Question 1

Providing treatment and rehabilitation for people who have developed disease is part of:

Accepted Answer

A) Primary preventive care 
B) Secondary preventive care 
C) Tertiary preventive care 
D) Primordial preventive care 
A) Primary preventive care 
B) Secondary preventive care 
C) Tertiary preventive care 
D) Primordial preventive care C

Question 2

When providing health education to the client,the nurse understands that an example of the secondary level of prevention is:

Accepted Answer

A) Approved infant car seats. 
B) Breast self-examination (BS
E) . 
C) Immunizations. 
D) Support groups for parents of children with Down syndrome. 
A) Approved infant car seats. 
B) Breast self-examination (BS
E) . 
C) Immunizations. 
D) Support groups for parents of children with Down syndrome. B

Question 3

A health care service representing the tertiary level of prevention includes:

Accepted Answer

A) Stress management seminars. 
B) Childbirth education classes for single parents. 
C) A breast self-examination (BS
E)  pamphlet and teaching. 
D) A premenstrual syndrome (PMS) support group. 
A) Stress management seminars. 
B) Childbirth education classes for single parents. 
C) A breast self-examination (BS
E)  pamphlet and teaching. 
D) A premenstrual syndrome (PMS) support group. D

Question 4

The nurse should be aware that a statistic widely used to compare the health status of different populations would be the:

Accepted Answer

A) Incidence of specific infections such as acquired immunodeficiency syndrome (AIDS) and tuberculosis. 
B) Infant mortality rate. 
C) Maternal morbidity rate. 
D) Incidence of low-birth-weight infants. 
A) Incidence of specific infections such as acquired immunodeficiency syndrome (AIDS) and tuberculosis. 
B) Infant mortality rate. 
C) Maternal morbidity rate. 
D) Incidence of low-birth-weight infants.

Question 5

Which health care service represents the primary level of prevention?

Accepted Answer

A) Immunizations 
B) Breast self-examination 
C) Home care for high risk pregnancies 
D) Blood pressure screening 
A) Immunizations 
B) Breast self-examination 
C) Home care for high risk pregnancies 
D) Blood pressure screening

Question 6

Clinical integration of services along the perinatal continuum of care:

Accepted Answer

A) Focuses on results,not client or provider satisfaction. 
B) Is not concerned with cost containment. 
C) Is designed to improve services and care outcomes. 
D) Focuses on the individual client. 
A) Focuses on results,not client or provider satisfaction. 
B) Is not concerned with cost containment. 
C) Is designed to improve services and care outcomes. 
D) Focuses on the individual client.

Question 7

What is the primary difference between hospital care and home health care?

Accepted Answer

A) Home care is routinely delivered continuously by professional staff. 
B) Home care is delivered on an intermittent basis by professional staff. 
C) Home care is delivered for emergency conditions. 
D) Home care is not available 24 hours a day. 
A) Home care is routinely delivered continuously by professional staff. 
B) Home care is delivered on an intermittent basis by professional staff. 
C) Home care is delivered for emergency conditions. 
D) Home care is not available 24 hours a day.

Question 8

What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful and most cost-effective on the day after discharge?

Accepted Answer

A) Visiting a pediatric screening clinic at the hospital 
B) Placing a call to the hospital nursery "warm line" 
C) Calling the pediatrician for a lactation consult referral 
D) Requesting a home visit 
A) Visiting a pediatric screening clinic at the hospital 
B) Placing a call to the hospital nursery "warm line" 
C) Calling the pediatrician for a lactation consult referral 
D) Requesting a home visit

Question 9

Which situation would be considered safe by a nurse who is making a home visit?

Accepted Answer

A) A group of teens is sitting on the stairs in front of the client's apartment. 
B) Parking is only possible 3 blocks from the client's house because no space is available in front of the house. 
C) The family dog is on a chain in the front yard. 
D) The door of the home is open when the nurse arrives. 
A) A group of teens is sitting on the stairs in front of the client's apartment. 
B) Parking is only possible 3 blocks from the client's house because no space is available in front of the house. 
C) The family dog is on a chain in the front yard. 
D) The door of the home is open when the nurse arrives.

Question 10

What is a limitation of a home postpartum visit?

Accepted Answer

A) The nurse's ability to teach is limited by many distractions. 
B) Identified problems cannot be resolved in the home setting. 
C) Necessary items for infant care are not available. 
D) Home visits to different families may require the nurse to travel a great distance. 
A) The nurse's ability to teach is limited by many distractions. 
B) Identified problems cannot be resolved in the home setting. 
C) Necessary items for infant care are not available. 
D) Home visits to different families may require the nurse to travel a great distance.

Question 11

Healthy People 2010 has established national health priorities that focus on a number of maternal-child health indicators. Nurses are assuming greater roles in assessing family health and providing care across the perinatal continuum. Therefore it is important for the nurse to be aware that significant progress has been made in:

Accepted Answer

A) The reduction of fetal deaths and use of prenatal care. 
B) Low birth weight and preterm birth. 
C) Elimination of health disparities based on race. 
D) Infant mortality and the prevention of birth defects. 
A) The reduction of fetal deaths and use of prenatal care. 
B) Low birth weight and preterm birth. 
C) Elimination of health disparities based on race. 
D) Infant mortality and the prevention of birth defects.

Question 12

In preparing for maternal home visits,nurses should be aware that:

Accepted Answer

A) The client's safety is more important than the nurse's safety. 
B) Infection control is less important at home than at the hospital. 
C) Such hospital trappings as name tags and rubber gloves are inappropriate. 
D) Nurses should wash their hands thoroughly before and after each visit. 
A) The client's safety is more important than the nurse's safety. 
B) Infection control is less important at home than at the hospital. 
C) Such hospital trappings as name tags and rubber gloves are inappropriate. 
D) Nurses should wash their hands thoroughly before and after each visit.

