N109: Foundations in Nursing Practice

N108: Transition to the Registered Professional Nurse Role Study Guide

Chapter 7

1. C The community nurse must work with the elderly, children, sick, and well individuals in the community. 2. A The goal of the Healthy People 2020 initiative is to attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. The goal to ensure a community free of all disease, injury, and disability would be a goal that is not attainable; however, ensuring a community free of preventable disease and injury is attainable. 3. A Secondary prevention focuses on prevention of complications or worsening of conditions in individuals who are already experiencing health problems. 4. C Tertiary prevention involves rehabilitation and recovery in individuals with a disability that is permanent and irreversible. At this level of prevention, the nurse works with the individual to prevent further disability or reduced function. Primary prevention aims to intercept the causes of disease before they involve the individual. Secondary prevention focuses on prevention of complications or worsening of conditions in individuals who are already experiencing health problems. 5. B Endemic refers to the usual number of cases of a disease within a population. Pandemic refers to an epidemic that has become a world-wide problem. The word eudemic does not exist. 6. B According to Maslow, regardless of the number of problems experienced by an individual, family, or community, the nurse must address those issues that are at the lowest level of the hierarchy. In this case, the family’s nutrition is at risk, one of the physiological needs. In increasing order, the levels of Maslow’s hierarchy include: physiological, safety, love and belonging, esteem, and self-actualization. 7. A Until the nurse gains acceptance in the community, efforts to assess or intervene in the community will be difficult or impossible. 8. D During the assessment process, the nurse should use any source of information available. Other sources of information include any health records and interviews with other healthcare personnel in the community. 9. A The other answers might also be correct, but each nursing diagnosis should be related to certain assessments and should include measurable data points. For example, the option “Risk-prone health behaviors” would be a correct option if expressed in a form such as “Risk-prone health behaviors related to drug use as evidenced by high level of drug addiction in the community.” 10. B If an intervention is identified as being ineffective, the nurse should collaborate with the affected individuals or community to alter the intervention. Continuing or expanding the intervention will not typically result in desired outcomes.

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