suggest to the family?

Answer 55

I’ll teach you how to care for your family member to keep him comfortable or, if you can afford it, you can employ an aide.

Question 56

A nurse was considering self-employment by starting a home health managed care agency. What risk is the nurse taking, particularly in the beginning?

Answer 56

Managed care agencies assume the risk of providing all needed care within the amount budgeted.

Question 57

Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern. Why not?

Answer 57

Taxpayers fund official home health agencies for care not reimbursed by third parties.

Question 58

Why are home health care agencies that are part of national chains doing better in the competitive marketplace than individually owned agencies?

Answer 58

Lower administrative costs and easier negotiating when buying in bulk

Question 59

What is required for an agency to receive reimbursement for care given from Medicare?

Answer 59

Demonstrating meeting federal quality standards for Medicare-covered services

Question 60

Which 66-year-old client who needs skilled nursing care is eligible for home health care reimbursement by Medicare?

Answer 60

A client who is very loved by his wife, his children, and all the friends he had made during the 30 years he was employed in the factory

Question 61

What is the purpose of the Outcome and Assessment Information Set (OASIS)?

Answer 61

To evaluate and improve clinical performance quality

Question 62

What is the major assumption of Albrecht’s conceptual model?

Answer 62

Patient outcomes depend primarily on the education and experience of the nurse.

Question 63

In addition to factual data such as name, address, and diagnosis, what information is crucial to the nurse when a referral is received?

Answer 63

The purpose of the referral for a home visit

Question 64

What is the primary task to be accomplished during the initial telephone contact between the home health nurse and the client?

Answer 64

The client gives permission and agrees to a mutually acceptable time for a home visit

Question 65

What can a home health nurse do to get in touch with a client if the client apparently has no telephone?

Answer 65

Go to the client’s address and discuss making a home visit with the client

Question 66

What is the best use of the nurse’s time while en route to the client’s home?

Answer 66

Assess the surrounding neighborhood and the exterior of the client’s home

Question 67

What is the most important task to be accomplished during the initial home visit?

Answer 67

Establish rapport and trust

Question 68

What sort of documentation should the nurse expect to complete regarding the home visit?

Answer 68

Medicare forms per HCFA regulations for reimbursement

Question 69

A new home health nurse realized that what was being observed and now being said by the client were very inconsistent with what had been documented while the client was hospitalized. What conclusion should be drawn?

Answer 69

Amount of support available to the client is often different from what client stated earlier.

Question 70

What should be included when the nurse writes a proposed treatment plan for a home health client?

Answer 70

Type of services needed and frequency of visits by each discipline

Question 71

A client was quite ill and the family was doing their best. After careful assessment and diagnosis, the home health nurse was setting priorities for care. What should be the basis for deciding which intervention to implement first?

Answer 71

First address the problem that the client and family think should be addressed first

Question 72

A nurse shared information with a family concerning a community resource, including a brochure with telephone number. The family agreed to follow up. How does the nurse know if the family wants to use those resources?

Answer 72

If the family calls and sets up the service

Question 73

A nurse had shared a great deal of information with a new client. Time had passed, but the nurse had more to share and was energetically doing so. When should the nurse stop teaching and plan the next visit?

Answer 73

After about an hour

Question 74

A client needed a great deal of care. During a morning visit, the nurse shared information with the client’s caregiver and demonstrated technical procedures. What is especially important for the nurse to assess?

Answer 74

The skill and comfort level of the client’s caregiver

Question 75

What is the primary factor in how a hospice nurse makes decisions while giving care in the client’s home, surrounded by the client’s family?

Answer 75

To prevent a decline in the caregiver’s health

Question 76

A patient is taking rather strong narcotics with good pain control, but today the patient ‘s family tells you the client doesn’t want to become addicted. What is your response?

Answer 76

“You may develop tolerance but you can’t be addicted when you’re using the medication for pain control.”

Question 77

A client was admitted to home care and was dismayed to find the nurse discussing such uncomfortable topics as advance directives, living will, and durable power of attorney. As that nurse, what is your response?

Answer 77

“You get to make decisions about your care, but if, for any reason, you can’t do this, these forms will tell us what you want us to do.”