Chapter 07 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 07

Question 1

Type: MCSA

A nurse educator is explaining primary health care (PHC) and the extension of its boundaries beyond traditional health care services. Issues related to PHC include which of the following?

1. Distribution and participation

2. Environment, agriculture, and housing

3. Consumerism and governmental subsidies

4. Low life expectancies and high mortality rates among children

Correct Answer: 2

Rationale 1: PHC involves issues of the environment, agriculture, and housing. It also involves other social, economic, and political issues such as poverty, transportation, unemployment, and economic development to sustain the population. Distribution and participation are two of the five principles incorporated in PHC. Consumerism and governmental subsidies are not part of the PHC makeup. Low life expectancies and high mortality rates among children are two concerns about health care that led to the global health strategy of primary health care.

Rationale 2: PHC involves issues of the environment, agriculture, and housing. It also involves other social, economic, and political issues such as poverty, transportation, unemployment, and economic development to sustain the population. Distribution and participation are two of the five principles incorporated in PHC. Consumerism and governmental subsidies are not part of the PHC makeup. Low life expectancies and high mortality rates among children are two concerns about health care that led to the global health strategy of primary health care.

Rationale 3: PHC involves issues of the environment, agriculture, and housing. It also involves other social, economic, and political issues such as poverty, transportation, unemployment, and economic development to sustain the population. Distribution and participation are two of the five principles incorporated in PHC. Consumerism and governmental subsidies are not part of the PHC makeup. Low life expectancies and high mortality rates among children are two concerns about health care that led to the global health strategy of primary health care.

Rationale 4: PHC involves issues of the environment, agriculture, and housing. It also involves other social, economic, and political issues such as poverty, transportation, unemployment, and economic development to sustain the population. Distribution and participation are two of the five principles incorporated in PHC. Consumerism and governmental subsidies are not part of the PHC makeup. Low life expectancies and high mortality rates among children are two concerns about health care that led to the global health strategy of primary health care.

Global Rationale: Page Reference: 118

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 01 Discuss factors influencing health care reform.

Question 2

Type: MCSA

After a community was hit by a tornado, the nurses of the local Red Cross Chapter helped to make sure people had adequate food and clothing. Which function of community were these nurses focused on restoring?

1. Social control

2. Social interparticipation

3. Mutual support

4. Distribution of goods and services

Correct Answer: 4

Rationale 1: Production, distribution, and consumption of goods and services are the means by which the community provides for the economic needs of its members. It includes supplying food and clothing as well as providing water, electricity, police and fire protection, and the disposal of refuse.

Rationale 2: Production, distribution, and consumption of goods and services are the means by which the community provides for the economic needs of its members. It includes supplying food and clothing as well as providing water, electricity, police and fire protection, and the disposal of refuse.

Rationale 3: Production, distribution, and consumption of goods and services are the means by which the community provides for the economic needs of its members. It includes supplying food and clothing as well as providing water, electricity, police and fire protection, and the disposal of refuse.

Rationale 4: Production, distribution, and consumption of goods and services are the means by which the community provides for the economic needs of its members. It includes supplying food and clothing as well as providing water, electricity, police and fire protection, and the disposal of refuse.

Global Rationale: Page Reference: 119

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 05 Discuss competencies community-based nurses need for practice, including the Pew Health Professions Commission recommendations for health competencies for future health practitioners. 07 Describe the role of the nurse in providing continuity of care.

Question 3

Type: MCSA

A nurse is helping to set up an elder social group at a local senior center where residents can come to play cards or participate in structured activities three times a week. This nurse is working in which function of community?

1. Socialization

2. Social control

3. Social interparticipation

4. Mutual support

Correct Answer: 3

Rationale 1: Social interparticipation refers to community activities that are designed to meet peoples needs for companionship. Socialization refers to the process of transmitting values, knowledge, culture, and skills to others. Social control refers to the way in which order is maintained in a community. Mutual support refers to the communitys ability to provide resources at a time of illness or disaster.

