Test Bank for Fundamentals of Nursing, 11th edition (Chapters 1-24)

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Test Bank For Fundamentals of Nursing 11th Edition Potter Perry
All chapters - Verified Answers

MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A

A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B

A manager coordinates the activities of members of the nursing staff in delivering nursing
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
facility. As an educator, you explain concepts and facts about health, describe the reason for
routine care activities, demonstrate procedures such as self-care activities, reinforce learning
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
protect your patient’s human and legal rights and provide assistance in asserting these rights if
the need arises. As a caregiver, you help patients maintain and regain health, manage disease
and symptoms, and attain a maximal level function and independence through the healing
process.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
6. The nurse has been working in the clinical setting for several years as an advanced practice
nurse. However, the nurse has a strong desire to pursue research and theory development. To
fulfill this desire, which program should the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctoral programs prepare nurses for more rigorous research and theory development
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
practitioners.
DIF:Understand (comprehension)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education involves formal, organized educational programs offered by
universities, hospitals, state nurses associations, professional nursing organizations, and
educational and health care institutions. After obtaining a baccalaureate degree in nursing, you
can pursue graduate education leading to a master’s or doctoral degree in any number of
graduate fields, including nursing. Inservice education programs are instruction or training
provided by a health care facility or institution. Registered nurse education is the education
preparation for an individual intending to be an RN.
DIF:Apply (application)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)

education. TOP: Teaching/Learning MSC: Management of Care
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. Patient-centered care
c. Quality improvement
d. Teamwork and collaboration
ANS: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
of harm to patients and providers through both system effectiveness and individual
performance. Patient-centered care recognizes the patient or designee as the source of control
and full partner in providing compassionate and coordinated care based on respect for
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
functioning within nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision making.
DIF:Understand (comprehension)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
stress. Compassion fatigue may contribute to what is described as lateral violence
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
only.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Assessment MSC: Health Promotion and Maintenance
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the

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As a patient advocate, the nurse protects the patient’s human and legal rights, including the
right of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurse’s responsibility to notify the health care provider if
the patient is not properly educated. Managers coordinate the activities of members of the
nursing staff in delivering nursing care, and clinical nurse specialists are experts in a
specialized area of nursing practice in a variety of settings.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
11. The patient requires routine gynecological services after giving birth to her son, and while
seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn.
Which action should the nurse-midwife take initially?
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
d. Tell the patient that is not allowed to make referrals.
ANS: B
The practice of nurse-midwifery involves providing independent care for women during
normal pregnancy, labor, and delivery, as well as care for the newborn. After being apprised
of the midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife should
provide the referral. The supervising provider is an obstetric provider, not a pediatrician. A
nurse-midwife can make referrals.
DIF:Analyze (analysis)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which
activity is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears.
b. Works under the guidance of an anesthesiologist.
c. Obtains a PhD degree in anesthesiology.
d. Coordinates acute medical conditions.

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13. A nurse teaches a group of nursing students about nurse practice acts. Which information is
most important to include in the teaching session about nurse practice acts?
a. Protects the nurse.
b. Protects the public.
c. Protects the provider.
d. Protects the hospital.
ANS: B
The nurse practice acts regulate the scope of nursing practice and protect public health, safety,
and welfare. They do not protect the nurse, provider, or hospital.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Teaching/Learning MSC: Management of Care
14. A bill has been submitted to the State House of Representatives that is designed to reduce the
cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive
care units to 3:1. What should the nurse realize?
a. Legislation is politics beyond the nurse’s control.
b. National programs have no bearing on state politics.
c. The individual nurse can influence legislative decisions.
d. Focusing on nursing care provides the best patient benefit.
ANS: C
Nurses can influence policy decisions at all governmental levels. One way is to get involved
by participating in local and national efforts. This effort is critical in exerting nurses’
influence early in the political process. Legislation is not beyond the nurse’s control. National
program can have bearing on state politics. The question is focusing on legislation and health
care costs, not nursing care.
DIF:Analyze (analysis)
OBJ:Discuss the influence of social, historical,

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16. A graduate of a baccalaureate degree program plans to start working as a registered nurse
(RN) in the emergency department. Which action must the nurse take first?
a. Obtain certification for an emergency nurse.
b. Pass the National Council Licensure Examination.
c. Take a course on genomics to provide competent emergency care.
d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.
ANS: B
Currently, in the United States, the most common way to become a registered nurse (RN) is
through completion of an associate degree or baccalaureate degree program. Graduates of
both programs are eligible to take the National Council Licensure Examination for Registered
Nurses (NCLEX-RN) to become registered nurses in the state in which they will practice.
Certification can be obtained after passing the NCLEX and working for the specified amount
of time. Genomics is a newer term that describes the study of all the genes in a person and
interactions of these genes with one another and with that person’s environment. Consumers
can also access Hospital Consumer Assessment of Healthcare Providers Systems (HCAHPS)
to obtain information about patients’ perspectives on hospital care.
DIF:Remember (knowledge)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Implementation MSC: Management

