Public Health Nursing Practice Quizzes
- 1.
Write text here
- 2.
A widowed client who is receiving chemotherapy tells the nurse that he does not like to cook for himself. A community resource for this client is
- A.
Hospice Association
- B.
Visiting Nurses' Association (VNA)
- C.
American Association of Retired Persons
- D.
Meals on Wheels
Correct Answer
D. Meals on WheelsExplanation
Meals on Wheels is a community resource that provides nutritious meals to individuals who are unable to cook for themselves, such as the widowed client receiving chemotherapy. This service is especially beneficial for individuals who may not have the energy or ability to prepare meals while undergoing treatment. Meals on Wheels delivers meals directly to the client's home, ensuring they have access to proper nutrition without the need to cook.Rate this question:
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- 3.
Which is unique to the home-care setting that is different in the acute care setting?
- A.
Patient is the center of the health-care team.
- B.
Nurse functions as an advocate for the patient.
- C.
Nurse is responsible for coordinating the efforts of the patient's health-care team.
- D.
Patient is not discharged until teaching regarding self-care activities is completed.
Correct Answer
D. Patient is not discharged until teaching regarding self-care activities is completed.Explanation
Because of the shorter length of hospital stays, patients are being discharged before all teaching and counseling are completed. However, in the home-care setting, patients are provided with appropriate care until they are able to care for themselves.Rate this question:
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- 4.
Which role of the nurse takes on more emphasis in the delivery of health care in the home than in acute care?
- A.
Coordinating the efforts of the health-care team
- B.
Delivering skilled nursing care
- C.
Providing for healthy meals
- D.
Modifying the environment
Correct Answer
D. Modifying the environmentExplanation
The hospital environment rarely requires modification because it is designed to provide for the safety needs of the patients. However, in the home setting a home hazard assessment must be implemented to identify potential problems with walkways, stairways, floors, furniture, bathrooms, kitchens, electrical and fire protection, toxic substances, communication devices, and issues associated with medications and asepsis. Although the nurse may not be able to change a patient's living space and lifestyle, recommendations can be made that will minimize or eliminate risks,Rate this question:
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- 5.
When do nursing activities related to community nursing begin?
- A.
On the first contact with the patient
- B.
After the patient is admitted to the hospital
- C.
At the time referrals are made to community resources
- D.
When the primary health care provider writes discharge orders
Correct Answer
A. On the first contact with the patientExplanation
As soon as contact with the patient is made, planning and teaching should begin so the patient is prepared to provide self-care in the home.Rate this question:
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- 6.
Which is unique to the home-care setting that is different in the acute care setting?
- A.
Nurses work more independently.
- B.
Nurses require excellent communication skills.
- C.
Patients must be taught how to care for themselves.
- D.
Patients have needs that require less technical nursing skills.
Correct Answer
A. Nurses work more independently.Explanation
In the home setting, patients tend to have fewer health care providers' orders and therefore nurses work more independently. In addition, the roles of the nurse in community-based practice today are expanding dramatically. In 1991, the American Nurses Association published Nursing's Agenda for Health Care Reform, which made recommendations for health care reform. The major predictions influencing nurse accountability included: nurses will become community leaders; community nursing centers will expand and focus on preventing disease and promoting health; and the center of health care will shift to the home setting. Nurses already work independently in such programs as community outreach, nursing centers, and nurse-sponsored wellness and health promotion programs, and independent practice. These roles require the nurse to utilize nursing theory and skills that are in the scope of the legal definition of nursing practice and do not require dependence on a primary health care provider's orders.Rate this question:
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- 7.
A woman is concerned about her children accidentally ingesting her husband's prescription medications. Where should the home care nurse teach the mother to keep medications?
- A.
On a high shelf
- B.
In a locked cabinet
- C.
In a medicine cabinet in the bathroom
- D.
On a shelf in the back of the refrigerator
Correct Answer
B. In a locked cabinetExplanation
A locked area is the safest place to store prescription as well as over the counter medications to prevent accidental ingestion by children.Rate this question:
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- 8.
Who is the most important health care team member in an assisted-living facility?
- A.
Occupational therapist
- B.
Nurse Aide
- C.
Patient
- D.
Nurse
Correct Answer
C. PatientExplanation
The patient is always the center of the health care team in every setting and is the most important member of the team.Rate this question:
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- 9.
A patient's contract for home care services is about to end, but the patient still requires care. On which factor will the continuation of services initially depend?
- A.
Nursing documentation of the need for care
- B.
Retrospective audits of quality management
- C.
