Pediatric Nursing Caring For Children And Their Families 3rd Edition by Nicki L. Potts – Test Bank

CHAPTER 4: COMMUNITY AND HOME HEALTH NURSING

MULTIPLE CHOICE

1.The largest percentage of community health nurses work in:

a.	state and local health departments	c.	school health nursing
b.	U.S. Department of Veterans Affairs	d.	home health

ANS: D

	Feedback
A	Incorrect. About one in four community health nurses work in local and state health departments and community health centers.
B	Incorrect. Not applicable.
C	Incorrect. Community health nurses working in school health are a minority.
D	Correct. The majority of community health nurses work in home health.

PTS: 1 REF: p. 96 – Introduction OBJ: Cognitive Level: Knowledge

2.Which of the following best represents the focus of the community health nurse?

a.	health promotion and disease prevention
b.	curing people who are chronically ill
c.	working with those who do not have health insurance
d.	optimal functioning of the family

ANS: A

	Feedback
A	Correct. The community health nurse has a focus on health promotion and disease prevention.
B	Incorrect. The community health nurse does not cure people who are chronically ill. The nurse promotes health in order to prevent chronic illness.
C	Incorrect. Although the community health nurse may work with those who are uninsured, this option does not best represent the focus.
D	Incorrect. The community health nurse is not focused upon the optimal functioning of the family, but of the community or a population as a whole.

PTS:1REF:p. 96 – Community Health Nursing

OBJ: Cognitive Level: Comprehension

3.While community health nurses focus on the individual or the family, which of the following do they also have as their final objective?

a.	the well-being of the extended family	c.	the financial well-being of the family
b.	the well-being of the community	d.	the well-being of the chronically ill

ANS: B

	Feedback
A	Incorrect. The final objective of the community health nurse is not the well-being of the extended family.
B	Correct. The well-being of the community as a whole is the final objective for community health nursing.
C	Incorrect. The final objective of the community health nurse is not the financial well-being of the family.
D	Incorrect. The final objective of the commmunity health nurse is not the well-being of the chronically ill.

PTS: 1 REF: p. 96 – Community Health Nursing OBJ: Cognitive Level: Knowledge

4.The community health nurse is coordinating all the services needed by a child who has a chronic illness and is staying at home: physical therapy, tutoring, occupational therapy, respite care, as well as financial resources for the caregivers. This activity best represents which of the following legitimate roles for the community health nurse?

a.	case manager	c.	collaborator
b.	advocate	d.	consultant

ANS: A

	Feedback
A	Correct. The community health nursing role, case manager, develops and coordinates services for a selected client and family.
B	Incorrect. The role of advocate involves promoting their needs and desires.
C	Incorrect. The role of collaborator involves working with other nurse, social services, judicial systems and school systems to ensure holistic care.
D	Incorrect. The role of consultant involves the community health nurse as an expert able to propose solutions for identified problems.

PTS:1REF:p. 97 – Table 4-1

OBJ: Cognitive Level: Comprehension

5.You are the community health nurse working with a single mother who has small children. You have helped the mother get on the Women, Infants, and Children (WIC) program. She receives coupons from this program to get food for her children, but she often fails to use the coupons, saying she is embarrassed to take charity. Which of the following responses from you would most likely succeed in getting her to use the coupons?

a.	“It’s really not charity. You have paid taxes and will pay more taxes some day when you have a job.”
b.	“If you don’t take the help, someone else less deserving will.”
c.	“If I were in your shoes, I would use the coupons and be glad of having them.”
d.	“It is important to give your children nutritious meals so they will grow, and this is a way to provide them.”

ANS: D

	Feedback
A	Incorrect. Telling her it is not charity when she feels it is charity is ignoring her feelings, and is ineffective.
B	Incorrect. Saying someone less deserving is saying that she may also be undeserving; this will not meet the goal of making sure she feeds hungry children.
C	Incorrect. You can never be in someone else’s shoes, and saying you can does not make it so.
D	Correct. Focus upon the reason the community provides the coupons, to make sure her children are fed.

