Test Generator Questions, Chapter 2, Public Health Nursing in the Community

Format: Multiple ChoiceChapter: 2

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analyze

Difficulty: Moderate

Integrated Process: Caring

Objective: 1

Page and Header: 25, Assurance

1. A community health nurse is discussing with a student nurse, the importance of engaging in assurance activities. Which statement made by the student nurse would demonstrate an understanding of assurance activities?

A) “I will be gathering and analyzing information that will affect the health of the people to be served.”

B) “I should provide leadership in facilitating community groups toward meeting their needs and work toward making changes in existing laws.”

C) “I should be involved in activities that ensure necessary services are being provided to the community.”

D) “I will be accessing relevant data that enable identification of strengths, weaknesses, and needs within the community.”

Difficulty: Moderate

Integrated Process: Caring

Objective: 1

Page and Header: 24, Assessment

2. When fulfilling the function of assessment, which action would be most important for the community health nurse to take?

A) Secure the trust of the clients.

B) Gather appropriate information.

C) Interact with key community leaders.

D) Use a variety of assessment tools.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 25, Policy Development

3. The community health nurse is engaging in the core function of policy development. With which of the activity would the nurse most likely be involved?

A) Monitoring health status to identify community health problems

B) Empowering communities about important health issues

C) Linking individuals to needed personal health services

D) Ensuring a competent health care workforce is available

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 1

Page and Header: 25, Assurance

4. A community health nurse is collaborating with local community leaders to prepare a community disaster plan. Which function is the nurse fulfilling?

A) Research

B) Assurance

C) Policy development

D) Assessment

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 33, Researcher Role

5. A community health nurse has collected data for several months on the birth weights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role?

A) Collaborator

B) Manager

C) Researcher

D) Clinician

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 3

Page and Header: 32, Collaborator Role

6. A nurse in community health nursing setting works with police officers, social workers, health educators, and other nurses to promote the health of clients. The nurse is acting in which role?

A) Clinician

B) Educator

C) Researcher

D) Collaborator

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 28, Clinician Role

7. A community health nurse is interviewing for employment. The interviewer describes some of the typical activities that the nurse would be involved in, such as making home visits to families, holding immunization clinics for infants and children, and setting up flu shot clinics for elders. The interviewer is describing which role?

A) Educator

B) Advocate

C) Clinician

D) Manager

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 3

Page and Header: 30, Manager Role

8. A community health nurse is reviewing his or her schedule for the day. Included in his or her activities are planning client care, leading a staff conference, and supervising a new staff member. This nurse is fulfilling which role?

A) Advocate

B) Manager

C) Collaborator

D) Researcher

Difficulty: Easy

Integrated Process: Caring

Objective: 3

Page and Header: 29, Advocate Role

9. While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family attain assistance with health insurance coverage and a list of pharmacies to get their prescriptions filled. The nurse is acting in which role?

A) Educator

B) Leader

C) Clinician

D) Advocate

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 33, Researcher Role

10. Which action best exemplifies the attributes of a community health nurse in the researcher role?

A) Gaining the trust and respect of the staff members

B) Interpreting abstract ideas so others can understand

C) Implementing a staff development program for a technique

D) Evaluating the correlation between variables in specific health conditions

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 4

Page and Header: 29, Educator Role

11. Which statement about the role of educator within the framework of public health nursing functions is true?

A) The educator role has the potential for finding greater receptivity and providing higher-yield results.

B) People are unable to recognize the value of health and are not well motivated to achieve higher levels of wellness.

C) It is only possible for a nurse to reach a limited number of persons.

D) The public’s higher level of health consciousness hinders the educator’s role.

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 4

Page and Header: 32, Collaborator Role

12. Which statement about the importance of the role of collaborator is true?

A) Community health nurses frequently practice in isolation.

B) Successful community health practice depends on multidisciplinary collegiality and leadership.

C) Community health nurses must assert themselves as the most powerful person on the health care team to ensure each client receives services that are necessary.

D) It is best for community health nurses to focus on what they, as nurses, can do for their clients.

Difficulty: Moderate

Integrated Process: Communication and Documentation

Objective: 4

Page and Header: 27, Roles of C/PHNS

13. Which statement about the community health nurse’s selection and practice of each role is true?

A) Within a given time, a community health nurse may practice multiple roles.

B) The knowledge that vulnerable populations need someone to guide them through the complexities of the health care system and the nurse can serve as an advocate for them.

C) The researcher role for community health nurses involves only the use of quantitative statistics.

D) The leadership role consists solely of managing staff.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 36, Faith Communities

14. A community health nurse is involved in education, screening, referral, and support for the individuals of a specific religious congregation. The nurse is practicing in which setting?

A) Occupational health nursing

B) Faith community nursing

C) School nursing

D) Residential institution nursing

Difficulty: Easy

Integrated Process: Caring

Objective: 5

Page and Header: 33, Homes

15. Which statement is true regarding the differentiation of the home setting for community health nursing from other settings?

A) The nurse acts primarily as an educator.

B) The client is viewed within his or her environment.

C) Technologically advanced care is limited.

D) The home is being used less frequently today.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 34, Ambulatory Service Settings

16. After teaching a group of students about the various settings for community health nursing, the instructor determines that this teaching was successful when the students identify which facility as an example of ambulatory service setting?

