,1. A home health nurse arrives at a home for an appointment, but no one answers. A teenager
eventually comes out and says, "My mom said she couldn't see you and you should go away."
Which action should the nurse take?
A) Demand the teenager allow entry to talk to the mother.
B) Interview the teenager about how the family is doing.
C) Leave a card with contact information and depart.
D) Inform the teenager that the mother is legally required to be seen.
Correct Answer: Leave a card with contact information and depart.
Rationale: The family has terminated the contact, so the nurse cannot force entry. However, the
nurse should leave a card to maintain the possibility of future contact. It would be inappropriate
to coerce a child with misinformation or interview them without a parent present .
2. A home health nurse is preparing to leave after a first visit with teenage parents and their
new baby. Which action should the nurse perform before leaving?
A) Determine the family's willingness for another home visit.
B) Establish the purpose of the visit.
C) Review the family's learning and accomplishments during the visit.
D) Review the family's medical record and reason for referral.
Correct Answer: Review the family's learning and accomplishments during the visit.
Rationale: During the termination phase of a home visit, the nurse should summarize the visit's
accomplishments and review what was learned. This step occurs after the visit's purpose and
pre-visit planning have been completed .
,3. A nurse notes an unusually high prevalence of sexually transmitted infections among teens in
the community. Which action best describes a secondary prevention strategy?
A) Conducting a sexual behavior survey with the adolescents.
B) Establishing in-school education about infection transmission.
C) Providing free condoms at schools and universities.
D) Providing follow-up educational programs for those diagnosed with an STI.
Correct Answer: Conducting a sexual behavior survey with the adolescents.
Rationale: Secondary prevention involves screening and early detection. Conducting a survey to
assess sexual behaviors is a screening activity. Education and condom distribution are primary
prevention, while follow-up for those diagnosed is tertiary .
4. A family asks the nurse to meet at their home rather than at the clinic. Which of the following
is an advantage of a home visit for the family? (Select all that apply.)
A) The family does not have to travel to the clinic.
B) It is cheaper for the family because of reimbursement requirements.
C) Meeting at home is much more convenient for the family.
D) The nurse won't be distracted by other clients or responsibilities.
E) It saves money for the nurse and the clinic.
Correct Answer: The family does not have to travel to the clinic. / Meeting at home is much
more convenient for the family.
Rationale: Home visits are advantageous for the family because they are convenient and
eliminate the need to travel. However, home visits are expensive for the agency due to travel
costs, and nurses can be distracted regardless of setting .
, 5. The frequency and intensity of home visits to a family are determined by several factors.
Which of the following may help determine the number of home visits made? (Select all that
apply.)
A) The agency's policies regarding eligibility for services.
B) The family's feelings about the home visit and willingness to continue.
C) The nurse's perception of the amount of time needed to complete required tasks.
D) Reimbursement policies of third-party payers.
E) The family's perception of need.
Correct Answer: The agency's policies regarding eligibility for services. / The family's feelings
about the home visit and willingness to continue. / Reimbursement policies of third-party
payers.
Rationale: Visit frequency varies based on family needs, agency policies, and reimbursement
guidelines. While the family's perception of need is relevant, it is not the only factor. The nurse's
ideal time is often secondary to other constraints .
6. What is the premise of "contracting" with a family in community health nursing?
A) The nurse establishes all goals for the family.
B) The family has control and it increases their ability to make healthy choices.
C) The nurse and family equally share decision-making power.
D) The agency determines the interventions required.
Correct Answer: The family has control and it increases their ability to make healthy choices.
Rationale: Contracting involves making an agreement through a shared effort. The premise of
contracting is family control, which is assumed to increase their ability to make healthful choices
.
eventually comes out and says, "My mom said she couldn't see you and you should go away."
Which action should the nurse take?
A) Demand the teenager allow entry to talk to the mother.
B) Interview the teenager about how the family is doing.
C) Leave a card with contact information and depart.
D) Inform the teenager that the mother is legally required to be seen.
Correct Answer: Leave a card with contact information and depart.
Rationale: The family has terminated the contact, so the nurse cannot force entry. However, the
nurse should leave a card to maintain the possibility of future contact. It would be inappropriate
to coerce a child with misinformation or interview them without a parent present .
2. A home health nurse is preparing to leave after a first visit with teenage parents and their
new baby. Which action should the nurse perform before leaving?
A) Determine the family's willingness for another home visit.
B) Establish the purpose of the visit.
C) Review the family's learning and accomplishments during the visit.
D) Review the family's medical record and reason for referral.
Correct Answer: Review the family's learning and accomplishments during the visit.
Rationale: During the termination phase of a home visit, the nurse should summarize the visit's
accomplishments and review what was learned. This step occurs after the visit's purpose and
pre-visit planning have been completed .
,3. A nurse notes an unusually high prevalence of sexually transmitted infections among teens in
the community. Which action best describes a secondary prevention strategy?
A) Conducting a sexual behavior survey with the adolescents.
B) Establishing in-school education about infection transmission.
C) Providing free condoms at schools and universities.
D) Providing follow-up educational programs for those diagnosed with an STI.
Correct Answer: Conducting a sexual behavior survey with the adolescents.
Rationale: Secondary prevention involves screening and early detection. Conducting a survey to
assess sexual behaviors is a screening activity. Education and condom distribution are primary
prevention, while follow-up for those diagnosed is tertiary .
4. A family asks the nurse to meet at their home rather than at the clinic. Which of the following
is an advantage of a home visit for the family? (Select all that apply.)
A) The family does not have to travel to the clinic.
B) It is cheaper for the family because of reimbursement requirements.
C) Meeting at home is much more convenient for the family.
D) The nurse won't be distracted by other clients or responsibilities.
E) It saves money for the nurse and the clinic.
Correct Answer: The family does not have to travel to the clinic. / Meeting at home is much
more convenient for the family.
Rationale: Home visits are advantageous for the family because they are convenient and
eliminate the need to travel. However, home visits are expensive for the agency due to travel
costs, and nurses can be distracted regardless of setting .
, 5. The frequency and intensity of home visits to a family are determined by several factors.
Which of the following may help determine the number of home visits made? (Select all that
apply.)
A) The agency's policies regarding eligibility for services.
B) The family's feelings about the home visit and willingness to continue.
C) The nurse's perception of the amount of time needed to complete required tasks.
D) Reimbursement policies of third-party payers.
E) The family's perception of need.
Correct Answer: The agency's policies regarding eligibility for services. / The family's feelings
about the home visit and willingness to continue. / Reimbursement policies of third-party
payers.
Rationale: Visit frequency varies based on family needs, agency policies, and reimbursement
guidelines. While the family's perception of need is relevant, it is not the only factor. The nurse's
ideal time is often secondary to other constraints .
6. What is the premise of "contracting" with a family in community health nursing?
A) The nurse establishes all goals for the family.
B) The family has control and it increases their ability to make healthy choices.
C) The nurse and family equally share decision-making power.
D) The agency determines the interventions required.
Correct Answer: The family has control and it increases their ability to make healthy choices.
Rationale: Contracting involves making an agreement through a shared effort. The premise of
contracting is family control, which is assumed to increase their ability to make healthful choices
.
