Exam 4: Community Health Nursing Practice

Community-based nursing care takes place in community settings such as the home or a clinic.Why is this an ideal setting?

How does public health nursing differ from community health nursing?

How does a community health nurse differ from the community-based nurse?

The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known as what kind of nursing?

Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply. )

The community has three components: structure or locale,the people,and the social systems.While conducting a community assessment,the nurse seeks data on the average household income and the number of residents on public assistance.In doing so,the nurse is evaluating which of the following?

The nurse is working in a community clinic when a man and woman bring a 12-year-old boy in,stating that the child fell down a flight of stairs and hurt his arm.The nurse notices several other bruises on the child's body at varying stages of healing.The boy is placed on the stretcher.When asked how he hurt himself,he states that he does not remember.However,the nurse notices that the boy continuously avoids looking at the man,while the man stares at him constantly.What should the nurse do?

The patient is being readmitted to an inner-city hospital for chest pain 3 months after having a heart attack.The patient was referred to the hospital's cardiac rehabilitation program after her previous admission.The patient states that she began going to the program and liked it but stopped.When asked why,she states that,at the beginning,the classes were at 9a.m.but then were switched to 7 p.m. ,when it is dark out.The cardiac rehabilitation program was within walking distance of the patient's home.What is the most likely cause of the patient's unwillingness to go to the program?

Community-based nursing centres function as the first level of contact between members of a community and the health care delivery system.Which situation is ideal for health care services? (Select all that apply. )

The nurse is making a home visit to a Korean family whose daughter gave birth 6 weeks earlier.She finds the daughter in bed with a severe headache.The daughter's father is holding her hand and is pressing different parts of the hand and lower arm.The mother explains that the father is trying to cure the headache by using pressure points.What would be the nurse's best response?

The student nurse is trying to determine what type of nurse she wants to be after graduation.In class,she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics.What would be the instructor's most appropriate response?

Vulnerable populations include patients who are more likely than others to develop health problems as a result of what?

A group of teenage girls is receiving counselling about birth control and disease prevention.Why does the community health nurse provide such counselling?

The patient is in the hospital with the diagnosis of early-onset Alzheimer's disease.Before the patient is discharged,the community-based nurse is making a visit to the patient's home,where he lives with his daughter and her family.What would be a major focus of this visit?

The instructor is teaching student nurses about identifying members of vulnerable populations when one nursing student asks,"Why is it that not all poor people are considered members of vulnerable populations?" What would be the instructor's best answer?

The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems.The patient,however,receives many visitors from the neighbourhood and from former co-workers,as well as frequent phone calls from extended family.When concerned about how the large number of visitors may be fatiguing the patient,what should the nurse do?

The community health nurse is administering flu shots to children at a local playground.In doing so,the nurse's focus is on what?

The nurse is working with a 16-year-old pregnant girl who tells the nurse that she needs an abortion.The nurse provides the patient with information on alternatives to abortion,but after several sessions,the patient still insists on having the abortion.The competency of the nurse as a consultant requires what of the nurse?

Of the following list of patients,which would be considered at high risk to be members of a vulnerable population? (Select all that apply. )

When discussing social justice,how does the nurse describe it?