A) Local preschool

B) Halfway house

C) Continuing care center

D) Family planning clinic

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 35, Occupational Health Settings

17. After teaching a group of students about the changing roles of the community health nurse in the occupational setting, the instructor determines that the students need additional teaching when they state:

A) “Occupational health nurses are increasing their role as employee advocates.”

B) “Health education is a key function of the occupational health nurse.”

C) “There is a greater emphasis on the occupational health nurse’s role as a clinician.”

D) “Collaboration with other health care providers fosters the offering of better services.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 36, Community at Large

18. A community health nurse is working as a lobbyist for health legislation for AIDS research at the state capital. This nurse is practicing in which setting?

A) Faith community

B) Ambulatory service

C) Residential institution

D) Community at large

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 5

Page and Header: 35, Schools

19. Which statement is true regarding the description of school nursing?

A) “This role of the community health nurse is static in this setting.”

B) “The primary role of school nurses is clinician.”

C) “The practice of school nurses is widening.”

D) “School nurses rarely act as advocates.”

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 3

Page and Header: 30, Manager Role

20. A community health nurse is assuming the role of a manager. Which problem-solving activity would be most important for the nurse to address first when designing a community health fair?

A) Planning

B) Organizing

C) Leading

D) Controlling

Difficulty: Moderate

Integrated Process: Caring

Objective: 6

Page and Header: 30, Advocacy Actions

21. A nursing student is interviewing a community health nurse about the various roles the nurse assumes and the skills and behaviors necessary to perform each role. Which would the community health nurse identify as being essential to the role of an advocate? Select all that apply.

A) Assertiveness

B) Ability to plan

C) Ability to negotiate

D) Risk taking

E) Holistic view

F) Questioning attitude

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 29, Educator Role

22. A community health nurse works in a busy community health nursing practice. Today, the nurse is devoting the day to the educator role. With which activities would the nurse be involved? Select all that apply.

A) Planning seven home visits today

B) Working on a new curriculum for high-risk teens

C) Meeting with colleagues to discuss organizational changes in the office

D) Ordering pamphlets over the Internet to be used in a parenting class

E) Tabulating data from surveys distributed to elders during a flu shot clinic

F) Going to social services to speak up for a family in his or her caseload

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 4

Page and Header: 30, Manager Role

23. A community health nurse is devoting the day to being a manager. Which activities would the nurse expect to perform? Which activities are part of this role? Select all that apply.

A) Orienting three new community health nurses in the agency

B) Attending a strategy meeting for a new service the community will be offering

C) Working with a team to direct a smoking cessation program in public areas

D) Investigating an outbreak of Salmonella in the community

E) Tabulating the findings of exploring immunization practices among teens

F) Reviewing the staff evaluations to assist with planning future in-services

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 30, Manager Role

24. The community health nurse is discussing the roles assumed by community health nurses with a student nurse. Which statement made by the student nurse demonstrates the correct interpretation of which role must be assumed in every situation?

A) “A community health nurse assumes the role of researcher in each situation.”

B) “A community health nurse assumes the role of manager in each situation.”

C) “A community health nurse assumes the role of leader in each situation.”

D) “A community health nurse assumes the role of clinician in each situation.”

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 6

Page and Header: 26, Standards of Practice

25. Which are core values of professional behavior that are unique to public health nursing? Select all that apply.

A) Community/population as client

B) Prevention

C) Rehabilitation

D) Partnership

E) Healthy environment

F) Diversity

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 36, Community at Large

26. A community health nurse is serving as a health consultant for the local school board. This nurse is practicing in which setting?

A) Community at large

B) Residential institution

C) Ambulatory service

D) Faith community

Difficulty: Moderate

Integrated Process: Caring

Objective: 5

Page and Header: 34, Ambulatory Service Settings

27. A community health nurse is working as a cardiac rehabilitation nurse. This nurse is practicing in which setting?

A) Residential institution

B) Faith community

C) Community at large

D) Ambulatory service

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 29, Educator Role

28. A community health nurse is developing a community-wide drug campaign targeting middle school children. The nurse is incorporating information about the dangers of addiction. Which level of prevention would the nurse classify this activity?

A) Primary

B) Secondary

C) Tertiary

D) Secondary and tertiary

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 34, Ambulatory Service Settings

29. A community health nurse is working in a clinic on tribal lands. This nurse is practicing in which setting?

A) Faith community

B) Ambulatory service

C) Residential institution

D) Community at large

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 36, Community at Large

30. A community health nurse is working at juvenile group home. This nurse is practicing in which setting?

A) Faith community

B) Ambulatory service

C) Residential institution

D) Community at large

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 28, Clinician Role

31. A nurse is providing health services to groups and populations. What role is the nurse performing?

A) Educator role

B) Clinician role

C) Advocate role

D) Manager role

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 30, Manager Role

32. A nurse is shadowing the nurse manager of the clinic. Which behavior is consistent with this role?

A) The nurse is providing health education to a group of type 2 diabetics.

B) The nurse is initiating a new screening process for young children who have experienced trauma in the community.

C) The nurse is making a referral to a food pantry for a client who is in need of food.

D) The nurse collaborates with other members of the clinic to evaluate the utilization of resources offered by the clinic.