NSG3480 EXAM 3 (Latest )
Nursing Practice – Community Health
100% Correct Questions & Answers – Galen
A nurse arrives at a home at the appointment time established with the client over the
phone. However, no one answers the door. Finally, a teenager comes out and says, "My
mom said she couldn't see you and you should go away." Which of the following actions
should be taken by the nurse?
A. Demand the teen let the nurse into the home to talk to the mother.
B. Interview the child as to how the family is doing.
C. Leave a card with information on how to get in touch with the nurse.
D. Point out that legally once an appointment has been made the mother needs to be
seen. - Correct answer ANS: C. Leave a card with information on how to get in touch
with the nurse.
Rationale: The contact may be terminated as requested if the nurse determines that
either the situation has been resolved or the services have been obtained from
another source and if the family understands that services are available and how to
,contact the agency if desired. However, the nurse should leave open the possibility of
future contact. Obviously, the nurse cannot force entrance into the home. It would not
be appropriate to coerce a child with misinformation or to interview a child about
health concerns without a parent being present.
A home health nurse is preparing to terminate the first home visit with teenage
parents and their new baby. Which of the following actions will the nurse take 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 other accomplishments of the visit.
D. Review the family record and reason for referral. - Correct answer ANS: C. Review
the family's learning and other accomplishments of the visit.
Rationale: During the termination phase, the nurse reviews the visit with the family,
summarizes what has occurred and what has been accomplished, and may make plans
for future visits. The incorrect options listed occur during the previsit phase.
,During which phase of the home visit does the nurse document what was
accomplished?
A. Previsit phase
B. In-home phase
C. Termination phase
D. Postvisit phase - Correct answer ANS: D. Postvisit phase
Rationale: A major task of the postvisit phase is documenting the visit and services
provided. Major tasks of the pre-visit phase are to initiate contact with the family and
schedule the home visit. During the in-home phase, the nurse-client relationship is
established. During the termination phase, the visit is reviewed with the family and
plan for future visits is made.
A nurse has just witnessed the signing of an agreement between two parents in which
the parents pledge not to yell at each other in the presence of their children. Which of
the following is being demonstrated through this action?
, A. Contracting
B. Family crisis
C. Empowerment
D. Health risk reduction - Correct answer ANS: A. Contracting
Rationale: Contracting is making an agreement between those involved in a shared
effort by both nurse and family. The premise of contracting is family control. It is
assumed that when the family has legitimate control, their ability to make healthful
choices is increased. A family crisis occurs when the family is not able to cope with an
event and becomes disorganized or dysfunctional. Making a pledge through contracting
is a way to cope with a family crisis. Empowerment reflects a family seeking help with
access and control over needed resources, decision-making and problem-solving
abilities, and the ability to communicate and to obtain needed resources. The pledge
does not address the multiple components of empowerment. Health risk reduction is
based on the assumption that decreasing the number or the magnitude of risks will
decrease the probability of an undesired event occurring. The pledge does not address
multiple health risks.
Nursing Practice – Community Health
100% Correct Questions & Answers – Galen
A nurse arrives at a home at the appointment time established with the client over the
phone. However, no one answers the door. Finally, a teenager comes out and says, "My
mom said she couldn't see you and you should go away." Which of the following actions
should be taken by the nurse?
A. Demand the teen let the nurse into the home to talk to the mother.
B. Interview the child as to how the family is doing.
C. Leave a card with information on how to get in touch with the nurse.
D. Point out that legally once an appointment has been made the mother needs to be
seen. - Correct answer ANS: C. Leave a card with information on how to get in touch
with the nurse.
Rationale: The contact may be terminated as requested if the nurse determines that
either the situation has been resolved or the services have been obtained from
another source and if the family understands that services are available and how to
,contact the agency if desired. However, the nurse should leave open the possibility of
future contact. Obviously, the nurse cannot force entrance into the home. It would not
be appropriate to coerce a child with misinformation or to interview a child about
health concerns without a parent being present.
A home health nurse is preparing to terminate the first home visit with teenage
parents and their new baby. Which of the following actions will the nurse take 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 other accomplishments of the visit.
D. Review the family record and reason for referral. - Correct answer ANS: C. Review
the family's learning and other accomplishments of the visit.
Rationale: During the termination phase, the nurse reviews the visit with the family,
summarizes what has occurred and what has been accomplished, and may make plans
for future visits. The incorrect options listed occur during the previsit phase.
,During which phase of the home visit does the nurse document what was
accomplished?
A. Previsit phase
B. In-home phase
C. Termination phase
D. Postvisit phase - Correct answer ANS: D. Postvisit phase
Rationale: A major task of the postvisit phase is documenting the visit and services
provided. Major tasks of the pre-visit phase are to initiate contact with the family and
schedule the home visit. During the in-home phase, the nurse-client relationship is
established. During the termination phase, the visit is reviewed with the family and
plan for future visits is made.
A nurse has just witnessed the signing of an agreement between two parents in which
the parents pledge not to yell at each other in the presence of their children. Which of
the following is being demonstrated through this action?
, A. Contracting
B. Family crisis
C. Empowerment
D. Health risk reduction - Correct answer ANS: A. Contracting
Rationale: Contracting is making an agreement between those involved in a shared
effort by both nurse and family. The premise of contracting is family control. It is
assumed that when the family has legitimate control, their ability to make healthful
choices is increased. A family crisis occurs when the family is not able to cope with an
event and becomes disorganized or dysfunctional. Making a pledge through contracting
is a way to cope with a family crisis. Empowerment reflects a family seeking help with
access and control over needed resources, decision-making and problem-solving
abilities, and the ability to communicate and to obtain needed resources. The pledge
does not address the multiple components of empowerment. Health risk reduction is
based on the assumption that decreasing the number or the magnitude of risks will
decrease the probability of an undesired event occurring. The pledge does not address
multiple health risks.