Patient satisfaction with the care being provided
- D.
Presence of a primary health care provider's order
Correct Answer
A. Nursing documentation of the need for careExplanation
Case management by the nurse in the home care setting includes determining whether a patient is ready for discharge or requires a continuation of services. The nurse must document objectively the status of the patient to convince those making the decision (e.g., primary health care provider, insurer, agency manager) that the patient requires a continuation of services. Nursing documentation supports the decision.Rate this question:
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- 10.
A home care nurse is providing care for a family supporting a patient with a chronic illness. Which is the most important factor the nurse should teach caregivers who care for a family member who has a stable but chronic illness and is living in the home?
- A.
Have extra equipment and supplies for emergencies.
- B.
Tend to themselves as well as the patient.
- C.
Plan a daily and monthly schedule of activities.
- D.
Keep a daily journal of the patient’s status.
Correct Answer
B. Tend to themselves as well as the patient.Explanation
Caregiver role strain experienced by a
family member is a serious concern of
home care nurses. Caregivers often fail to
address their own health needs because of
the extraordinary burden of the caregiver
role, which can jeopardize their own
health and well-being. Caregivers should
be encouraged to delegate responsibilities
to other family members, to get adequate
sleep, rest and nutritional intake, to seek
assistance from agencies that provide
respite services, to take time for leisure
activities and a vacation, and to join a
caregiver support group.Rate this question:
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- 11.
Which statements most reflect hospice care in the health-care delivery system? Check all that apply.A. Patients must have less than six months to live to receive servicesB. Care is more expensive than in the acute care settingC. It provides mainly physical care to the dying personD. Hospice is a method of care rather than a location
- A.
C&D
- B.
A&D
- C.
A&C
- D.
A&B
Correct Answer
B. A&DExplanation
A. To be eligible for hospice services, an
individual must be diagnosed as having
less than 6 months to live. It is a service to
support patients and their families through
the process of dying.
D. Hospice is not a setting but a movement.
It provides supportive, palliative services
that focus on managing pain, treatment
of symptoms and helping patients
maintain their quality of life so they can
live the remainder of their lives to the
fullest.Rate this question:
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- 12.
Identify the nursing interventions that reflect Tertiary Health-Care Delivery. A. Providing emotional support to family members after the death of a relative B. Teaching a patient how to use a wheelchair after a stroke C. Conducting a smoking cessation class D. Administering an influenza vaccine E. Changing a dressing after surgery
- A.
A,B,&E
- B.
A&B
- C.
C&D
- D.
B&E
- E.
A&E
Correct Answer
A. A,B,&EExplanation
Tertiary health care focuses on providing specialized medical care, rehabilitation, and support to individuals dealing with complex health crises or chronic conditions. In this context, interventions like providing emotional support to family members after a relative's death (option A), teaching a patient how to use a wheelchair after a stroke (option B), and changing a dressing after surgery (option E) align with tertiary care principles. These actions address the comprehensive needs of individuals facing significant health challenges, encompassing both physical and emotional aspects of care to promote recovery and enhance quality of life.Rate this question:
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- 13.
Which activities are examples of interventions associated with secondary health care services?A. Teaching a low-fat diet to a person with high cholesterolB. Immunization of a child during the first year of lifeC. Encouraging regular dental checkupsD. Monthly self-breast examinations
- A.
A&D
- B.
C&D
- C.
A&C
- D.
B&D
Correct Answer
B. C&DExplanation
C. Encouraging regular dental checkups is a secondary health care service that is associated with early detection of disease and prompt intervention.
D. Monthly self-breast exams are associated with secondary health care services because they are concerned with detection of breast cancer.Rate this question:
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- 14.
Which is a need that falls within the category of tertiary health care services?
- A.
Critical care
- B.
Long-term care
- C.
Diagnostic care
- D.
Preventive care
Correct Answer
B. Long-term careExplanation
Long-term care is a need that falls within the category of tertiary health care services. Tertiary care refers to specialized medical care that is provided by specialists and hospitals for individuals with complex or severe health conditions. Long-term care involves the ongoing assistance and support provided to individuals who have chronic illnesses, disabilities, or other conditions that require extended periods of care and support. This type of care includes services such as nursing care, rehabilitation, and assistance with daily activities.Rate this question:
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- 15.
A nurse must initiate nursing services in the home setting. Which is an important factor that the nurse must consider to ensure third-party reimbursement?
- A.
The patient must be able to perform some self-care.
- B.
The family has the financial resources to pay for the care.
