nursing healthca
Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 9th
Edition
MULTIPLE CHOICE
1. Which type of nursing center actively integrates service, education, and research in its
model?
a. Special care
b. Free-standing
c. Fee-for-service
d. Academic
ANS: D
Academic nursing centers actively integrate service, education, and research in their model.
Special care centers provide services and specialized health knowledge and skills to a
particular group, and they are an adjunct to comprehensive primary health care models. A
free-standing center is an independent center with its own governing board. A
fee-for-service center means that payment is provided at time of service and it may include a
sliding-scale fee.
DIF: Cognitive level: Understanding REF: p. 459
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. Which characteristic is common among all nursing centers?
a. Provision of community-based culturally competent care
b. Services provided by physicians and health care providers
c. Focus on the biological factors contributing to the development of disease
d. Fee-for-service reimbursement model
ANS: A
One characteristic that is common among all nursing centers is the provision of
community-based culturally competent care that is accessible, acceptable, and responsive to
the populations being served. Services are provided by nurses in a nurse center. A variety of
reimbursement models are used in nursing centers. Nursing centers use a holistic approach
to care.
DIF: Cognitive level: Understanding REF: p. 457
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. A nurse is employed by a nursing center. Which of the following types of services will be
provided here?
a. Illness-oriented care
b. Direct access to nursing services
c. Free services
d. Physician diagnosis of health problems
, ANS: B
Nursing centers provide unique opportunities to improve the health status of individuals,
families, and communities through direct access to nursing and nursing models of care. A
nursing center deemphasizes illness-oriented care, is reimbursed for services, and uses
nurses to diagnose and treat.
DIF: Cognitive level: Applying REF: pp. 456-457
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. A nurse working at a nursing center has been asked to develop materials about a health
promotion topic that can be used at the center. Which of the following topics would the
nurse most likely select?
a. Advanced care of the chronically ill elderly at home
b. Smoking cessation and weight management techniques
c. How to access specialty services
d. Providing financial support for nursing students
ANS: B
Nurse centers are positioned to improve the health and well-being of vulnerable populations.
One way to achieve this is by providing access to comprehensive primary health care and
health promotion and disease prevention services. Smoking cessation and weight
management techniques focus on health promotion, which address the main focus of the
nurse center. Advanced care of the chronically ill and accessing specialty services does not
address health promotion and disease prevention services. Providing financial support for
nursing students does not address a health promotion and disease prevention topic and does
not meet the needs of the broad population that may be served by the center.
DIF: Cognitive level: Analyzing REF: p. 457
TOP: Nursing process: Planning
MSC: NCLEX: Health Promotion and Maintenance
5. Which type of nursing center operates under a service model?
a. Free-standing center
b. Affiliated center
c. Comprehensive primary care center
d. Proprietary
ANS: C
The service model includes comprehensive primary care centers, wellness centers, and
special care centers. Organizational structure is the typology used to describe a free-standing
and affiliated center. Internal Revenue Service Designation is the typology used to describe
a proprietary center.
DIF: Cognitive level: Understanding REF: p. 458 (Box 21-3)
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. What is the focus of a special care nursing center?
a. A particular demographical group or those with special care needs
, b. An affiliation with a school of nursing
c. Providing services while maintaining a not-for-profit status
d. Providing fee-for-service care with designated Health Maintenance Organization
(HMO) providers
ANS: A
Special care centers focus on a particular demographical group or those with special needs.
Examples are those that focus on persons with HIV/AIDS, adolescent mothers, and the frail
elderly. An academic nurse-led center has an affiliation with a school of nursing. A
501(c)(3) center is considered a nonprofit business. An HMO provider provides
fee-for-service care with contracted rates by an HMO.
DIF: Cognitive level: Understanding REF: p. 458 (Box 21-3)
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. A client would like to enroll in a smoking cessation program. Which of the following types
of nursing centers would be most likely to provide this type of programming?
a. Academic Nursing
b. Wellness
c. Comprehensive Primary Care
d. Special Care
ANS: B
Wellness centers focus on health promotion, disease prevention, and management programs.
An academic nurse-led center has an affiliation with a school of nursing. A comprehensive
primary care center provides health-oriented primary care and public health programs.
Special care centers focus on a particular demographical group or those with special needs.
