Which role is the community-based nurse responsible for Select all that apply Quizlet
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The Human Body in Health and Disease7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions Health: The Basics12th EditionRebecca J. Donatelle 319 solutions What are the various parameters that help assess the structure of the community? Select all that apply. A. Government B. Growth trends *C. Economic status D. Educational system *E. Water and sanitation RATIONALE: Economic status, and water and sanitation are the parameters that determine the structure of the community. Government and educational systems are the parameters of a social system. The growth trend is a parameter that helps assess the population of a community. A female patient is admitted to the psychiatric unit for major depressive disorder, and her husband has expressed concern that she has suicidal thoughts. The patient reports she feels overwhelmed at home with three children to care for and no help. Her husband travels for work and is rarely around. The patient expresses that she is unable to take it any longer and wants to end her suffering. What should be the nurse's approach when dealing with this patient? Select all that apply. *A. Actively listen to the patient with an open mind. *B. Avoid making any assumptions about the patient. C. Avoid any kind of interaction with this patient, because she is in the psychiatric unit. D. Just continue with administering the medication and tell the patient to be calm. *E. Listen attentively to the patient's complaint and concentrate on what the patient is saying. RATIONALE: Nurses must listen to patients with openness. The nurse must keep an open mind and avoid making any assumptions about any patient. It is important to concentrate fully on what the patient has to say. Interacting with a patient is important in order to understand the thought process of the patient. Continuing the patient's medication is necessary, but interaction and communication with the patient are equally important. A patient is experiencing paraplegia after a motorcycle accident. How can the nurse involve the family members in patient care? A. Keep the family members excluded from patient care. B. Tell the family members jokes to keep them happy during the hospitalization. C. Give the family members information about services such as respite care and community resources. *D. Teach the family members about caregiving techniques and have them participate in the care. RATIONALE: The nurse should involve the family in the patient's care. This helps in the emotional well-being of the patient. The nurse should teach family members some techniques that can help them participate in caregiving. Excluding the family is not advised. The nurse should involve the family but should not make them perform all the caregiving interventions. The use of humor and giving information about respite care may be effective in relieving tension, building relationships and protecting the caregiver's health, but it does not help in the patient's care. A community-based nurse notices increased prevalence of pertussis infection in children. What is the preventive care service that the nurse may implement to address this problem? A. Mass administration of antibiotics *B. Provision prescribed of effective immunizations C. Prompt referral to tertiary care centers D. Effective and extensive use of cough suppressants RATIONALE: Pertussis can be prevented with a vaccine; the disease usually occurs in children. Therefore, implementing effective immunization helps to reduce the incidence of pertussis among children. Mass administration of antibiotics does not prevent the development of pertussis, but it may be used on an individual basis for the treatment of an acute episode. Prompt referral to tertiary care centers is handled on an individual basis and does not benefit the community. Cough suppressants are helpful in providing symptomatic relief; they cannot prevent or cure pertussis. The nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, explains the procedure to the patient, and tells the patient what to expect. Just before inserting the catheter, the nurse tells the patient to relax and says that, once the catheter is in place, the patient will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. Which type of touch is this? A. Caring touch B. Protective touch *C. Task-oriented touch D. Interpersonal touch RATIONALE: Nurses use task-orientated touch when performing a task or procedure. An expert nurse learns that any procedure is more effective when administered carefully and in consideration of any patient concern. Caring touch is holding a patient's hand, giving a back massage, gently positioning a patient, or participating in a conversation to enhance a patient's comfort and security, self-esteem, confidence in the caregivers, and mental well-being. Protective touch protects the nurse and/or the patient to prevent physical or emotional harm. Touch can enhance interpersonal relationships, but there is no category of touch labeled interpersonal touch.