- C.
Additional family members need to be available for support.
- D.
Intervention must be ordered by a provider with a license to prescribe.
Correct Answer
D. Intervention must be ordered by a provider with a license to prescribe.Explanation
health care professional who have prescriptive licenses must order home care nursing services. An order from a provider with a prescriptive license is required if a home care agency is to receive reimbursement from third-party sources (e.g., government, medical insurance plans). Orders written by these professional direct the medical plan of care.Rate this question:
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- 16.
A nurse identifies the healthcare needs of the members of the community. Which is the nurse's most efficient initial approach to meet these needs?
- A.
Involve community leaders to work within the political arena to obtain funding for programs.
- B.
Write research grants to explore the community's health needs in more detail.
- C.
Make residents aware of the resources in the community.
- D.
Design educational programs that address the identified community needs.
Correct Answer
C. Make residents aware of the resources in the community.Explanation
This is the most efficient initial approach to meeting the identified needs of the members of the community. The use of currently available resources is more efficient than the other options presented.Rate this question:
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- 17.
When giving postoperative are to a 30 year old male client, the nurse discusses cancer risks. The client states, "I have never heard of testicular exams." The nurse should include which priority intervention in the plan of care?
- A.
Teach the client to see a healthcare provider for a yearly testicular examination
- B.
Assist the client to set up a calendar of dates to perform self-testicular exams
- C.
Allow the client to verbalize fears related to cancer risk
- D.
Encourage a high fiber diet to decrease the risk of testicular exam
Correct Answer
B. Assist the client to set up a calendar of dates to perform self-testicular examsExplanation
The priority for this client is to learn and begin to perform testicular self-exam on a monthly basis. A yearly exam is insufficient in time frame, and a healthcare provider does not need to perform the screening. A high fiber diet is a general health measure but is not specific to testicular cancer. Encouraging the client to verbalize fears is generally a helpful strategy but does not target the client's immediate need for information about detecting testicular cancer.Rate this question:
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- 18.
A child is being treated at home for chickenpox. The visiting home-health nurse notes an elevated temperature. To prevent a common complication of fever, the nurse recommends which of the following?
- A.
Antibiotics as prescribed
- B.
Tepid sponge baths
- C.
Aspirin as needed for fever control
- D.
Keep child well covered to prevent chilling
Correct Answer
B. Tepid sponge bathsExplanation
Tepid baths allow heat to be removed from the body. Aspirin use is avoided because of the risk of Reye syndrome. The child should wear only light clothing to allow heat to escape. Antibiotics are not prescribed because this is a viral infection, not a bacterial infection.Rate this question:
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- 19.
The spouse of a postal worker who contracted cutaneous anthrax asks the nurse whether this communicable disease can be treated. Which response by the nurse is most appropriate?
- A.
"No, there is only supportive care available for the itching associated with skin lesions."
- B.
"No, although we will be ready to provide aggressive respiratory support measures if needed."
- C.
"Yes, the infection can be treated with antiviral agents and immune globulin."
- D.
"Yes, the infection can be treated with antibiotics such as ciprofloxacin or doxycycline."
Correct Answer
D. "Yes, the infection can be treated with antibiotics such as ciprofloxacin or doxycycline."Explanation
Anthrax is caused by a bacterium and is
therefore amenable to treatment with antibiotics. Antivirals
and immune globulin play no role in treating this disease.
Inhaled anthrax leads to respiratory symptoms, not cutaneous anthrax.Rate this question:
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- 20.
A college student was hospitalized following onset of a severe case of pertussis. In preparing for discharge, the nurse would correct which client statement that indicates a misunderstanding about post discharge care?
- A.
"It will still be important to try to drink a lot of fluids when I go home."
- B.
"I will try to avoid being around people for a full week after going home so I don't spread this to others."
- C.
"I will be very careful to wash my hands often."
- D.
"Irritants that I breathe, such as smoke or dust, could make me have coughing spells again."
Correct Answer
B. "I will try to avoid being around people for a full week after going home so I don't spread this to others."Explanation
Pertussis is most infectious early in the course of the disease, so it is not necessary for the client to self-isolate following discharge from the hospital. Coughing bouts may still be triggered by irritants, so these should be avoided. Frequent hand hygiene is a generally helpful measure that should also be continued after discharge. Increased fluid intake is a generally helpful measure that should also be continued in the home setting.Rate this question:
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Current Version
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Feb 02, 2024Quiz Edited by
ProProfs Editorial Team -
May 02, 2017Quiz Created by
Yxm301