Rationale 2: Social interparticipation refers to community activities that are designed to meet peoples needs for companionship. Socialization refers to the process of transmitting values, knowledge, culture, and skills to others. Social control refers to the way in which order is maintained in a community. Mutual support refers to the communitys ability to provide resources at a time of illness or disaster.

Rationale 3: Social interparticipation refers to community activities that are designed to meet peoples needs for companionship. Socialization refers to the process of transmitting values, knowledge, culture, and skills to others. Social control refers to the way in which order is maintained in a community. Mutual support refers to the communitys ability to provide resources at a time of illness or disaster.

Rationale 4: Social interparticipation refers to community activities that are designed to meet peoples needs for companionship. Socialization refers to the process of transmitting values, knowledge, culture, and skills to others. Social control refers to the way in which order is maintained in a community. Mutual support refers to the communitys ability to provide resources at a time of illness or disaster.

Global Rationale: Page Reference: 119

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 04 Differentiate community-based nursing from traditional institutional-based nursing. 07 Describe the role of the nurse in providing continuity of care.

Question 4

Type: MCSA

When explaining the difference between community and population, the nurse educator uses which of the following as an example for population?

1. Commuters on the subway

2. A grade school class

3. Graduating nursing students

4. A group of employees at a local plant

Correct Answer: 1

Rationale 1: A population is composed of people who share some common characteristic, but who do not necessarily interact with each otheras people on a subway might behave. They are all riding, but not really interacting. The other options are examples of communitypeople or a social system in which the members interact formally or informally and form networks that operate for the benefit of all people in the community. A grade school class or nurse graduates would fall into this category as would employees at a local plant-people who share some part of their lives in such a way that all benefit.

Rationale 2: A population is composed of people who share some common characteristic, but who do not necessarily interact with each otheras people on a subway might behave. They are all riding, but not really interacting. The other options are examples of communitypeople or a social system in which the members interact formally or informally and form networks that operate for the benefit of all people in the community. A grade school class or nurse graduates would fall into this category as would employees at a local plant-people who share some part of their lives in such a way that all benefit.

Rationale 3: A population is composed of people who share some common characteristic, but who do not necessarily interact with each otheras people on a subway might behave. They are all riding, but not really interacting. The other options are examples of communitypeople or a social system in which the members interact formally or informally and form networks that operate for the benefit of all people in the community. A grade school class or nurse graduates would fall into this category as would employees at a local plant-people who share some part of their lives in such a way that all benefit.

Rationale 4: A population is composed of people who share some common characteristic, but who do not necessarily interact with each otheras people on a subway might behave. They are all riding, but not really interacting. The other options are examples of communitypeople or a social system in which the members interact formally or informally and form networks that operate for the benefit of all people in the community. A grade school class or nurse graduates would fall into this category as would employees at a local plant-people who share some part of their lives in such a way that all benefit.

Global Rationale: Page Reference: 119-120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 06 Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurses role.

Question 5

Type: MCSA

When completing a community assessment, the community health nurse will take several aspects into account. What is the first stage of this assessment?

1. Learn about the people in the community.

2. Understand the major illnesses present in the community.

3. Identify the boundaries of the community.

4. Make sure resources are available in the community.

Correct Answer: 1

Rationale 1: The first stage in assessment is to learn about the people in the community. When completing a community assessment, the nurse needs to focus on a much larger clientwhich is the whole community. Identifying boundaries is part of a community assessment, not the first stage. Other aspects to consider are types of dwellings, education present, safety and transportation services, politics and government, health and social services, communication, economics, and recreation.

Rationale 2: The first stage in assessment is to learn about the people in the community. When completing a community assessment, the nurse needs to focus on a much larger clientwhich is the whole community. Identifying boundaries is part of a community assessment, not the first stage. Other aspects to consider are types of dwellings, education present, safety and transportation services, politics and government, health and social services, communication, economics, and recreation.

