Chapter 03 Community Care
MULTIPLE CHOICE
1. Which is a common health problem reported by older women?
a. Coronary artery disease
b. Hypotension
c. Arthritis
d. Diabetes
ANS: C
Arthritis or rheumatism and high blood pressure are the most common chronic health problems reported by
older women.
DIF: Cognitive Level: Assessment REF: p. 36
OBJ: Nursing Process: Intervention
2. Which health care service represents the primary level of prevention?
a. Immunizations
b. Breast self-examination
c. Home care for high-risk pregnancies
d. Blood pressure screening
ANS: A
Primary prevention involves health promotion and disease prevention activities to reduce the occurrence of
illness and enhance general health and quality of life; an example of this would be immunizations. Breast self-
examination is an example of secondary prevention, which involves early detection of health problems. Home
care for a high-risk pregnancy is an example of tertiary prevention. This level of care follows the occurrence of a
defect or disability. Blood pressure screening is an example of secondary prevention. It is a screening tool for
early detection of a health care problem.
DIF: Cognitive Level: Comprehension REF: p. 29 OBJ: Nursing Process: Implementation
3. Which generally rises with greater socioeconomic disadvantage?
, a. Length of hospital stay
b. Intrauterine growth restriction
c. Prenatal clinic visits and screening
tests
d. Weight gain in the mother in excess of
the recommended gain for her stature
ANS: B
Adverse pregnancy outcomes, such as preterm birth and especially intrauterine growth restriction, generally
rise with greater socioeconomic disadvantage. Length of hospital stay has not been documented to rise with
greater socioeconomic disadvantage. An increase in the number of prenatal visits and screening tests has not
been documented to rise with greater socioeconomic disadvantage. Weight gain in the mother in excess of the
recommended gain for her stature is not the case with greater socioeconomic disadvantage; in fact, the
opposite is true—mothers tend to experience low gestational weight gain.
DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: Nursing Process: Implementation
4. Which situation would be considered safe by a nurse who is making a home visit?
a. A group of teens is sitting on the stairs
in front of the patient’s apartment.
b. Parking is only possible threeblocks
from the patient’s house.
c. The family dog is on a chain in the
front yard.
d. The door of the home is open when
the nurse arrives.
ANS: C
Home care nurses should not enter a yard that has an unrestrained dog. While walking to the patient’s home,
nurses should not walk near groups of strangers who are in doorways or alleys. Home care nurses should park
and lock their cars in a safe place that is visible from the street and the patient’s home. The home should not
be entered if the nurse has any safety concerns, such as an open front door.
DIF: Cognitive Level: Analysis REF: p. 38 | p. 40 OBJ: Nursing Process: Evaluation
5. Which represents a critical community indicator of perinatal health?
MULTIPLE CHOICE
1. Which is a common health problem reported by older women?
a. Coronary artery disease
b. Hypotension
c. Arthritis
d. Diabetes
ANS: C
Arthritis or rheumatism and high blood pressure are the most common chronic health problems reported by
older women.
DIF: Cognitive Level: Assessment REF: p. 36
OBJ: Nursing Process: Intervention
2. Which health care service represents the primary level of prevention?
a. Immunizations
b. Breast self-examination
c. Home care for high-risk pregnancies
d. Blood pressure screening
ANS: A
Primary prevention involves health promotion and disease prevention activities to reduce the occurrence of
illness and enhance general health and quality of life; an example of this would be immunizations. Breast self-
examination is an example of secondary prevention, which involves early detection of health problems. Home
care for a high-risk pregnancy is an example of tertiary prevention. This level of care follows the occurrence of a
defect or disability. Blood pressure screening is an example of secondary prevention. It is a screening tool for
early detection of a health care problem.
DIF: Cognitive Level: Comprehension REF: p. 29 OBJ: Nursing Process: Implementation
3. Which generally rises with greater socioeconomic disadvantage?
, a. Length of hospital stay
b. Intrauterine growth restriction
c. Prenatal clinic visits and screening
tests
d. Weight gain in the mother in excess of
the recommended gain for her stature
ANS: B
Adverse pregnancy outcomes, such as preterm birth and especially intrauterine growth restriction, generally
rise with greater socioeconomic disadvantage. Length of hospital stay has not been documented to rise with
greater socioeconomic disadvantage. An increase in the number of prenatal visits and screening tests has not
been documented to rise with greater socioeconomic disadvantage. Weight gain in the mother in excess of the
recommended gain for her stature is not the case with greater socioeconomic disadvantage; in fact, the
opposite is true—mothers tend to experience low gestational weight gain.
DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: Nursing Process: Implementation
4. Which situation would be considered safe by a nurse who is making a home visit?
a. A group of teens is sitting on the stairs
in front of the patient’s apartment.
b. Parking is only possible threeblocks
from the patient’s house.
c. The family dog is on a chain in the
front yard.
d. The door of the home is open when
the nurse arrives.
ANS: C
Home care nurses should not enter a yard that has an unrestrained dog. While walking to the patient’s home,
nurses should not walk near groups of strangers who are in doorways or alleys. Home care nurses should park
and lock their cars in a safe place that is visible from the street and the patient’s home. The home should not
be entered if the nurse has any safety concerns, such as an open front door.
DIF: Cognitive Level: Analysis REF: p. 38 | p. 40 OBJ: Nursing Process: Evaluation
5. Which represents a critical community indicator of perinatal health?
