Chapter 04: Community Health Nursing Practice (Test Bank) Question and Answer

Chapter 04: Community Health Nursing Practice (Test Bank) Which of the following is true in regard to public health nursing? a. The main focus of public health nursing is on political processes for healthy public policy. b. Public health nursing is the same as community health nursing. c. Public health nursing focuses on the incidence of disease. d. Public health nursing includes direct care and services to various populations. - ANS d. Public health nursing includes direct care and services to various populations. Public health nursing strives to safeguard and improve the health of populations in the community, including providing direct care and services. Which of the following is true in regard to social justice? a. The focus of social justice is on disease prevention. b. Social justice is used only with people in precarious situations. c. Social justice is rooted in societal responsibility and fairness. d. Social justice is a process to exercise the ability to enhance control. - ANS c. Social justice is rooted in societal responsibility and fairness. Social justice is rooted in notions of societal responsibility and fairness of justice. It encompasses equity, human rights, democracy and civil rights, capacity building, just institutions, enabling environments, poverty reduction, ethical practice, advocacy, and partnerships. Which of the following clients presents the highest risk for health-related concerns? a. Ms. Madison, a 25-year-old woman living in a woman's shelter b. Mr. Saliman, a 62-year-old man taking medication for chronic hypertension and diabetes c. Mr. Joseph, a 17-year-old man attending an outpatient mental health clinic d. Ms. Tray, a 31-year-old woman addicted to cocaine - ANS d. Ms. Tray, a 31-year-old woman addicted to cocaine Ms. Tray, because she is a substance user, presents the greatest risk for health-related concerns. Clients who abuse substances also frequently have additional health and socioeconomic problems. Community assessments are important in order for the nurse to understand and respond to the needs of the population. What will the nurse focus on when assessing the structure of the community? a. Collecting demographic data on age distribution b. Visiting neighbourhood schools to review health records c. Interviewing clients to determine the cultural makeup of subgroups d. Observing the physical environment and location of services - ANS d. Observing the physical environment and location of services When assessing the structure or locale of a community, the nurse should travel around the neighbourhood and observe the physical environment, the location of services, and the locations where residents congregate. Locale and structure make up one of the three components of community assessment. Among the following nursing skills, which one must be demonstrated to successfully fulfill the role of facilitator? a. Advocacy b. Paternalism c. Autonomy d. Negotiation - ANS a. Advocacy Community health nurses work within a participatory process; leadership and advocacy are critical skills needed for the role of facilitator. Unsafe sexual practices remain high among young people. Which of the following actions should the nurse initially undertake to address unsafe sexual practices with a client? a. Document the unsafe practices. b. Complete a physical assessment. c. Decide what strategies would work best for the client. d. Assess the circumstances that contribute to the unsafe practices. - ANS d. Assess the circumstances that contribute to the unsafe practices. The nurse should initially partner with the client to assess the circumstances that contribute to substance use, unsafe sexual practices, or other risk behaviours, and identify strategies to address clients' often multiple and interrelated concerns.