NURS 5434 PH Case Study 1 &2 Exam |
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A hospice nurse visits a woman with terminal brain cancer at
her home. The nurse administers pain medication, applies a
cold compress to the woman's forehead, and discusses with
the family what the next steps are in ensuring the woman
remains comfortable. How would you classify the nurse's
practice? - Correct Answer✔✔-Community-based nursing care
Rationale: The nurse is providing nursing care focused on illness
care (medication preparation, comfort measures, developing a
plan of care) in a client's home; therefore the nurse's practice
can be classified as community-based
nursing care. Community-oriented care focuses on health
care and disease prevention in the community in order to
create conditions in which people can be healthy. Since the
nurse did not performed any health promotion or disease
prevention interventions during the visit, community- oriented
care does not fit.
Which of the following intervention demonstrates thinking
upstream in reducing obesity risk factors - Correct Answer✔✔-
Installing walking and biking trails throughout the community.
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, 2
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Rationale: Thinking Upstream focuses on modifying the
economic, political, societal, and environmental factors that
promote health and prevent disease, injury, and disability for
everyone, emphasizing preventive and population-based care.
Installing walking and biking trails in a community focuses on
environmental factors for promoting exercise.
Screening body mass index, donating food, and weight
management support groups are not focused on preventive
care.
A nurse in the emergency department cares for a client with
flu-like symptoms. The nurse follows universal precautions as
well as airborne precautions to reduce the risk of the nurse
becoming ill or spreading germs to the other patients. How
would you classify the nurse's practice? - Correct Answer✔✔-
Neither community-oriented nor community-based
Rationale: The nurse is providing care in a hospital setting,
following hospital protocol for reducing the risk for nosocomial
infections. Therefore, community-based nursing is not
happening since the nurse is in an institutional setting.
Community-oriented care focuses on health care and disease
prevention in the community, rather than institutional setting,
in order to create conditions in which people can be healthy.
Since the nurse was in an institutional setting and did not
performed any health promotion or disease prevention
interventions during the visit, community- oriented care does
not fit.
2