PTS:1REF:p. 96 – Governmental Influence

OBJ: Cognitive Level: Comprehension

6.Children with chronic illnesses, chronic conditions, or disabilities are often referred by community health nurses to which of the following programs to receive help with health care services?

a.	NSAID Title I	c.	CSHCN Title V
b.	WECM	d.	WIC

ANS: C

	Feedback
A	Incorrect. NSAID Title I has nothing to do with chronic health conditions.
B	Incorrect. WECM are the call letters for a popular radio station.
C	Correct. Children with disabilities and those with chronic conditions can receive assistance with health care services through the Title V Children with Special Health Care Needs (CSHCN).
D	Incorrect. WIC is the Women, Infants, and Children nutrition program.

PTS: 1 REF: p. 96 – Governmental Influence OBJ: Cognitive Level: Knowledge

7.Medicaid optional services most often include such things as:

a.	enhanced hospital coverage for intensive care
b.	housekeeping and maintenance services
c.	eyeglasses and speech, hearing, and dental care
d.	income for household expenses if time is lost on the job

ANS: C

	Feedback
A	Incorrect. Optional services do not include enhanced hospital coverage for intensive care.
B	Incorrect. Optional medicaid services do not cover housekeeping and maintenance services.
C	Correct. Optional medicaid services are determined by each state, and may include eyeglasses and speech, hearing, and dental care.
D	Incorrect. Medicaid does not cover income for time lost on the job.

PTS:1REF:p. 97 – Governmental Influences

OBJ: Cognitive Level: Comprehension

8.Healthy People 2010 national health objectives added some new focus areas, two of which are:

a.	starting kindergarten and the reading initiative earlier to ensure reading by age 6
b.	increasing small motor skills in children and reducing the incidence of behavioral problems in children
c.	involving fathers sooner in prenatal care and making certain they have an opportunity to be present at birth
d.	medical products safety and adding children to the maternal and infant safety area

ANS: D

	Feedback
A	Incorrect. Headstart programs focus upon early education programs.
B	Incorrect. Heathly People 2010 is not focused upon small motor skills or reduced behavioral problems.
C	Incorrect. Healthy People 2010 did not add this as an objective.
D	Correct. Healthy People 2010 added Medical Products Safety and Access to Quality Health Services and Programs and included children to the maternal and infant priority areas.

PTS:1REF:p. 98 – Healthy People 2010 Objectives

OBJ: Cognitive Level: Knowledge

9.In the prevention of firearm-related injuries, the public health or community health nurse needs to:

a.	routinely inquire about the presence of firearms in the home and do a firearms safety assessment
b.	report all firearms seen on home visits to local child protective agencies so that agency can do a follow-up
c.	let families know he or she is opposed to keeping firearms in the home and insist they be removed
d.	schedule the family members (including the children in the home) for a gun safety clinic

ANS: A

	Feedback
A	Correct. As a key representative for community health, the nurse needs to routinely inquire about the presence of firearms in the home and teach safety to the parents and children.
B	Incorrect. The presence of firearms in the home is not illegal.
C	Incorrect. Individuals retain the right to have firearms in the home; the issue is keeping children safe around them. It is not appropriate for the nurse to express his or her opinion, nor is it appropriate to insist firearms be removed.
D	Incorrect. It is inappropriate for the community health nurse to schedule the family members for a gun safety clinic.

PTS:1REF:p. 100 – Health Protection

OBJ: Cognitive Level: Comprehension

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Pediatric Nursing Caring For Children And Their Families 3rd Edition by Nicki L. Potts Test Bank

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Description

a.	state and local health departments	c.	school health nursing
b.	U.S. Department of Veterans Affairs	d.	home health

	Feedback
A	Incorrect. About one in four community health nurses work in local and state health departments and community health centers.
B	Incorrect. Not applicable.
C	Incorrect. Community health nurses working in school health are a minority.
D	Correct. The majority of community health nurses work in home health.

a.	health promotion and disease prevention
b.	curing people who are chronically ill
c.	working with those who do not have health insurance
d.	optimal functioning of the family

	Feedback
A	Correct. The community health nurse has a focus on health promotion and disease prevention.
B	Incorrect. The community health nurse does not cure people who are chronically ill. The nurse promotes health in order to prevent chronic illness.
C	Incorrect. Although the community health nurse may work with those who are uninsured, this option does not best represent the focus.
D	Incorrect. The community health nurse is not focused upon the optimal functioning of the family, but of the community or a population as a whole.