Rationale 3: The first stage in assessment is to learn about the people in the community. When completing a community assessment, the nurse needs to focus on a much larger clientwhich is the whole community. Identifying boundaries is part of a community assessment, not the first stage. Other aspects to consider are types of dwellings, education present, safety and transportation services, politics and government, health and social services, communication, economics, and recreation.

Rationale 4: The first stage in assessment is to learn about the people in the community. When completing a community assessment, the nurse needs to focus on a much larger clientwhich is the whole community. Identifying boundaries is part of a community assessment, not the first stage. Other aspects to consider are types of dwellings, education present, safety and transportation services, politics and government, health and social services, communication, economics, and recreation.

Global Rationale: Page Reference: 120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe various community-based frameworks, including integrated health care systems, community initiatives and conditions, and case management.

Question 6

Type: MCSA

A nurse is completing a community assessment and must understand where the main health facilities are located and how many residents in the community are welfare recipients. The best source for this information would be which of the following?

1. Police department

2. City health planning board

3. County health department

4. State census data

Correct Answer: 3

Rationale 1: The county health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.

Rationale 2: The county health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.

Rationale 3: The county health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.

Rationale 4: The county health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.

Global Rationale: Page Reference: 120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 06 Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurses role.

Question 7

Type: MCSA

Several student nurses are compiling information about their community and want to understand more about services to maintain and promote health. What entity would be most helpful to them?

1. Chamber of commerce

2. Public and university libraries

3. Recreational directors

4. Teachers and school nurses

Correct Answer: 4

Rationale 1: Teachers and school nurses provide information about the incidence of childrens health problems and information on facilities and services to maintain and promote health. The chamber of commerce can supply statistics about employment, major industries, and primary occupations. Public and university libraries contain district social and cultural research reports. Recreational directors provide information about programs and participation levels.

Rationale 2: Teachers and school nurses provide information about the incidence of childrens health problems and information on facilities and services to maintain and promote health. The chamber of commerce can supply statistics about employment, major industries, and primary occupations. Public and university libraries contain district social and cultural research reports. Recreational directors provide information about programs and participation levels.

Rationale 3: Teachers and school nurses provide information about the incidence of childrens health problems and information on facilities and services to maintain and promote health. The chamber of commerce can supply statistics about employment, major industries, and primary occupations. Public and university libraries contain district social and cultural research reports. Recreational directors provide information about programs and participation levels.

Rationale 4: Teachers and school nurses provide information about the incidence of childrens health problems and information on facilities and services to maintain and promote health. The chamber of commerce can supply statistics about employment, major industries, and primary occupations. Public and university libraries contain district social and cultural research reports. Recreational directors provide information about programs and participation levels.

Global Rationale: Page Reference: 120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 06 Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurses role.

Question 8

Type: MCSA

Nursing students are required to attend at least two community activities related to health and wellness. What resource would best help them identify the type and time of these activities?

1. Online computer services

2. Recreational directors

3. Local newspapers

4. Telephone book

Correct Answer: 3

Rationale 1: Local newspapers contain informationincluding date and timeabout community activities related to health and wellness, such as health lectures or health fairs. Online computer services may provide access to public documents related to community health. Recreational directors have information about programs provided and participation levels. The telephone book would include the location of social, recreational, and health organizations, as well as committees and facilities.

Rationale 2: Local newspapers contain informationincluding date and timeabout community activities related to health and wellness, such as health lectures or health fairs. Online computer services may provide access to public documents related to community health. Recreational directors have information about programs provided and participation levels. The telephone book would include the location of social, recreational, and health organizations, as well as committees and facilities.

Rationale 3: Local newspapers contain informationincluding date and timeabout community activities related to health and wellness, such as health lectures or health fairs. Online computer services may provide access to public documents related to community health. Recreational directors have information about programs provided and participation levels. The telephone book would include the location of social, recreational, and health organizations, as well as committees and facilities.

Rationale 4: Local newspapers contain informationincluding date and timeabout community activities related to health and wellness, such as health lectures or health fairs. Online computer services may provide access to public documents related to community health. Recreational directors have information about programs provided and participation levels. The telephone book would include the location of social, recreational, and health organizations, as well as committees and facilities.