DIF: Cognitive level: Applying REF: p. 458 (Box 21-3)
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. A nurse executive reports that the nursing center receives reimbursement through contracted
rates. Which of the following types of reimbursement mechanism is being used?
a. Fee-for-service
b. Federally Qualified Health Center (FQHC)
c. HMO provider
d. Third-party reimbursement
ANS: C
HMO providers pay at contracted rates. Fee-for-service means payment is provided at time
of service. FQHC has federal designation that allows cost-based reimbursement per
encounter. Third-party reimbursement involves client billing to a public program or
commercial/private insurance.
DIF: Cognitive level: Applying REF: p. 458 (Box 21-3)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, 9. Individuals, families, groups, organizations, policy makers, and staff who are involved in
community collaboration are known as:
a. nursing center workers.
b. policy makers.
c. stakeholders.
d. diversity.
ANS: C
Stakeholders offer diversity in perspective in community collaborative efforts. Policy
makers are those involved in creating the policies. Nursing center workers are those who
work as staff within the nursing center. Diversity is demonstrated through working with a
variety of populations.
DIF: Cognitive level: Remembering REF: p. 461
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
10. What was the overarching concept upon which Healthy People 2020 was built?
a. Establish nursing centers for the purpose of health promotion
b. Create partnerships among individuals, communities, and systems
c. Eliminate disease in lesser-developed countries
d. Further the agenda of the World Health Organization (WHO)
ANS: B
Healthy People 2020 builds upon shared responsibility to improve the nation’s health.
Powerful, productive partnerships among diverse people and groups and long-term
commitments to community collaboration are needed to achieve these goals. Healthy People
2020 did not promote the establishment of nursing centers. Healthy People 2020 focuses on
the needs of the United States, not that of lesser developed countries or the agenda of the
WHO.
DIF: Cognitive level: Understanding REF: pp. 460-461
TOP: Nursing process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
11. A nurse is working with a group and would like to facilitate successful collaboration. Which
of the following would be the most important factor for the nurse to consider?
a. Focus of the group
b. Planned change that will occur
c. Decisions made by executive director
d. Open and frequent communication
ANS: D
Although the focus of the group and its planned change are important, they are not the most
important factor for the nurse to consider. To accomplish anything with the group, open and
frequent communication is necessary. Decisions should be made through consensus of the
group, not the decisions of one person.
DIF: Cognitive level: Analyzing REF: p. 461
TOP: Nursing process: Planning
Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 9th
Edition
MULTIPLE CHOICE
1. Which type of nursing center actively integrates service, education, and research in its
model?
a. Special care
b. Free-standing
c. Fee-for-service
d. Academic
ANS: D
Academic nursing centers actively integrate service, education, and research in their model.
Special care centers provide services and specialized health knowledge and skills to a
particular group, and they are an adjunct to comprehensive primary health care models. A
free-standing center is an independent center with its own governing board. A
fee-for-service center means that payment is provided at time of service and it may include a
sliding-scale fee.
DIF: Cognitive level: Understanding REF: p. 459
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. Which characteristic is common among all nursing centers?
a. Provision of community-based culturally competent care
b. Services provided by physicians and health care providers
c. Focus on the biological factors contributing to the development of disease
d. Fee-for-service reimbursement model
ANS: A
One characteristic that is common among all nursing centers is the provision of
community-based culturally competent care that is accessible, acceptable, and responsive to
the populations being served. Services are provided by nurses in a nurse center. A variety of
reimbursement models are used in nursing centers. Nursing centers use a holistic approach
to care.
DIF: Cognitive level: Understanding REF: p. 457
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. A nurse is employed by a nursing center. Which of the following types of services will be
provided here?
a. Illness-oriented care
b. Direct access to nursing services
c. Free services
d. Physician diagnosis of health problems
, ANS: B
Nursing centers provide unique opportunities to improve the health status of individuals,
families, and communities through direct access to nursing and nursing models of care. A
nursing center deemphasizes illness-oriented care, is reimbursed for services, and uses
nurses to diagnose and treat.
DIF: Cognitive level: Applying REF: pp. 456-457
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. A nurse working at a nursing center has been asked to develop materials about a health
promotion topic that can be used at the center. Which of the following topics would the
nurse most likely select?
a. Advanced care of the chronically ill elderly at home
b. Smoking cessation and weight management techniques
c. How to access specialty services
d. Providing financial support for nursing students
ANS: B
Nurse centers are positioned to improve the health and well-being of vulnerable populations.
