Exam (elaborations)
Community-Based Nursing An Introduction 3rd Edition By Melanie McEwen
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, McEwen: Community-Based Nursing, 3rd EditionTest Bank
Chapter 1: Opportunities in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Over the past two decades, the health care delivery system has changed dramatically. Among the
changes are:
1. Care is becoming more focused on acute health care rather than health promotion
and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on
the individual.
ANS: 3 DIF: Cognitive Level: Comprehension REF: Page Reference: 4
OBJ: 1 TOP: Introduction
2. Factors that have served to produce the current nursing shortage in the United States include all
of the following except:
1. Heavy workloads and inadequate staffing.
2. Increasing age of the general population and growing need for long-term
management of chronic diseases.
3. Perceived lack of opportunity for job placement and advancement.
4. Relatively low wages.
ANS: 4 DIF: Comprehension REF: Page Reference: 5 (Box 1-1) OBJ:
2 TOP: Trends in Nursing Employment
3. Currently, approximately what percentage of nurses in the United States do not work in acute
care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%
ANS: 4 DIF: Knowledge REF: Page Reference: 7
OBJ: 2 TOP: Trends in Nursing Employment
,4. The two broad goals of Healthy People 2010 focus on:
1. Achieving access to preventive care for all Americans and increasing life
expectancy.
2. Eliminating health disparities and increasing quality years of healthy life.
3. Promoting public health core functions (assessment, assurance, and health policy)
and decreasing mortality.
4. Reducing mortality in infants, children, adolescents, adults, and elders and
improving health surveillance.
ANS: 2 DIF: Comprehension REF: Page Reference: 9
OBJ: 3 TOP: Healthy People 2010
5. All of the following are “focus areas” described in Healthy People 2010 except:
1. Access to quality health services.
2. Cancer.
3. Oral health.
4. Senior health.
5. Tobacco use.
ANS: 4 DIF: Knowledge
REF: Page Reference: 10 (Healthy People 2010 box) OBJ: 3
TOP: Healthy People 2010
6. Health promotion and illness prevention activities, such as well-child checkups, routine physical
examinations, and prenatal care are examples of:
1. Comprehensive health care.
2. Primary health care.
3. Secondary health care.
4. Tertiary health care.
ANS: 2 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
7. Secondary health care is becoming increasingly common in community-based settings.
Examples of this are:
1. Alcohol counseling for a homeless veteran and cardiac testing for an overweight
bank executive.
2. Care for a terminally ill elder and rehabilitation for a client with a spinal cord
injury.
3. Home-based infusion therapy for a man with osteomyelitis and outpatient
cholecystectomy for a middle-aged woman.
4. Prenatal care for a pregnant teen and diagnostic testing for a man with chronic
back pain.
ANS: 3 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
, 8. Tertiary health care refers to:
1. Health care delivered in the home.
2. Health promotion and illness prevention activities.
3. Management of chronic, complicated, long-term health problems.
4. Relatively serious or complicated care that has historically been provided to people
who are inpatients in hospitals.
ANS: 3 DIF: Comprehension REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
9. There are differences in the scope of practice and foci between community-based nursing
practice and community health nursing. Which of the following is more descriptive of
community-based nursing practice?
1. Emphasis is on preservation and protection of health.
2. Main objective is managing acute or chronic conditions in community settings.
3. Primary focus is on populations or aggregates.
4. Provision of both direct and indirect health services is common.
ANS: 2 DIF: Application REF: Page Reference: 6
OBJ: 1 TOP: Community-Based Nursing and Community Health Nursing
10. According to the findings from the survey of RNs conducted by the Department of Health and
Human Services’ Division of Nursing, geographic maldistribution of nurses is a significant
problem. Regions with the lowest rates of nurses per capita are:
1. The District of Columbia and Virginia.
2. Midwestern states and the Dakotas.
3. Mountain states (Nevada, Idaho) and the southwest (Oklahoma, Texas).
4. New England states (Massachusetts, Rhode Island, Vermont).
ANS: 3 DIF: Knowledge REF: Page Reference: 7-8
OBJ: 2 TOP: Current Trends in Nursing Employment
11. It is anticipated that over the next decade, the number of nurses working in community-based
settings will:
1. Decrease dramatically.
2. Decrease slightly.
3. Increase somewhat.
4. Remain the same.
ANS: 3 DIF: Comprehension REF: Page Reference: 8
OBJ: 2 TOP: Current Trends in Nursing Employment
12. Community-based nursing practice is characterized by all of the following except:
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