Question 13

Which area would be appropriate to include in a physical assessment of the home?

Accepted Answer

A) Bathtub,toilets,sinks,countertops,inside china cabinet drawers 
B) Baby's bed,changing table,baby's clothes,inside diaper bag,inside keepsake box 
C) Bedroom closets,inside jewelry boxes,under beds 
D) Electrical wall outlets,telephones,bathroom sink and faucets,stove,and refrigerator 
A) Bathtub,toilets,sinks,countertops,inside china cabinet drawers 
B) Baby's bed,changing table,baby's clothes,inside diaper bag,inside keepsake box 
C) Bedroom closets,inside jewelry boxes,under beds 
D) Electrical wall outlets,telephones,bathroom sink and faucets,stove,and refrigerator

Question 14

When weighing the advantages and disadvantages of home care for perinatal services,nurses should keep in mind that home care:

Accepted Answer

A) Is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse. 
B) Is more cost-effective for the nurse than office visits. 
C) Allows the nurse to interact with and include family members in teaching. 
D) Is made possible by the ready supply of nurses with expertise in maternity care. 
A) Is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse. 
B) Is more cost-effective for the nurse than office visits. 
C) Allows the nurse to interact with and include family members in teaching. 
D) Is made possible by the ready supply of nurses with expertise in maternity care.

Question 15

What is NOT a trend in the delivery of health care in the United States?

Accepted Answer

A) Greater emphasis has been placed on curing disease and disability than on preventing them. 
B) Hospital stays for many conditions have been shortened. 
C) Acute care increasingly is provided through home-based services. 
D) Hospital-based nurses increasingly are involved in follow-up care after discharge. 
A) Greater emphasis has been placed on curing disease and disability than on preventing them. 
B) Hospital stays for many conditions have been shortened. 
C) Acute care increasingly is provided through home-based services. 
D) Hospital-based nurses increasingly are involved in follow-up care after discharge.

Question 16

While completing an assessment,the nurse should be aware of which type of ailments for which homeless women are at higher risk (choose all that apply).

Accepted Answer

A) Tuberculosis 
B) Chlamydia 
C) Anemia 
D) Hypothermia 
E) Alcoholism
F) None of the above 
A) Tuberculosis 
B) Chlamydia 
C) Anemia 
D) Hypothermia 
E) Alcoholism
F) None of the above

Question 17

Providing various methods of health screening for early detection of disease is part of:

Accepted Answer

A) Primary preventive care 
B) Secondary preventive care 
C) Tertiary preventive care 
D) Primordial preventive care 
A) Primary preventive care 
B) Secondary preventive care 
C) Tertiary preventive care 
D) Primordial preventive care

Question 18

During an in-home visit,the nurse appropriately may:

Accepted Answer

A) Smoke if the expectant mother smokes. 
B) Ask to have the volume on the TV turned down or move to a quiet room. 
C) Give ample advice and reassurance to establish authority. 
D) Freely move whatever furniture and belongings the nurse feels necessary. 
A) Smoke if the expectant mother smokes. 
B) Ask to have the volume on the TV turned down or move to a quiet room. 
C) Give ample advice and reassurance to establish authority. 
D) Freely move whatever furniture and belongings the nurse feels necessary.

Question 19

Practices such as providing recommended immunizations,infant car seats,and school health education are part of:

Accepted Answer

A) Primary preventive care 
B) Secondary preventive care 
C) Tertiary preventive care 
D) Primordial preventive care 
A) Primary preventive care 
B) Secondary preventive care 
C) Tertiary preventive care 
D) Primordial preventive care

Question 20

A primipara delivered a 7-pound,3-ounce baby girl 10 days ago. During a home visit the nurse discovers that the baby has lost 11 ounces since birth. She suspects that the woman may be having difficulty with breastfeeding. The nurse inquires how breastfeeding is proceeding. The woman replies,"I don't think my milk is going to come in. My breasts are too big. I'm going to wait a few more days and then try to breastfeed again." The nurse asks the woman if she is bottle feeding the baby and how much formula the baby is taking every day. The woman replies,"Oh,I don't want to bottle-feed the baby. I'm just going to wait until my milk comes in."
On the basis of this information,what nursing diagnosis would take priority in planning care?

Accepted Answer

A) Pain 
B) Ineffective coping 
C) Caregiver role strain 
D) Deficient knowledge 
A) Pain 
B) Ineffective coping 
C) Caregiver role strain 
D) Deficient knowledge

Exam 3: Community and Home Care

Providing treatment and rehabilitation for people who have developed disease is part of:

When providing health education to the client,the nurse understands that an example of the secondary level of prevention is:

A health care service representing the tertiary level of prevention includes:

The nurse should be aware that a statistic widely used to compare the health status of different populations would be the:

Which health care service represents the primary level of prevention?

Clinical integration of services along the perinatal continuum of care:

What is the primary difference between hospital care and home health care?

What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful and most cost-effective on the day after discharge?

Which situation would be considered safe by a nurse who is making a home visit?

What is a limitation of a home postpartum visit?

In preparing for maternal home visits,nurses should be aware that:

Which area would be appropriate to include in a physical assessment of the home?

When weighing the advantages and disadvantages of home care for perinatal services,nurses should keep in mind that home care:

What is NOT a trend in the delivery of health care in the United States?

While completing an assessment,the nurse should be aware of which type of ailments for which homeless women are at higher risk (choose all that apply).

Providing various methods of health screening for early detection of disease is part of:

During an in-home visit,the nurse appropriately may:

Practices such as providing recommended immunizations,infant car seats,and school health education are part of:

Contemporary Maternity Nursing

The Family and Culture

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,cultural and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Disability and End of Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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