In spite of the important role that hospitals play in American ...

[gonzo233]

In spite of the important role that hospitals play in American healthcare, there is growing importance of community-based healthcare and community-based nursing.
 
  Which of the following statements best conveys a central aspect of the philosophy of community care?
 
  A) The client is in charge of his or her health and healthcare in the community.
  B) Nurses maximize their scope of practice in noninstitutional settings.
  C) Community settings allow for the greatest number and variety of treatment options.
  D) The nurse becomes the key member of the healthcare team in a community setting.

Question 2

There is an increasing trend for nursing care to move from the hospital setting into the community. Nurses who are to provide excellent care in a community setting should prioritize which of the following?
 
  A) Integrating culture and family into the planning and delivery of care
  B) Becoming more assertive in client education and the planning of client care
  C) Encouraging clients to limit their interactions with physicians
  D) Teaching clients to replace biomedical interventions with complementary therapies

[dlook33]

Answer to Question 1

Ans: A
A central premise of community healthcare is the fact that patients/clients are in
charge. The move toward community care is not motivated by an increased role for nurses.
There are a greater number of treatment options in hospitals than in the community, but this fact
does not negate the importance of community care.

Answer to Question 2

Ans: A
The move to community care heightens the importance of family-centered,
culturally-competent nursing. Community nursing does not necessarily require that a nurse
become more assertive with client. It would be simplistic, and in most cases inappropriate, to
guide clients to replace biomedical interventions or avoid doctors.