Nursing textbooks community health practice questions
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Nursing textbooks community health practice questions
You think beyond the bed: populations, culture, and the referral that actually gets used. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the Nursing textbooks exam guide or more Nursing textbooks practice questions.
Five community health questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
Which of the following statements represent a current trend in home health nursing?
A. Increased numbers of registered nurses are being employed as home health nurses.
B. Decreased numbers of licensed/registered practical nurses are being employed as home health nurses.
C. There are more employment opportunities for newly graduated nurses.
D. That a minimum of two years of acute care experience is required before employment as a home health nurse.
Show answer and rationale
Correct answer: C — There are more employment opportunities for newly graduated nurses.
There are many opportunities for newly graduated nurses to begin practice as a home health nurse. It was widely believed for many years that nurses required a minimum of 2 years of acute care hospital experience before being hired as a home health nurse but is no longer true. Registered nurses generally received hiring preference over licensed practical nurses because it was believed that registered nurse preparation provided the best foundation for home care nursing. However, partly because the growing nursing shortage, enhancements to the scope of practice and educational programs for licensed/registered practical nurses, and the need to provide long-term interventions to a growing population with complex and unpredictable care needs, many home health employers now hire both registered nurses and licensed/registered practical nurses right after graduation.
Question 2
The nurse is caring for a client who avoids looking the nurse straight in the eye. Which consideration(s) should the nurse account for when providing care for the client? Select all that apply.
A. Avoiding eye contact may be a sign of respect.
B. Direct eye contact may be viewed as an invasion of privacy.
C. Standing directly in front of the client's gaze when speaking may encourage attentiveness.
D. Using stereotyping may help the nurse avoid incorrect assumptions about the client's behavior.
E. Determining the cause of the client's behavior may be accomplished by generalization.
Show answer and rationale
Correct answer: A — Avoiding eye contact may be a sign of respect.
The possibilities that avoiding eye contact may be a sign of respect, and that direct eye contact may be viewed as an invasion of privacy, are considerations the nurse should account for when providing care of the client who avoids looking the nurse straight in the eye. Standing directly in front of the client's gaze when speaking does not convey a desire to understand the client's behavior or provide a comfortable climate for the client. The nurse should avoid stereotyping and making assumptions about the client's behavior. Generalization should not be used to determine the cause of the client's behavior. Instead, generalization should be used to identify common trends in a group while recognizing that more information is needed; it does not describe an individual client.
Question 3
A home health nurse is preparing to make the initial visit to a new patients home. When planning educational interventions, what information should the nurse provide to the patient and his or her family?
A. Available community resources to meet their needs
B. Information on other patients in the area with similar health care needs
C. The nurses contact information and credentials
D. Dates and times of all scheduled home care visits
Show answer and rationale
Correct answer: A — Available community resources to meet their needs
The community-based nurse is responsible for informing the patient and family about the community resources available to meet their needs. During initial and subsequent home visits, the nurse helps the patient and family identify these community services and encourages them to contact the appropriate agencies. When appropriate, nurses may make the initial contact. The other answers are incorrect because it is inappropriate to ever provide information on other patients to a patient. The nurses credentials are not normally discussed. Giving the patient the dates and times of their scheduled home visits is appropriate, but may not always be possible. It is more important to provide them with resources available within the community to meet their needs.
Question 4
A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the patient has traditional beliefs about health and illness. Which of the following actions is most appropriate for the nurse in this situation?
A. Avoid asking any questions unless the patient initiates conversation.
B. Ask the patient whether it is important that cultural healers are contacted.
C. Explain the usual hospital routines for meal times, care, and family visits.
D. Obtain further information about the patient's cultural beliefs from the daughter.
Show answer and rationale
Correct answer: B — Ask the patient whether it is important that cultural healers are contacted.
Because the patient has traditional health care beliefs, it is appropriate for the nurse to ask whether the patient would like a visit from a cultural healer. Nurses ask key questions with regard to language, diet, religion, and acculturation and eliciting the patient's explanatory model of health and illness. There is no cultural reason for the nurse to avoid asking the patient questions, and questions may be necessary to obtain necessary health information. The patient (rather than the daughter) should be consulted about personal cultural beliefs. The hospital routines for meals, care, and visits should be adapted to the patient's preferences rather than expecting the patient to adapt to the hospital schedule.
