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Worksheets440 Exam 3 Review Quiz
Total questions: 40
Worksheet time: 21mins
A community health nurse involved in care management would most likely:
develop, conduct, and evaluate health teaching programs in primary care.
manage the staff at a free clinic.
monitor the health status, resources, and outcomes for an aggregate.
provide immunizations to migrant workers.
A parent involved in conflict resolution with her teenager says, “I know that some of your friends stay out until midnight, but I think it is best if you are in at 10 o’clock.” This statement, a behavior seen in conflict situations, is an example of:
assertiveness.
negotiation.
cooperation.
aggressiveness.
During a home visit, a case manager for a community health center notes marked pitting edema, shortness of breath, and increased fatigue in a 52-year-old male client who lives alone. The client is admitted to the hospital, where he is diagnosed with congestive heart failure. The case manager works with the hospital’s utilization manager to devise a discharge plan. What are the case manager’s most logical next steps? (Select all that apply.)
Identify and arrange for the resources to provide needed services.
Research the client’s health care coverage and its provisions.
Discuss with the family their ability to provide daily visits to the client.
Gather information on local support groups.
Reassess the client at discharge to ensure needed care is not overlooked.
A case manager is concerned that some of the clients at the neighborhood clinic are getting fewer services because of their financial situations. The case manager is confronting the ethical principle of:
justice.
veracity.
deontology.
beneficence.
A community health nurse is working with an uninsured family with two children. The nurse assists the parents in applying for SCHIP benefits and securing an appointment for the children with a community pediatrician who participates in SCHIP. The intervention can best be described as:
care management.
case management.
continuity of care.
disease management.
A key characteristic of faith community nursing services is to facilitate collaborative health ministries in the faith communities by:
embracing individuals across the life span.
respecting diverse traditions of faith.
requiring statements of faith.
using a Judeo-Christian theological framework.
Communities of faith strive to be caring communities and strongly value the fellowship among members. The faith community nurse recognizes that sharing concerns with pastoral staff and fellow congregants gains valuable support to promote optimal healing. The ethical issue of concern in this matter is:
virtue ethics.
statements of faith.
individual rights.
group rights.
Nurses are reclaiming their tradition of healing and affirming the independent functions of nursing. A heritage of health and healing can also be found in the foundations of faith communities through activities such as: (Select all that apply.)
volunteering in community AIDS care groups.
visiting the homebound.
sponsoring health fairs.
providing meals to families in crisis.
holding grief groups.
A second-grade child with cerebral palsy receives services from a physical therapist and occupational therapist during the child’s academic day. The school nurse sets up the schedule to ensure that the therapists’ visits do not unnecessarily affect the child’s academic day negatively. This role of the school nurse is best described as which of the following?
Direct caregiver
Counselor
Consultant
Case manager
A child with severe macular degeneration and some hearing loss will be attending the third grade in a local school. A tertiary prevention intervention the school nurse should perform would be which of the following?
Assess the child’s language skills, motor abilities, and social abilities.
Meet with the assigned teachers to discuss classroom seating to enhance the child’s learning experience.
Lead educational programs to address coping strategies and stress management techniques.
Ensure that a telephone is available for calling emergency personnel or parents.
Which of the following is a unique characteristic of the role of the occupational health nurse?
Specializes in health promotion and education.
Works as a solo clinician and/or independent contractor.
Adapts to the needs of the agency and specific groups of workers.
Is interdisciplinary in nature.
A recent news article reported the death of a 60-year-old road construction worker on a day with a posted heat advisory. An occupational health nurse would recognize the additional host factors that contributed to this fatality as which of the following?
Age and work practices
Gender and lifestyle
Health status and age
Work practices and health status
A widely recognized chemical health hazard in health care environments is which of the following?
Burn-out
Latex allergy
Radiation
Viruses
The model of care delivered in the home setting which focuses on symptom management at the end of life is known as:
hospice care.
palliative care.
personal care.
transitional care.
Hospice care would be an appropriate option to discuss with which of the following patients?
Patient with stage II lung cancer who is undergoing chemotherapy.
Patient with early Alzheimer’s disease whose caregiver needs respite care.
Patient with metastatic breast cancer who has discontinued chemotherapy.
Patient with severe debilitating osteoporosis.
Home health agency types, whether official, private and voluntary, combination, hospital based, or proprietary, are similar in terms of which of the following?
