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Highest Answer Letter: E
Multiple Keywords in Same Paragraph: No
Chapter: Chapter 02: Community-Based Nursing Practice
Multiple Choice
1. A community health nurse has scheduled a hypertension clinic. This service would be an
example of which type of health care?
A) Tertiary prevention
B) Secondary prevention
C) Primary prevention
D) Disease prevention
Ans: B
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 15, Community-Based Care
Feedback: Secondary prevention centers on health maintenance are aimed at early detection and
prevention. Disease prevention is not a form of health care but is a focus with primary
prevention.
, 2. The nursing instructor is preparing her students for their home-care rotation. She discusses
the patients that they are likely to care for in the home. Which of the following are the most
frequent users of home care services?
A) Disabled patients
B) Chronically ill patients
C) Terminally ill patients
D) Elderly patients
Ans: D
Chapter: 2
Client Needs: A-1
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Caring
Objective: 5
Page and Header: 16, Home Health Care
Feedback: The elderly are the most frequent users of home care services. The patient must be
acutely ill, home bound, and in need of skilled nursing services to be eligible for this service. The
other answers are incorrect because it is the elderly who are seen most frequently in the home
health setting.
3. Patients' lifestyles in the home may vary greatly from the nurse's own beliefs. To work
successfully with the patient, what must the nurse do?
A) Ask for another assignment if there is a conflict of interest
B) Ask the patient to come to the agency to receive treatment
C) Convey respect for the patient's beliefs
D) Adapt the patient's home to a hospital-like environment
Ans: C
Chapter: 2
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Caring
Objective: 5
Page and Header: 16, Home Health Care
Feedback: To work successfully with patients in any setting, the nurse must be nonjudgmental
and convey respect for patients' beliefs, even if they differ sharply from the nurse's. This can be