Question 1

A nurse executive is managing a nursing center.Which of the following would be an expected responsibility of a nurse in this role?

Accepted Answer

A)   Managing the business operations
B)   Managing the data systems
C)   Providing patient care and referral
D)   Overseeing contracts and grants D

Question 2

A nurse is performing the role of researcher in a nurse center.Which of the following types of data would most likely be collected by a nurse in this setting? (Select all that apply.)

Accepted Answer

A)   Client use of services
B)   Trends in community characteristics
C)   Staff compliance with HIPAA
D)   Client satisfaction
E)   Morbidity rates A,B,D

Question 3

A nurse is examining the strengths,limitations,and capacity of an organization and the community to support the establishment and viability of a nursing center.Which of the following best describes what the nurse has completed?

Accepted Answer

A)   Data collection
B)   Feasibility study
C)   Focus groups
D)   Community forums B

Question 4

What was the overarching concept upon which Healthy People 2020 was built?

Accepted Answer

A)   Establish nursing centers for the purpose of health promotion
B)   Create partnerships among individuals, communities, and systems
C)   Eliminate disease in lesser-developed countries
D)   Further the agenda of the World Health Organization (WHO)

Question 5

A community health center conducts blood lead screenings on a regular basis for children under 6 years old.Which of the following best describes the level of prevention that is being used?

Accepted Answer

A)   Tertiary prevention
B)   Primary prevention
C)   Secondary prevention
D)   Health education

Question 6

A nursing faculty member is discussing the importance of joining a professional organization as a registered nurse with a group of undergraduate students.Which of the following statements would be most appropriate for the faculty member to include in this discussion?

Accepted Answer

A)   "All nurses should be members of the American Nurses Association."
B)   "Membership in a professional organization helps nurses organize around critical health issues."
C)   "Dues for professional organizations are expensive, so it is important to set aside money to pay these dues."
D)   "Membership in a professional organization will foster change in legislation."

Question 7

A nurse executive reports that the nursing center receives reimbursement through contracted rates.Which of the following types of reimbursement mechanism is being used?

Accepted Answer

A)   Fee-for-service
B)   Federally Qualified Health Center (FQH
C)  
C)   HMO provider
D)   Third-party reimbursement

Question 8

Individuals,families,groups,organizations,policy makers,and staff who are involved in community collaboration are known as:

Accepted Answer

A)   nursing center workers.
B)   policy makers.
C)   stakeholders.
D)   diversity.

Question 9

A nurse is using the Health Insurance Portability and Accountability Act (HIPAA).Which of the following situations is the nurse most likely in?

Accepted Answer

A)   Counseling an employee that his insurance will remain the same after changing jobs
B)   Supervising staff to ensure that all work has been completed
C)   Adhering to client confidentiality when providing care
D)   An employee takes additional time off of work to care for a sick family member

Question 10

A nursing center is going to be placed in a rural community.Which of the following would have the most power and influence on model development and team composition?

Accepted Answer

A)   The rural community
B)   The mayor
C)   The nursing executive
D)   The center's staff

Question 11

A nurse working at a nursing center has been asked to develop materials about a health promotion topic that can be used at the center.Which of the following topics would the nurse most likely select?

Accepted Answer

A)   Advanced care of the chronically ill elderly at home
B)   Smoking cessation and weight management techniques
C)   How to access specialty services
D)   Providing financial support for nursing students

Question 12

Which type of nursing center actively integrates service,education,and research in its model?

Accepted Answer

A)   Special care
B)   Free-standing
C)   Fee-for-service
D)   Academic

Question 13

A nurse needs to make the final decision about establishing a nursing center in the local community.Which of the following factors would be the most important for the nurse to consider?

Accepted Answer

A)   Legal and regulatory considerations
B)   Community involvement
C)   Nursing interest
D)   Potential grant funding

Question 14

A nurse develops a plan to describe the development and direction of the nursing center and identifies how the center will meet its goals.Which of the following best describes this plan?

Accepted Answer

A)   Feasibility study
B)   Business plan
C)   Strategic plan
D)   Organizational framework

Question 15

A nurse executive publishes information about the effectiveness of a prenatal program.Which of the following describes this essential step of evaluation of this program?

Accepted Answer

A)   Focusing on design
B)   Engaging stakeholders
C)   Ensuring use and sharing lessons learned
D)   Gathering credible evidence

Question 16

Which term addresses the multiple levels of intervention required for bringing about and sustaining change?

Accepted Answer

A)   Community collaboration
B)   Community assessment
C)   Strategic planning
D)   Partnership

Question 17

A nurse would like to improve the ability of the nursing center to be responsive to the needs of the community.Which of the following best describes how this can be accomplished?

Accepted Answer

A)   Having staff examine the needs of the community
B)   Determining the services to be provided by the center
C)   Involving the community in assessing its own needs
D)   Addressing the problems in the community

Question 18

Which characteristic is common among all nursing centers?

Accepted Answer

A)   Provision of community-based culturally competent care
B)   Services provided by physicians and health care providers
C)   Focus on the biological factors contributing to the development of disease
D)   Fee-for-service reimbursement model

Question 19

A nurse is presenting information to community members about the potential development of a retail care clinic in the neighborhood.Which of the following information would the nurse include in this presentation?

Accepted Answer

A)   These clinics are typically staffed by physicians.
B)   These clinics are usually located in community centers.
C)   These clinics focus on providing information related to health promotion.
D)   These clinics are often owned by for-profit organizations.

Question 20

A nurse is working with a group and would like to facilitate successful collaboration.Which of the following would be the most important factor for the nurse to consider?

Accepted Answer

A)   Focus of the group
B)   Planned change that will occur
C)   Decisions made by executive director
D)   Open and frequent communication

Exam 21: The Nurse-led Health Center: A Model for Community Nursing Practice