The nurses set up flu vaccine clinics in local churches and senior citizen centers. This activity is an example of which level of prevention? *A. Primary care B. Secondary care C. Tertiary care D. Restorative care RATIONALE: Primary health care focuses on improved health outcomes for an entire population. It includes primary care and health education, proper nutrition, maternal and child health care, family planning, immunizations, and control of diseases. Flu vaccines are related to controlling the spread of a disease, in this case the flu. What are the risk factors associated with abusive relationships? Select all that apply. *A. Substance abuse B. Cognitive impairment C. Cardiovascular diseases *D. Mental health problems *E. Socioeconomic stressors RATIONALE: Substance abuse, mental health problems, and socioeconomic stressors are risk factors for patients in abusive relationships. Cognitive impairment and cardiovascular diseases do not result from abusive relationships. A patient is admitted to the hospital for treatment of breast cancer. The nurse assigned to this patient decides to practice implementing Watson's caring theory. Which are carative factors of this theory? Select all that apply. *A. Expressing feelings *B. Instilling faith and hope C. Suppressing negative feelings D. Denying that a problem exists *E. Developing a trusting relationship RATIONALE: Watson's 10 carative factors focus on the relationship between the nurse and the patient. The factors include expressing all positive and negative feelings. Watson's theory of caring also includes instilling faith and hope. This provides a direction to the patient when trying to find the meaning of the illness. The theory also includes developing a trusting relationship between the nurse and the patient. Suppressing negative feelings and denying that a problem exists may lead to undertreatment and complications. TEST-TAKING TIP: If you are drawing a blank on a question about Watson's caring theory during the exam, notice the word caring and examine the choices based on how the nurse would exhibit caring. Review the choices and ask, "Would a caring nurse do that?" This simple technique of focusing on a key term (and not giving in to panic) easily eliminates the options, suppressing negative feelings and denying a problem exists, and gives you the correct answer! Which best describes knowing, according to Swanson's theory? A. Sustaining faith in one's capacity to get through a situation *B. Striving to understand an event's meaning for another person C. Being emotionally there for another person D. Providing for others as they would do for themselves RATIONALE: Swanson's theory describes knowing as striving to understand an event as it has meaning in the life of the other. This theory supports the claim that caring is a central nursing phenomenon but not necessarily unique to nursing practice. STUDY TIP: Record the information you find to be most difficult to remember on 3" x 5" cards and carry them with you in your pocket or purse. When you are waiting in traffic or for an appointment, just pull out the cards and review again. This found time may add points to your test scores that you have lost in the past. For theories, you can write the name of the theory on one side of the card and its guiding principles on the other. To study, read the name of the theory and try to recall the specifics of it. Or start by flipping the cards over, reading the specifics and trying to recall the theory name. Which nursing intervention indicates a protective touch for a patient with a major injury after an accident? A. Shaking the patient's hand while meeting for the first time B. Touching the patient's shoulder while explaining a medication C. Holding the patient's hand while starting an intravenous catheter *D. Holding the patient while assisting with walking RATIONALE: The risk of falls is high in patients with injuries from an accident. Therefore, the nurse holds the patient while walking and protects the patient from falling. This indicates that the nurse is using a protective touch. The nurse touches the patient's shoulder while talking to provide comfort or to convey presence to the patient. Shaking the patient's hand when being introduced or while greeting indicates a professional touch. Holding the patient's hand while completing a procedure indicates a task-oriented touch. A patient is fearful of upcoming surgery and a possible cancer diagnosis. The patient discusses love for the Bible with the nurse, who recommends a favorite Bible verse. Another nurse disagrees with this recommendation. Which would be an appropriate response to the nurse who states that there is no place in nursing for spiritual caring? A. "Spiritual care should be left to a professional." B. "You are correct; religion is a personal decision." C. "Nurses should not force their religious beliefs on patients." D. "Spiritual, mind, and body connections can affect health." RATIONALE: Spirituality offers a sense of connectedness intrapersonally (connected with oneself), interpersonally (connected with others and the environment), and transpersonally (connected with the unseen, God, or a higher power). In a caring relationship the patient and nurse come to know one another, so both move toward a healing relationship. How does the nurse demonstrate caring to family members? A. Helping the family to become active participants in care B. Preventing the family from providing activities of daily living (ADLs) C. Sharing all health care information without the patient's permission D. Allowing the family to make health care decisions for the patient RATIONALE: The nurse sees the patient and the whole family as active participants in the care of the patient. Therefore, the nurse should include the family members willing to perform activities of daily living (ADL). The patient must give permission to share health care information, even with family members. Patients make their own health care decisions. Which carative factor does the nurse illustrate when helping a patient find the meaning of cancer by supporting beliefs about life?
