CAPSTONE LEADERSHIP
COMMUNITY
A community health nurse is assigned to a rural and migrant health clinic. What are some issues
facing this population and strategies for primary, secondary and tertiary prevention for
this population? (Review the Community Health Review Module)
• Some issues include a hazardous work environment, poverty status, inadequate housing,
limited availability of clean water, poor healthcare access, lack of insurance, and cultural
barriers. Primary preventions include nutrition education, family planning and sex education,
health and hygiene issues, prenatal classes, and advocating for better access to health care.
Secondary preventions include community assessments, disease surveillance, and screening
for diseases like cancer, diabetes, and hypertension. Tertiary preventions include
rehabilitation, exercise rehabilitation, case management, support groups, and exercise for
patients who are hypertensive.
What behaviors would indicate to the charge nurse that one of the nurses could be experiencing
countertransference? (Found in the Mental Health Review Module)
• Some behaviors that indicate this can include the nurse competing with the patient, arguing
with the patient, and overly identifying with the patient.
The nurse is assessing a client upon admission. What factors should the nurse look for that would
increase a client’s risk for injury?
• Some factors the nurse should look for include visual acuity, observing posture and gait, and
evaluating muscular strength.
List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their
importance.
• Patient-centered care: Providing care and compassion to address all need of the patient
• Teamwork and collaboration: Working together with the entire health care team members to
improve patient outcomes
• Evidence-based practice: Using current knowledge to base care and judgement off
• Quality improvement: Constantly improving health care services and better meet patient
needs
• Safety: Minimizing risk factors that could cause injury to harm to patients, self, and others
• Informatics: Using information technology as a communication and informationgathering tool
to make better decisions and improve patient care
The charge nurse takes a telephone order for morphine 50 mg IVP every 3 hours. After hanging up the
phone, the nurse feels this order is not safe. List three (3) strategies to prevent errors of
miscommunication when receiving telephone orders.
• The nurse should repeat the order to the provider, confirm the order is correct, and make sure
to call the provider back if the dosing or information is unsafe and do not administer the
medication.
A nurse is caring for a client with acute cystitis that has been prescribed nitrofurantoin
(Macrobid). What client education should be provided to the client regarding this medication?
(Review the Pharmacology Review Module)
The patient should expect brownish-colored urine, take the medication with food or
COMMUNITY
A community health nurse is assigned to a rural and migrant health clinic. What are some issues
facing this population and strategies for primary, secondary and tertiary prevention for
this population? (Review the Community Health Review Module)
• Some issues include a hazardous work environment, poverty status, inadequate housing,
limited availability of clean water, poor healthcare access, lack of insurance, and cultural
barriers. Primary preventions include nutrition education, family planning and sex education,
health and hygiene issues, prenatal classes, and advocating for better access to health care.
Secondary preventions include community assessments, disease surveillance, and screening
for diseases like cancer, diabetes, and hypertension. Tertiary preventions include
rehabilitation, exercise rehabilitation, case management, support groups, and exercise for
patients who are hypertensive.
What behaviors would indicate to the charge nurse that one of the nurses could be experiencing
countertransference? (Found in the Mental Health Review Module)
• Some behaviors that indicate this can include the nurse competing with the patient, arguing
with the patient, and overly identifying with the patient.
The nurse is assessing a client upon admission. What factors should the nurse look for that would
increase a client’s risk for injury?
• Some factors the nurse should look for include visual acuity, observing posture and gait, and
evaluating muscular strength.
List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their
importance.
• Patient-centered care: Providing care and compassion to address all need of the patient
• Teamwork and collaboration: Working together with the entire health care team members to
improve patient outcomes
• Evidence-based practice: Using current knowledge to base care and judgement off
• Quality improvement: Constantly improving health care services and better meet patient
needs
• Safety: Minimizing risk factors that could cause injury to harm to patients, self, and others
• Informatics: Using information technology as a communication and informationgathering tool
to make better decisions and improve patient care
The charge nurse takes a telephone order for morphine 50 mg IVP every 3 hours. After hanging up the
phone, the nurse feels this order is not safe. List three (3) strategies to prevent errors of
miscommunication when receiving telephone orders.
• The nurse should repeat the order to the provider, confirm the order is correct, and make sure
to call the provider back if the dosing or information is unsafe and do not administer the
medication.
A nurse is caring for a client with acute cystitis that has been prescribed nitrofurantoin
(Macrobid). What client education should be provided to the client regarding this medication?
(Review the Pharmacology Review Module)
The patient should expect brownish-colored urine, take the medication with food or
