Kaplan Community Questions With
Accurate Answers
5-year-old child who live in foster home since infancy... correct answer Difficulty
forming trusting relationships
A client is diagnosed with Parkinson disease and is bed bound, confused, and
incontinent. The client's spouse assumes all care for the client. Which statement
by the client's spouse would alert the nurse to the possibility of caregiver role
strain? (Select all that apply.)
1. "I have lost about 10 pounds in the last two months. I just don't have any
appetite."
2. "Sometimes our neighbor will come over and sit with my spouse so I can run
errands."
3. "I don't let anyone else help my spouse. I know how everything has to be
done."
4. "Sometimes I leave my spouse alone for a few hours to visit with friends."
5. "I only sleep for a couple of hours a night. There is just so much to do."
6. "I just get furious when my spouse wets the bed. I have more to do than wash
sheets all day." correct answer 1) CORRECT - Caregiver role strain is evidenced by
feelings of depression which would include crying, decreased interest in activities
of pleasure or interest, anorexia, and failure to care for self.
,2) This indicates healthy coping and behavior. The caregiver should be
encouraged to take a break and develop a network of support.
3) CORRECT - Preoccupation with the care routine and refusal to accept any help
or support can be indicative of caregiver role strain.
4) This is an example of neglect. The spouse is bed bound and confused and
should not be left alone. This situation is not safe for the client.
5) CORRECT - Caregiver role strain is evidenced by insomnia, preoccupation with
the care routine, and loss of ability to care for self.
6) CORRECT - Caregiver role strain is evidenced by anger at having to provide care.
A client is experiencing an episode of acute pain. Which physiological change
should the nurse expect to occur when the client experiences acute pain? correct
answer Decreased skin temperature
A client with a diagnosis of terminal liver cancer has requested to go home with
no further treatment. The nurse talks with the client's family about home hospice
care. Which statement about hospice care is most accurate?
O 1. "Hospice care ensures that the family will not need to participate in the
client's care."
O 2. "Someone from hospice will stay with your family member at all times."
O 3. "Hospice provides physical, spiritual, and emotional support for the client to
ensure a dignified death."
O 4. "Hospice can pay for all medication and equipment that you would like to
have in the home." correct answer 1) Support of the client's family is an important
aspect of hospice care. With the assistance of hospice, the family provides a great
deal of the client's care in the home.
2) Hospice care in the home is not a 24 hour service except in situations of crisis
care, when the client's condition requires constant intervention. The family must
,understand that members of the hospice team will visit the client regularly and
frequently and support both the client and family.
3) CORRECT - Dying peacefully while maintaining integrity and dignity is the focus
of hospice care. A multidisciplinary team provides medical and nursing care,
personal care, spiritual care, and socioeconomic support.
4) Hospice provides the medication and equipment that is reasonable and
necessary to manage the terminal illness and ensure relief of symptoms. Hospice
does not provide medications unrelated to the terminal illness.
A community health nurse conducts a screening program for hypertension at a
community health fair. Which action could negatively impact the effectiveness of
this program?
O 1. A local group of health care providers is accepting referrals for new clients.
O 2. The nurse follows the American Heart Association (AHA) guidelines for
obtaining accurate blood pressure readings.
O 3. The nurse obtains complete contact information on half of individuals who
are screened.
O 4. The nurse follows up by phone with clients who demonstrate hypertension at
the screening. correct answer 1) The availability of local health care providers to
accept new referrals is very beneficial if individuals without established HCPs are
identified as needing follow up care during the screening.
2) The nurse must ensure the readings are obtained accurately and consistently to
ensure validity
of the screening. The equipment used during the screenings must be in good
working order.
Appropriate cuff size must be used to obtain readings and the method of
obtaining readings must be consistent.
, 3) CORRECT - In order for the screenings to be effective, the nurse must have the
ability to follow up with all individuals identified as positive during the screenings.
If a referral is made at the
screening for a client to follow up with a health care provider, the nurse should
contact the individual to ensure appropriate follow up care has been obtained.
The screenings should be
organized to ensure all participants provide complete contact information to
ensure follow up.
4) The nurse must follow up with any individual determined to have positive
findings during the screening. At the time of the screening, the nurse should
determine if the client has an established PCP or needs to be referred for follow
up with a HCP. The client should be contacted after the screening to ensure follow
up has occurred or encourage the client to pursue follow up treatment.
A community health nurse meets with residents of a small town. To best assess
the goals of the community, the nurse obtains an answer to which of the
following questions? correct answer Answer: "What is the purpose of the
community?"
Rationale: The goals of a community are focused on maximizing the well-being of
members, promoting survival, and meeting the needs of the community
members. Inquiring about the purpose of the community would be the first step
of the assessment.
A community health nurse reviews the demographic information for a small rural
community and notes one third of the population is over the age of 65 and
retired. Which aspect of the population perspective has the nurse identified?
O 1. Composition.
O 2. Mobility.