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a. 2, 4, 5, 1, 3
b. 2, 5, 4, 3, 1
c. 4, 2, 5, 3, 1
d. 4, 5, 2, 1, 3
ANS: B
Benner’s levels of proficiency are as follows: novice, advanced beginner, competent,
proficient, and expert.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Teaching/Learning
MSC: Management of Care
MULTIPLE RESPONSE
1. A nurse is preparing a teaching session about contemporary influences on nursing. Which
examples should the nurse include? (Select all that apply.)
a. Human rights
b. Affordable Care Act
c. Demographic changes
d. Medically underserved
e. Decreasing health care costs
ANS: A, B, C, D
Multiple external forces affect nursing, including the need for nurses’ self-care, Affordable
Care Act (ACA) and rising (not decreasing) health care costs, demographic changes of the
population, human rights, and increasing numbers of medically underserved.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Teaching/Learning MSC: Management of Care
2. After licensure, the nurse wants to stay current in knowledge and skills. Which programs are
the most common ways nurses can do this? (Select all that apply.)
a. Master’s degree
b. Inservice education
c. Doctoral preparation
d. Continuing education
e. National Council Licensure Examination retakes
ANS: B,

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DIF:Understand (comprehension)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care
3. A nurse wants to become an advanced practice registered nurse. Which options should the
nurse consider? (Select all that apply.)
a. Patient advocate
b. Nurse administrator
c. Certified nurse-midwife
d. Clinical nurse specialist
e. Certified nurse practitioner
ANS: C, D, E
Although all nurses should function as patient advocates, ―advanced practice nurse‖ is an
umbrella term for an advanced clinical nurse such as a certified nurse practitioner, clinical
nurse specialist, certified registered nurse anesthetist, or certified nurse-midwife. A nurse
administrator is not an example of advanced practice.
DIF:Understand (comprehension)
OBJ:Discuss the roles and

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1. The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should
consider which information when planning care for this patient?
a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.
ANS: C
In 1983, Congress established the prospective payment system (PPS), which grouped inpatient
hospital services for Medicare patients into diagnosis-related groups (DRGs), each of which
provides a fixed reimbursement amount based on assigned DRG, regardless of a patient’s
length of stay or use of services. Capitation means that providers receive a fixed amount per
patient or enrollee of a health care plan. DRG reimbursement is based on case severity,
rural/urban/regional costs, and teaching costs, not national averages.
DIF:Understand (comprehension)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Planning MSC: Management of Care
2. A nurse is teaching the staff about integrated health care systems. Which model of care should
the nurse include

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The Affordable Care Act ties payment to organizations offering Medicare Advantage plans to
the quality ratings of the coverage they offer. If hospitals perform poorly in quality scores,
they receive lower payments for services. Quality outcome measures include patient
satisfaction, more effective management of care by reducing complications and readmissions
and improving care coordination. All individuals are required to have some form of health
insurance by 2014 or pay a penalty through the tax code. Primary care physician payments for
Medicaid services increased to equal Medicare payments. Implementation of insurance
regulations prevents private insurance companies from denying insurance coverage for any
reason and from charging higher premiums based on health status and gender.
DIF:Remember (knowledge)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Teaching/Learning MSC: Management of Care
4. A nurse is caring for a patient in the hospital. When should the nurse begin discharge
planning?
a. When the patient is ready.
b. Close to the time of discharge.
c. Upon admission to the hospital.
d. After an order is written/prescribed.
ANS: C
Discharge planning begins the moment a patient is admitted to a health care facility. When the
patient is ready may be too late. Close to the time of discharge and after an order is
written/prescribed are too late to help the transition of patient care from the hospital to home
or other care facility.
DIF:Remember (knowledge)
OBJ:Discuss the role of nurses