Global Rationale: Page Reference: 120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 07 Describe the role of the nurse in providing continuity of care.

Question 9

Type: MCSA

Several nurses at the county health department are involved in planning community health. In order to create a plan that will be acceptable to members of the community, who else should be involved in this venture?

1. As many people from the community as possible

2. Physicians and other nurses

3. Members of the chamber of commerce and governing board of the community

4. Just the nurses at the county health department

Correct Answer: 1

Rationale 1: A broadly based planning group is most likely to create a plan that is acceptable to members of the community. People who are involved in planning become educated about problems, resources, and interrelationships within the system. Responsibility for planning at the community level is usually broadly based and needs to include as many of the community partners as possible.

Rationale 2: A broadly based planning group is most likely to create a plan that is acceptable to members of the community. People who are involved in planning become educated about problems, resources, and interrelationships within the system. Responsibility for planning at the community level is usually broadly based and needs to include as many of the community partners as possible.

Rationale 3: A broadly based planning group is most likely to create a plan that is acceptable to members of the community. People who are involved in planning become educated about problems, resources, and interrelationships within the system. Responsibility for planning at the community level is usually broadly based and needs to include as many of the community partners as possible.

Rationale 4: A broadly based planning group is most likely to create a plan that is acceptable to members of the community. People who are involved in planning become educated about problems, resources, and interrelationships within the system. Responsibility for planning at the community level is usually broadly based and needs to include as many of the community partners as possible.

Global Rationale: Page Reference: 120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Describe various community-based frameworks, including integrated health care systems, community initiatives and conditions, and case management.

Question 10

Type: MCSA

After implementing health promotion activities and plans to prioritize health problems, the community must evaluate the effectiveness of the interventions. Which groups would be involved in this process?

1. Health care providers at the community level

2. Hospital and clinic personnel who administered health care needs

3. Health care providers, consumers, community leaders, and politicians

4. Those consumers who were directly affected by the services provided

Correct Answer: 3

Rationale 1: Because community health is usually a collaborative process between health providers, community leaders, politicians, and consumers, all may be involved in the evaluation process. Often, the community health nurse is the agent of evaluation, collecting and assessing data that determine the effectiveness of implemented programs.

Rationale 2: Because community health is usually a collaborative process between health providers, community leaders, politicians, and consumers, all may be involved in the evaluation process. Often, the community health nurse is the agent of evaluation, collecting and assessing data that determine the effectiveness of implemented programs.

Rationale 3: Because community health is usually a collaborative process between health providers, community leaders, politicians, and consumers, all may be involved in the evaluation process. Often, the community health nurse is the agent of evaluation, collecting and assessing data that determine the effectiveness of implemented programs.

Rationale 4: Because community health is usually a collaborative process between health providers, community leaders, politicians, and consumers, all may be involved in the evaluation process. Often, the community health nurse is the agent of evaluation, collecting and assessing data that determine the effectiveness of implemented programs.

Global Rationale: Page Reference: 120

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 06 Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurses role.

Question 11

Type: MCSA

A large community clinic provides health education, illness prevention, acute care, screening, and rehabilitation and health promotion services for the chronically ill. In assessing the type of approach this represents, the community health nurse would identify this as which of the following?

1. Community-based setting

2. Integrated health care system

3. Wellness center

4. Community outreach center

Correct Answer: 2

Rationale 1: An integrated health care system makes all levels of care available in an integrated form, including primary care (education and illness prevention), secondary care (acute care and screening), and tertiary care (rehabilitation and services for the chronically ill). Community-based settings are provided in county and state health departments and may include day-care centers, senior centers, storefront clinics, homeless shelters, and the like. A wellness center provides services such as health promotion, maintenance education, counseling, and screening. Community outreach centers are small, freestanding clinics providing services similar to those traditionally provided by large public health clinics, but focused on a narrower population.

