Chapter 04: Community-Based Nursing Practice
Potter: Essentials for Nursing Practice, 8th Edition
MULTIPLE CHOICE
1. A student nurse is beginning the community-based primary care rotation. The student nurse anticipates that the assignment in community-based health care will most likely be a...
,Chapter 01: The Nursing Profession
Potter: Essentials for Nursing Practice, 8th Edition
MULTIPLE CHOICE
1. A nurse uses effective strategies to communicate and handle conflict with nurses and other
health care professionals. Which Quality and Safety Education for Nurses (QSEN)
competency is the nurse demonstrating?
a. Informatics
b. Quality improvement
c. Teamwork and collaboration
d. Evidence-based practice
ANS: C
Teamwork and collaboration uses effective strategies to communicate and handle conflict.
Informatics includes navigating electronic health records. Quality improvement uses tools
such as flow charts and diagrams to improve care. Evidence-based practice integrates best
current evidence with clinical expertise and patient/family preferences and values for
delivery of optimal health care.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 11
OBJ: Describe the purpose of professional standards of nursing practice.
TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care
2. A nurse is employed by a health care agency that provides an informal training session on
how to properly use a new vital sign monitor. Which type of education did the nurse
receive?
a. In-service education
b. Advanced education
c. Continuing education
d. Registered nurse education
ANS: A
In-service education programs are instruction or training provided by a health care agency or
institution designed to increase the knowledge, skills, and competencies of nurses and other
health care professionals employed by the institution. Some roles for RNs in nursing require
advanced graduate degrees, such as a clinical nurse specialist or nurse practitioner. There are
various educational routes for becoming a registered nurse (RN), such as associate, diploma,
and baccalaureate. Continuing education involves formal, organized educational programs
offered by universities, hospitals, state nurses’ associations, professional nursing
organizations, and educational and health care institutions.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 6
OBJ: Discuss the importance of education in professional nursing practice.
TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care
,3. A nurse listens to a patient’s lungs and determines that the patient needs to cough and deep
breath. The nurse has the patient cough and deep breath. Which concept did the nurse
demonstrate?
a. Accountability
b. Autonomy
c. Licensure
d. Certification
ANS: B
Autonomy is essential to professional nursing and involves the initiation of independent
nursing interventions without medical orders. Accountability means that you are
professionally and legally responsible for the type and quality of nursing care provided. To
obtain licensure in the United States, RN candidates must pass the NCLEX-RN®
examination administered by the individual State Boards of Nursing to obtain a nursing
license. Beyond the NCLEX-RN®, some nurses choose to work toward certification in a
specific area of nursing practice.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 6 OBJ: Discuss the characteristics of professionalism in nursing.
TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care
4. A registered nurse is required to participate in a simulation to learn how to triage patients
who are arriving to the hospital after exposure to an unknown gas. This is an example of a
response to what type of influence on nursing?
a. Workplace hazards
b. Nursing shortage
c. Professionalism
d. Emergency preparedness
ANS: D
Many health care agencies, schools, and communities have educational programs to prepare
for nuclear, chemical, or biological attack and other types of disasters. Nurses play an active
role in emergency preparedness. Workplace hazards include violence, harassment, and
ergonomics. A person who acts professionally is conscientious in actions, knowledgeable in
the subject, and responsible to self and others. There is an ongoing global nursing shortage,
which results from insufficient qualified registered nurses (RNs) to fill vacant positions and
the loss of qualified RNs to other professions.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 4
OBJ: Discuss the influence of social, political, and economic changes on nursing practices.
TOP: Nursing Process: Evaluation MSC: NCLEX: Safety and Infection Control
5. A nurse is an advanced practice registered nurse (APRN) who cares for geriatrics. This
nurse is which type of advanced practice nurse?
a. Clinical nurse specialist
b. Nurse practitioner
c. Certified nurse-midwife
d. Certified registered nurse anesthetist
, ANS: A
The clinical nurse specialist (CNS) is an APRN who is an expert clinician in a specialized
area of practice, such as geriatrics or pediatrics. The nurse practitioner (NP) is an APRN
who provides health care to a group of patients, usually in an outpatient, ambulatory care, or
community-based setting. A certified nurse-midwife (CNM) is an APRN who is educated in
midwifery and is certified by the American College of Nurse-Midwives. A certified
registered nurse anesthetist (CRNA) is an APRN with advanced education in a nurse
anesthesia accredited program.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 8 OBJ: Describe the roles and career opportunities for nurses.
TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care
6. A patient does not want the treatment that was prescribed. The nurse helps the patient talk to
the primary health care provider and even talks to the primary health care provider when
needed. The nurse is acting in which professional role?
a. Educator
b. Manager
c. Advocate
d. Provider of care
ANS: C
As an advocate you act on behalf of your patient, securing and standing up for your patient’s
health care rights. As an educator you explain concepts and facts about health, describe the
reason for routine care activities, demonstrate procedures such as self-care activities,
reinforce learning or patient behavior, and evaluate the patient’s progress in learning. Most
nurses provide direct patient care in an acute care setting, and this describes the role of
provider of care. A manager coordinates the activities of members of the nursing staff in
delivering nursing care and has personnel, policy, and budgetary responsibility for a specific
nursing unit or agency.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 7 OBJ: Describe the roles and career opportunities for nurses.
TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care
7. A nurse must follow legal laws that protect public health, safety, and welfare. Which law is
the nurse following?
a. Code of Ethics
b. Nurse Practice Act
c. Standards of practice
d. Quality and safety education for nurses
ANS: B
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