Exam #1 NUR 441 Chapters: 1, 3, 12, 15, 32 Questions With
Complete Solutions
A nurse is reviewing a client's physical environment. The client
has a visual and hearing limitation. Which technology would
best be considered for the client?
Cameras
Motion sensors
Door alarms
Real-time vital signs
Door alarms
Rationale: Advances in home health technologies have the
potential to provide support in the home setting. Due to the
assessed limitations, door alarms and stove sensors would be
helpful for the client. Real-time vital signs would be helpful for
a bedridden client. Cameras would assist if the client needed 24-
hour monitoring. Motion sensors would be helpful for cognitive
impairments to alert caregivers of client movement.
A nurse is preparing to assess the local community in which the
clinic is located. Which is one of the first source of data the
nurse should collect?
International data
Local data
,National data
State data
State data
Rationale: For community/public health nurses, the most
significant source of assessment data comes from the state
health department. As a recourse to local health departments, the
state health department provides invaluable support services and
is the main source of health-related data at the state level.
National data are compiled from the government and provide
data for many functions, including health status for various
populations and subgroups, identification of disparities,
monitoring trends, identifying national health problems, and
supporting research. International data are collected from all
countries.
A goal of home health is promoting self-management. To
increase the likelihood of compliance, the home health nurse
must:
allow the client and family to make their own decisions.
work with the family to determine the best care for the client.
develop a long-range plan and present to both the family and
client.
not allow the family to influence the client's decisions.
allow the client and family to make their own decisions.
,Rationale: Compliance is more likely when both the family and
the client are allowed to make their own decisions. Client and
family empowerment is vital to success.
Why does the nursing process serve well as a community health
tool?
It supports problem solving and the management of change
actions that ultimately improve health.
It stresses critical thinking and can be applied to a variety of
social issues.
It is an established, reliable tool that is regularly used by the
professional nurse.
It provides a means of evaluating the outcomes of actions
implemented for the purpose of change.
It supports problem solving and the management of change
actions that ultimately improve health.
Rationale: Five components ADPIE—assessment, diagnosis,
planning, implementation, and evaluation—give direction to the
dynamics for solving problems, managing nursing actions, and
improving the health of communities and community health
nursing practice. The nursing process is established and reliable
and it stresses critical thinking. These are reasons to learn and
use the tool, not why it should be used. Evaluating outcome is
one step in the process, not the full tool.
The nurse is looking over a list of new clients in the home health
agency. Which client predominantly fits the typical home health
care recipient?
, A 68-year-old Caucasian female with heart failure
A 72-year-old Caucasian male with diabetes
A 55-year-old Black female with essential hypertension
A 45-year-old Black male with a skin ulcer
A 68-year-old Caucasian female with heart failure
Rationale: Home health recipients are predominantly White
women. More than two thirds are over the age of 65. The most
common diagnoses are diabetes, heart failure, essential
hypertension, chronic skin ulcers, and osteoarthritis.
Many older adult home care clients are often found to take many
medications prescribed by more than one physician and
dispensed by more than one pharmacy. When the nurse
documents these many medications, which global category
would be most appropriate?
Inappropriate medications
Multiple use drugs
Associated adverse drugs
Polypharmacy
Polypharmacy
Rationale: Polypharmacy is an appropriate term when many
medications are prescribed by multiple physicians and dispensed
at more than one pharmacy so that no one is evaluating the mix
of medications and their potentiating effects.
Complete Solutions
A nurse is reviewing a client's physical environment. The client
has a visual and hearing limitation. Which technology would
best be considered for the client?
Cameras
Motion sensors
Door alarms
Real-time vital signs
Door alarms
Rationale: Advances in home health technologies have the
potential to provide support in the home setting. Due to the
assessed limitations, door alarms and stove sensors would be
helpful for the client. Real-time vital signs would be helpful for
a bedridden client. Cameras would assist if the client needed 24-
hour monitoring. Motion sensors would be helpful for cognitive
impairments to alert caregivers of client movement.
A nurse is preparing to assess the local community in which the
clinic is located. Which is one of the first source of data the
nurse should collect?
International data
Local data
,National data
State data
State data
Rationale: For community/public health nurses, the most
significant source of assessment data comes from the state
health department. As a recourse to local health departments, the
state health department provides invaluable support services and
is the main source of health-related data at the state level.
National data are compiled from the government and provide
data for many functions, including health status for various
populations and subgroups, identification of disparities,
monitoring trends, identifying national health problems, and
supporting research. International data are collected from all
countries.
A goal of home health is promoting self-management. To
increase the likelihood of compliance, the home health nurse
must:
allow the client and family to make their own decisions.
work with the family to determine the best care for the client.
develop a long-range plan and present to both the family and
client.
not allow the family to influence the client's decisions.
allow the client and family to make their own decisions.
,Rationale: Compliance is more likely when both the family and
the client are allowed to make their own decisions. Client and
family empowerment is vital to success.
Why does the nursing process serve well as a community health
tool?
It supports problem solving and the management of change
actions that ultimately improve health.
It stresses critical thinking and can be applied to a variety of
social issues.
It is an established, reliable tool that is regularly used by the
professional nurse.
It provides a means of evaluating the outcomes of actions
implemented for the purpose of change.
It supports problem solving and the management of change
actions that ultimately improve health.
Rationale: Five components ADPIE—assessment, diagnosis,
planning, implementation, and evaluation—give direction to the
dynamics for solving problems, managing nursing actions, and
improving the health of communities and community health
nursing practice. The nursing process is established and reliable
and it stresses critical thinking. These are reasons to learn and
use the tool, not why it should be used. Evaluating outcome is
one step in the process, not the full tool.
The nurse is looking over a list of new clients in the home health
agency. Which client predominantly fits the typical home health
care recipient?
, A 68-year-old Caucasian female with heart failure
A 72-year-old Caucasian male with diabetes
A 55-year-old Black female with essential hypertension
A 45-year-old Black male with a skin ulcer
A 68-year-old Caucasian female with heart failure
Rationale: Home health recipients are predominantly White
women. More than two thirds are over the age of 65. The most
common diagnoses are diabetes, heart failure, essential
hypertension, chronic skin ulcers, and osteoarthritis.
Many older adult home care clients are often found to take many
medications prescribed by more than one physician and
dispensed by more than one pharmacy. When the nurse
documents these many medications, which global category
would be most appropriate?
Inappropriate medications
Multiple use drugs
Associated adverse drugs
Polypharmacy
Polypharmacy
Rationale: Polypharmacy is an appropriate term when many
medications are prescribed by multiple physicians and dispensed
at more than one pharmacy so that no one is evaluating the mix
of medications and their potentiating effects.