Rationale 2: An integrated health care system makes all levels of care available in an integrated form, including primary care (education and illness prevention), secondary care (acute care and screening), and tertiary care (rehabilitation and services for the chronically ill). Community-based settings are provided in county and state health departments and may include day-care centers, senior centers, storefront clinics, homeless shelters, and the like. A wellness center provides services such as health promotion, maintenance education, counseling, and screening. Community outreach centers are small, freestanding clinics providing services similar to those traditionally provided by large public health clinics, but focused on a narrower population.

Rationale 3: An integrated health care system makes all levels of care available in an integrated form, including primary care (education and illness prevention), secondary care (acute care and screening), and tertiary care (rehabilitation and services for the chronically ill). Community-based settings are provided in county and state health departments and may include day-care centers, senior centers, storefront clinics, homeless shelters, and the like. A wellness center provides services such as health promotion, maintenance education, counseling, and screening. Community outreach centers are small, freestanding clinics providing services similar to those traditionally provided by large public health clinics, but focused on a narrower population.

Rationale 4: An integrated health care system makes all levels of care available in an integrated form, including primary care (education and illness prevention), secondary care (acute care and screening), and tertiary care (rehabilitation and services for the chronically ill). Community-based settings are provided in county and state health departments and may include day-care centers, senior centers, storefront clinics, homeless shelters, and the like. A wellness center provides services such as health promotion, maintenance education, counseling, and screening. Community outreach centers are small, freestanding clinics providing services similar to those traditionally provided by large public health clinics, but focused on a narrower population.

Global Rationale: Page Reference: 122

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe various community-based frameworks, including integrated health care systems, community initiatives and conditions, and case management.

Question 12

Type: MCSA

A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services. In this capacity, the nurse is working in which of the following roles?

1. Counselor

2. Educator

3. Referral source

4. Facilitator

Correct Answer: 4

Rationale 1: A facilitator recruits and coordinates volunteers within the congregation and develops support groups. A counselor discusses health issues and problems with individuals and makes home, hospital, and nursing home visits as needed. An educator works to support individuals through health education activities that promote an understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A referral source is a liaison to other congregations and community resources.

Rationale 2: A facilitator recruits and coordinates volunteers within the congregation and develops support groups. A counselor discusses health issues and problems with individuals and makes home, hospital, and nursing home visits as needed. An educator works to support individuals through health education activities that promote an understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A referral source is a liaison to other congregations and community resources.

Rationale 3: A facilitator recruits and coordinates volunteers within the congregation and develops support groups. A counselor discusses health issues and problems with individuals and makes home, hospital, and nursing home visits as needed. An educator works to support individuals through health education activities that promote an understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A referral source is a liaison to other congregations and community resources.

Rationale 4: A facilitator recruits and coordinates volunteers within the congregation and develops support groups. A counselor discusses health issues and problems with individuals and makes home, hospital, and nursing home visits as needed. An educator works to support individuals through health education activities that promote an understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A referral source is a liaison to other congregations and community resources.

Global Rationale: Page Reference: 123

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Describe the role of the nurse in providing continuity of care.

Question 13

Type: MCSA

A parish nurse is helping a group of new parents within the congregation find appropriate health care providers within the community who specialize in infant/child and family health care needs. This nurse is functioning in which of the following roles?

1. Health educator

2. Referral source

3. Facilitator

4. Integrator

Correct Answer: 2

Rationale 1: A referral source acts as a liaison to other congregational and community resources. Helping new parents find appropriate sources for health care would be an example of a referral source. A health educator supports individuals through health education activities that promote understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A facilitator recruits and coordinates volunteers within the congregation and develops support groups. An integrator brings the entities of faith and health together.

Rationale 2: A referral source acts as a liaison to other congregational and community resources. Helping new parents find appropriate sources for health care would be an example of a referral source. A health educator supports individuals through health education activities that promote understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A facilitator recruits and coordinates volunteers within the congregation and develops support groups. An integrator brings the entities of faith and health together.

