C HAPTER 03: C OMMUNITY -B ASED
N URSING P RACTICE
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. A nurse observes an outbreak of lice in a certain school district. The nurse
collects data and identifies a common practice of sharing lockers, caps,
and hairbrushes. The nurse shares the information with the school. Which
communit y-based nursing competency did the nurse use?
a. Educator
b. Caregiver
c. Case manager
d. Epidemiologist
ANS: D
As an epidemiologist, you are involved in case finding, health
teaching, and tracking incident rates of an illness (outbreak of lice).
The nurse did not teach the students about lice. The nurse did not
provide care for the lice. The nurse did not coordinate needed
resources and services for a group of patient’s well -being (case
manager).
DIF: Understand (comprehension) OBJ: Describe the
competencies important for success in communit y -based nursing
, practice. TOP: Implementation MSC: Safet y and Infection
Control
2. A nurse is providing screening at a health fair. Which finding indicates
the person may be a vulnerable patient who is most likel y to develop
health problems?
a. One who is pregnant.
b. One who has excessive risks.
c. One who has unlimited access to health care.
d. One who uses nontraditional healing practices.
ANS: B
Vulnerable populations are the patients who are more likel y to de velop
health problems as a result of excessive risks or limits in access to
health care services or who are dependent on others for care.
Pregnancy is not a cause of vulnerabilit y, except in cases where the
mother is an adolescent, is addicted to drugs, or is at high risk for
other reasons. A person who has unlimited access to health care is not
vulnerable. Frequently, the immigrant population practices
nontraditional healing practices. Many of these healing practices are
effective and complement traditiona l therapies.
DIF: Anal yze (anal ysis) OBJ: Identify characteristics of patients
from vulnerable populations that influence the communit y -based
nurse’s approach to care TOP: Assessment MSC: Health
Promotion and Maintenance
3. The instructor is teaching stu dent nurses about identifying members of
vulnerable populations when the nursing student asks, “Why is it that not
, all poor people are considered members of vulnerable populations? ” How
should the nurse respond?
a. “All poor people are members of a vulnerable population.”
b. “Poor people are members of a vulnerable population onl y if they
take drugs. ”
c. “Poor people are members of a vulnerable population onl y if they
are homeless.”
d. “Members of vulnerable groups frequently have a combination of
risk factors. ”
ANS: D
Members of vulnerable groups frequentl y have many risks or a
combination of risk factors that make them more sensitive to the
negative effects of individual risk factors. Individual risk factors are
not always overwhelming, depending on the patient’s be liefs and
values and sources of social support.
DIF: Appl y (application) OBJ: Identify characteristics of
patients from vulnerable populations that influence the
communit y-based nurse’s approach to care. TOP:
Teaching/Learning MSC: Health Promotion and
Maintenance
4. The nurse is making a home visit to a Korean mother after the birth of
girl. The spouse is pressing different parts of the patient’s hand and lower
arm to relieve a headache. What is the nurse’s next action?
a. Tell the spouse to stop and give th e mother acetaminophen.
b. Let the spouse finish and then give the mother medication.
c. Ask the mother and/or spouse to explain the procedure.
d. Explain to the spouse that it will not work.
N URSING P RACTICE
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. A nurse observes an outbreak of lice in a certain school district. The nurse
collects data and identifies a common practice of sharing lockers, caps,
and hairbrushes. The nurse shares the information with the school. Which
communit y-based nursing competency did the nurse use?
a. Educator
b. Caregiver
c. Case manager
d. Epidemiologist
ANS: D
As an epidemiologist, you are involved in case finding, health
teaching, and tracking incident rates of an illness (outbreak of lice).
The nurse did not teach the students about lice. The nurse did not
provide care for the lice. The nurse did not coordinate needed
resources and services for a group of patient’s well -being (case
manager).
DIF: Understand (comprehension) OBJ: Describe the
competencies important for success in communit y -based nursing
, practice. TOP: Implementation MSC: Safet y and Infection
Control
2. A nurse is providing screening at a health fair. Which finding indicates
the person may be a vulnerable patient who is most likel y to develop
health problems?
a. One who is pregnant.
b. One who has excessive risks.
c. One who has unlimited access to health care.
d. One who uses nontraditional healing practices.
ANS: B
Vulnerable populations are the patients who are more likel y to de velop
health problems as a result of excessive risks or limits in access to
health care services or who are dependent on others for care.
Pregnancy is not a cause of vulnerabilit y, except in cases where the
mother is an adolescent, is addicted to drugs, or is at high risk for
other reasons. A person who has unlimited access to health care is not
vulnerable. Frequently, the immigrant population practices
nontraditional healing practices. Many of these healing practices are
effective and complement traditiona l therapies.
DIF: Anal yze (anal ysis) OBJ: Identify characteristics of patients
from vulnerable populations that influence the communit y -based
nurse’s approach to care TOP: Assessment MSC: Health
Promotion and Maintenance
3. The instructor is teaching stu dent nurses about identifying members of
vulnerable populations when the nursing student asks, “Why is it that not
, all poor people are considered members of vulnerable populations? ” How
should the nurse respond?
a. “All poor people are members of a vulnerable population.”
b. “Poor people are members of a vulnerable population onl y if they
take drugs. ”
c. “Poor people are members of a vulnerable population onl y if they
are homeless.”
d. “Members of vulnerable groups frequently have a combination of
risk factors. ”
ANS: D
Members of vulnerable groups frequentl y have many risks or a
combination of risk factors that make them more sensitive to the
negative effects of individual risk factors. Individual risk factors are
not always overwhelming, depending on the patient’s be liefs and
values and sources of social support.
DIF: Appl y (application) OBJ: Identify characteristics of
patients from vulnerable populations that influence the
communit y-based nurse’s approach to care. TOP:
Teaching/Learning MSC: Health Promotion and
Maintenance
4. The nurse is making a home visit to a Korean mother after the birth of
girl. The spouse is pressing different parts of the patient’s hand and lower
arm to relieve a headache. What is the nurse’s next action?
a. Tell the spouse to stop and give th e mother acetaminophen.
b. Let the spouse finish and then give the mother medication.
c. Ask the mother and/or spouse to explain the procedure.
d. Explain to the spouse that it will not work.
