Chapter 3 Fundamentals

Before a patient with beginning stage of Alzheimer’s disease is discharged, the community-based nurse is making a visit to the patient’s home. The patient’s daughter and family live in the home with the patient. What is the major focus of this visit?

A nurse is using the Healthy People 2020 to establish goals for the community. Which goal is priority?

The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion. The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. What should the nurse, in the counselor role, do next?

A community-based nursing is working with a family. For which key areas will the nurse need a strong knowledge base? (Select all that apply.)

A nurse is working as a public health nurse. What will be the nurse’s primary focus?

The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse’s action?

A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is most likely to develop health problems?

A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use?

A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing?

A nurse is working as a community health nurse. Which action is a priority for this nurse?

A nurse is assessing the social system of a community. Which area should the nurse assess?

A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?

The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, “Why is it that not all poor people are considered members of vulnerable populations?” How should the nurse respond?

The nurse is making a home visit to a Korean mother after the birth of girl. The spouse is pressing different parts of the patient’s hand and lower arm to relieve a headache. What is the nurse’s next action?

A nurse wants to become a specialist in public health nursing. Which educational requirement will the nurse have to obtain?