Rationale 3: A referral source acts as a liaison to other congregational and community resources. Helping new parents find appropriate sources for health care would be an example of a referral source. A health educator supports individuals through health education activities that promote understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A facilitator recruits and coordinates volunteers within the congregation and develops support groups. An integrator brings the entities of faith and health together.

Rationale 4: A referral source acts as a liaison to other congregational and community resources. Helping new parents find appropriate sources for health care would be an example of a referral source. A health educator supports individuals through health education activities that promote understanding of the relationship between values, attitudes, lifestyle, faith, and well-being. A facilitator recruits and coordinates volunteers within the congregation and develops support groups. An integrator brings the entities of faith and health together.

Global Rationale: Page Reference: 123

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 07 Describe the role of the nurse in providing continuity of care.

Question 14

Type: MCSA

A public health nurse is working with a group of home health nurses in an isolated, mountainous region where access to smaller communities and individuals is quite difficult, especially in the winter and early springseasons when health needs of these individuals are quite high. The public health nurse has set up video conferencing and video clinics for these home health nurses regarding various client teaching and health promotion activities. This is an example of which of the following?

1. Community-based nursing

2. Parish nursing

3. Telenursing

4. Collaborative health care

Correct Answer: 3

Rationale 1: Telehealth projects use communication and information technology to provide health information and health care services to people in rural, remote, or underserviced areas. Video conferences and video clinics enable health care workers to provide distant consultation to assess and treat ambulatory clients who have a variety of health care needs. Telenursing enables nurses to provide client teaching and health promotion to distant clients. Community-based nursing is nursing care directed toward specific individuals, on a much broader scale than what is described in this scenario. Parish nursing focuses on integrating aspects of faith and members of a particular congregation and health care or nursing needs. Collaborative health care describes a process of teamwork in providing comprehensive health care.

Rationale 2: Telehealth projects use communication and information technology to provide health information and health care services to people in rural, remote, or underserviced areas. Video conferences and video clinics enable health care workers to provide distant consultation to assess and treat ambulatory clients who have a variety of health care needs. Telenursing enables nurses to provide client teaching and health promotion to distant clients. Community-based nursing is nursing care directed toward specific individuals, on a much broader scale than what is described in this scenario. Parish nursing focuses on integrating aspects of faith and members of a particular congregation and health care or nursing needs. Collaborative health care describes a process of teamwork in providing comprehensive health care.

Rationale 3: Telehealth projects use communication and information technology to provide health information and health care services to people in rural, remote, or underserviced areas. Video conferences and video clinics enable health care workers to provide distant consultation to assess and treat ambulatory clients who have a variety of health care needs. Telenursing enables nurses to provide client teaching and health promotion to distant clients. Community-based nursing is nursing care directed toward specific individuals, on a much broader scale than what is described in this scenario. Parish nursing focuses on integrating aspects of faith and members of a particular congregation and health care or nursing needs. Collaborative health care describes a process of teamwork in providing comprehensive health care.

Rationale 4: Telehealth projects use communication and information technology to provide health information and health care services to people in rural, remote, or underserviced areas. Video conferences and video clinics enable health care workers to provide distant consultation to assess and treat ambulatory clients who have a variety of health care needs. Telenursing enables nurses to provide client teaching and health promotion to distant clients. Community-based nursing is nursing care directed toward specific individuals, on a much broader scale than what is described in this scenario. Parish nursing focuses on integrating aspects of faith and members of a particular congregation and health care or nursing needs. Collaborative health care describes a process of teamwork in providing comprehensive health care.

Global Rationale: Page Reference: 124

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 02 Describe various community-based frameworks, including integrated health care systems, community initiatives and conditions, and case management.

Question 15

Type: MCSA

Several nurses are working in concert with other health care providers for a group of individuals within the community who have complications of diabetes mellitus and require extensive dressing changes and comprehensive education. The nurses and providers are working within the context of which of the following?

1. Collaboration

2. Case management

3. Health promotion

4. Health education

Correct Answer: 1

Rationale 1: Collaboration means a collegial working relationship with other health care providers to supply patient care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one person overseeing the needs and requirements of a particular individuals health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.

