When explaining community-based nursing versus nursing in the ...

[Mollykgkg]

When explaining community-based nursing versus nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include?
 
  A) Increased time available for education
  B) Improved access to resources
  C) Decision making in isolation
  D) Greater environmental structure

Question 2

The parents of an 8-year-old with cancer are telling the nurse their problems and successes when caring for their child.
 
  In response, the nurse arranges for social services to meet with the parents to help them obtain financial assistance for the equipment and supplies. The nurse is acting in which role? A) Educator
  B) Advocate
  C) Case manager
  D) Direct care provider

[dajones82]

Answer to Question 1

C
Feedback:
Community-based nurses often have to make decisions in isolation. This is in contrast to the acute care setting, where other health care professionals are readily available. Nursing care and procedures in the community also are becoming more complex and time-consuming, leaving limited time for education. Nurses working in the community have fewer resources available and the environment is less structured and controlled when compared to the acute care setting.

Answer to Question 2

B
Feedback:
The nurse is acting as an advocate, representing the client and family to a third party, by ensuring that the family has the resources and services to provide care for their child. The nurse acts as a direct care provider through assessment, observation of physical care, and the actual provision of physical care. The role of educator would require the nurse to give rather than receive information. Case management involves coordinating elements of a nursing plan of care.