Deck 18: The Nursing Center: a Model for Nursing Practice in the Community

Question 1

Nursing centers were established in the 1970s by:

A) Nursing executives
B) Nurse practitioners
C) Academic nursing programs
D) Community leaders

Answer 1

Academic nursing programs

Question 2

Which of the following reveals the strengths, limitations, and capacity of an organization and the community to support the establishment and viability of a nursing center?

A) Data collection
B) Feasibility study
C) Focus groups
D) Community forums

Answer 2

Feasibility study

Question 3

Program evaluation is an essential organizational practice in nursing centers. A Nurse Executive provides materials on the effectiveness of a prenatal program. This would be termed:

A) Focusing on design
B) Engaging stakeholders
C) Ensuring use and sharing lessons learned
D) Gathering credible evidence

Answer 3

Gathering credible evidence

Question 4

Nursing center research has principally focused on:

A) The development and characteristics of nursing centers
B) The effects of nursing models of care in nursing centers
C) Client outcomes
D) Managed competition in nursing centers

Question 5

The Health Insurance Portability and Accountability Act (HIPAA) says:

A) A person's insurance can remain the same even if jobs have changed.
B) Staff must account for all work done.
C) Client confidentiality is strictly adhered to by staff.
D) This is in effect for those with health insurance.

Question 6

The levels of prevention are often addressed in nursing centers. If a community conducts blood lead screenings on a regular basis for children under 6 years old, this would be considered:

A) Tertiary prevention
B) Primary prevention
C) Secondary prevention
D) Health education

Question 7

A nursing center is going to be placed in a rural community. Which of the following has the most power and influence on model development and team composition?

A) The rural community
B) The mayor
C) The nursing executive
D) The center's staff

Question 8

The Healthy People initiative has framed the nation's health promotion and disease prevention agenda since 198
0)What are the goals of Healthy People 2010?

A) Set up nursing centers for the purpose of health promotion
B) Increase quality and years of health life and eliminate disparities
C) Eliminate disease in lesser-developed countries
D) Further the agenda of the World Health Organization

Question 9

Nursing centers are responsive to the needs of the community when the:

A) Staff determines the needs of the community
B) Nurse executive determines the services needed by the community
C) Community is involved in assessing its needs
D) Community leader determines the needs of the community

Question 10

Which of the following addresses the multiple levels of intervention required for bringing about and sustaining change?

A) Community collaboration
B) Community assessment
C) Strategic planning
D) Partnership

Question 11

There are many nursing center typologies. The service model includes:

A) Free-standing centers only
B) Affiliated centers only
C) Comprehensive primary care centers
D) Fee-for-service payment

Question 12

Advanced practice nurses often provide care at nursing centers. Some of the possible classes that focus on health promotion might include:

A) Advanced care of the chronically ill elderly at home
B) Smoking cessation and weight management techniques
C) How to provide primary services
D) Providing financial support for nursing students

Question 13

Which of the following describes the development and direction of the nursing center and how goals will be met?

A) Feasibility study
B) Business plan
C) Strategic plan
D) Organizational strategies

Question 14

Nursing centers provide unique opportunities to improve the health status of individuals, families, and communities through direct access to nurses and nursing models of care. All nursing centers have things in common. They include:

A) Characteristics that reflect the values, beliefs, and scientific knowledge and skills inherent in nursing models of care.
B) Primary care is provided by physicians and health care providers.
C) Accountability and responsibility is handled by the local health department.
D) They are all freestanding businesses.

Question 15

In planning and establishing a nursing center initiative, nurses and others need to seek expert advice and support. They must understand that this is a business enterprise. Final decisions about establishing a nursing center must be based on which of the following factors?

A) Existing social policy and health care financing
B) Community response
C) Nursing interest
D) Grant submission

Question 16

One type of nursing center is the special care center. This center:

A) Focuses on a particular demographical group or those with special care needs
B) Is closely associated with a school of nursing
C) Are considered not-for-profit
D) Are designated fee-for-service, designated HMO providers

Question 17

The nursing center team has people of many levels of skill. The Director or Nurse Executive is an advanced practice nurse who is committed to the nursing center model. Which of the following are other responsibilities of the Nurse Executive?

A) Business operations
B) Data operations
C) Patient care and referral
D) Grantsmanship, oversight of contracts and grants, and development of the Advisory Board

Question 18

Individuals, families, groups and organizations, policy makers, and staff are involved in community collaboration. These groups are known as:

A) Nursing Center workers
B) Policy makers
C) Stakeholders
D) Diversity

Question 19

Nursing centers are strategically positioned to improve the health and well-being of vulnerable populations. Efforts focus on enhancing people's capacity to meet their personal, family, and community responsibilities. These include:

A) Working in partnerships with lawmakers to solicit support
B) Community-based culturally competent care
C) An illness-based approach to health care
D) Fee-for-service payments by clients

Question 20

Which of the following types of nursing centers actively integrates service, education, and research in its model?

A) Special care
B) Freestanding organization
C) Fee-for-service
D) Academic

Question 21

Which of the following health providers are typically neighborhood residents who are trained in community outreach, family case management, or on-site services?

A) Community health workers
B) Support staff
C) Clinical specialists
D) Specialty care providers

Question 22

Support for nursing centers can come from which of the following sources? Select all that apply.

A) Grants
B) Charitable organizations
C) Private pledges
D) Foundations
E) None of the above

Question 23

Which of the following centers provides health promotion and disease prevention programs?

A) Academic Nursing
B) Health and Wellness
C) Comprehensive Primary Care
D) Special Care

Question 24

A nursing center:

A) Emphasizes illness-oriented care
B) Gives the client direct access to nursing services
C) Provides free services
D) Employs physicians to diagnose and treat health problems

Question 25

The first academic nursing centers were established in the:

A) 1970s
B) 1980s
C) 1990s
D) 2000s

Question 26

Which of the following reimbursement pays at contracted rates?

A) Fee-for-service
B) Federally Qualified Health Center (FQHC)
C) HMO provider
D) Third-party reimbursement

Question 27

A factor that influences the success of collaboration is:

A) Multipurpose
B) Structural
C) Decisions made by executive director
D) Open and frequent communication

Question 28

Which of the following is a student role in a nursing center?

A) Leader
B) Follower
C) Advocate
D) Researcher