Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 7th Edition Test Bank Chapter 44:

The Nurse in Parish Nursing

MULTIPLE CHOICE 1. 1 . 2 . 3 . 4 . Which of the following is true about parish nurses? Parish nurses: Balance knowledge and skills and facilitate the faith community to become a caring place Work with clergymen to foster deeper spiritual beliefs Take care of a congregation of people in case of illness Live in communities and make decisions about congregational policy
.

ANS: 1 Parish nurses address universal problems of individuals, families, and groups of all ages. DIF: COG: Knowledge REF: p. 1033 OBJ: 1

2. Health ministries are those activities and programs in faith communities focused on health and healing to promote wholeness in health across the lifespan. Services of health ministries include: 1 Providing worship services in occupational areas . 2 Visiting the homebound . 3 Attending to community members when they are acutely ill in health care . facilities 4 Mission trips to try to convert people around the world to their religion . ANS: 2 Health ministries services may be specially planned or may be more informal. DIF: COG: Knowledge REF: p. 1034 OBJ: 2

3. There are several phases of parish nurse program development. The first is recognizing. This refers to: 1 Seeking information and affirmation.
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. 2 Assessing community needs, market ideas, and setting goals . 3 Describing a calling and desire to have a holistic practice . 4 Evaluating record keeping and outcome summaries . ANS: 3 The other statements refer to other phases of the process. DIF: COG: Knowledge OBJ: 4 REF: p. 1038 (Box 45-2)

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4. A move to specialty certification was pursued in 2000 but has not been successful due to lack of sufficient applicants and adequate financial resources. In addition: 1 Parish nurses do not follow the American Nurses Association guidelines for . practice. 2 Parish nurses use complementary and alternative therapies in their work that do . not require certification. 3 There is a question about the need for certification since parish nurses do not . work in health care facilities. 4 Clergymen and parishioners see no need for certification. . ANS: 3 Parish nurses work in churches, synagogues, temples, mosques, and other faith community settings and not health care facilities; consequently, certification has little bearing on the decision of a committee or board in the community. DIF: COG: Application 5. 1 . 2 . 3 . 4 . REF: p. 1042 OBJ: 7

In the role of health advocate, the parish nurse would: Help the community obtain health-related services Provide referrals to healthcare and social services Provide opportunities to learn about health care issues, individually and in groups Assist clients to connect to faith

ANS: 1 The parish nurse would help the community obtain health-related services in the role of health advocate. DIF: COG: Knowledge OBJ: 3 REF: p. 1043 (Box 44-4)

6. The parish nurse is often involved in selected activities related to the functions of parish nursing and these often serve as a starting point for practice. These include: 1 Volunteering in public health departments without pay . 2 Sharing the joys of a new member of the family, as well as sharing sorrows and . losses 3 Making policies for the parish .

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Test Bank 4 Substituting for the clergyman in the event of illness . ANS: 2 The parish nurse is often involved in volunteering in public health departments without pay. DIF: COG: Application OBJ: 5 REF: p. 1046 (Box 44-6)

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7. Parish nursing involves professional issues that include assessments and evaluations of services needed. The parish nurse must be knowledgeable about: 1 How clergy are trained and their areas of expertise . 2 The economic status of the parishioners and their ability to pay the parish nurse . 3 The policies and procedures of the religious order in which they practice . 4 Lines of authority and channels of communication in the faith community . ANS: 4 Parish nurses must be knowledgeable about lines of authority and channels of communication as well as personnel decisions and how these are made in the congregation. DIF: COG: Application REF: p. 1047 OBJ: 8

8. Which of the following activities would classify as primary prevention activities carried out by the parish nurse? 1 Providing health assessments and counseling during a home visit for a person . who just had surgery 2 Writing house of worship newsletter articles informing the parish about healthy . food choices 3 Assisting in making behavior changes for a person who is abusing alcohol . 4 Doing blood pressure screenings after church one Sunday . ANS: 2 Writing house of worship newsletter articles informing the parish about healthy food choices would classify as primary prevention. DIF: COG: Application OBJ: 8 REF: p. 1049 (Levels of Prevention box)

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9. 1 . 2 . 3 . 4 .

Which of the following is true about where parish nursing is practiced? All U.S. states Found only in North America Most U.S. states and some other countries Every country in the world

ANS: 3 Parish nursing is practiced in most U.S. states and some other countries. DIF: COG: Knowledge REF: p. 1033 OBJ: 1

10. Congregational communities that gather in churches, cathedrals, synagogues, or mosques and acknowledge common faith traditions is/are: 1 Health ministries . 2 Parish nursing . 3 Faith communities . 4 Holistic care centers . ANS: 3 Congregational communities that gather in churches, cathedrals, synagogues, or mosques and acknowledge common faith traditions are faith communities. DIF: COG: Knowledge REF: p. 1034 OBJ: 1

11. The parish nurse model in which the development of the parish nurse/health ministry program arises from the individual community of faith and where the nurse is accountable to the congregation and its governing body is: 1 Congregational . 2 Institutional . 3 Pastoral care . 4 Holistic care .

