a community health nurse has scheduled a hypertens
a recent nursing graduate has been surprised at th
the community health nurse
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Battery Exam - Set 3 Questions With
Complete Answers
A community health nurse has scheduled a hypertension clinic in a local shopping
mall in which shoppers have the opportunity to have their blood pressure measured
and learn about hypertension. This nursing activity would be an example of which
type of prevention activity?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Disease prevention CORRECT ANSWERS Ans: B
Feedback: Secondary prevention centers on health maintenance aim at early
detection and prevention. Disease prevention is not a form of health care but is a
focus on primary prevention.
A recent nursing graduate has been surprised at the sharp contrast between some
clients' lifestyles in their homes and the nurse's own practices and beliefs. To work
therapeutically with the client, what must the nurse do?
A. Request another assignment if there is dissonance with the client's lifestyle
B. Ask the client to come to the agency to receive treatment, if possible
C. Resolve to convey respect for the client's beliefs and choices
D. Try to adapt the client's home to the norms of a hospital environment
CORRECT ANSWERS Ans: C
Feedback: To work successfully with patients in any setting, the nurse must be
nonjudgmental and convey respect for patients beliefs, even if they differ sharply
from the nurses. This can be difficult when a patients lifestyle involves activities
that a nurse considers harmful or unacceptable, such as smoking, use of alcohol,
drug abuse, or overeating. The nurse should not request another assignment
because of a difference in beliefs, nor do nurses ask for the patient to come to you
at the agency to receive treatment. It is also inappropriate to convert the patients
home to a hospital-like environment.
,The community health nurse is preparing to conduct a home visit. When
performing the home visit, how should the nurse best implement the principles of
infection control?
A. Perform hand hygiene before and after giving direct client care
B. Remove the client's soiled wound dressings from the home promptly
C. Disinfect the client's syringes prior to disposal
D. Establish a sterile field in the client's home before providing care CORRECT
ANSWERS Ans: A
Feedback: Infection control is as important in the home as it is in the hospital, but
it can be more challenging in the home and requires creative approaches. As in any
situation, it is important to clean ones hands before and after giving direct patient
care, even in a home that does not have running water. Removing the wound
dressings from the home and disinfecting all work areas in the home are not the
best implementations of infection control in the home. Used syringes are never
disinfected and a sterile field is not always necessary.
A home health nurse is preparing to make the initial visit to a new client's home.
When planning educational interventions, what information should the nurse
provide to the client and his or her family?
A. Available community resources to meet their needs
B. Information on other clients in the area with similar health care needs
C. The nurse's contact information and credentials
D. Dates and times of all scheduled home care visits CORRECT ANSWERS Ans:
A
Feedback: The community-based nurse is responsible for informing the patient and
family about the community resources available to meet their needs. During initial
and subsequent home visits, the nurse helps the patient and family identify these
community services and encourages them to contact the appropriate agencies.
When appropriate, nurses may make the initial contact. The other answers are
incorrect because it is inappropriate to ever provide information on other patients
to a patient. The nurses credentials are not normally discussed. Giving the patient
the dates and times of their scheduled home visits is appropriate, but may not
, always be possible. It is more important to provide them with resources available
within the community to meet their needs.
A nursing student has taught a colleague that nursing practice is not limited to
hospital settings, explaining that nurses are now working in ambulatory health
clinics, hospice settings, and homeless shelters and clinics. What factor has most
influenced this increased diversity in practice settings for nurses?
A. Population shift to more rural areas
B. Shift of health care delivery into the community
C. Advent of primary care clinics
D. Increased use of rehabilitation hospitals CORRECT ANSWERS Ans: B
Feedback: As health care delivery shifts into the community, more nurses are
working in a variety of community- based settings. These settings include public
health departments, ambulatory health clinics, long-term care facilities, hospice
settings, industrial settings (as occupational nurses), homeless shelters and clinics,
nursing centers, home health agencies, urgent care centers, same-day surgical
centers, short-stay facilities, and patients homes. The other answers are incorrect
because our population has not shifted to a more rural base, and the use of primary
care clinics has not influenced an increase in practice settings or the use of
rehabilitation hospitals.
The nurse is assessing a new client and his home environment following the
client's referral for community-based care. What action should the nurse prioritize
during this initial visit?
A. Help the client and his family to become more involved in their community
B. Encourage the client and his family to delegate someone to contact community
resources
C. Educate the client and his family about how to evaluate online supports
D. Encourage the client and his family to connect with appropriate community
resources CORRECT ANSWERS Ans. C.
Educate the client and his family about how to evaluate online supports
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