*A. Instilling hope and faith B. Forming a human-altruistic value system C. Cultural caring D. Meeting human needs RATIONALE: Instilling hope and faith helps to increase an individual's capacity to get through an event or transition and to face the future with meaning. Forming a human-altruistic value system promotes a therapeutic relationship between the nurse and patient. Cultural caring and meeting human needs are important nursing activities; however, they do not focus on supporting beliefs about life. A student nurse is caring for a patient with arthritis. Which action by the student nurse indicates the need for further teaching? A. Teaching stress-management techniques to the patient *B. Showing patients advertisements that promise arthritis cures C. Telling the patient about the need for rest in arthritis management D. Educating the patient about the availability of mechanical appliances RATIONALE: Some advertisements that promise to cure arthritis may be false. Therefore, if a patient asks, the nurse should caution the patient about these advertisements. Stress-management techniques can reduce the risk of arthritis. Adequate rest can reduce discomfort from arthritis; therefore, letting the patient know about the importance of rest is an effective intervention. Mechanical appliances, such as lower multibracket appliances, can alleviate the symptoms of arthritis in the patient. TEST-TAKING TIP: Read the question carefully before looking at the answers. First, determine what the question is really asking and look for key words; then read each answer thoroughly and see if it completely covers the material asked by the question. Last, narrow the choices by immediately eliminating answers you know are incorrect. A hospital-based nurse has been asked to join a community-based nursing center. In what aspects does the community-based nursing center differ from a hospital setting? Select all that apply. *A. Community health care services focus on vulnerable populations. B. Community health care services result in increased costs for the patient. *C. Community health care services can be directly accessed by patients. *D. Community health care services are provided where the patients live. E. Community health care services do not incorporate the patient's family into the plan of care. RATIONALE: Community-based nursing centers focus on and care for vulnerable populations. In this system, patients have direct access to health services. Community-based health services are provided in the patient's living area rather than in hospitals. Community-based health care service is associated with reduced health care costs for the patient. This system readily incorporates the patient and the patient's family into the plan of care. Which nursing action indicates that the nurse is performing the role of a change agent? *A. Identifying the quality of community child care services B. Helping patients reach decisions that are best for them C. Coordinating the activities of multiple providers in different health care settings D. Developing a caring partnership with patients to identify needed community resources RATIONALE: The nurse performs the role of a change agent by identifying the quality of community child care services. The nurse as a counselor helps patients reach decisions that are best for them (at the same time, the nurse should not interfere with the decision making of the patient). The nurse as a case manager coordinates the activities of multiple providers in different health care settings. The nurse as a caregiver develops a caring partnership with patients to identify needed community resources. The student nurse is assessing members of vulnerable population groups in a community. Which action of the student nurse indicates the need for further teaching? A. Taking an organized, complete history of the patient B. Checking for acute, chronic, or communicable conditions *C. Refraining from asking questions about the patient's financial status D. Using a modified comprehensive assessment form to meet special needs of the patient RATIONALE: When assessing patients from a vulnerable population, the student nurse should inquire about the financial status of the patients in order to suggest cost-effective treatments and procedures. The nurse should conduct an organized, complete history of the patient's information to ensure effective care. The nurse should check for acute, chronic, or communicable conditions to ensure safety. In order to find out about any special needs, the nurse uses a modified comprehensive assessment form. The nurse is caring for a critically ill patient. Which intervention supports the formation of a human-altruistic value system, according to Watson's transpersonal caring theory? A. Assisting the patient in activities of daily living *B. Smiling at the patient and talking in polite language C. Educating the patient to acquire proper self-care skills D. Applying the nursing process in systematic decision making RATIONALE: According to Watson's transpersonal theory, smiling and greeting the patient and showing loving kindness to the patient support the formation of a human-altruistic value system, one of the 10 carative factors identified by Watson. Assisting the patient in activities of daily living is an example of meeting human needs, another carative factor identified by Watson. Educating the patient to acquire proper skills related to self-care promotes transpersonal teaching-learning. Applying the nursing process in systematic decision making indicates that the nurse is using creative problem solving when providing patient care. What factors predispose vulnerable populations of patients to develop health problems? A. Chronic diseases and homelessness B. Poverty and acute illness C. Lack of transportation *D. Excess health risks, limited access to health care services, and dependency on others for care RATIONALE: Vulnerable patients are predisposed to developing health problems due to an excess of risks, limited access to health care services, and dependence on others for care. TEST-TAKING TIP: Pace yourself during the testing period and work as accurately as possible. Do not be pressured into finishing early. Do not rush! Students who achieve higher scores on examinations are typically those who use their time judiciously. A patient is admitted to a hospital after a miscarriage. The nurse offers the patient realistic optimism. Which process of care is this? A. Knowing B. Enabling C. Being with *D. Maintaining belief RATIONALE: Giving optimistic advice is an example of maintaining belief. It is one of the components of Swanson's theory, which focuses on sustaining faith in the other's capacity to get through an event or transition. Knowing refers to understanding the patient and her background. Enabling is facilitating the patient's passage through a life transition. Being with is being emotionally available for the patient. A community health nurse has many roles. What are the responsibilities of the nurse as a change agent? Select all that apply. *A. Identifying and implementing new and more effective approaches to problems *B. Empowering individuals and their families to solve problems creatively *C. Becoming instrumental in creating change within a health care agency D. Establishing an appropriate plan of care based on assessment of patients and families E. Coordinating needed resources and services for the patient's well being RATIONALE: The community health nurse is a change agent for improving the health care facilities in the community. The responsibilities include identifying new and more effective approaches to problems. Each problem may be different and would need a different problem-solving approach. As a change agent, the nurse works to empower individuals and families to solve problems creatively. The nurse strives to become instrumental in creating a change in the health care agency. Establishing an appropriate plan of care based on assessment of patients and families is a responsibility of a case manager. The case manager also coordinates needed resources and services for the patient's well-being. The nurse is interviewing a female patient. The nurse finds that she is an immigrant and spends a lot of time traveling for work. She is married and has two children. Her husband abuses her often. She earns just enough to feed her children. The nurse understands that the patient is vulnerable. What patient factors make her vulnerable? Select all that apply. *A. The patient is an immigrant. B. The patient spends a lot of time traveling. *C. The patient's husband abuses her frequently. D. The patient's home is far away from her workplace. *E. The patient's income alone is not sufficient to meet her family's needs. RATIONALE: Vulnerable populations are groups of patients who are more likely to develop health problems because of excess health risks, who are limited in access to health care services, or who depend on others for care. The fact that the patient is an immigrant, is physically abused by her spouse, and has very limited financial resources (just enough to feed her kids) renders her vulnerable. People who travel most of the time or whose home is far away from their workplace are not necessarily vulnerable. A patient is admitted to the hospital for treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. The nurse decides to use Swanson's theory of caring. Which processes are part of this theory? Select all that apply. *A. Knowing B. Denying *C. Doing for *D. Being with E. Spiritual forces RATIONALE: Swanson's theory of caring includes many caring processes such as knowing, doing for, and being with. The nurse strives to know and understand the patient through assessment and monitoring the behavioral cues. The nurse should be empathetic and should provide the same care as the patient would provide to herself, if it were possible. The nurse should try to be emotionally present with the patient to provide support. Denying is not a nursing