“ COMMUNITY HEALTH NURSING EXAM
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Community Health Nursing Exam
A rural community health nurse has made sure that community healthcare
worker are involved in the health department's migrant worker outreach
program. The nurse believes this intervention strategy is important because
the nurse knows that such individuals can be:
1. influential with their insider status to engage community members.
2. translators to help overcome language barriers.
3. natural healers within their community.
4. medical professionals within the migrant community.
1. influential with their insider status to engage community members.
The nurse in community health defines goals and measurable objectives
during the planning phase of a community health intervention. This also marks
the beginning of the:
1. problem analysis.
2. needs assessment.
3. evaluation phase.
4. implementation phase.
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3. evaluation phase.
Which of the following best support the concept of community-oriented
nursing practice? (Select all that apply.)
1. Wound care for a homebound individual
2. Nutrition education programs for teenagers and their families
3. Hospice home care for a terminally ill individual and family
4. Direct nursing care of individuals with tuberculosis (TB)
5. Nursing interventions to stop elder abuse
2. Nutrition education programs for teenagers and their families
4. Direct nursing care of individuals with tuberculosis (TB)
5. Nursing interventions to stop elder abuse
A community health nurse involved in care management would most likely:
1. manage the staff at a free clinic.
2. monitor the health status, resources, and outcomes for an aggregate.
3. develop, conduct, and evaluate health teaching programs in primary care.
4. provide immunizations to migrant workers.
2. monitor the health status, resources, and outcomes for an aggregate.
When acting as a mediator, the nurse advocate would:
1. choose a new health plan for a client with limited funds.
2. set up a doctor's appointment for an illiterate adult.
3. provide health education to teens who need knowledge about sexually
transmitted diseases.
4. assist new parents in communicating with their health plan regarding well-
baby coverage.
4. assist new parents in communicating with their health plan regarding well-baby
coverage.
Mediation is an activity in which a third party attempts to provide assistance to those
who may be experiencing a conflict in obtaining what they desire. The goal of the
nurse advocate as mediator is to help parties understand each other on many levels
so that agreement on an action is possible.
A parent involved in conflict resolution with her teenager says, "I know that
some of your friends stay out until midnight, but I think it is best if you are in
at 10 o'clock." This statement, a behavior seen in conflict situations, is an
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example of:
1. cooperation.
2. negotiation.
3. aggressiveness.
4. assertiveness.
4. assertiveness.
A case manager is concerned that some of the clients at the neighborhood
clinic are getting fewer services because of their financial situations. The case
manager is confronting the ethical principle of:
1. beneficence.
2. justice.
3. deontology.
4. veracity.
1. beneficence.
A community health nurse is working with an uninsured family with two
children. The nurse assists the parents in applying for SCHIP benefits and
securing an appointment for the children with a community pediatrician that
participates in SCHIP. The intervention can best be described as:
1. continuity of care.
2. care management.
3. disease management.
4. case management.
4. case management.
A nurse working with a Hispanic client explains the referral options available
for the client to receive a mammogram. One option is free and has limited
Spanish language resources. The other option has a nominal fee and
comprehensive Spanish language resources. The nurse supports the client's
decision to choose the provider that the client feels would best meet her
needs. This advocacy role is best described as:
1. promoter.
2. mediator.
3. intercessor.
4. obstructer.
1. promoter.
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In case management, it is unlikely that any single professional has the
expertise, knowledge, or skills required to achieve success. The synergy
produced by all involved parties (client, providers, payers, family/significant
others, and community organizations) can result in successful outcomes. This
statement relates to the sequential process of:
1. cooperation.
2. communication.
3. collaboration.
4. negotiation.
3. collaboration.
A nurse performing home hospice case management notes the increasing
number of hospice clients that lack caregivers in the home environment. The
nurse identifies the potential need for a hospice house facility to meet the
needs of these clients. The case management process frequently reveals such
larger picture issues as: (Select all that apply.)
1. community weaknesses in quality of services.
2. community satisfaction.
3. community conflict-resolution skills.
4. community cost concerns.
5. community weaknesses in quantity of services.
1. community weaknesses in quality of services.
5. community weaknesses in quantity of services.
During a home visit, a case manager for a community health center notes
marked pitting edema, shortness of breath, and increased fatigue in a 52-year-
old male client who lives alone. The client is admitted to the hospital, where he
is diagnosed with congestive heart failure. The case manager works with the
hospital's utilization manager to devise a discharge plan. What are the case
manager's most logical next steps? (Select all that apply.)
1. Research the client's health care coverage and its provisions.
2. Reassess the client at discharge to ensure needed care is not overlooked.
3. Identify and arrange for the resources to provide needed services.
4. Gather information on local support groups.
5. Discuss with the family their ability to provide daily visits to the client.