O 3. Rate of decline.
Accurate Answers
5-year-old child who live in foster home since infancy... correct answer Difficulty
forming trusting relationships
A client is diagnosed with Parkinson disease and is bed bound, confused, and
incontinent. The client's spouse assumes all care for the client. Which statement
by the client's spouse would alert the nurse to the possibility of caregiver role
strain? (Select all that apply.)
1. "I have lost about 10 pounds in the last two months. I just don't have any
appetite."
2. "Sometimes our neighbor will come over and sit with my spouse so I can run
errands."
3. "I don't let anyone else help my spouse. I know how everything has to be
done."
4. "Sometimes I leave my spouse alone for a few hours to visit with friends."
5. "I only sleep for a couple of hours a night. There is just so much to do."
6. "I just get furious when my spouse wets the bed. I have more to do than wash
sheets all day." correct answer 1) CORRECT - Caregiver role strain is evidenced by
feelings of depression which would include crying, decreased interest in activities
of pleasure or interest, anorexia, and failure to care for self.
,2) This indicates healthy coping and behavior. The caregiver should be
encouraged to take a break and develop a network of support.
3) CORRECT - Preoccupation with the care routine and refusal to accept any help
or support can be indicative of caregiver role strain.
4) This is an example of neglect. The spouse is bed bound and confused and
should not be left alone. This situation is not safe for the client.
5) CORRECT - Caregiver role strain is evidenced by insomnia, preoccupation with
the care routine, and loss of ability to care for self.
6) CORRECT - Caregiver role strain is evidenced by anger at having to provide care.
A client is experiencing an episode of acute pain. Which physiological change
should the nurse expect to occur when the client experiences acute pain? correct
answer Decreased skin temperature
A client with a diagnosis of terminal liver cancer has requested to go home with
no further treatment. The nurse talks with the client's family about home hospice
care. Which statement about hospice care is most accurate?
O 1. "Hospice care ensures that the family will not need to participate in the
client's care."
O 2. "Someone from hospice will stay with your family member at all times."
O 3. "Hospice provides physical, spiritual, and emotional support for the client to
ensure a dignified death."
O 4. "Hospice can pay for all medication and equipment that you would like to
have in the home." correct answer 1) Support of the client's family is an important
aspect of hospice care. With the assistance of hospice, the family provides a great
deal of the client's care in the home.
2) Hospice care in the home is not a 24 hour service except in situations of crisis
care, when the client's condition requires constant intervention. The family must
,understand that members of the hospice team will visit the client regularly and
frequently and support both the client and family.
3) CORRECT - Dying peacefully while maintaining integrity and dignity is the focus
of hospice care. A multidisciplinary team provides medical and nursing care,
personal care, spiritual care, and socioeconomic support.
4) Hospice provides the medication and equipment that is reasonable and
necessary to manage the terminal illness and ensure relief of symptoms. Hospice
does not provide medications unrelated to the terminal illness.
A community health nurse conducts a screening program for hypertension at a
community health fair. Which action could negatively impact the effectiveness of
this program?
O 1. A local group of health care providers is accepting referrals for new clients.
O 2. The nurse follows the American Heart Association (AHA) guidelines for
obtaining accurate blood pressure readings.
O 3. The nurse obtains complete contact information on half of individuals who
are screened.
O 4. The nurse follows up by phone with clients who demonstrate hypertension at
the screening. correct answer 1) The availability of local health care providers to
accept new referrals is very beneficial if individuals without established HCPs are
identified as needing follow up care during the screening.
2) The nurse must ensure the readings are obtained accurately and consistently to
ensure validity
of the screening. The equipment used during the screenings must be in good
working order.
Appropriate cuff size must be used to obtain readings and the method of
obtaining readings must be consistent.
, 3) CORRECT - In order for the screenings to be effective, the nurse must have the
ability to follow up with all individuals identified as positive during the screenings.
If a referral is made at the
screening for a client to follow up with a health care provider, the nurse should
contact the individual to ensure appropriate follow up care has been obtained.
The screenings should be
organized to ensure all participants provide complete contact information to
ensure follow up.
4) The nurse must follow up with any individual determined to have positive
findings during the screening. At the time of the screening, the nurse should
determine if the client has an established PCP or needs to be referred for follow
up with a HCP. The client should be contacted after the screening to ensure follow
up has occurred or encourage the client to pursue follow up treatment.
A community health nurse meets with residents of a small town. To best assess
the goals of the community, the nurse obtains an answer to which of the
following questions? correct answer Answer: "What is the purpose of the
community?"
Rationale: The goals of a community are focused on maximizing the well-being of
members, promoting survival, and meeting the needs of the community
members. Inquiring about the purpose of the community would be the first step
of the assessment.
A community health nurse reviews the demographic information for a small rural
community and notes one third of the population is over the age of 65 and
retired. Which aspect of the population perspective has the nurse identified?
O 1. Composition.
O 2. Mobility.
O 3. Rate of decline.