process; rather, the nurse should help a patient come to terms with the disorder and maintain a positive outlook. Spiritual forces are included in Watson's 10 carative factors. The nurse is providing emotional support for a patient who has lost a parent in an accident. Which caring process of Swanson's theory of caring is the nurse following? A. Knowing *B. Enabling C. Doing for D. Maintaining belief RATIONALE: Providing emotional support to a patient who has lost a parent or who is undergoing a life transition indicates that the nurse is following the caring process of enabling, according to Swanson's theory. An example of the caring process of knowing is when the nurse follows the patient's cues and tries to understand the patient. An example of doing for is when the nurse performs skillful nursing procedures while providing care. An example of maintaining belief is when the nurse helps to maintain a hope-filled attitude and offer optimism. TEST-TAKING TIP: Make certain that the answer you select is reasonable and obtainable under ordinary circumstances and that the action can be carried out in the given situation. The trainee nurse is assessing patients in vulnerable population groups in a community. Which action of the trainee nurse indicates the need for further training? A. The nurse learns about a patient's culture. *B. The nurse provides financial or legal advice. C. The nurse asks about acute, chronic, or communicable conditions. D. The nurse is sensitive to the fact that a patient has financial problems. RATIONALE: The nurse should not provide legal or financial advice to patients in a community. Instead, the nurse should connect patients with another person who can help. The nurse should know the cultural practices of the patient in order to provide culturally and linguistically competent assessments. The nurse should ask about acute, chronic, or communicable conditions to ensure patient safety. The nurse should be sensitive to other priorities, which may be more important to the patient, such as legal and financial issues. A nursing student in the last semester of the baccalaureate nursing program is beginning the community health practicum and will be working in a community-based clinic with a focus on asthma. What is the focus of the community health nurse in this clinic setting? Select all that apply. *A. Decreasing the incidence of asthma attacks in the community B. Increasing healthy food choices for school lunches *C. Assessing the factors that contribute to asthmatic attacks in the community *D. Providing asthma education programs for the teachers in the local schools E. Increasing the educational programs for overweight children in the local schools RATIONALE: All of the correct options improve the level of health and quality of life for patients in this community. Controlling and managing symptoms of any disease improve the patient's quality of life. Assessing the factors that contribute to asthmatic attacks and making educational programs available improve the level of health within a community. The example here was asthma, but managing chronic diseases in the community improves the overall level of health of that community. Community-based nursing care takes place in community settings such as the home or a clinic in which the focus is on the needs of the individual or family. It involves the safety needs and acute and chronic care of individuals and families, and enhancement of their capacity for self-care. Which role is the community- One of the most important responsibilities of community-based nurses is to maintain current information about health and social services available within the community and match patients with services in-line with the patient's unique needs and preferences.
What is the role of the nurse in the community?Nurses play an essential role in society today by being advocates for health promotion, educating the public and patients on preventing injury and illnesses, participating in rehabilitation, and providing care and support.
What is the role of the community health nurse quizlet?These nurses work within a community to support population health and deliver preventative health services. These services can be provided to and individual, family, group, or population depending on role and work setting.
What are the three main roles of a nurse in the community setting?The responsibilities of these nurses differ in each career path, but all community health nurses promote healthy living, disease prevention, and necessary medical treatment.
What is communityCOMMUNITY-BASED NURSING (CBN): the provision of acute care and care for chronic health problems to individuals and families in the community - "illness care" of individuals and families across the life span.
Which best describes communityWhich of the following best describes community-BASED nursing? Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on groups, aggregates, or systems.
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