COMMUNITY HEALTH NURSING IN
CANADA 3RD EDITION STANHOPE
REVIEW QUESTION SET WITH ACCURATE
ANSWERS
◉ 1. The minimum requirements for entry into home care
practice should be:
a. baccalaureate in nursing.
b. baccalaureate in nursing and clinical nurse specialist (CNS)
certification.
c. master's in nursing.
d. master's in nursing and CNS certification.
Answer: ANS: A
Nurses come to home care from a variety of educational and
practice backgrounds. Home care nurses should be educated to
function at a high level of competency so that they can be relied
on not only by their professional colleagues but also by the
community. A baccalaureate degree in nursing should be the
minimum requirement for entry into professional practice in any
community health setting, including home care.
,Cognitive Level: Comprehension
Associated Chapter Objective: 3
REF: pp. 901-902
◉ 2. A home health nurse is charged with identifying
opportunities for health promotion and illness primary
prevention. The activity that bests demonstrate this focus is:
a. collaborating with the chaplain to address the spiritual needs of
a hospice patient.
b. educating a school nurse on the care regime of a returning
student newly diagnosed with asthma.
c. referring a newly diagnosed diabetic patient to the nutritionist
for dietary teaching.
d. tracking the immunization status of patients.
Answer: ANS: D
Immunizations prevent disease, a function of primary prevention.
Patients requiring home health care may be more at risk of
complications of diseases like influenza and pneumonia. Keeping
immunizations current is a critical aspect of health promotion and
illness primary prevention for these patients. Home health
nursing involves the same primary prevention focus in the care of
aggregates as does other community-oriented nursing. It also
requires a focus on secondary and tertiary prevention in the care
,of individuals in collaboration with the family and other
caregivers.
Cognitive Level: Application
Associated Chapter Objective: 2
REF: p. 887
◉ 3. To promote quality improvement, the documented plan of
care for an elderly home care patient should include which of the
following?
a. Listing of community resources available to meet the patient's
needs
b. Expected patient outcomes for each identified problem or
diagnosis
c. Formulated nursing diagnosis
d. Objective physical assessment data
Answer: ANS: B
Setting short- and long-term goals provides criteria for evaluation,
and increases continuity of care and the potential for improved
outcomes.
Cognitive Level: Analysis
, Associated Chapter Objective: 5
REF: p. 898
◉ 4. Hospice care would be an appropriate option to discuss with
which of the following patients?
a. Patient with stage II lung cancer who is undergoing
chemotherapy
b. Patient with early Alzheimer's disease whose caregiver needs
respite care
c. Patient with metastatic breast cancer who has discontinued
chemotherapy and radiation treatment
d. Patient with severe debilitating osteoporosis
Answer: ANS: C
The criterion for entry into hospice care is that the disease
process or condition has progressed to the point that further
treatment cannot cure and death within 6 months would not be
unexpected. This does not mean that the patient will die within
the next 6 months, only that if death occurred, it would not have
been unexpected. Hospice care services can be provided in the
home and/or institutional setting. Multidisciplinary teams have
the knowledge, skill, compassion, and experience to address the
unique needs of the patient at the end of life as well as the needs
of his or her family.
CANADA 3RD EDITION STANHOPE
REVIEW QUESTION SET WITH ACCURATE
ANSWERS
◉ 1. The minimum requirements for entry into home care
practice should be:
a. baccalaureate in nursing.
b. baccalaureate in nursing and clinical nurse specialist (CNS)
certification.
c. master's in nursing.
d. master's in nursing and CNS certification.
Answer: ANS: A
Nurses come to home care from a variety of educational and
practice backgrounds. Home care nurses should be educated to
function at a high level of competency so that they can be relied
on not only by their professional colleagues but also by the
community. A baccalaureate degree in nursing should be the
minimum requirement for entry into professional practice in any
community health setting, including home care.
,Cognitive Level: Comprehension
Associated Chapter Objective: 3
REF: pp. 901-902
◉ 2. A home health nurse is charged with identifying
opportunities for health promotion and illness primary
prevention. The activity that bests demonstrate this focus is:
a. collaborating with the chaplain to address the spiritual needs of
a hospice patient.
b. educating a school nurse on the care regime of a returning
student newly diagnosed with asthma.
c. referring a newly diagnosed diabetic patient to the nutritionist
for dietary teaching.
d. tracking the immunization status of patients.
Answer: ANS: D
Immunizations prevent disease, a function of primary prevention.
Patients requiring home health care may be more at risk of
complications of diseases like influenza and pneumonia. Keeping
immunizations current is a critical aspect of health promotion and
illness primary prevention for these patients. Home health
nursing involves the same primary prevention focus in the care of
aggregates as does other community-oriented nursing. It also
requires a focus on secondary and tertiary prevention in the care
,of individuals in collaboration with the family and other
caregivers.
Cognitive Level: Application
Associated Chapter Objective: 2
REF: p. 887
◉ 3. To promote quality improvement, the documented plan of
care for an elderly home care patient should include which of the
following?
a. Listing of community resources available to meet the patient's
needs
b. Expected patient outcomes for each identified problem or
diagnosis
c. Formulated nursing diagnosis
d. Objective physical assessment data
Answer: ANS: B
Setting short- and long-term goals provides criteria for evaluation,
and increases continuity of care and the potential for improved
outcomes.
Cognitive Level: Analysis
, Associated Chapter Objective: 5
REF: p. 898
◉ 4. Hospice care would be an appropriate option to discuss with
which of the following patients?
a. Patient with stage II lung cancer who is undergoing
chemotherapy
b. Patient with early Alzheimer's disease whose caregiver needs
respite care
c. Patient with metastatic breast cancer who has discontinued
chemotherapy and radiation treatment
d. Patient with severe debilitating osteoporosis
Answer: ANS: C
The criterion for entry into hospice care is that the disease
process or condition has progressed to the point that further
treatment cannot cure and death within 6 months would not be
unexpected. This does not mean that the patient will die within
the next 6 months, only that if death occurred, it would not have
been unexpected. Hospice care services can be provided in the
home and/or institutional setting. Multidisciplinary teams have
the knowledge, skill, compassion, and experience to address the
unique needs of the patient at the end of life as well as the needs
of his or her family.