Conditions of participation (COP) for Medicare and Medicaid
Federal income tax exemption status or accreditation status
Governance models and administrative structures
Homemaker services or service contracting practices
The home health nurse completes an initial assessment on a recently admitted home health client. The nurse should now analyze the assessment data and complete what step in the nursing process that is consistent with the standards of home health practice?
Diagnosis
Implementation
Outcome identification
Planning
A home health nurse is working with a client who requires a catheter insertion and wound care. The nurse is also helping the client and family to develop positive coping skills and identify resources that will help the client to attain a state of optimal functioning. It is important for the nurse to specifically document nursing services provided because of which of the following?
The agency is required to practice within the guidelines set up by regulatory agencies.
Each criterion has minimum standards to which the program must adhere.
Nurses are required to provide supervision of services.
Reimbursement is dependent on the provision of skilled care.
What is care management?
Coordination for individual clients with lifelong complex diseases
Anticipating and linking populations w/the services they need more quickly
Tools for case managers
Systemic activities to coordinate health care interventions
Which of the following is a tool with a timely sequence for achieving better health outcomes?
Critical pathways
Disease management
Demand management
Case information tools
Acts as an agent for provider services that are needed by clients to stay within coverage according to budget/cost limits
Liaison
Coordinator
Broker
Facilitator
Which of the following are part of the six rights of case management:
Right care
Right time
Right provider
Right setting
Right tools
What is needed for clients experiencing catastrophic illness or adverse events from professional malpractice?
Care management
Life care planning
Liaison
Disease management
Provides formal communication link among all parties concerning the plan of care management
Educator
Linker
Liaison
Consultant
This tool allows for the client to live at home and helps in medication management, HCP accountability, and transition.
Transitional care model
Aging in Place
Continuum of care model
Patient self-determination Act
Monitor and adjust prescription medications and treatment plans
Primary Prevention
Secondary Prevention
Tertiary Prevention
Quadruple Prevention
Which part of case management reflects the Assessment portion of the nursing process?
Case finding
Identifying the problem
Problem prioritizing
Advocating for clients
Health information of students in schools being protected describes
HIPAA
FERPA
Client Accountability Act
School nursing is usually focused on
Primary prevention
Secondary Prevention
Tertiary Prevention
Quadruple Prevention
The nurse has just found a flu outbreak. What should he do first?
Notify the CDC
Notify the parents
Administer Tamiflu
Screen other students in that class
What illnesses may the school nurse screen for? (select all that apply)
Smallpox
TB
Hearing/vision
Scoliosis
How would the nurse begin the assessment of the workplace?
Assessing the needs of the workers
Understanding the location of the workplace
Understanding the type of work that occurs
Gathering supplies
Which type of home health agency is for-profit and makes up 80% of all agencies?
Propietary
Voluntary private
Hospital-based
Official
This was made to guide practice decisions, sort/document pertinent patient data uniformly, and provide a framework to meet daily needs
OMAHA system
Transitional Care Model
Hazard Communication Standard
No Child Left Behind Act
Which of the following best describes the primary role of a case manager in a community health setting?
Providing direct patient care
Supervising nursing staff
Coordinating services and resources for clients
Administering medications
What is the first step a school nurse should take when identifying a student with a suspected communicable disease?
Begin treatment immediately
Notify the student's parents
Isolate the student and assess symptoms
Contact the local health department
Which prevention level is demonstrated when a nurse educates workers about proper lifting techniques to avoid injury?
Primary Prevention
Secondary Prevention
Quaternary Prevention
Tertiary Prevention
Which of the following actions best demonstrates the nurse's role in secondary prevention within a school setting?
Developing individualized education plans for students with chronic illnesses
Educating students about healthy eating habits
Providing annual vision screenings for students
Administering routine immunizations
A home health nurse is planning care for a client recently discharged after a stroke. Which intervention reflects the planning phase of the nursing process?
Documenting the client's current medications
Evaluating the client's progress at follow-up visits
Setting measurable goals for mobility improvement
Identifying the client's risk for falls
Which of the following best describes the primary focus of tertiary prevention in community health nursing?
Early detection and prompt treatment of illness
Reducing the impact of ongoing illness or injury
Preventing the initial occurrence of disease
Promoting healthy lifestyle choices in the community
