Community-Based Nursing Practice
11. In the community clinic the nurse provides care for a 40-yearold woman who takes insulin to manage her diabetes. The
patient is having increased difficulty managing her disease, and
the nurse wants her to consider a new insulin pump to help
her control it. Which of the following increases the likelihood
that the patient will accept this new insulin pump? (Select all
that apply.)
1. Supporting the patient as she tries the insulin pump on a
limited basis
2. Identifying why the patient is reluctant to use the insulin
pump
3. Telling the patient that many other patients you know use
the insulin pump successfully
4. The patient’s perception that the insulin pump is
more consistent with her health care goals than insulin
administration
12. The nurse in a new community-based clinic is requested to
complete a community assessment. Order the steps for completing this assessment.
1. Structure or locale
2. Social systems
3. Population
13. On the basis of an assessment, the nurse identifies an increase
in the immigrant population group in the community. How
would he or she determine some of the health needs of this
population? (Select all that apply.)
1. Identify which two health needs the immigrant population
views as most important
2. Apply information from Healthy People 2020
3. Determine how the population uses available health care
resources
4. Identify perceived barriers for health care
5. Implement an exercise program to help with weight loss
14. A patient is worried about her 76-year-old grandmother who
is in very good health and wants to live at home. The patient’s
concerns are related to her grandmother’s safety. The neighborhood does not have a lot of crime. Using this scenario,
which of the following are the most relevant to assess for
safety?
1. Crime rate, locks, lighting, neighborhood traffic
2. Lighting, locks, clutter, medications
3. Crime rate, medications, support system, clutter
4. Locks, lighting, neighborhood traffic, crime rate
15. The nurse is working with the county health department on a
task force to fully integrate the goals of Healthy People 2020.
How does the nurse determine which goals need to be included
or updated? (Select all that apply.)
1. Assesses the health care resources within the community
2. Assesses the existing health care programs offered by the
county health department
3. Compares existing resources and programs with Healthy
People 2020 goals
4. Initiates new programs to meet Healthy Peop
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