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Test Bank: Public / Community Health and Nursing Practice, 2nd Edition 2nd Edition by Savage
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Test Bank: Public / Community Health and Nursing Practice, 2nd Edition 2nd Edition by Savage
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Test Bank: Public / Community Health and NursingPractice, 2nd Edition 2nd Edition by Savage
A public health nurse has been assigned to call a client who speaks a different
language than the nurse. Which of the following actions by the nurse demonstrates
cultural competency?
a. Ask the client's family member to help with interpretation.
b. Ask the office receptionist who can speak multiple languages to help with
interpretation.
c. Use the organization's interpretation or translation service for this call.
d. Speak slowly and use simple terms. - ANSWER c. Use the organization's
interpretation or translation service for this call.
Rationale: Language barriers can lead to miscommunication, and use of an
interpretation or translation service can help to improve satisfaction, quality, and
safety of care.
A nurse is speaking with the nursing supervisor about a staffing shortage and its
implications for staff on their unit. Which of the following forms of advocacy is the
nurse demonstrating?
a. Political and legislative advocacy
b. Professional advocacy
c. Community advocacy
d. Client advocacy - ANSWER b. Professional advocacy
Rationale: The nurse is demonstrating professional advocacy by speaking with the
nursing supervisor regarding the staffing shortage on their unit and its implications
for staff, such as burnout and safety concerns.
A public health nurse working in the community center asks the nurse manager
where nurses can obtain information on the competencies that public health nurses
should possess. Which document should the nurse manager recommend?
a. The Minnesota Model for Public Health Nursing Practice
b. Nurse Practice Act (NPA)
c. American Nurses Association (ANA): Code of Ethics
d. Public Health Nursing Competencies - ANSWER d. Public Health Nursing
Competencies
Rationale: The nurse manager should direct the public health nurses to the Public
Health Nursing Competencies, which provide guidance on the competencies for
public health nurses.
A nurse is reinforcing teaching to community nurses about the scope of nursing
practice in the community. Which of the following statements by a nurse indicates
, understanding of the "what" part of the American Nursing Associations's (ANA)
description of the scope of practice?
a. "I will focus on being committed as I provide care to protect the health and well-
being of my clients."
b. "I understand that scope of practice refers to staff such as LPNs, RNs, and APNs."
c. "It is important that I remember that nursing care is to be provided wherever it is
needed."
d. "My goal is to collaborate with my colleagues effectively to create positive client
outcomes." - ANSWER a. "I will focus on being committed as I provide care to
protect the health and well-being of my clients."
Rationale: This statement shows the nurse has effectively understood the teaching.
The "what" part is indicated by the care and commitment the nurse shows to protect
and promote the health and well-being of their clients.
A community health nurse reports that some families are in desperate need of basic
preventative health care services. Which of the following principles supports
providing resources to families in the community that are in need?
a. Justice
b. Beneficence
c. Autonomy
d. Nonmaleficence - ANSWER b. Beneficence
Rationale: The nurse is demonstrating the ethical principle of beneficence.
Beneficence is doing what is in the best interest of the client and protecting them
from harm.
A public health nurse is providing an explanation to newly hired public health nurses
on the concept of community health nursing as a population-based service. Which of
the following interventions should the nurse include in the explanation?
a. Physical assessment prior to hospital admission
b. Intake interviews for long-term care placement
c. Develop policies for health benefits at a local factory
d. Screening and surveillance of communicable diseases - ANSWER d. Screening
and surveillance of communicable diseases
Rationale: A key role of the community/public health nurse involves disease and
health event investigation, as well as surveillance, screening, and community
outreach for diseases including communicable and non-communicable diseases.
Surveillance involves assessment of the population health prior to and following
health events. Screening is employed to identify disease cases within the population.
A public health nurse is providing an explanation to newly hired public health nurses
on the standards of care along with the policies and procedures that reflect Nurse
Practice Acts. Which of the following is imperative that the new nurses know about
Nurse Practice Acts?
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