A nursing student was beginning a clinical rotation with home ...

[Yi-Chen]

A nursing student was beginning a clinical rotation with home health nurses. She asked the in-structor, How does home health nursing differ from community health nursing? The instructor explained that home health nursing:
 
  1. Focuses on the care of the individual in the home setting
  2. Uses a transindividual perspective in providing care
  3. Is a service available to clients discharged from the community hospitals
  4. Is a pay for service type of assistance available to families who can afford it

Question 2

A client newly diagnosed with diabetes has also been diagnosed with depression. The nurse knows to be alert for:
 
  1. Increased low blood glucose results
  2. Increased high blood glucose results
  3. Failure to follow treatment plans
  4. Anger and potential of violence against significant others.

[shoemake]

Answer to Question 1

ANS: 1
Home health nursing focuses on care of the individual in the home setting, whereas community health nursing is concerned with aggregates rather than the individual. Community health nursing is conducted in a variety of settings outside the hospital such as clinics, rehabilitation centers, and alternate living settings. Options 2, 3, and 4 do not explain the difference.

Answer to Question 2

ANS: 3
Depression is frequently associated with fatigue and hopelessness, leading to erratic treatment compliance, so option 3 is correct. Research has not shown depression to have a direct impact on blood sugar, so options 1 and 2 are incorrect. There are not enough data to support the outcomes in option 4.