Question 1

The nurse is visiting a patient who lives in a single-room occupancy hotel. The patient requires wound care and medication management. There is no running water in the room, and the bathroom down the hall is in disrepair and filthy. The patient's room is not clean. Which supplies would be essential for the nurse to bring with him when visiting this client?

Accepted Answer

A) All wound care supplies needed for the duration of the care 
B) Reclosable plastic bags for disposal of old dressings 
C) Small, biohazard sharps container to be left in the room 
D) Waterless, antibacterial hand sanitizer solution

Question 2

Which of the following is a primary intervention? Select all that apply.

Accepted Answer

A) Immunization of college-bound students against meningitis 
B) Safer sex education for high school students 
C) Lobbying for health education in the schools 
D) Tuberculosis (T
B)  screening via purified protein derivative (PP
D)  testing 
E) Cardiac rehabilitation for post-operative patients

Question 3

Which activity by the student nurse indicates an understanding regarding secondary prevention?

Accepted Answer

A) Educating high school students about sexually transmitted infection (STI) prevention 
B) Providing a screening for scoliosis for high school athletes 
C) Lobbying congress regarding cancer treatment coverage for the uninsured 
D) Referring a terminally ill patient for hospice care

Question 4

Today is the last day of work on the medical-surgical unit for a nurse who has decided to work in home care. A patient asks her why the nurse is leaving to work in home care. Select a response that best illustrates the advantages of home care.

Accepted Answer

A) "Care is much more comprehensive and unhurried in the home; it is more enjoyable for nurses to work in home care." 
B) "Home care is much more organized than hospital care; you have access to the whole team, and there is less interference from others." 
C) "A home health nurse has more autonomy and skills than a hospital nurse does; I'll get to do more." 
D) "In home care, I can see my patients in their personal environment; this will help me understand them more and allow me to give personalized care."

Question 5

A community health nurse planning a new program for teen pregnancy prevention designs a community assessment covering the structure of the target. Which of the following areas would be included?

Accepted Answer

A) Number of residential and commercial buildings 
B) Demographic data of residents in the community 
C) Morbidity and mortality rates of the population 
D) Common strategies for conflict resolution

Question 6

Which of the following groups represents a vulnerable population? Select all that apply.

Accepted Answer

A) Homeless persons with no known illnesses 
B) Women who have experienced domestic violence 
C) Ninth grade students at the local high school 
D) Persons with type 1 diabetes mellitus 
E) An elderly individual with heart failure

Question 7

A community health nurse is evaluating the current health programs in the community. Which of these outcomes would indicate a healthy community?

Accepted Answer

A) Ninety percent of members report adequate access to primary care services. 
B) Immunization services are available at hospitals and clinics. 
C) Affordable housing in the community is under construction. 
D) Mortality rates have been stable over the past 5 years.

Question 8

A family caregiver is learning to administer insulin injections to a homebound family member. Which would the nurse advise the caregiver to do with the used needles?

Accepted Answer

A) "Discard the needle and syringe in a thick plastic milk jug with a lid." 
B) "Securely recap them and place them in a paper bag in the household trash." 
C) "Remove the needle and put it in a coffee can with a lid; put the syringe in the trash." 
D) "Do not recap the needle; break it by bending it on the tabletop."

Question 9

Documentation in home healthcare may take many forms. Some nurses use NANDA-I terminology for diagnoses, whereas others use the Clinical Care Classification (CCC) system. The chief benefit of the CCC system is that it:

Accepted Answer

A) Contains diagnoses specific to home care, whereas NANDA-I does not. 
B) Is simpler to use and more readily understood by other disciplines. 
C) Is linked to the OASIS (Online Acquittal Support Information System) reporting forms required by Medicare. 
D) Uses standardized terminology, whereas NANDA-I does not.

Question 10

Which type of nursing has a focus on the community as a whole and the health status of individuals as an aggregate?

Accepted Answer

A) School nursing 
B) Community health nursing 
C) Community-oriented nursing 
D) Public health nursing

Question 11

Which of the following interventions has a public health focus? Select all that apply.

Accepted Answer

A) Controlling the blood sugar of a diabetic client with cardiovascular disease 
B) Assisting with the launch of an after-school program in a high-crime neighborhood 
C) Providing an influenza vaccination program for seniors and persons with chronic illness 
D) Offering counseling to the family of a child with severe cognitive deficits 
E) Providing food nutrition classes to obese adults in a rural area

Exam 43: Community Home Health Nursing