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COMMUNITY AND HOME HEALTH NURSING.

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COMMUNITY AND HOME HEALTH NURSING.

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COMMUNITY AND HOME HEALTH NURSING.

CHAPTER 4—COMMUNITY AND HOME HEALTH NURSING


MULTIPLE CHOICE

1. The largest percentage of community health nurses work in:
a. state and local health departments c. school health nursing
b. the Veterans Administration d. home health
ANS: D

2. Which of the following best represents the focus of the community health nurse?
a. health promotion and disease prevention
b. curing the chronically ill population
c. working with those too poor to go into the hospital
d. optimal functioning of the
family ANS: A

3. While community health nurses focus on the individual or family, they also have as their final
objective which of the following?
a. the well-being of the extended family
b. the well-being of the community
c. the financial well-being of the family
d. the well-being of the children’s
playmates ANS: B

4. The community health nurse is coordinating all the services that a child needs who has a chronic
illness and is staying at home: PT, tutoring, OT, respite care, as well as financial resources for the
caregivers. This activity best represents which of the following legitimate roles for the community
health nurse?
a. case manager c. collaborator
b. advocate d. consultant
ANS: A

5. You are the community health nurse working with a single mother who has small children. You have
helped the mother get on the WIC program. She receives coupons from this program to get food for
her children, but she often fails to use the coupons, saying she is embarrassed to take charity. Which of
the following responses from you would most likely succeed in getting her to use the coupons?
a. “It’s really not charity. You have paid taxes and will pay more taxes some day when
you have a job.”
b. “If you don’t take the help, someone else less deserving will.”
c. “If I were in your shoes, I would use the coupons and be glad of having them.”
d. “It is important to give your children nutritious meals so they will grow, and this is a
way to provide them.”
ANS: D

6. Children with chronic illnesses or conditions or disabilities are often referred by community health
nurses to which of the following programs, where they can receive help with health care services?
a. NSAID Title I c. CSHCN Title V

, COMMUNITY AND HOME HEALTH NURSING.

b. WECM d. WIC
ANS: C

7. Community health nurses need to do which of the following regarding the services provided by
Medicare in the state where they work?
a. Stay informed about what Medicare optional services are provided by the state in
which they work.
b. Get certified and recertified every five years by the state as well as by the
national Medicare certifying board.
c. Learn the services once, as they do not change from state to state or much from time
to time.
d. Leave this up to the clients, as they will have to apply for the services and stay up with
any changes.
ANS: A

8. Medicare optional services most often include such things as:
a. extra hospital coverage for intensive care
b. housekeeping and maintenance services
c. eyeglasses and speech, hearing, and dental care
d. money for bills if time is lost on the
job ANS: C

9. The Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) provides for children
who qualify such services as:
a. free school breakfasts and lunches
b. immunizations and nutrition assessment
c. in-hospital coverage for chronic illness
d. educational toys and books for
home ANS: B

10. Healthy People 2010 national health objectives added some new focus areas, two of which are:
a. starting kindergarten and the reading initiative earlier to insure reading by age six
b. increasing small motor skills in children and reducing the incidence of
behavioral problems in children
c. involving fathers sooner in prenatal care and making certain they have an opportunity
to be present at birth
d. medical products safety and adding children to the maternal and infant safety
area ANS: D

11. In the prevention of firearm-related injuries, the public health or community health nurse needs to:
a. routinely inquire about the presence of firearms in the home and do a firearms
safety assessment
b. report all firearms seen on home visits to local child protective agencies so that agency
can do a follow-up
c. let families know he or she is opposed to keeping firearms in the home and insist they
be removed
d. schedule the family members (including the children in the home) for a gun safety clinic

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