a.	the well-being of the extended family	c.	the financial well-being of the family
b.	the well-being of the community	d.	the well-being of the chronically ill

	Feedback
A	Incorrect. The final objective of the community health nurse is not the well-being of the extended family.
B	Correct. The well-being of the community as a whole is the final objective for community health nursing.
C	Incorrect. The final objective of the community health nurse is not the financial well-being of the family.
D	Incorrect. The final objective of the commmunity health nurse is not the well-being of the chronically ill.

a.	case manager	c.	collaborator
b.	advocate	d.	consultant

	Feedback
A	Correct. The community health nursing role, case manager, develops and coordinates services for a selected client and family.
B	Incorrect. The role of advocate involves promoting their needs and desires.
C	Incorrect. The role of collaborator involves working with other nurse, social services, judicial systems and school systems to ensure holistic care.
D	Incorrect. The role of consultant involves the community health nurse as an expert able to propose solutions for identified problems.

a.	“It’s really not charity. You have paid taxes and will pay more taxes some day when you have a job.”
b.	“If you don’t take the help, someone else less deserving will.”
c.	“If I were in your shoes, I would use the coupons and be glad of having them.”
d.	“It is important to give your children nutritious meals so they will grow, and this is a way to provide them.”

	Feedback
A	Incorrect. Telling her it is not charity when she feels it is charity is ignoring her feelings, and is ineffective.
B	Incorrect. Saying someone less deserving is saying that she may also be undeserving; this will not meet the goal of making sure she feeds hungry children.
C	Incorrect. You can never be in someone else’s shoes, and saying you can does not make it so.
D	Correct. Focus upon the reason the community provides the coupons, to make sure her children are fed.

a.	NSAID Title I	c.	CSHCN Title V
b.	WECM	d.	WIC

	Feedback
A	Incorrect. NSAID Title I has nothing to do with chronic health conditions.
B	Incorrect. WECM are the call letters for a popular radio station.
C	Correct. Children with disabilities and those with chronic conditions can receive assistance with health care services through the Title V Children with Special Health Care Needs (CSHCN).
D	Incorrect. WIC is the Women, Infants, and Children nutrition program.

a.	enhanced hospital coverage for intensive care
b.	housekeeping and maintenance services
c.	eyeglasses and speech, hearing, and dental care
d.	income for household expenses if time is lost on the job

	Feedback
A	Incorrect. Optional services do not include enhanced hospital coverage for intensive care.
B	Incorrect. Optional medicaid services do not cover housekeeping and maintenance services.
C	Correct. Optional medicaid services are determined by each state, and may include eyeglasses and speech, hearing, and dental care.
D	Incorrect. Medicaid does not cover income for time lost on the job.

a.	starting kindergarten and the reading initiative earlier to ensure reading by age 6
b.	increasing small motor skills in children and reducing the incidence of behavioral problems in children
c.	involving fathers sooner in prenatal care and making certain they have an opportunity to be present at birth
d.	medical products safety and adding children to the maternal and infant safety area

	Feedback
A	Incorrect. Headstart programs focus upon early education programs.
B	Incorrect. Heathly People 2010 is not focused upon small motor skills or reduced behavioral problems.
C	Incorrect. Healthy People 2010 did not add this as an objective.
D	Correct. Healthy People 2010 added Medical Products Safety and Access to Quality Health Services and Programs and included children to the maternal and infant priority areas.

a.	routinely inquire about the presence of firearms in the home and do a firearms safety assessment
b.	report all firearms seen on home visits to local child protective agencies so that agency can do a follow-up
c.	let families know he or she is opposed to keeping firearms in the home and insist they be removed
d.	schedule the family members (including the children in the home) for a gun safety clinic

	Feedback
A	Correct. As a key representative for community health, the nurse needs to routinely inquire about the presence of firearms in the home and teach safety to the parents and children.
B	Incorrect. The presence of firearms in the home is not illegal.
C	Incorrect. Individuals retain the right to have firearms in the home; the issue is keeping children safe around them. It is not appropriate for the nurse to express his or her opinion, nor is it appropriate to insist firearms be removed.
D	Incorrect. It is inappropriate for the community health nurse to schedule the family members for a gun safety clinic.