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6. A nurse provides immunization to children and adults through the public health department.
Which type of health care is the nurse providing?
a. Primary care
b. Preventive care
c. Restorative care
d. Continuing care
ANS: B
Preventive care includes immunizations, screenings, counseling, crisis prevention, and
community safety legislation. Primary care is health promotion that includes prenatal and
well-baby care, nutrition counseling, family planning, and exercise classes. Restorative care
includes rehabilitation, sports medicine, spinal cord injury programs, and home care.
Continuing care is assisted living and psychiatric care and older-adult day care.
DIF:Understand (comprehension) OBJ:Summarize the six levels of health care.
TOP: Implementation MSC: Health Promotion and Maintenance
7. In order to receive payment for care provided, nursing centers must comply with requirements
outlined in what federal legislation?
a. Omnibus Budget Reconciliation Act
b. Medicare Act
c. Medicaid Act
d. Affordable Care Act
ANS: A
Nursing centers must comply with the Omnibus Budget Reconciliation Act of 1987 and its
minimum requirements for nursing facilities to receive payment from Medicare and Medicaid.
The Affordable Care Act ties payment to organizations offering Medicare Advantage plans to
the quality ratings of the coverage they offer.
DIF:Understand (comprehension)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Implementation MSC: Management of Care
8. The nurse is trying to determine risk factors unique to home care patients. What resource
should the nurse access?
a. Pew Health Professions Commission
b. The Outcome and Assessment Information Set (OASIS)
c.

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OASIS (the Outcome and Assessment Information Set) includes a group of standardized core
assessment items for an adult home care patient. OASIS forms the basis for measuring patient
outcomes for the purposes of outcome-based quality. Data items within OASIS include
socio-demographic, environmental, support system, health status, functional status, and health
service utilization characteristics of a patient. The OASIS assessment tool was designed to
gather the data items needed to measure both outcomes and patient risk factors in the home
setting. The Pew Health Professions Commission, a national and interdisciplinary group of
health care leaders, recommended 21 competencies for health care professionals in the
twenty-first century. The Hospital Consumer of Assessment of Healthcare Providers and
Systems (HCAHPS) is a standardized survey developed to measure patient perceptions of
their hospital experience. The Magnet Recognition Program recognizes health care
organizations that achieve excellence in nursing practice.
DIF:Understand (comprehension)
OBJ:Discuss the features of an integrated health care system. TOP: Assessment
MSC: Management of Care
9. An older-adult patient has extensive wound care needs after discharge from the hospital.
Which facility should the nurse discuss with the patient?
a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing
ANS: D
An intermediate care or skilled nursing facility offers skilled care from a licensed nursing
staff. This often includes administration of IV fluids, wound care, long-term ventilator
management, and physical rehabilitation. A hospice is a system of family-centered care that

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Hospital emergency departments, urgent care centers, critical care units, and inpatient
medical-surgical units provide secondary and tertiary levels of care. Patients recovering from
an acute or chronic illness or disability often require additional services (restorative care) to
return to their previous level of function or reach a new level of function limited by their
illness or disability. Continuing care is available within institutional settings (e.g., nursing
centers or nursing homes, group homes, and retirement communities), communities (e.g.,
adult day care and senior centers), or the home (e.g., home care, home-delivered meals, and
hospice). Preventive care is more disease oriented and focused on reducing and controlling
risk factors for disease through activities such as immunization and occupational health
programs.
DIF:Apply (application) OBJ:Summarize the six levels of health care.
TOP: Implementation MSC: Management of Care
11. A nurse is teaching about the primary focus of community wellness. Which information
should the nurse include in the teaching session?
a. Coordination of health care services
b. Effective cost containment for services
c. Appropriate service delivery to service population
d. Identification of services needed to address individual needs
ANS: A
Wellness care focuses on the health of populations and their communities rather than simply
curing an individual’s disease. In wellness care, nurses can help lead communities and health
care systems in coordinating resources to better serve their populations. All the remaining
options are components of care coordination.
DIF:Understand (comprehension)
OBJ:Discuss the nursing implications regarding issues facing the health care system.
TOP: Teaching/Learning MSC: Management of Care
12. A nurse is using research findings to improve clinical practice and improved care delivery.
Which technique is the nurse using?
a. Performance scores
b. Integrated delivery networks
c. Nursing-sensitive outcomes
d. Utilization review committees
ANS: A
Performance improvement activities are typically clinical projects conceived in response to
identified clinical problems and designed to use research findings to improve clinical practice
by applying earned scores. Larger health care systems have integrated delivery networks
(IDNs) that include a network of facilities, providers, and services organized to deliver a
continuum of care to a population of patients at a capitated cost in a particular setting.

