Nurs 340 Flashcards


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1

A hospice nurse visits a woman with terminal cancer at home. The nurse administers pain medication, applies a cold compress to the woman’s forehead, and discusses with the family what the next step are in ensuring the woman remains comfortable. How would you classify the nurse’s practice?

community-based nursing care

2

Why did the metropolitan life insurance company establish and retain for several years the first community nursing health program for policyholders?

Having public health nurses visit policyholders and their families led to a decline in policyholders’ deaths. Thus, lowering cost for the insurance company

3

The nurse is working in a clinic that is designed to provide health education and immunization. What level of protection is the nurse providing?

Primary prevention

4

Upon completion of the assessment, the nurse finds that the patient has quit drinking and has been alcohol free for over 6 months. Which stage best describes the nurse’s assessment finding?

maintenance

5

A nurse is assessing the status of a community’s health. which of the following will the nurse examine?

Vital Statistics

6

A new nurse is overwhelmed with the needs of the community. Which of the following should be the first priority of the nurse?

A problem that is high concern to the community

7

A public health nurse creates local public health policies through partnership with agencies, Organizations and consumers within the community. Which of the core function of public health is being used.

Policy Development

8

A community health nurse drives around the community to gather information about the condition of homes, lots sizes, neighborhood hangouts, road conditions and modes of transportation. The nurse is using which form of data collection?

Windshield survey

9

The historical nursing figure who contributed to establishing the foundation for current community health and nursing in community health by working in military field hospitals using a population-based approach that improved nursing care and environmental condition was?

Florence Nightingale

10

A nurse is assessing the structure of a community’s health. which of the following data will the nurse examine?

Treatment and service use patterns from local health agencies and care providers

11

A nurse working with Mary Breckinridge would have likely assisted with (SATA)

Developing health programs geared toward improving the health care of the rural population

Ensuring positive outcome for the pregnancies among women in the Appalachian region

12

A nurse in a clinic that provides direct care services to clients with tuberculosis would be classified as practicing.

Community-based nursing

13

A nurse just accepted a position in community health and has been assigned to a neighborhood very close to where she lives. Which of the following best describes the rationale for assignment?

To allow participant observation by the nurse

14

A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?

Its priority is health promotion.

15

Which action made by the client indicates that they are in the precontemplation stage of transtheoretical model of change?

Refuses to think about changing

16

How did Florence nightingale help bring about community health nursing? (SATA)

She focused on all soldiers and their environment.

She kept careful records on what was done and what were the result.

17

What was the outcome of the Shattuck report?

Guidelines for modern public health organization were eventually developed

18

Which of the following is best brief definition of community

A social group with common goals within a geographic area

19

Which of the following nurses is famous for creating public health nursing in the United States?

Lillian Wald

20

A client tells the nurse, “I need help planning an exercise regimen to help manage my weight.” Which stage of health behavior change does this reflect

Preparation

21

Making sure that essential community-oriented health services are available defines which of the core public health function

Assurance

22

Which of the following is the best brief definition of community?

A social group with common goals within a geographic area

23

A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?

Performing monthly breast self-examinations

24

A nurse instructs a client who eats a lot of candy to stop eating sweets in order to avoid high sugar levels. What reaction might the nurse expect if the client is in the contemplation stage

I understand that candy isn’t good for my health, but I cant stay away from it.

25

An occupational health nurse is responsible for offering health promotion education classes and blood pressure and cholesterol screening for the employees and their families. How would you classify the nurse’s practice?

Community- oriented nursing care

26

A community health nurse is working towards meeting the healthy people 2020 goals when addressing health needs in the community. Which of the following goals is the nurse most likely focused on meeting?

Provide primary care to all citizens

27

Which of the following best describes community-oriented nursing?

Having the goal of health promotion and disease prevention

28

Which of the following is the primary focus of public health nursing?

Health care of community and population

29

The public health nurse provides a town’s uninsured residents with referrals to free a low-cost immunization clinic. The nurse is demonstrating which core function of public health?

Distributive justice

30

The public health nurse compares rates of teen pregnancy in various areas of the city. Which of the core function of public health is being implemented?

Assessment

31

A community health nurse drives through her assigned community before visiting the community group schedule for the day. She then drives through the community again that evening before going home. Which of the following best describes the nurse’s reason for driving through the community twice in the same day?

Driving through twice allows the nurse to see the community when many residents are at work or at school and then again when most are at home.

32

The public nurse is implementing tertiary prevention in a community. Which of the following best describes the nurse’s actions?

Referring a patient recently diagnosed with cancer to a support group.

33

Two nurses plan to walk under a huge downtown bridge where various homeless live. Why would the nurses go to such an unsafe area?

To assess to the needs of the homeless who live there.

34

Which of the following best describes community-based nursing?

A practice in which care is provided for individuals and families.

35

The public health nurse is implementing secondary prevention in a community. Which of the following best describes the nurses activity (SATA)

Conducting blood pressure screening at a health fair

Conducting mantoux testing on new nursing staff

36

Why did American citizens become interested in establishing government-sponsored boards of health?

They are afraid of infectious diseases such as yellow fever.

37

A community health nurse is reviewing the levels of disease prevention in a community. Which of the following activities does the nurse recognize is an example of tertiary prevention?

Developing a nutrition and self-care education program for adults with diabetes in low-income housing unit

38

Public health nursing is a specialty with a distinct focus and scope of practice and requires a special knowledge base different from other specialty areas of nursing. A public health nurse would first be interested in

Population with the highest rate of diabetes

39

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?

help plant workers identify signs of carpal tunnel syndrome.

40

In the United States, the current system of local governments' responsibility for providing care for the disenfranchised emerged from which of the following?

Elizabethan Poor Law

41

While conducting a community health assessment, a nurse in community health meets with local religious leaders to understand the values, norms, and perceived needs, and influence structures within the community. This process of data collection can best be described as which of the following?

Data generation

42

During the assessment phase. The nurse compiles and interprets available data and draws conclusion as to the community strengths and concerns. Which of the following best describes why the nurse would also conduct interview with key informants?

To generate non statistical data such as values, beliefs and perceived needs

43

A community health nurse analyzes data from minutes of a city council meeting when completing a community assessment. Which of the following methods of data collection is being used by the nurse?

Secondary analysis

44

A community health nurse is working in a community-oriented health nursing setting. Which of the following is the nurse most likely to implement?

Administering ADHD medication to a child at a summer camp

45

A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?

.

Providing treatment for clients who have chronic obstructive pulmonary disease