Nokea
Discharge planning is an integral part of community-health nursing and home health. Which of the following is prioritized in the discharge-planning process?
- A. Identifying the patients specific needs
- B. Making a social services referral
- C. Getting physical therapy involved in care
- D. Notifying the pharmacy of the discharge date
Correct Answer: A
Rationale: The discharge planning process involves identifying the patients needs and developing a thorough plan to meet them. The other options might be appropriate for some patients, but they are not all appropriate for every patient.
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A school nurse has been working closely with a student who has cystic fibrosis. The nurse is aware that children with health problems are at major risk for what problem?
- A. Mental health disorders
- B. Gradual reduction in intelligence
- C. Psychological stress due to a desire to overachieve
- D. Underachievement in school
Correct Answer: D
Rationale: School-aged children and adolescents with health problems are at major risk for underachieving or failing in school. These students do not necessarily have a high risk of mental health disorders or a desire to overachieve. Health problems do not normally cause a progressive decline in intelligence.
A nurse is based in an automotive assembly plant and works with the plants employees in the areas of health promotion and basic primary care. What nursing role is this nurse performing?
- A. Occupational health nurse
- B. Community nurse specialist
- C. Nurse clinician
- D. Public health nurse
Correct Answer: A
Rationale: Occupational health nurses may provide direct care to patients who are ill, conduct health education programs for the industry staff, or set up health programs. The other answers are incorrect because they are not consistent with a nurses placement in a manufacturing setting.
A home health nurse is making a visit to a new patient who is receiving home care following a mastectomy. During the visit, the patients husband arrives home in an intoxicated state and speaks to both you and the patient in an abusive manner. What is your best response?
- A. Ignore the husband and focus on the patient.
- B. Return to your agency and notify your supervisor.
- C. Call the police from your cell phone.
- D. Remove the patient from the home immediately.
Correct Answer: B
Rationale: If a dangerous situation is encountered during a visit, the nurse should return to the agency and contact his or her supervisor or law enforcement officials, or both. Ignoring the husband or calling the police while in the home or attempting to remove the patient from the home could further endanger you and the patient.
A nurse who has an advanced degree in primary care for a pediatric population is employed in a health clinic. In what role is this nurse functioning?
- A. Nurse practitioner
- B. Case coordinator
- C. Clinical nurse specialist
- D. Clinic supervisor
Correct Answer: A
Rationale: Nurse practitioners, educated in primary care, often practice in ambulatory care settings that focus on gerontology, pediatrics, family or adult health, or womens health. Case coordinators and clinical supervisors do not necessarily require an advanced degree, and a clinical nurse specialist is not educated in primary care. Primary care is the specific focus of CNPs.
A home health nurse has completed a scheduled home visit to a patient with a chronic sacral ulcer. The nurse is now evaluating and documenting the need for future visits and the frequency of those visits. What question can the nurse use when attempting to determine this need?
- A. How does the patient describe his coping style?
- B. When was the patient first diagnosed with this wound?
- C. Is the patients family willing to participate in care?
- D. Is the patient willing to create a plan of care?
Correct Answer: C
Rationale: Determining the willingness and ability of friends and family to provide care can help determine appropriate levels of professional home care. The time of initial diagnosis and the patients coping style are secondary. The nurse, not the patient, is responsible for creating the plan of care.