NSG 323
Community & Public Health
Nursing
COMPLETED
2023/2024
,1. A nurse is conducting a home visit for a client with chronic
obstructive pulmonary disease (COPD). The nurse observes that the
client has difficulty breathing, cyanosis of the lips and nail beds, and
a productive cough with yellowish sputum. The nurse also notices
that the client's home is poorly ventilated and has a strong smell of
cigarette smoke. What is the most appropriate action for the nurse
to take in this situation?
a) Advise the client to quit smoking and refer them to a smoking
cessation program.
b) Administer oxygen therapy and monitor the client's vital signs.
c) Educate the client about the signs and symptoms of COPD
exacerbation and when to seek medical help.
d) *Assess the client's oxygen saturation level and respiratory status,
and contact the primary care provider for further instructions.*
Rationale: The correct answer is d. The nurse should first assess the
client's oxygen saturation level and respiratory status, as these are
indicators of hypoxemia and respiratory distress, which are life-
threatening conditions. The nurse should then contact the primary
care provider for further instructions, as the client may need
medication adjustment or hospitalization. The other options are not
as urgent or appropriate as option d, although they may be part of
the long-term management plan for the client.
2. A nurse is working in a community health center that provides
services for low-income and uninsured populations. The nurse is
assigned to conduct a health promotion workshop for a group of
women who are at risk for cervical cancer. The nurse plans to use the
Health Belief Model (HBM) as a framework for the workshop.
, According to the HBM, what are some of the factors that influence a
person's decision to adopt a preventive health behavior?
a) Perceived susceptibility, perceived severity, perceived benefits,
perceived barriers, cues to action, and self-efficacy.
b) *Perceived susceptibility, perceived severity, perceived benefits,
perceived barriers, cues to action, and self-efficacy.*
c) Perceived threat, perceived efficacy, perceived costs, perceived
benefits, social norms, and locus of control.
d) Perceived threat, perceived efficacy, perceived costs, perceived
benefits, social norms, and locus of control.
Rationale: The correct answer is b. The HBM is a psychological model
that explains and predicts health behaviors by focusing on the
attitudes and beliefs of individuals. The HBM proposes that six
factors influence a person's decision to adopt a preventive health
behavior: perceived susceptibility (the belief that one is vulnerable to
a health problem), perceived severity (the belief that the health
problem has serious consequences), perceived benefits (the belief
that the preventive behavior will reduce the risk or severity of the
health problem), perceived barriers (the belief that there are
obstacles or costs associated with the preventive behavior), cues to
action (the factors that trigger or motivate the preventive behavior),
and self-efficacy (the belief that one has the ability or confidence to
perform the preventive behavior).
3. A nurse is collaborating with a multidisciplinary team to develop a
care plan for a client who has been diagnosed with type 2 diabetes
mellitus. The client lives alone in a rural area and has limited access
to health care services. The client also has low health literacy and
does not understand how to manage their condition. What are some
of the strategies that the nurse can use to enhance the client's self-
care ability and adherence to the care plan?
Community & Public Health
Nursing
COMPLETED
2023/2024
,1. A nurse is conducting a home visit for a client with chronic
obstructive pulmonary disease (COPD). The nurse observes that the
client has difficulty breathing, cyanosis of the lips and nail beds, and
a productive cough with yellowish sputum. The nurse also notices
that the client's home is poorly ventilated and has a strong smell of
cigarette smoke. What is the most appropriate action for the nurse
to take in this situation?
a) Advise the client to quit smoking and refer them to a smoking
cessation program.
b) Administer oxygen therapy and monitor the client's vital signs.
c) Educate the client about the signs and symptoms of COPD
exacerbation and when to seek medical help.
d) *Assess the client's oxygen saturation level and respiratory status,
and contact the primary care provider for further instructions.*
Rationale: The correct answer is d. The nurse should first assess the
client's oxygen saturation level and respiratory status, as these are
indicators of hypoxemia and respiratory distress, which are life-
threatening conditions. The nurse should then contact the primary
care provider for further instructions, as the client may need
medication adjustment or hospitalization. The other options are not
as urgent or appropriate as option d, although they may be part of
the long-term management plan for the client.
2. A nurse is working in a community health center that provides
services for low-income and uninsured populations. The nurse is
assigned to conduct a health promotion workshop for a group of
women who are at risk for cervical cancer. The nurse plans to use the
Health Belief Model (HBM) as a framework for the workshop.
, According to the HBM, what are some of the factors that influence a
person's decision to adopt a preventive health behavior?
a) Perceived susceptibility, perceived severity, perceived benefits,
perceived barriers, cues to action, and self-efficacy.
b) *Perceived susceptibility, perceived severity, perceived benefits,
perceived barriers, cues to action, and self-efficacy.*
c) Perceived threat, perceived efficacy, perceived costs, perceived
benefits, social norms, and locus of control.
d) Perceived threat, perceived efficacy, perceived costs, perceived
benefits, social norms, and locus of control.
Rationale: The correct answer is b. The HBM is a psychological model
that explains and predicts health behaviors by focusing on the
attitudes and beliefs of individuals. The HBM proposes that six
factors influence a person's decision to adopt a preventive health
behavior: perceived susceptibility (the belief that one is vulnerable to
a health problem), perceived severity (the belief that the health
problem has serious consequences), perceived benefits (the belief
that the preventive behavior will reduce the risk or severity of the
health problem), perceived barriers (the belief that there are
obstacles or costs associated with the preventive behavior), cues to
action (the factors that trigger or motivate the preventive behavior),
and self-efficacy (the belief that one has the ability or confidence to
perform the preventive behavior).
3. A nurse is collaborating with a multidisciplinary team to develop a
care plan for a client who has been diagnosed with type 2 diabetes
mellitus. The client lives alone in a rural area and has limited access
to health care services. The client also has low health literacy and
does not understand how to manage their condition. What are some
of the strategies that the nurse can use to enhance the client's self-
care ability and adherence to the care plan?
