Community Health Nursing Roles
A community health nurse is planning a smoking cessation program for a local factory. What role is the nurse demonstrating?
Case manager/Coordinator of care.
A nurse administers immunizations at a local clinic. Which level of prevention is this?
Primary prevention.
A charge nurse makes all decisions without staff input. Which leadership style is this?
Authoritative/autocratic.
A nurse delegates vital sign collection for a stable post-op client to an assistive personnel (AP). Is this appropriate?
Yes, this is within AP scope and appropriate delegation.
A nurse manager reviews incident reports about medication errors. Which action is appropriate?
Analyze reports for patterns and implement system-wide changes.
During a home visit, a nurse identifies unsafe living conditions for an older adult. What should the nurse do first?
Assess the client’s immediate safety needs before making referrals.
A nurse screens high school students for scoliosis. Which level of prevention?
Secondary prevention.
A nurse leader encourages staff participation in decision-making for a new policy. Which leadership style is this?
Democratic.
Which client should the nurse see first?
A client with COPD needing scheduled inhaler, A client with chest pain, A client requesting discharge education, A client with a fever of 100.8°F
The client with chest pain (immediate priority).
A nurse observes a coworker documenting care that was not provided. What is the priority action?
Report the incident to the charge nurse/manager immediately (ethical obligation).
A nurse is teaching a group of migrant farm workers about pesticide exposure. What primary prevention strategy should the nurse implement?
Provide education on proper use of protective equipment while working.
A nurse teaches foot care to a client with diabetes to prevent complications. Which level?
Tertiary prevention.
A nurse manager provides minimal guidance and allows staff to work independently. Which leadership style?
Laissez-faire.
Which task is appropriate for an LPN?
Administer IV push medication, complete initial admission assessment, provide wound care with a sterile dressing change, develop a care plan
Provide wound care with a sterile dressing change.
A nurse manager notices an increase in patient falls. Which QI strategy is most appropriate?
Perform a root cause analysis and implement fall prevention interventions.
A public health nurse observes increased asthma exacerbations in children living near a factory. What is the nurse’s next action?
Advocate for environmental health policies and collaborate with community leaders.
A nurse organizes a community fair to provide cholesterol checks and education about heart disease. Which levels of prevention are represented?
Secondary (screening) and primary (education).
A new nurse leader empowers staff to align personal goals with organizational goals. Which leadership style is this?
Transformational leadership.
A nurse has four tasks: administer pain meds, respond to a client’s low O2 sat, provide discharge teaching, and update a care plan. Which task should be delegated to the LPN?
Administer pain medication.
A nurse manager is teaching staff about just culture in safety reporting. Which statement reflects understanding?
“Errors should be reported without fear of punishment to improve systems.”
A community health nurse is coordinating a disaster response after a tornado. Which of the following demonstrates the role of a leader in tertiary prevention?
Organizing mental health support groups for survivors with PTSD.
A nurse implements a smoking cessation program in a community with high COPD rates. What combination of prevention levels is this?
Primary (prevention of smoking initiation) and tertiary (reducing complications of COPD).
A nurse leader uses incentives to motivate staff to meet performance goals. Which leadership style is this?
Transactional leadership.
A nurse receives the shift report. Which of the following requires intervention first?
Client with new onset of confusion and UTI, Client with O2 sat 90% on 2L NC, Client with NG tube clamped awaiting x-ray, Client reporting 7/10 pain waiting for medication
Client with O2 sat 90% (airway/oxygenation is priority).
A nurse leader is involved in an ethics committee about resource allocation during a disaster. What principle is being applied?
Justice (fair distribution of resources).