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Public / Community Health and Nursing Practice, 2nd Edition 2nd Edition by Savage - Ch. 1-22

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Public / Community Health and Nursing Practice, 2nd Edition 2nd Edition by Savage - Ch. 1-22

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Test Bank: Public / Community Health and Nursing Practice,
2nd Edition 2nd Edition by Savage - Ch. 1-22, 9780803677111,
with Rationales

A community/public health nurse is best defined as a nurse who
a. Applies concepts and knowledge from nursing and public health.
b. Gives care to families in the community.
c. Has a baccalaureate and previous experience in community health.
d. Is employed outside of an acute care setting. - ANSWER:D: The term community health nursing is
an umbrella term used for all nurses who work in a
community. This term denotes the setting of practice for the nurse.

The only clear distinction between a community health nurse and a public health nurse is
that
a. The community health nurse gives care in community settings regardless of
personal education, whereas public health nurses have specific educational
preparation.
b. Community health nurse is a title that has historically been used, whereas public
health nurse is the new "in" title for the role.
c. The community health nurse is employed to give care to families and groups,
whereas the public health nurse works in public health departments.
d. Community health nurse is the broader term that includes public health nursing,
school nursing, and home health nursing. - ANSWER:A:
Public health nurses synthesize all their nursing expertise, as well as knowledge, from
public health, whereas nurses with varied educational backgrounds may be employed in
community settings

When the nurse is caring for a family or a community, it is important that the nurse provide
care that is
a. Similar to that described in the textbook or procedure manual
b. Consistent with agency policies
c. Inexpensive
d. Culturally congruent - ANSWER:D: Although the nurse should provide care in all the ways described,
for recipients to accept
the care, the care must be consistent with their cultural expectations and norms.

What is the meaning of the term aggregate as used in community health?
a. A group of persons who reside in a specific geographic area
b. All the persons who live in a specific community
c. A set of persons who have some characteristic in common
d. "The public" in professional terminology - ANSWER:C: By definition, an aggregate is a group of
persons who have one or more characteristics in
common, particularly a set of persons under statistical study with some co

What is the appropriate approach for the community/public health nurse in balancing
individual privacy and autonomy and the community's needs for safety and security?
a. Fulfill agency policies first.
b. Implement professional standards of nursing practice.
c. Seek a balance between individuals' needs and the community's needs.
d. Remember that group needs outrank individual needs. - ANSWER:C: While the nurse's practice
should be consistent with employing agency policies, legal
mandates, and professional standards, the nurse must seek a balance between individual
autonomy and other individual rights and the rights of all other community members. It is
a delicate balance.

, While the nurse's practice should be consistent with employing agency policies, legal
mandates, and professional standards, the nurse must seek a balance between individual
autonomy and other individual rights and the rights of all other community members. It is
a delicate balance. - ANSWER:B: To provide for the greatest good to the greatest number, it is often
necessary to focus on
basic services, such as immunization or prenatal care, because such care has the most
effect on the whole community

When faced with an ethical conflict about limited resources and unlimited need, which
action is the most just?
a. Giving care to clients whose needs most closely match the nurse's abilities
b. Giving care to whichever prospective clients ask for care first
c. Working as hard as possible and not worrying about it
d. Trying to a - ANSWER:D:
Although option B fulfills the criteria of egalitarian (equal) justice, it is a short-term
answer to an ongoing problem. Trying to achieve the outcome of the greatest good for the
greatest number of persons is a utilitarian approach to justice, which is more helpful in
dealing with large populations such as clients seen by the community/public health nurse

Which document is helpful in describing competent and appropriate nursing care in the
community?
a. Community Health: Standards of Nursing
b. Healthy People 2020
c. The Joint Commission: The Comprehensive Accreditation Manual
d. Public Health Nursing: Scope and Standards of Practice - ANSWER:D

What is Healthy People 2020 about? - ANSWER:Focuses on achieving health goals for persons
living in the United States

What is the Joint Commission Manual? - ANSWER:Used by organizations
pursuing accreditation from this organization

How does a community/public health nurse provide indirect care to clients in homes,
clinics, senior citizen centers, schools, prisons, homeless shelters, and other living
environments?a. Being employed in community settings such as outpatient clinics
b. Providing anticipatory guidance and health promotion activities to community
members
c. Providing care in mobile vans to citizens in their own neighborhoods
d. Being involved on a political action committee to create new client services - ANSWER:D:

How would the actions of the community/public health nurse caring for a recently
discharged client in his home differ from those of the acute care nurse?
a. The community/public health nurse would assess the health and needs of all the
family members.
b. The community/public health nurse would be careful to be nonjudgmental about
the family's living situation.
c. The community/public health nurse would explain why each nursing intervention
was being performed.
d. The community - ANSWER:A: Although both nurses would give excellent care to the individual
client, the acute care
nurse would assess the client individually and adapt interventions accordingly. The
community/public health nurse would seek to identify others in the family who might need
intervention or referral as well. The community/public health nurse provides care from a
family-focused model, being concerned not only

When a community/public health nurse cannot meet a need of the client, it is most

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