Question 1

A nurse is working in a public school as the school nurse. This nurse is considered to be working in which role?

Accepted Answer

A nurse employed as a school nurse is considered to be working in community-based care.

Question 2

A nurse is caring for an older adult client in the home. The nurse concludes that the client needs an x-ray to determine if he has pneumonia and requires oxygen for shortness of breath. The nurse calls to inform the physician of the client's status and then makes arrangements to carry out the physician's orders. In this scenario, what role does the nurse play?

Accepted Answer

Case management means the nurse coordinates many resources to maximize the opportunity for people to manage their own healthcare at home.

Question 3

The primary nurse shares with the healthcare team the need for her client, diagnosed with cancer, to go out on a pass to attend her daughter's wedding. She is serving in what role as a nurse?

Accepted Answer

The primary nurse should serve as an advocate for her clients.

Question 4

A hospital has begun to expand home health services to its clients. Which reason is the most likely cause for the expansion of these services?

Accepted Answer

Decreased hospital stays have led to an increase in community-based healthcare services. This phenomenon has not been directly linked to financial considerations or changes in disease patterns.

Question 5

An example of primary healthcare is:

Accepted Answer

Primary prevention or primary healthcare involves the screening of clients in the prevention of disease.

Question 6

Which facility is an example of a tertiary healthcare setting?

Accepted Answer

Tertiary care settings include rehabilitation and long-term care facilities.

Question 7

A nurse is working in a setting that provides the secondary level of healthcare. Which setting would this most likely be?

Accepted Answer

Secondary care settings include hospitals and surgery units that provide acute care. Screening exists at the primary level. Health maintenance networks and preferred physician networks do not exist at specific levels of healthcare.

Question 8

Which statement best defines community-based healthcare?

Accepted Answer

Community-based healthcare is developed within the context of a community. It is ultimately delivered to individuals and is not limited to healthy people. There are many examples of care outside of hospitals that are not considered to be community care.

Question 9

Occupational health nursing is classified as:

Accepted Answer

Community-based healthcare is developed within the context of a community. Care of employees in an occupational setting is considered to be community-based healthcare.

Question 10

When educating clients in the community on health promotion and prevention of disease, which area is important to stress?

Accepted Answer

An axiom of health promotion and disease prevention is the fact that health education is highly beneficial. These benefits are not the same for everyone, but everyone can benefit from some sort of health promotion, including older clients. Strenuous exercise is not appropriate for everyone. Education does not always need to happen in a formal healthcare setting.

Question 11

A pregnant client is on bed rest in her home and a nurse will soon come to the home to assess the client. The nurse's visit is an example of:

Accepted Answer

Community-based nursing focuses on individuals and families within the community. Postpartum nursing takes place after birth. Public health nursing focuses primarily on health promotion and disease prevention. There is not a recognized category for "residential-based nursing."

Question 12

A nursing student is assessing the birth rates and death rates of the local municipality and comparing these rates to the nation and the world. This is an example of which type of nursing?

Accepted Answer

Examining birth rates and death rates of a community is the focus of community health nursing. Community health nursing focuses on clients and populations of the community.

Question 13

The home care nurse is providing care and education to a woman who is pregnant with her first child. The client states, "I have no money or food. I don't know what I should do. I want to provide for my unborn child." The nurse refers the woman to the WIC program and a local food bank. This is an example of what aspect of community-based nursing?

Accepted Answer

Planning and intervention focus on using individual, family, and community resources to assist in restoring a client's health to maximum possible functioning, while continuing to monitor for possible side effects or complications to treatment.

Question 14

Continuity of care for a particular client is important to prevent:

Accepted Answer

Continuity of care is the provision of healthcare services without disruption, regardless of movement between settings.

Question 15

A nurse is covering all aspects of admission procedures for a client who is receiving home health services. The nurse explains what procedures will be covered during his or her visits. Which aspect of the admission process does this represent?

Accepted Answer

During the admission to the healthcare system, clients should understand the purpose and expectations of admission.

Question 16

Prior to the client's discharge from an acute care facility, the nursing case manager has the nursing staff, client, client's family, physical therapist, and home health nurse meet for which purpose?

Accepted Answer

Discharge planning prepares a client to move from one level of care to another within or outside the healthcare facility.

Question 17

One of the primary advantages to the managed care model is:

Accepted Answer

Case management is used in such situations to ensure optimum, high-quality care in the most efficient and economic manner.

Question 18

A woman living alone has degenerative joint disease, hypertension, and neuropathy. It is difficult for her to bathe herself, and her blood pressure is unstable. What type of care would this client benefit from most?

Accepted Answer

Home healthcare services are delivered to persons at home who are recovering from illness, are disabled, or are chronically or terminally ill and need various services to progress, maintain function, or perform their ADLs. Acute and ambulatory care are delivered on a short-term basis, and respite care's focus is on the caregiver.

Question 19

A client is having an increasing amount of difficulty providing self-care at home alone. She states to the nurse, "I need more help. What am I going to do" What would be important for the nurse to do?

Accepted Answer

Services to manage healthcare needs in the home can involve a team of interdisciplinary professionals, including social workers. The social worker is able to identify resources to meet the client's needs.

Question 20

It is important for home healthcare nurses to remember which point?

Accepted Answer

An essential difference in home care versus acute care is that the home care nurse is a guest in the client's home. Family or other support persons are the primary caregivers, rehabilitation may not be the goal, and the nurse does not typically act as a counselor or advisor.

Quiz 12: Healthcare in the Community and Home