One way to achieve this is by providing access to comprehensive primary health care and
health promotion and disease prevention services. Smoking cessation and weight
management techniques focus on health promotion, which address the main focus of the
nurse center. Advanced care of the chronically ill and accessing specialty services does not
address health promotion and disease prevention services. Providing financial support for
nursing students does not address a health promotion and disease prevention topic and does
not meet the needs of the broad population that may be served by the center.
DIF: Cognitive level: Analyzing REF: p. 457
TOP: Nursing process: Planning
MSC: NCLEX: Health Promotion and Maintenance
5. Which type of nursing center operates under a service model?
a. Free-standing center
b. Affiliated center
c. Comprehensive primary care center
d. Proprietary
ANS: C
The service model includes comprehensive primary care centers, wellness centers, and
special care centers. Organizational structure is the typology used to describe a free-standing
and affiliated center. Internal Revenue Service Designation is the typology used to describe
a proprietary center.
DIF: Cognitive level: Understanding REF: p. 458 (Box 21-3)
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. What is the focus of a special care nursing center?
a. A particular demographical group or those with special care needs
, b. An affiliation with a school of nursing
c. Providing services while maintaining a not-for-profit status
d. Providing fee-for-service care with designated Health Maintenance Organization
(HMO) providers
ANS: A
Special care centers focus on a particular demographical group or those with special needs.
Examples are those that focus on persons with HIV/AIDS, adolescent mothers, and the frail
elderly. An academic nurse-led center has an affiliation with a school of nursing. A
501(c)(3) center is considered a nonprofit business. An HMO provider provides
fee-for-service care with contracted rates by an HMO.
DIF: Cognitive level: Understanding REF: p. 458 (Box 21-3)
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. A client would like to enroll in a smoking cessation program. Which of the following types
of nursing centers would be most likely to provide this type of programming?
a. Academic Nursing
b. Wellness
c. Comprehensive Primary Care
d. Special Care
ANS: B
Wellness centers focus on health promotion, disease prevention, and management programs.
An academic nurse-led center has an affiliation with a school of nursing. A comprehensive
primary care center provides health-oriented primary care and public health programs.
Special care centers focus on a particular demographical group or those with special needs.
DIF: Cognitive level: Applying REF: p. 458 (Box 21-3)
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. A nurse executive reports that the nursing center receives reimbursement through contracted
rates. Which of the following types of reimbursement mechanism is being used?
a. Fee-for-service
b. Federally Qualified Health Center (FQHC)
c. HMO provider
d. Third-party reimbursement
ANS: C
HMO providers pay at contracted rates. Fee-for-service means payment is provided at time
of service. FQHC has federal designation that allows cost-based reimbursement per
encounter. Third-party reimbursement involves client billing to a public program or
commercial/private insurance.
DIF: Cognitive level: Applying REF: p. 458 (Box 21-3)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, 9. Individuals, families, groups, organizations, policy makers, and staff who are involved in
community collaboration are known as:
a. nursing center workers.
b. policy makers.
c. stakeholders.
d. diversity.
ANS: C
Stakeholders offer diversity in perspective in community collaborative efforts. Policy
makers are those involved in creating the policies. Nursing center workers are those who
work as staff within the nursing center. Diversity is demonstrated through working with a
variety of populations.
DIF: Cognitive level: Remembering REF: p. 461
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
10. What was the overarching concept upon which Healthy People 2020 was built?
a. Establish nursing centers for the purpose of health promotion
b. Create partnerships among individuals, communities, and systems
c. Eliminate disease in lesser-developed countries
d. Further the agenda of the World Health Organization (WHO)
ANS: B
Healthy People 2020 builds upon shared responsibility to improve the nation’s health.
Powerful, productive partnerships among diverse people and groups and long-term
commitments to community collaboration are needed to achieve these goals. Healthy People
2020 did not promote the establishment of nursing centers. Healthy People 2020 focuses on
the needs of the United States, not that of lesser developed countries or the agenda of the
WHO.
DIF: Cognitive level: Understanding REF: pp. 460-461
TOP: Nursing process: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
11. A nurse is working with a group and would like to facilitate successful collaboration. Which
of the following would be the most important factor for the nurse to consider?
a. Focus of the group
b. Planned change that will occur
c. Decisions made by executive director
d. Open and frequent communication
ANS: D
Although the focus of the group and its planned change are important, they are not the most
important factor for the nurse to consider. To accomplish anything with the group, open and
frequent communication is necessary. Decisions should be made through consensus of the
group, not the decisions of one person.
DIF: Cognitive level: Analyzing REF: p. 461
TOP: Nursing process: Planning
