RN Community Health Nursing Exam 1 A nurse in a clinic that provides direct care services to clients with tuberculosis
would be classified as practicing:
- community-based nursing.
- community-oriented nursing.
- institutional nursing.
- public health nursing.
(Ans - a. community-based nursing.
The nurse practicing as a community-based nurse is more likely to give direct care to people than are nurses who practice from a community-oriented framework. A community-oriented framework includes community-oriented nursing and public health nursing. Institutional nursing care is generally delivered in a hospital or nursing home setting.
A school nurse teaches three middle school students with asthma conditions techniques to minimize their incidence of bronchial spasms. This is an application
of:
- community-based nursing.
- community-oriented nursing.
- institutional nursing.
- public health nursing.
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(Ans - a. community-based nursing.
The goal of community-based nursing (CBN) is to manage acute or chronic conditions while promoting self-care among individuals and families. In CBN the nursing care is family centered, which means that the nurse works to improve the competencies of families to enable them to take better care of themselves. The nurse pays particular attention to the uniqueness of each family and works to plan the most useful interventions. Nurses practicing in the community and many staff public health nurses focus on providing direct care services, including health education, to persons or families outside of institutional settings, either in the home or in a clinic.
A rural public health nurse is spending time reviewing death certificates. Which of the following best explains the purpose of this activity?
- To ensure that local causes of death are consistent with national causes of death
- To confirm that no local health problems are beginning
- To evaluate effectiveness of health promotion programs
- To obtain mortality data for the local area
(Ans - d. To obtain mortality data for the local area
Mortality data are often the only source of health-related data available for small geographic areas. Vital statistics reports such as death certificates are reviewed.Useful information also comes from administrative data such as discharge reports and billing records.
A nurse noted that of 18 children in a day care center room, 5 became ill. Which of the following best describes a host factor that may be associated with this illness and who became ill? 2 / 3
- Some of the children were from very low socioeconomic families.
- Some of the children slept during rest time while others only rested.
- The bacterial cause of the illness was easily removed by hand washing.
- The day care center room was much warmer on three sides in comparison to the
side with the floor to ceiling windows.(Ans - a. Some of the children were from very low socioeconomic families.
Factors that must be considered as causes of outbreak are categorized as agents, hosts, and environmental factors. Host factors may be age, sex, race, socioeconomic status, genetics, and lifestyle choices. The cause of the illness is an agent factor, and the difference in temperature in the room is an environmental factor.
Which of the following best describes the goal or priority of the nurse advocate?
- To gain organizational and governmental support for the promotion of nursing
- To improve community service needs identified by research findings
- To integrate evidence-based practice guidelines in the provision of community
- To promote the client's rights and self-determination
objectives
nursing service
(Ans - d. To promote the client's rights and self-determination
In today's practice, the nurse advocate makes the client's rights the priority. Thus, the goal of advocacy is to promote self-determination in a constituency or client group.
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