NR 442 Exam 2 Questions with Verified Answers (Correct Update)
Question 1: Specialties of Community Nurses
Answer: School Occupational Forensic Correctional Faith Based Home Health and Hospice
Question 2: Levels of prevention with School nursing
Answer: Primary: nutritional education, immunizations,Health education Secondary: Screenings,
identify at risk students, administer medications, Develop health plan, Home visits Tertiary: Referral of
students for substance abuse, Prevention of complications and adverse effects and staff monitoring.
Question 3: Levels of prevention with occupational nursing
Answer: Primary: Set up programs to watch health conditions of workers, Do "walk throughs" to look at
environmental hazards, Safety and educational resources Secondary: Health screenings, job transfer
evaluations, periodic assessments. Tertiary: workplace accommodations, disability management,
physical demands analysis, Support and counseling.
Question 4: Levels of prevention for forensic and correctional nursing
Answer: Primary: start drug teaching in high schools and drug resistance programs, Support programs,
lifeskills training. Secondary: identify or screen for evidence of drug use, provide info on area groups
that provide support for students who avoid drugs. Tertiary: Reduce risk that additional students will
abuse drugs, refer to support groups (Narcotic Anoymous)
Question 5: Levels of prevention for Faith-based nursing
Answer: Primary: teaching about parenting, health and wellness, social support programs to prevent
social isolation Secondary: Screenings to identify families at risk, educational programs to meet
individual needs Tertiary: resources for rehab, coping with chronic health or disabilities
Question 6: Levels of Prevention for Home Health Nursing
Answer: Primary: intervening early on preventing problems such as skin breakdown and pain control.
Education on hospice/dying Secondary: Responding quickly when needs arise, Continued education
about dying Tertiary: Assist through active phrase of dying, follow up bereavement support
Question 7: Senior eligible for Medicare reimbursement
Answer: Any individual older than 65 years who is homebound, under the care of a physician, and
requires medically necessary skilled nursing care or therapy services Any individual older than 65 years
who is certified by a physician or a nurse practitioner (NP) to be terminally ill with a life expectancy of 6
months or less is eligible to receive the Medicare Hospice
Page 1
, Question 8: Advanced Directive (AD)
Answer: is a written document in which a competent person gives instructions about future health care
in the event that the individual is unable to make decisions.
Question 9: Power of Attorney (POA)
Answer: for health care is one type of advance directive. Also called a health care proxy, the durable
power of attorney for health care gives another person the power to make medical decisions related to
care of the patient
Question 10: Living Will
Answer: is a written document in which a patient voluntarily informs doctors and family members about
the type of medical care desired should the patient become terminally ill or permanently unconscious
and unable to communicate. In the living will, the patient can describe the type of care desired,
depending on the clinical situation
Question 11: Can family be a caregiver
Answer: Yes, The RN assess the skills of the caregiver, instructs them on procedures and recognizing
S/S of problems.
Question 12: Pain Control in dying process
Answer: Meds are given in doses sufficient to keep patient free of pain; administered on a regular
schedule. Help in managing other symptoms (nausea and vomiting, constipation, diarrhea, fatigue,
decreased appetite).
Question 13: Caring for the caregiver in dying process
Answer: Careful assessment of the caregiver's mental and physical health is important .All decisions
regarding care are made considering the health of the caregivers. Caregivers need reassurance for the
care they provide. Need to understand the patient will not die from something they did or did not do.
Question 14: Nursing care in dying process
Answer: Relieves the suffering throughout the illness Support the patient and family through dying
process Provide grief support after the patient has died.
Question 15: other departments in Home health to promote safety
Answer: physical therapists, occupational therapists, social workers, nurse assistants, chaplains,
physician.
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Question 1: Specialties of Community Nurses
Answer: School Occupational Forensic Correctional Faith Based Home Health and Hospice
Question 2: Levels of prevention with School nursing
Answer: Primary: nutritional education, immunizations,Health education Secondary: Screenings,
identify at risk students, administer medications, Develop health plan, Home visits Tertiary: Referral of
students for substance abuse, Prevention of complications and adverse effects and staff monitoring.
Question 3: Levels of prevention with occupational nursing
Answer: Primary: Set up programs to watch health conditions of workers, Do "walk throughs" to look at
environmental hazards, Safety and educational resources Secondary: Health screenings, job transfer
evaluations, periodic assessments. Tertiary: workplace accommodations, disability management,
physical demands analysis, Support and counseling.
Question 4: Levels of prevention for forensic and correctional nursing
Answer: Primary: start drug teaching in high schools and drug resistance programs, Support programs,
lifeskills training. Secondary: identify or screen for evidence of drug use, provide info on area groups
that provide support for students who avoid drugs. Tertiary: Reduce risk that additional students will
abuse drugs, refer to support groups (Narcotic Anoymous)
Question 5: Levels of prevention for Faith-based nursing
Answer: Primary: teaching about parenting, health and wellness, social support programs to prevent
social isolation Secondary: Screenings to identify families at risk, educational programs to meet
individual needs Tertiary: resources for rehab, coping with chronic health or disabilities
Question 6: Levels of Prevention for Home Health Nursing
Answer: Primary: intervening early on preventing problems such as skin breakdown and pain control.
Education on hospice/dying Secondary: Responding quickly when needs arise, Continued education
about dying Tertiary: Assist through active phrase of dying, follow up bereavement support
Question 7: Senior eligible for Medicare reimbursement
Answer: Any individual older than 65 years who is homebound, under the care of a physician, and
requires medically necessary skilled nursing care or therapy services Any individual older than 65 years
who is certified by a physician or a nurse practitioner (NP) to be terminally ill with a life expectancy of 6
months or less is eligible to receive the Medicare Hospice
Page 1
, Question 8: Advanced Directive (AD)
Answer: is a written document in which a competent person gives instructions about future health care
in the event that the individual is unable to make decisions.
Question 9: Power of Attorney (POA)
Answer: for health care is one type of advance directive. Also called a health care proxy, the durable
power of attorney for health care gives another person the power to make medical decisions related to
care of the patient
Question 10: Living Will
Answer: is a written document in which a patient voluntarily informs doctors and family members about
the type of medical care desired should the patient become terminally ill or permanently unconscious
and unable to communicate. In the living will, the patient can describe the type of care desired,
depending on the clinical situation
Question 11: Can family be a caregiver
Answer: Yes, The RN assess the skills of the caregiver, instructs them on procedures and recognizing
S/S of problems.
Question 12: Pain Control in dying process
Answer: Meds are given in doses sufficient to keep patient free of pain; administered on a regular
schedule. Help in managing other symptoms (nausea and vomiting, constipation, diarrhea, fatigue,
decreased appetite).
Question 13: Caring for the caregiver in dying process
Answer: Careful assessment of the caregiver's mental and physical health is important .All decisions
regarding care are made considering the health of the caregivers. Caregivers need reassurance for the
care they provide. Need to understand the patient will not die from something they did or did not do.
Question 14: Nursing care in dying process
Answer: Relieves the suffering throughout the illness Support the patient and family through dying
process Provide grief support after the patient has died.
Question 15: other departments in Home health to promote safety
Answer: physical therapists, occupational therapists, social workers, nurse assistants, chaplains,
physician.
Page 2
