C HAPTER 3: C OMMUNITY -B ASED N URSING
P RACTICE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. One of the overall goals of Healthy People 2010 is to:
A. Increase life expectancy
B. Decrease health care costs
C. Promote managed care organizations
D. Establish the credentials of service provid ers
ANS: A
The overall goals of Healthy People 2010 are to increase the life
expectancy and quality of life and to eliminate health disparities. The
initiative of Healthy People 2010 is to improve the delivery of health
care services to the general publi c. The overall goal did not focus on
reducing health care costs. Although managed care organizations may
increase in number, this was not a goal of the Healthy People 2010
initiative. Establishing the credentials of care providers was not a goal
of Healthy People 2010.
DIF: A REF: 33 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Health Promotion and Maintenance
,2. When assessing members of a vulnerable population, the communit y
health nurse should realize that the pr imary need is to:
A. Provide culturall y competent assessment.
B. Organize in your mind exactl y what you need to ask.
C. Create a comfortable, nonthreatening environment.
D. Be alert for indications of mental and physical abuse.
ANS: C
In order to be successful in as sessing a member of a vulnerable
population, the nurse must first create an environment that is
encourages the client to cooperate with and activel y participate in the
assessment process While it is important that the nurse be cultural
considerate of the client, it is not the primary need of those offered as
options.
While organization to thought is important to the effective use of time
needed for an assessment, it is not the primary need of those offered as
options. While vulnerable populations may be mor e susceptible to both
mental and physical abuse making observation for signs of abuse
important, it is not the primary need of those offered as options
DIF: C REF: 35 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Healt h
Promotion and Maintenance
3. The nurse working in a free clinic often utilized by Hispanic immigrants
is assessing a client who reports a cough and malaise. The client is
hearing impaired, speaks very little English and is currentl y living in a
homeless shelter. The nurses primary concerns should be the clients:
A. Language barrier
, B. Risk for tuberculosis
C. Hearing impairment
D. Lack of health care resources
ANS: B
Risk for tuberculosis presents the greatest risk since it is supported by
the physical signs, is high l y contagious and a risk factor among the
homeless and some immigrant populations. The language barrier is a
concern since it impacts the communication between the nurse and the
client but it is not the primary concern among the options offered. The
clients hearing impairment is a concern because it has an impact on the
communication between the nurse and the client but it is not the
primary concern among the options offered. The clients lack of
insurance is a concern because it affects the treatment plan n ecessary
for the clients recovery, but it is not the primary concern among the
options offered.
DIF: C REF: 36 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance
4. A nurse is planning interve ntions for the clients of a homeless shelter.
Which of the activities represents a primary level intervention regarding
sexuall y transmitted diseases?
A. HIV screening for all residents
B. Sex education for teenage residents
C. Treatment for residents diagnosed wit h AIDS
D. Gynecological referrals for female residences
P RACTICE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. One of the overall goals of Healthy People 2010 is to:
A. Increase life expectancy
B. Decrease health care costs
C. Promote managed care organizations
D. Establish the credentials of service provid ers
ANS: A
The overall goals of Healthy People 2010 are to increase the life
expectancy and quality of life and to eliminate health disparities. The
initiative of Healthy People 2010 is to improve the delivery of health
care services to the general publi c. The overall goal did not focus on
reducing health care costs. Although managed care organizations may
increase in number, this was not a goal of the Healthy People 2010
initiative. Establishing the credentials of care providers was not a goal
of Healthy People 2010.
DIF: A REF: 33 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Health Promotion and Maintenance
,2. When assessing members of a vulnerable population, the communit y
health nurse should realize that the pr imary need is to:
A. Provide culturall y competent assessment.
B. Organize in your mind exactl y what you need to ask.
C. Create a comfortable, nonthreatening environment.
D. Be alert for indications of mental and physical abuse.
ANS: C
In order to be successful in as sessing a member of a vulnerable
population, the nurse must first create an environment that is
encourages the client to cooperate with and activel y participate in the
assessment process While it is important that the nurse be cultural
considerate of the client, it is not the primary need of those offered as
options.
While organization to thought is important to the effective use of time
needed for an assessment, it is not the primary need of those offered as
options. While vulnerable populations may be mor e susceptible to both
mental and physical abuse making observation for signs of abuse
important, it is not the primary need of those offered as options
DIF: C REF: 35 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Healt h
Promotion and Maintenance
3. The nurse working in a free clinic often utilized by Hispanic immigrants
is assessing a client who reports a cough and malaise. The client is
hearing impaired, speaks very little English and is currentl y living in a
homeless shelter. The nurses primary concerns should be the clients:
A. Language barrier
, B. Risk for tuberculosis
C. Hearing impairment
D. Lack of health care resources
ANS: B
Risk for tuberculosis presents the greatest risk since it is supported by
the physical signs, is high l y contagious and a risk factor among the
homeless and some immigrant populations. The language barrier is a
concern since it impacts the communication between the nurse and the
client but it is not the primary concern among the options offered. The
clients hearing impairment is a concern because it has an impact on the
communication between the nurse and the client but it is not the
primary concern among the options offered. The clients lack of
insurance is a concern because it affects the treatment plan n ecessary
for the clients recovery, but it is not the primary concern among the
options offered.
DIF: C REF: 36 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance
4. A nurse is planning interve ntions for the clients of a homeless shelter.
Which of the activities represents a primary level intervention regarding
sexuall y transmitted diseases?
A. HIV screening for all residents
B. Sex education for teenage residents
C. Treatment for residents diagnosed wit h AIDS
D. Gynecological referrals for female residences