Question 5
A nurse works in a health care setting that serves the Amish community. Members of this community look to the bishop who governs the community to make decisions about health care treatments. The nurse who provides extra time for a client from this community to select a treatment option and to discuss the situation with the community bishop is demonstrating which cultural concept?
A. Ageism
B. Stereotyping
C. Generalization
D. Ethnocentrism
Show answer and rationale
Correct answer: C — Generalization
Generalization is using the knowledge of the trends within a specific group or community to guide the care of the client without stereotyping. However, the nurse must recognize that generalization can lead to oversimplification and stereotyping. Stereotyping has an end point; the assumption prevents one from seeing another person as unique. Generalization acknowledges common trends in a group while recognizing that more information is needed. Ageism is the stereotyping of older adult behavior or vulnerability based on an individual's prior experiences or anticipation of behaviors. Ethnocentrism is the belief that one's own ethnic heritage is the 'correct' one' and superior to others.
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Question 6
A nurse is providing care to a hospitalized client of Asian descent. What action should the nurse take to provide culturally competent care?
A. Adhere to a personal knowledge base of Asian values and beliefs.
B. Ask the client what values and beliefs are important to them.
C. Provide care from an ethnocentric viewpoint.
D. Expect that the client's health and illness beliefs are based on Asian traditions.
Correct answer:
To provide culturally competent care, the nurse must accept the client as a unique individual with their own values and beliefs. To adhere to a personal knowledge base of Asian values and beliefs would be generalization and could lead to stereotyping. Culturally competent care cannot be provided from an ethnocentric viewpoint, which would be based on the nurse's perspective and reflects a lack of experience and knowledge of cultures other than their own. Even though the client is Asian, the nurse should not expect that the client adheres to traditional Asian customs, but should see the client as an individual, providing care based on their individual beliefs and values.
A nursing student has taught a colleague that nursing practice is not limited to hospital settings, explaining that nurses are now working in ambulatory health clinics, hospice settings, and homeless shelters and clinics. What factor has most influenced this increased diversity in practice settings for nurses?
A. Population shift to more rural areas
B. Shift of health care delivery into the community
C. Advent of primary care clinics
D. Increased use of rehabilitation hospitals
Correct answer:
As health care delivery shifts into the community, more nurses are working in a variety of community-based settings. These settings include public health departments, ambulatory health clinics, long-term care facilities, hospice settings, industrial settings (as occupational nurses), homeless shelters and clinics, nursing centers, home health agencies, urgent care centers, same-day surgical centers, short-stay facilities, and patients homes. The other answers are incorrect because our population has not shifted to a more rural base, and the use of primary care clinics has not influenced an increase in practice settings or the use of rehabilitation hospitals.
A nurse is providing care to a client who speaks and minimally understands, but whose primary language is different from, the dominant language. The client is accompanied by the spouse, who speaks and understands the dominant language well. The client requires surgery and will need to sign consents for treatment. Which is the best action for the nurse to take to ensure the client understands the plan of care?
A. Ask the spouse to act as an interpreter for the client.
B. Rely on nonverbal communication to be understood.
C. Use an interpreter, preferably of the same sex, to explain the plan of care.
D. Use simple yes-or-no questions to make understanding easier for the client.
Correct answer:
To ensure the client understands the plan of care, the nurse should use an interpreter who is preferably the same sex as the client to explain the plan of care. Asking the spouse to act as an interpreter is not the best option because the spouse may not feel comfortable with or may have limited experience with medical terminology, which can cause miscommunication. Relying on nonverbal communication is not the best option for communicating because some aspects of the plan may be lost in the communication. Using yes-or-no questions, in this case, would not be the best option because they would provide minimal information to the nurse.
A client of Japanese descent describes a family trait of having less relief from analgesics than a friend of German descent. Which statement best describes this client's situation?
A. The client should be assessed for concurrent use of herbal preparations.
B. The client's racial background can affect drug metabolism.
C. This type of medication should not be prescribed to this client.
D. Biocultural ecology is the study of biologic cultural differences.
Correct answer:
The client's racial background can influence many things including drug metabolism, which would explain why the client reports receiving less relief from analgesics than a friend from another racial background. The client should be assessed for the use of herbal preparations but that does not necessarily explain the client's reaction to analgesics. There is no indication that analgesics should not be prescribed to the client. It is correct that biocultural ecology is the study of biologic cultural differences, but this option is not the best description of the client's situation. It just provides a definition of biocultural ecology.
Which of the following variables are known to underlie health disparities? Select all that apply.