Rationale 2: Collaboration means a collegial working relationship with other health care providers to supply patient care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one person overseeing the needs and requirements of a particular individuals health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.

Rationale 3: Collaboration means a collegial working relationship with other health care providers to supply patient care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one person overseeing the needs and requirements of a particular individuals health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.

Rationale 4: Collaboration means a collegial working relationship with other health care providers to supply patient care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one person overseeing the needs and requirements of a particular individuals health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.

Global Rationale: Page Reference: 125

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 06 Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurses role.

Question 16

Type: MCSA

A nurse is working in collaboration with a group of health care providers in a community clinic setting. They have defined a problem and now are focusing on objectives and considering various viewpoints presented by the group. Which of the competencies of collaboration does this describe?

1. Mutual respect

2. Trust

3. Communication

4. Decision making

Correct Answer: 4

Rationale 1: Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when a person is confident in the actions of another person. Both imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration. It occurs only if the involved parties are committed to understanding each others professional roles and appreciating each other as individuals.

Rationale 2: Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when a person is confident in the actions of another person. Both imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration. It occurs only if the involved parties are committed to understanding each others professional roles and appreciating each other as individuals.

Rationale 3: Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when a person is confident in the actions of another person. Both imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration. It occurs only if the involved parties are committed to understanding each others professional roles and appreciating each other as individuals.

Rationale 4: Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when a person is confident in the actions of another person. Both imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration. It occurs only if the involved parties are committed to understanding each others professional roles and appreciating each other as individuals.

Global Rationale: Page Reference: 125

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe various community-based frameworks, including integrated health care systems, community initiatives and conditions, and case management.

Question 17

Type: MCSA

A nurse case manager must be vigilant in protecting the clients health information. Because the nursing office is in a cluster of offices that share a fax machine, which action by the nurse ensures that HIPAA requirements are met?

1. Have the client sign a consent for information to be released.

2. Have sending agencies call ahead before any information is sent.

3. Do not utilize the fax machine; depend on the mail system.

4. Take relevant information over the phone.

Correct Answer: 2

Rationale 1: Case manager nurses need to maintain vigilance to protect the privacy of client health care information when sending and receiving messages. In this case, having the sending agency call prior to faxing information would alert the nurse to collect the information from the fax machine at the time it is received, securing that information so others do not have access to it. Signing a consent form for information to be released is necessary to share information, but this would not ensure the privacy aspect of HIPAAonly the disclosure aspect. Sending information through the mail takes time and does not ensure the privacy of the information. Phone conversations and information taken during the conversation must be protected and taken in a secured way to ensure HIPAA privacy aspects have not been breached.

Rationale 2: Case manager nurses need to maintain vigilance to protect the privacy of client health care information when sending and receiving messages. In this case, having the sending agency call prior to faxing information would alert the nurse to collect the information from the fax machine at the time it is received, securing that information so others do not have access to it. Signing a consent form for information to be released is necessary to share information, but this would not ensure the privacy aspect of HIPAAonly the disclosure aspect. Sending information through the mail takes time and does not ensure the privacy of the information. Phone conversations and information taken during the conversation must be protected and taken in a secured way to ensure HIPAA privacy aspects have not been breached.

Rationale 3: Case manager nurses need to maintain vigilance to protect the privacy of client health care information when sending and receiving messages. In this case, having the sending agency call prior to faxing information would alert the nurse to collect the information from the fax machine at the time it is received, securing that information so others do not have access to it. Signing a consent form for information to be released is necessary to share information, but this would not ensure the privacy aspect of HIPAAonly the disclosure aspect. Sending information through the mail takes time and does not ensure the privacy of the information. Phone conversations and information taken during the conversation must be protected and taken in a secured way to ensure HIPAA privacy aspects have not been breached.