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In many ways, technology makes work easier, but it does not replace nursing judgment.
Technology does not replace your critical eye and clinical judgment. Most importantly, it is
essential to remember that the focus of nursing care is not the machine or the technology; it is
the patient. Using ―why‖ is not beneficial when communicating with others. Agreeing with
the statement furthers misconceptions.
DIF:Apply (application)
OBJ:Explain approaches nurses can use to improve patient satisfaction.
TOP: Communication

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The federal government, the biggest consumer of health care, which pays for Medicare and
Medicaid, has created professional standards review organizations (PSROs) to review the
quality, quantity, and costs of hospital care. One of the most significant factors that influenced
payment for health care was the prospective payment system (PPS). Established by Congress
in 1983, the PPS eliminated cost-based reimbursement. Hospitals serving patients who
received Medicare benefits were no longer able to charge whatever a patient’s care cost.
Instead, the PPS grouped inpatient hospital services for Medicare patients into
diagnosis-related groups (DRGs). In 2011, the National Quality Forum (not a government
facility) defined a list of 29 ―never events‖ t

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The American Nurses Association developed the National Database of Nursing Quality
Indicators (NDNQI) to measure and evaluate nursing-sensitive outcomes with the purpose of
improving patient safety and quality care. Nursing quality indicators include the following:
hospital readmission rates, nursing hours per patient day, and patient falls/falls with injuries.
While every major health care organization measures certain aspects of patient satisfaction, it
is not a nursing quality indicator. Value stream analysis is a method that focuses on
improvement of processes in a health care institution.
DIF:Apply (application)
OBJ:Discuss the role of nurses in various health care settings. TOP: Evaluation
MSC: Management of Care
4. A nurse is working in a health care organization that has achieved Magnet status. Which
components are indicators of this status? (Select all that apply.)
a. Empirical quality results
b. Structural

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ANS: A
Community health nursing is nursing practice in the community, with the primary focus on
the health care of individuals, families, and groups within the community. In addition, the
community health nurse provides direct care services to subpopulations within a community.
Community-based nursing centers function as the first level of contact between members of a
community and the health care system. Community-based nursing focuses on providing care
in various community settings, such as the home or a clinic and involves acute and chronic
care.
DIF:Apply (application)
OBJ:Contrast community health nursing from community-based nursing.
TOP: Implementation MSC: Health Promotion and Maintenance
4. A nurse is focusing on acute and chronic care of individuals and families within a community
while enhancing patient autonomy. Which type of nursing care is the nurse providing?
a. Public health
b. Community health
c. Community-based
d. Community assessment
ANS: C
Community-based nursing involves acute and chronic care of individuals and families and
enhances their capacity for self-care while promoting autonomy in decision making. Public
health nursing focuses on the needs of a population. Community health nursing cares for the
community as a whole and considers the individual or the family as only one member of a
group at risk. Community assessment is the systematic data collection on the population,
monitoring the health status of the population, and making information available about the
health of the community.
DIF:Understand (comprehension)
OBJ:Contrast community health nursing from community-based nursing.
TOP: Implementation MSC: Management of Care
5. The community health nurse is administering

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6. A nurse attended a seminar on community-based health care. Which information indicates the
nurse has a good understanding of community-based health care?
a. It occurs in hospitals.
b. Its focus is on ill individuals.
c. Its priority is health promotion.
d. It provides services primarily to the poor.
ANS: C
Community-based health care is a model of care that reaches everyone in the community
(including the poor and underinsured), focuses on primary rather than institutional or acute
care, and provides knowledge about health and health promotion and models of care to the
community. Community-based health care occurs outside traditional health care institutions
such as hospitals.
DIF:Understand (comprehension)
OBJ:Explain the relationship between public health and community health nursing.
TOP: Teaching/Learning MSC: Health Promotion and Maintenance
7. A nurse is using the Healthy People 2030 to establish goals for the community. Which goal is
priority?
a. Reduce health care costs.
b. Increase life expectancy.
c. Provide services close to where patients live.

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9. A nurse observes an outbreak of lice in a certain school district. The nurse collects data and
identifies a common practice of sharing lockers, caps, and hairbrushes. The nurse shares the
information with the school. Which community-based nursing competency did the nurse use?
a. Educator
b. Caregiver
c. Case manager
d. Epidemiologist
ANS: D
As an epidemiologist, you are involved in case finding, health teaching, and tracking incident
rates of an illness (outbreak of lice). The nurse did not teach the students about lice. The nurse
did not provide care for the lice. The nurse did not coordinate needed resources and services
for a group of patient’s well-being (case manager).
DIF:Understand (comprehension)
OBJ:Describe the competencies important for success in community-based nursing practice.
TOP: Implementation MSC: Safety

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Members of vulnerable groups frequently have many risks or a combination of risk factors
that make them more sensitive to the negative effects of individual risk factors. Individual risk
factors are not always overwhelming, depending on the patient’s beliefs and values and
sources of social support.
DIF:Apply (application)
OBJ:Identify characteristics of patients from vulnerable populations that influence the
community-based nurse’s approach to care. TOP: Teaching/Learning
MSC: Health Promotion and Maintenance
12. The nurse is making a home visit to a Korean mother after the birth of girl. The spouse is
pressing different parts of the patient’s hand and lower arm to relieve a headache. What is the
nurse’s next action?
a. Tell the spouse to stop and give the

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