NUR 412 Midterm Exam Questions and Correct Answers
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Course
NUR 412
Institution
NUR 412
A nurse in a clinic that provides direct care services to clients with tuberculosis would be classified as practicing: Community-based nursing community -oriented nursing institutional nursing Public health nursing Community-based nursing The nurse practicing as a community-based nurse is more like...
NUR 412 Midterm Exam Questions and
Correct Answers
A nurse in a clinic that provides direct care services to clients with tuberculosis would be
classified as practicing:
Community-based nursing
community -oriented nursing
institutional nursing
Public health nursing ✅Community-based nursing
The nurse practicing as a community-based nurse is more likely to give direct care to
people than are nurses who practice from a community-oriented framework. A
community-oriented framework includes community-oriented nursing and public health
nursing. Institutional nursing care is generally delivered in a hospital or nursing home
setting.
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old
who is being seen for an earache. The type of nursing Jennifer practices is:
Community oriented nursing
Community based nursing
Public health nursing
Tertiary health nursing ✅Community based nursing
In community-based nursing, the nurse focuses on "illness care" of individuals and
families across the life span. The aim is to manage acute and chronic health conditions
in the community, and the practice is family-centered illness care. Community-based
nursing is not a specialty in nursing but, rather, a philosophy that guides care in all
nursing specialties. Community-oriented nursing has as its primary focus the health
care either of the community or populations as in public health nursing (PHN) or of
individuals, families, and groups in a community.
A school nurse teaches three middle school students with asthma conditions techniques
to minimize their incidence of bronchial spasms. This is an application of:
Community based nursing
Community oriented nursing
Institutional nursing
Public health nursing ✅Community based nursing
The goal of community-based nursing (CBN) is to manage acute or chronic conditions
while promoting self-care among individuals and families. In CBN the nursing care is
family centered, which means that the nurse works to improve the competencies of
families to enable them to take better care of themselves. The nurse pays particular
attention to the uniqueness of each family and works to plan the most useful
interventions. Nurses practicing in the community and many staff public health nurses
,focus on providing direct care services, including health education, to persons or
families outside of institutional settings, either in the home or in a clinic.
The public health nurse deals with the examination of a community setting to determine
the community's health status. Which of the following activities should be considered in
the assessment phase? SATA
Assisting communities to implement and evaluate plans and projects
Building constituencies to work with the community
Collecting, analyzing, and disseminating information
Evaluating the social, economic, and environmental characteristics of the population
Questioning the availability of health services to the community ✅Evaluating the social,
economic, and environmental characteristics of the population
Questioning the availability of health services to the community
In a federally funded preschool program such as Head Start, nursing services that
include conducting developmental-level screening for cognitive and psychomotor
development of individual children would most likely be considered community-oriented
nursing care when:
individual results are compared with established standards for children of the same age
group
program characteristics are assessed for their effectiveness in making the school
population healthier
referral is provided for a child identified with delayed psychomotor development.
treatment is initiated for a child with an identified learning disability. ✅individual results
are compared with established standards for children of the same age group
Within federally funded programs for preschool children, from a community-oriented
nursing care perspective, nursing services could be provided to individual children by
conducting developmental-level screening tests to evaluate each child's level of
cognitive and psychomotor development in comparison with established standards for
children of the same age. This is population-focused service. A community-based nurse
may deliver illness care or direct services to individual children. A public health nurse
may assess the program's ability to achieve the overall goal of making its
population of children healthier by evaluating the characteristics of the facility, program,
and environment for their
effectiveness in achieving the goal.
Public health nursing is a specialty with a distinct focus and scope of practice and
requires a special knowledge base different from other specialty areas of nursing. A
public health nurse would first be interested in:
Drug treatments for diabetes
Populations with the highest rate of diabetes
Educational material for individual with diabetes
New technology for diabetic care ✅Populations with the highest rate of diabetes
, The primary focus that has differentiated public health nursing from other specialties
has been the emphasis on the population rather than on individuals or families. The
primary goal of public health—the prevention of disease and disability—is achieved by
ensuring that conditions exist in which people can remain healthy. Diabetes care and
educational materials are provided to individuals and families by a nurse in the
community or institutional setting.
A state agency has received multiple complaints regarding the availability of elder
transportation services to a specific county senior center. The state agency assigns a
public health nurse to work with the community to evaluate its program for elder
transportation services to publicly sponsored elder care programs. The public health
core function applied is:
Assurance
Policy development
Primary prevention
Public transportation ✅Assurance
The public health core function of assurance focuses on the responsibility of public
health agencies to be sure that activities are appropriately carried out to meet public
health goals and plans. This role requires skill in assessment, investigative functions,
collaboration, consultation, and cooperation. The assurance function makes sure that
the activities assigned during the policy development or planning phase are carried out.
Policy development refers to efforts to develop policies that support the health of the
population, including using a scientific knowledge base to make policy decisions.
Primary prevention does not focus on provision of services and a part of assurance is
assisting communities to obtain necessary services such as transportation.
A nurse planning a smoking cessation clinic for adolescents in the local middle schools
and high schools is providing:
Community oriented care
Community based care
Secondary care
Tertiary care ✅Community oriented care
Community-oriented nurses emphasize health protection, maintenance, and promotion
and disease prevention, as well as self-reliance among clients. Regardless of whether
the client is a person, a family, or a group, the goal is to promote health through
education about prevailing health problems, proper nutrition, beneficial forms of
exercise, and environmental factors such as safe food, water, air, and buildings.
Community-based care is nursing care that is provided in a setting. A smoking
cessation clinic is an example of primary prevention, not secondary or tertiary.
In a community clinic that screens and treats individuals for cardiovascular disorders,
the nurse practicing public health/population-focused nursing would most likely
ascertain:
A holistic treatment plan
A specific clinical diagnosis
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