A. Poverty
B. Isolated geographic location
C. Overdependence on publicly funded facilities
D. Male gender
E. Allergy status
Correct answer:
Many reasons are cited for these disparities, including low socioeconomic status, health behaviors, limited access to health care because of poverty or disability, environmental factors, and direct and indirect manifestations of discrimination. Other causes include lack of health insurance; overdependence on publicly funded facilities; and barriers to health care, such as insufficient transportation, geographic location (not enough providers in an area), cost of services, and the low numbers of minority health care providers. Male gender and a patients allergy status are not identified as contributors to health disparities.
In this scenario, what do the mothers views on immunizations represent?
A. Acculturation
B. Cultural blindness
C. Cultural imposition
D. A cultural taboo
Correct answer:
Immunizations in this scenario are a cultural taboo. Cultural taboos are defined as activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group. Cultural imposition is defined as the tendency to impose ones cultural beliefs, values, and patterns of behavior on a person from a different culture. Acculturation is the process by which members of a cultural group adapt to or learn how to take on the behaviors of another group. Cultural blindness is the inability of people to recognize their own values, beliefs, and practices and those of others because of strong ethnocentric tendencies.
A home health nurse has completed a visit to a patient and has immediately begun to document the visit. Accurate documentation that is correctly formatted is necessary for which of the following reasons?
A. Accurate documentation guarantees that the nurse will not be legally liable for unexpected outcomes.
B. Accurate documentation ensures that the agency is correctly reimbursed for the visit.
C. Accurate documentation allows the patient to gauge his or her progress over time.
D. Accurate documentation facilitates safe delegation of care to unlicensed caregivers.
Correct answer:
The patients needs and the nursing care provided must be documented to ensure that the agency qualifies for payment for the visit. Medicare, Medicaid, and other third-party payors (i.e., organizations that provide reimbursement for services covered under a health care insurance plan) require documentation of the patients homebound status and the need for skilled professional nursing care. Documentation does not guarantee an absence of liability. Documentation is not normally provided to the patient to gauge his or her progress. Documentation is not primarily used to facilitate delegation to unlicensed caregivers.
The nurse is discussing a client's beliefs about health and illness and how it is treated. The client expresses the idea that illness and disease are based on a cause-and-effect philosophy of human body functions. The client's view matches which perspective?
A. biomedical or scientific
B. yin-yang theory
C. magico-religious
D. hot/cold theory
Correct answer:
The biomedical or scientific view is generally shared by Western health care personnel and is based on cause-and-effect relationships. An example is the belief that bacterial or viral organisms cause meningitis. The natural or holistic view espouses that human beings are only one part of nature. Natural balance or harmony is essential for health. Examples of this perspective include hot/cold theory and yin-yang theory. According to the magico-religious perspective, supernatural forces dominate. Examples include faith healing in some Christian faiths and voodoo or witchcraft in some Caribbean cultures.
When providing care for a patient who belongs to a Hispanic culture, which of the following may be considered inappropriate in a health care setting?
A. Grandmothers helping in the care of pediatric patients.
B. Patients asking questions of health care providers.
C. Health care information being given to a female member of the family.
D. Males participating in health care activities.
Correct answer:
The meaning people associate with touching is culturally determined to a great degree. In some cultures (e.g., Hispanic, Arab), male health care providers may be prohibited from touching or examining certain parts of the female body. Similarly, it may be inappropriate for females to care for males. In the Hispanic culture, grandmothers often care for pediatric patients; the female of the family is often held responsible for the familys health care and health care information. Males of the Hispanic culture generally do not participate in health care activities when a member of their family is ill.
Which of the following statements is true related to immigrants to Canada?
A. Decreased risk of social exclusion related to Canada's multicultural population.
B. New immigrants tend to be in overall better health than the resident population.
C. Health status of immigrants is not related to length of time in Canada.
D. Unemployment is not associated with poorer health outcomes for immigrants.
Correct answer:
The healthy immigrant effect indicates that new immigrants tend to be in better overall health than the general resident population. This finding is not surprising inasmuch as immigrants are screened before being granted admittance to Canada. Health status is related to length of time in Canada, the health of immigrants, 20 years after immigration, as determined by age-standardized mortality rates, is generally poorer than those of the Canadian-born population. Underemployment, unemployment, and workplace stress place immigrants at increased health risks as well as the risk for social exclusion.
About these Nursing textbooks community health questions
Nursing textbooks community health practice questions for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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