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Exam 2: Family-Centered Community-Based Care

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Question 1

Multiple Choice

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A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason?

A) Serves as a communication tool for the interdisciplinary team.
B) Demonstrates education the family has received if legal matters arise.
C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.

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Question 2

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A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information?

A) "I like having the privacy, but it might be too expensive for me to set up in my home."
B) "I want to have more control, but I am concerned if an emergency would arise."
C) "It is safer because I will have a midwife."
D) "The midwife is trained to resolve any emergency, and she can bring any pain meds."

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Question 3

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A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the client's learning?(Select all that apply.)

A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role?

A nursing instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following?

The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care?

After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful?

When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following?

Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection?

During class, a nursing student asks, "I read an article that was talking about integrative medicine. What is that?" Which response by the instructor would be most appropriate?

While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following?

A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply.

Which of the following statements is accurate regarding women's health care in today'ssystem?

A nurse is considering a change in employment from the acute care setting to community- based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply.

When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include?

A pregnant woman asks the nurse about giving birth in a birthing center. She says, "I'm thinking about using one but I'm not sure." Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.)

After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care?

The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessmentreveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. Shestates, "I'm pretty tired. And with this pain, I haven't been drinking and eating like I should. Themedication helps a bit but not much. My mom has been helping with the baby." Her incision isclean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client?

The nurse is providing home care for a 6-year-old girl with multiple medical challenges.Which of the following activities would be considered the tertiary level of prevention?

A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay?