Community health nurses provide all of the following services, except:
Laboratory draws.
Central line care.
Medical diagnosis.
Wound care.
The Correct Answer is C
Choice A rationale
Laboratory draws (phlebotomy) are within the scope of practice for community health nurses, particularly for monitoring chronic conditions, evaluating medication effectiveness, and performing home health assessments as part of comprehensive nursing care.
Choice B rationale
Central line care, which includes dressing changes, flushing, and drawing blood, is a specialized, skilled nursing procedure. Community health nurses often provide this service in the home setting to maintain patency and prevent infection in clients requiring long-term intravenous access.
Choice C rationale
Medical diagnosis is the exclusive scope of practice for physicians, physician assistants, and advanced practice registered nurses (NPs, CNSs), not registered nurses or community health nurses. Nurses conduct a nursing diagnosis focused on the client's responses to health conditions, while the medical diagnosis identifies the underlying pathology.
Choice D rationale
Wound care, including complex dressing changes and monitoring for infection, is a core component of skilled nursing care provided by community health nurses, often in the home setting for clients recovering from surgery or managing chronic wounds like diabetic ulcers
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Identifying the names of infected people (case finding) is a crucial step that follows confirmation of an outbreak, as part of surveillance and investigation, but it is not the first priority when an unconfirmed rumor exists, which requires initial validation.
Choice B rationale
Implementing a plan for control is a primary objective of the overall response. However, implementing control measures is premature and potentially misdirected if the existence of the outbreak has not been officially confirmed through initial epidemiological investigation.
Choice C rationale
Formulating and testing hypotheses about causative factors (e.g., agent, source, transmission mode) is the next major analytical phase of an outbreak investigation, following the initial verification and description of the outbreak's existence and characteristics.
Choice D rationale
The first and most prioritized step in a public health investigation is outbreak verification, which involves establishing a clear case definition and finding out if the rumored event exists by checking surveillance data or consulting public health authorities.
Correct Answer is B
Explanation
Choice A rationale
The ANA Code of Ethics emphasizes interprofessional collaboration as essential for comprehensive client care, not self-sufficiency or a lack of dependence. Ethical nursing practice requires mutual respect and sharing of knowledge and expertise among all members of the healthcare team to achieve the best client outcomes.
Choice B rationale
Compassion and respect for the dignity, worth, and uniqueness of every individual is the foundational principle articulated in the very first provision of the ANA Code of Ethics for Nurses. This core ethical mandate emphasizes the nurse's commitment to delivering care without prejudice, upholding human rights, and protecting the inherent value of all persons.
Choice C rationale
The ANA Code of Ethics clearly states that the nurse's primary commitment is to the patient/client, whether an individual, family, group, community, or population, and not to the healthcare provider, employer, or any other entity. The welfare of the patient supersedes all other loyalties.
Choice D rationale
The ethical obligation of nurses, as outlined in the Code, is centered on promoting and advocating to protect the rights, health, and safety of the patient/client. While collaboration with physicians is vital, the specific and primary advocacy role described in the Code focuses on the vulnerable client population.
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