Exam (elaborations)
Chapter 23 Public Health, Community-Based, and Home Health Care
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 23 Public Health, Community-Based, and Home Health Care
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DAWITChapter 23: Public Health, Community-Based, and Home Health Care
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The student learns that which is the best definition of a public health nurse?
a. Works with the public.
b. Works in public areas.
c. Works with the greater community.
d. Works with public funding.
ANS: C
A public health nurse works with communities as a larger whole and is concerned with
specific target or vulnerable groups within that community. The other options are inaccurate.
DIF: Remembering OBJ: 23.1
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
2. A nurse is discharging a patient and is planning on what material to give the patient to take
home. What action by the nurse is best?
a. Assess the patient‘s ability to read and understand.
b. Determine if the patient wants to take written material home.
c. Give the patient the same material as other patients get.
NaUs R
d. Ask the patient if he/she h aS
I G B.C
needNforTwrittenOmaterial.
ANS: A
Health literacy in an important concept in health. If the patient cannot read or comprehend
written material, it will be of limited use. The nurse first assesses the patient‘s ability to read
and comprehend written material before choosing the material with which to send him/her
home. Patients may or may not realize what they need for discharge, if anything. Giving the
patient the same material other patients get does not acknowledge their need for holistic and
individualized care.
DIF: Applying OBJ: 23.8 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion
NOT: Concepts: Health Promotion, Patient Education
3. A nurse is planning primary prevention activities. Which activity would the nurse include in
this plan?
a. Safer sex education for teens
b. Mammogram screening
c. Medication compliance
d. Annual physical exams
ANS: A
NURSINGTB.COM
, DAWIT
Primary prevention includes activities designed to prevent a disease or condition from
occurring in the first place. Examples of primary prevention activities include vaccinations,
wellness programs, good nutrition for health, and safer sex programs. Mammograms and
physical exams are secondary prevention measures. Medication compliance would be tertiary
prevention.
DIF: Applying OBJ: 23.2 TOP: Planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
4. A nurse wants to volunteer for a community group providing secondary prevention. What
activity would the nurse attend?
a. Stroke rehabilitation support group
b. Blood pressure screening at the mall
c. Bicycle safety class at the elementary school
d. Drop by nutrition station at the grocery store
ANS: B
Secondary prevention activities are aimed at early diagnosis and prompt intervention. Blood
pressure screening events are a good example. Stroke rehabilitation is tertiary prevention.
Bicycle safety classes and nutrition education are examples of primary prevention.
DIF: Applying OBJ: 23.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
5. A nurse is orienting to a new job in a home health care agency and is told that most of her
patients need tertiary preventN n.RW
ioU ShIaN
t aGctT
ivBit.
yCdoOeM
s the nurse plan to include in the daily
routine?
a. Household safety checks
b. Well-baby checkups
c. Antibiotic administration
d. Monthly blood pressure assessments
ANS: C
Tertiary care is aimed at people who are already experiencing a health alteration, such as those
with an infection who need antibiotics. The other options are secondary prevention.
DIF: Applying OBJ: 23.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
6. A nurse is interested in epidemiology. What work activity would best fit this role?
a. Studying census data to determine common causes of death
b. Researching population variables that contribute to disease
c. Developing sanitary measures to prevent foodborne illness
d. Designing research to determine the connection between pollution and cancer
ANS: B
The epidemiologist works to develop programs to prevent the development and spread of
disease. Studying census data, researching population variables, and designing studies do not
fall in this field.
NURSINGTB.COM
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