Rationale 4: Case manager nurses need to maintain vigilance to protect the privacy of client health care information when sending and receiving messages. In this case, having the sending agency call prior to faxing information would alert the nurse to collect the information from the fax machine at the time it is received, securing that information so others do not have access to it. Signing a consent form for information to be released is necessary to share information, but this would not ensure the privacy aspect of HIPAAonly the disclosure aspect. Sending information through the mail takes time and does not ensure the privacy of the information. Phone conversations and information taken during the conversation must be protected and taken in a secured way to ensure HIPAA privacy aspects have not been breached.

Global Rationale: Page Reference: 122

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurses role.

Question 18

Type: MCSA

The nurse is helping in discharge planning of a client who needs extensive rehabilitation and is on a complicated medication schedule. The nurse would want to include which of the following persons in this clients plan?

1. Clients spouse

2. Physician

3. Pharmacist

4. Social worker

Correct Answer: 1

Rationale 1: Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the clients spouse would be important in this situation because of the complexity of the clients situation. The physician, pharmacist, and social worker may also be included, but by their own decisionnot necessarily by the nurses invitation.

Rationale 2: Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the clients spouse would be important in this situation because of the complexity of the clients situation. The physician, pharmacist, and social worker may also be included, but by their own decisionnot necessarily by the nurses invitation.

Rationale 3: Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the clients spouse would be important in this situation because of the complexity of the clients situation. The physician, pharmacist, and social worker may also be included, but by their own decisionnot necessarily by the nurses invitation.

Rationale 4: Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the clients spouse would be important in this situation because of the complexity of the clients situation. The physician, pharmacist, and social worker may also be included, but by their own decisionnot necessarily by the nurses invitation.

Global Rationale: Page Reference: 126

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Describe the role of the nurse in providing continuity of care.

Question 19

Type: MCSA

A client is getting ready to go home from an intermediate care facility following surgery and a lengthy recovery period. Which item will the home health nurse focus on in order to determine effectiveness of the discharge teaching plan?

1. Activity restrictions

2. Follow-up appointment dates

3. Return demonstration of dressing change

4. Signs of complications

Correct Answer: 3

Rationale 1: Clients need teaching before discharge that includes information about medications, dietary and activity restrictions, signs of complications that need to be reported to the physician, follow-up appointments, and where supplies can be obtained. Clients, and perhaps caregivers, also need to demonstrate safe performance of any necessary treatments. Clients need help to understand their situation, to make health care decisions, and to learn new health behaviors. All the options would be important for the client to retain, but to determine whether the task of changing the dressing was learned, the client would have to demonstrate the skill back to the nurse.

Rationale 2: Clients need teaching before discharge that includes information about medications, dietary and activity restrictions, signs of complications that need to be reported to the physician, follow-up appointments, and where supplies can be obtained. Clients, and perhaps caregivers, also need to demonstrate safe performance of any necessary treatments. Clients need help to understand their situation, to make health care decisions, and to learn new health behaviors. All the options would be important for the client to retain, but to determine whether the task of changing the dressing was learned, the client would have to demonstrate the skill back to the nurse.

Rationale 3: Clients need teaching before discharge that includes information about medications, dietary and activity restrictions, signs of complications that need to be reported to the physician, follow-up appointments, and where supplies can be obtained. Clients, and perhaps caregivers, also need to demonstrate safe performance of any necessary treatments. Clients need help to understand their situation, to make health care decisions, and to learn new health behaviors. All the options would be important for the client to retain, but to determine whether the task of changing the dressing was learned, the client would have to demonstrate the skill back to the nurse.

Rationale 4: Clients need teaching before discharge that includes information about medications, dietary and activity restrictions, signs of complications that need to be reported to the physician, follow-up appointments, and where supplies can be obtained. Clients, and perhaps caregivers, also need to demonstrate safe performance of any necessary treatments. Clients need help to understand their situation, to make health care decisions, and to learn new health behaviors. All the options would be important for the client to retain, but to determine whether the task of changing the dressing was learned, the client would have to demonstrate the skill back to the nurse.

Global Rationale: Page Reference: 126

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 07 Describe the role of the nurse in providing continuity of care.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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