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Exam (elaborations)

Public / Community Health and Nursing Practice

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Public / Community Health and Nursing Practice

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  • September 7, 2024
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  • 2024/2025
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Public / Community Health and Nursing Practice: Caring for
Populations, 2nd Edition TEST BANK by Christine L. Savage,
Verified Chapters 1 - 22, Complete Newest Version
Situation 1 - Boy George is a 15-year-old adolescent who lives with his mother and
father, and several siblings. He is hospitalized in a provincial hospital after a suicide
attempt.

1. When performing a family assessment, select what the nurse must FIRST
determine.

A. How the family expresses and manage emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patients suicide attempt has for - ANSWER: C. Names and
relationships among family members

2. Which of the following is the BEST QUESTION for the nurse to ask to assess a
family's ability to cope?

A. "Do you think your family copes effectively"
B. "What do you think of the current family problem?'
C. "What strengths does your family have?"
D. "Can you describe how you successfully handled one family - ANSWER: D. "Can
you describe how you successfully handled one family

3. The mother of Boy George asks the nurse, "Why do you want to do a family
assessment? My teenager is the patient, not the rest of us. "What is the BEST
response of the nurse"

A. "Family dysfunction might have caused the mental illness"
B. "Every family member's perception of events is different and adds to the total
picture"
C. "Family members provide more accurate information than the patient"
D. "Family assessment is a protocol for care of all patients" - ANSWER: B. "Every
family member's perception of events is different and adds to the total picture"

4. Which information is the nurse MOST likely to find when assessing the family of a
patient with mental illness?

A. Power in the family is maintained in the parental dyad and rarely delegated
B. Several family members have serious problems with their psychological health
C. Stress that living with a mentally ill member has challenged the family's function
D. The family exhibits many characteristics of dysfunctional

,families - ANSWER: C. Stress that living with a mentally ill member has challenged
the family's function

5. Parents of Boy George say, "We have never known anyone who was mentally ill.
We have no one to talk to because none of our friends understand the problem we
are facing. "Which of the following is the nurse's MOST helpful intervention?

A. Facility achievement of normal developmental tasks of the
family
B. Build the parents self-concept as coping patterns
C. Teach the parents techniques of therapeutic communication
D. Refer the parents to a support group - ANSWER: D. Refer the parents to a support
group

Situation 2 - Collaboration is being able to work cooperatively and efficient with co-
workers and any other people the nurse may have to interact with. This includes
other health professionals, clients, and their families and communities.

6. Which of the following is NOT recognized as part of the nurse's role as member of
the health team?

A. Care manager and supervisor
B. Provider of care and educator
C. Patient advocate and supporter
D. Performing physician's functions with supervision - ANSWER: D. Performing
physician's functions with supervision

7. The health team has brainstormed for ideas in creating a more collaborative
environment in a health care facility. Which idea or action would be the BEST to
develop further?

A. Develop a plan for the different team members to follow and show impact of their
work
B. Emphasize that no one profession has all the necessary competence to provide all
care
C. Hold education sessions regarding collaboration for each unit
D. Institute collaborative strategies that are traditionally practiced - ANSWER: B.
Emphasize that no one profession has all the necessary competence to provide all
care

8. Which patient scenario describes the BEST example of professional collaboration?

A. The nurse, physician, and physical therapist have all visited separately with the
patient
B. The nurse mentions to the physical therapist that the patient may benefit from a
muscle strengthening evaluation

, C. The nurse and physician discuss the patient's muscle weakness and initiate a
referral for physical therapy
D. The nurse, physical therapist, and physician have all
developed separate care plans for the patient - ANSWER: C. The nurse and physician
discuss the patient's muscle weakness and initiate a referral for physical therapy

9. Which activities are appropriate for the nurse to collaborate with a patient?

1. Prescribing new medication
2. Health promotion activities
3. End-of-life comfort decisions
4. interpreting laboratory results
5. Lifestyle changes to improve health

A. 2, 3, 5
B. 2, 4, 5
C. 1, 4, 5
D. 1, 3, 4 - ANSWER: A. 2, 3, 5

10. The Rural Health Nurse and the Rural Health Physician are explaining home care
that will be needed by a patient with Tuberculosis. The patient's spouse states
angrily that it will not be possible to provide the care recommended. What is the
BEST response by the nurse?

A. "I would like to listen to your concern about the prescribed care"
B. "It is important that you do what the physician has
prescribed"
C. "I can come back after you talk with your spouse about the care"
D. "Let me review what is needed again, then I'll talk to you later" - ANSWER: A. "I
would like to listen to your concern about the prescribed care"

Situation 3 - Nurse Roger is assigned in a disaster-prone province in the Visayas. He is
aware that with the increase frequency of disaster happening, he has to respond
quickly and efficiently to assist the population affected by calamities.

11. Which of the following BEST defines a disaster?

A. Any event that results in multiple deaths
B. Devastation that covers a broad geographical area
C. Devastation that cannot be relieved without assistance
D. The event results in multiple injuries, deaths and property damage - ANSWER: D.
The event results in multiple injuries, deaths and property damage

12. Nurse Roger is guided by the ICN framework of disaster nursing competencies.
This framework consist of four areas in the continuum of disaster management that
corresponds to the four stages of disaster. What consists of the FIRST stage?

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