Which of the following definitions best describes community-based nursing?
- A. a focus on populations within the community
- B. a focus on older adults living in nursing homes
- C. care provided in the patients home for chronic illnesses
- D. care centered on individual and family healthcare needs
Correct Answer: D
Rationale: Community-based nursing centers on addressing the healthcare needs of individuals and families within their community context.
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Which of the following factors may be a barrier to healthcare services for those living in rural areas?
- A. inadequate healthcare insurance
- B. lack of knowledge about needed care
- C. living long distances from services
- D. decreased interest in health promotion
Correct Answer: C
Rationale: Living long distances from services is a significant barrier to healthcare access in rural areas.
Mrs. Dunn has cared for her husband with Alzheimer disease for 2 years. She comes to a local health center because she is feeling worn out and stressed. What might be an appropriate nursing diagnosis for Mrs. Dunn?
- A. Dysfunctional Family Processes
- B. Health-Seeking Behaviors
- C. Risk for Caregiver Burden
- D. Risk for Anxiety
Correct Answer: C
Rationale: Risk for Caregiver Burden is appropriate, as Mrs. Dunn's stress and exhaustion indicate the strain of caregiving.
A 2-year-old boy arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?
- A. giving him his favorite stuffed animal to hold
- B. assessing respirations and administering oxygen
- C. raising the side rails and restraining his arms
- D. asking his mother what are his favorite foods
Correct Answer: B
Rationale: Assessing respirations and administering oxygen addresses the child's physiologic need for air, which is the most urgent priority in Maslow's hierarchy during an asthmatic attack.
When providing nursing care to a patient, the nurse provides family-centered nursing care. What is one rationale for this nursing action?
- A. The nurse does not want the patient to feel lonely.
- B. The patient will be more compliant with medical instructions.
- C. The family will be more willing to listen to instructions.
- D. The family can influence the patient's health outcomes.
Correct Answer: D
Rationale: Family-centered care recognizes that the family plays a significant role in influencing the patient's health and recovery.
What is one method by which a nurse can be a role model to promote health in the community?
- A. by demonstrating a healthy lifestyle
- B. by becoming a member of a family
- C. by meeting own basic needs
- D. by exhibiting self-actualization
Correct Answer: A
Rationale: Demonstrating a healthy lifestyle allows a nurse to model behaviors that promote community health.
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