Specialized community health services and nurses role.
Time: 15:00
When a school nurse conducts hearing and vision screenings for all first-grade students, which component of the school health program is being prioritized?
[a] Health Education
[b] Healthy School Environment
[c] Health Services
[d] Nutritional Services
An occupational health nurse is performing a "walk-through" survey of a factory. What is the primary purpose of this activity?
[a] To administer annual flu shots to employees.
[b] To identify potential and existing workplace hazards.
[c] To provide emergency care to an injured worker.
[d] To develop a new health insurance policy for the company.
A home health nurse is visiting an elderly patient who was recently discharged from the hospital after a stroke. A key role of the nurse is to:
[a] Recommend immediate re-hospitalization regardless of the patient's condition.
[b] Perform all household chores for the patient and family.
[c] Assess home safety, teach the family about medication management, and provide skilled care.
[d] Isolate the patient from family members to ensure complete rest.
What is the core philosophy guiding a hospice nurse's care for a terminally ill patient?
[a] To aggressively pursue curative treatments to prolong life at all costs.
[b] To focus solely on the physical symptoms of the patient, ignoring family needs.
[c] To cease all medications and interventions once a patient enters hospice.
[d] To manage symptoms, provide comfort, and improve the quality of remaining life for the patient and family.
A maternal and child health (MCH) nurse is providing anticipatory guidance to a new mother. What does this specialized role involve?
[a] Criticizing the mother's current parenting practices.
[b] Waiting for problems to arise before offering advice.
[c] Educating the mother about upcoming developmental stages and safety needs of the infant.
[d] Providing direct financial support for child-rearing expenses.
A community mental health nurse is working with a client with schizophrenia. A primary role for the nurse is to:
[a] Force the client to take medication against their will in a non-emergency situation.
[b] Monitor medication compliance, provide counseling, and connect the client to social support services.
[c] Recommend the client be institutionalized for life.
[d] Focus only on the client's physical health problems.
In a disaster response situation, what is the specialized role of a community health nurse performing triage?
[a] To provide comprehensive, long-term care to every victim on site.
[b] To identify and count the number of fatalities.
[c] To quickly sort casualties based on the severity of their injuries to determine treatment priority.
[d] To gather insurance and identification information from all victims.
A gerontological community health nurse is leading a fall prevention class at a senior center. This activity is a prime example of:
[a] Tertiary prevention for seniors who have already fractured a hip.
[b] Acute care management.
[c] A curative medical intervention.
[d] Primary prevention aimed at promoting safety and independence.
The occupational health nurse's role in conducting pre-employment physicals is primarily to:
[a] Discriminate against applicants with any pre-existing health conditions.
[b] Ensure the individual is physically and mentally fit for the specific job requirements.
[c] Provide a comprehensive health diagnosis for the applicant's personal use.
[d] Sell health insurance policies to new employees.
A home health nurse is teaching a patient with diabetes how to self-administer insulin. This role is best described as:
[a] Case manager
[b] Advocate
[c] Health educator and caregiver
[d] Researcher
A school nurse notices a high number of asthma-related absences after gym class. The nurse's first step should be to:
[a] Cancel all physical education classes for the rest of the year.
[b] Assess the situation, collect data, and collaborate with teachers and parents to identify triggers.
[c] Send every student with asthma to the emergency room.
[d] Ignore the trend as it is outside the nurse's scope of practice.
Which statement best describes the role of a correctional nurse?
[a] To act as a security guard and enforce prison rules.
[b] To provide care only for life-threatening emergencies.
[c] To provide comprehensive healthcare to inmates, including chronic, acute, and mental health care.
[d] To determine the guilt or innocence of an inmate.
A faith community nurse (parish nurse) is asked to start a support group for caregivers. This nurse is acting in the role of a:
[a] Primary care provider
[b] Spiritual director
[c] Health counselor and facilitator
[d] Financial advisor
A key difference between home health nursing and hospice nursing is that home health nursing:
[a] Is only for patients at the very end of life.
[b] Often includes rehabilitative and restorative goals, while hospice focuses on comfort care.
[c] Does not involve skilled nursing tasks like wound care.
[d] Is provided exclusively by physicians.
An MCH nurse's role in the postpartum period includes assessing a new mother for:
[a] Her ability to return to work immediately.
[b] The likelihood of having more children.
[c] Signs of postpartum depression and providing support and referrals.
[d] Her knowledge of advanced pediatric medicine.
When a community health nurse provides psychological first aid at a disaster shelter, the primary goal is to:
[a] Conduct in-depth psychotherapy sessions.
[b] Diagnose long-term psychiatric disorders.
[c] Reduce initial distress and promote adaptive functioning and coping.
[d] Prescribe psychotropic medications to all survivors.
A school nurse is managing the care of a student with a severe food allergy. A critical nursing role is to:
[a] Forbid the student from ever eating at school.
[b] Develop an emergency action plan and educate staff on recognizing and responding to anaphylaxis.
[c] Tell the student to avoid allergens without providing any other support.
[d] Isolate the student from all other children during lunch.
A major ethical challenge for a correctional nurse is:
[a] Having too many resources and staff.
[b] Patients being overly compliant with treatment.
[c] Balancing the duty to provide care with the security and regulations of the institution.
[d] The low prevalence of chronic and infectious diseases in the prison population.
Which service is a hallmark of palliative care, which can be provided by a hospice nurse but also earlier in the disease process?
[a] Only providing care after a patient has stopped all curative treatment.
[b] Focusing exclusively on extending the quantity, not quality, of life.
[c] Specialized medical care focused on relief from the symptoms and stress of a serious illness.
[d] Providing care only in a dedicated hospice facility.
An occupational health nurse maintains the OSHA 300 Log. This is a key role related to:
[a] Employee vacation schedules.
[b] Recording and tracking work-related injuries and illnesses.
[c] Managing the employee assistance program for counseling.
[d] Documenting health education sessions.
The most autonomous of these specialized nursing roles, often requiring the nurse to make independent judgments in a non-structured environment, is typically:
[a] A staff nurse in a hospital.
[b] A home health nurse.
[c] A surgical scrub nurse.
[d] A nurse administrator.
A faith community nurse's role as a health advocate is best demonstrated by:
[a] Telling a congregation member which doctor they must see.
[b] Providing direct hands-on nursing care like changing dressings.
[c] Helping a church member navigate the healthcare system to get the services they need.
[d] Leading prayer services as a primary function.
A community health nurse working in gerontology visits an older adult living alone. A priority assessment is for:
[a] Their ability to run a marathon.
[b] Their interest in pursuing a college degree.
[c] Their knowledge of advanced technology.
[d] Social isolation, nutritional status, and medication management.
The specialized role of an MCH nurse in promoting family planning involves:
[a] Forcing a specific contraceptive method on a client.
[b] Providing unbiased education on all available contraceptive options.
[c] Discouraging any form of contraception.
[d] Limiting information to only one or two methods.
A community mental health nurse helps a client create a Wellness Recovery Action Plan (WRAP). This demonstrates a shift in the nurse's role towards:
[a] A model where the nurse makes all decisions for the client.
[b] Focusing only on the client's past traumas.
[c] Empowering the client to take an active role in managing their own illness and recovery.
[d] A belief that mental illness cannot be managed effectively in the community.
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