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ANS: 1 The nurse also is usually autonomous. DIF: COG: Knowledge REF: p. 1034 OBJ: 2

12. The parish nurse model in which the nurse may be in a contractual relationship with hospitals, medical centers, long-term care establishments, or educational institutions is: 1 Congregational . 2 Institutional . 3 Pastoral care . 4 Holistic care . ANS: 2 In the institutional model, the nurse may be in a contractual relationship with hospitals, medical centers, long-term care establishments, or educational institutions. DIF: COG: Knowledge REF: p.1034 OBJ: 2

13. A nurse concerned with the body, mind, and spirit relationship in a constantly changing environment is practicing: 1 Parish nursing . 2 Community health nursing . 3 Primary care . 4 Holistic care . ANS: 4 A nurse concerned with the body, mind, and spirit relationship in a constantly changing environment is practicing holistic care. DIF: COG: Knowledge REF: p. 1035 OBJ: 3

14. Which of the following congregations is cited as an example of a long-standing tradition of encouraging members to be good stewards or responsible managers of body, mind, the environment, and total resources?

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Test Bank 1 . 2 . 3 . 4 . Presbyterian Catholic Lutheran Methodist

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ANS: 1 The Presbyterian congregation is cited as an example of a long-standing tradition of encouraging members to be good stewards. DIF: COG: Knowledge REF: p. 1036 OBJ: 1

15. Which of the following was a pivotal development in the 1970s that involved faith communities and highlighted the role of the nurse with the faith community in health and wellness promotion? 1 Health network . 2 Holistic health centers . 3 Parish nursing . 4 The Health Cabinet . ANS: 2 These emphasized a comprehensive team approach to total health care and included family and clergy. DIF: COG: Knowledge REF: p. 1036 OBJ: 5

16. Which of the following people suggested placing nurses on the staff of churches and proposed the church as another health agency in the community in the mid-1980s? 1 Pope John Paul . 2 President Reagan . 3 Rev. Granger Westburg . 4 American Nurses Association .

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ANS: 3 Rev. Granger Westburg suggested placing nurses on the staff of churches and proposed the church as another health agency in the community. DIF: COG: Knowledge REF: p. 1036 OBJ: 1

17. A faith community consults with a nurse to spearhead a committee to investigate the feasibility of starting a parish nursing program in their church. The nurse contacts which of the following resources for information about the parish nurse concept and for consultation and reference packets about parish nursing? 1 Parish Nurse Coordinator Center . 2 International Parish Nurse Resource Center . 3 American Nurses Association . 4 National Center for Wellness . ANS: 2 Its mission has been the promotion and development of quality parish nurse programs through research, education, and consultation. DIF: COG: Application 18. 1 . 2 . 3 . 4 . REF: p. 1038 OBJ: 4

The goal of parish nursing is: To enhance spirituality of communities through teaching healthy lifestyle choices To initiate primary prevention activities To develop and sustain health ministries within faith communities To act as a health referral source for churches

ANS: 3 The goal of parish nursing is to develop and sustain health ministries within faith communities. DIF: COG: Knowledge REF: p. 1037 OBJ: 5

19. Which of the following dimensions is central to the practice of parish nursing? 1 Physical .

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Test Bank 2 Psychological . 3 Spiritual . 4 Social .

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ANS: 3 Parish nursing includes all four, but focuses on intentional and compassionate care that stems from the spiritual dimension of all humankind. DIF: COG: Knowledge 20. 1 . 2 . 3 . 4 . REF: p. 1040 OBJ: 3

A nurse wanting to know the functions of a parish nurse would look to: The Board of Nursing Scopes and Standards The Health Cabinet The individual faith community

ANS: 2 A nurse wanting to know the function of a parish nurse would look to the Scopes and Standards. DIF: COG: Application 21. 1 . 2 . 3 . 4 . REF: p. 1038 OBJ: 5

The preferred educational level for parish nurses is: An associate degree A baccalaureate degree A master's degree Certification

ANS: 2 The preferred educational level for parish nurses is a baccalaureate degree. DIF: COG: Knowledge REF: p. 1041 OBJ: 5

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22. Which of the following nursing practices views the nurse as an instrument of healing and a facilitator in the healing process? 1 Holistic . 2 Parish . 3 Psychiatric . 4 Public health . ANS: 1 Holistic practices view the nurse as an instrument of healing and a facilitator in the healing process. DIF: COG: Knowledge 23. 1 . 2 . 3 . 4 . REF: p. 1038 OBJ: 5

The primary function of the parish nurse is that of: Personal health counseling Facilitator Liaison Advocate

ANS: 1 Nurses discuss health risk appraisals and help plan for healthier lifestyles. They also provide support and guidance related to numerous acute and chronic actual and potential health problems, and they perform spiritual assessment. DIF: COG: Application 24. 1 . 2 . 3 . 4 . REF: p. 1043 OBJ: 3

The parish nurse who holds discussions for targeted groups is functioning as a: Counselor Liaison Health educator Facilitator

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ANS: 3 The parish nurse who holds discussions for targeted groups is functioning as a health educator. DIF: COG: Application REF: p. 1044 OBJ: 4

25. The parish nurse who identifies and reports neglect, abuse, and illegal behaviors to the appropriate legal sources is functioning as a/an: 1 Counselor . 2 Facilitator . 3 Liaison . 4 Advocate . ANS: 4 The parish nurse who identifies and reports neglect, abuse, and illegal behaviors to the appropriate legal sources is functioning as an advocate. DIF: COG: Application REF: p. 1044 OBJ: 4

26. The parish nurse who makes arrangements for Meals on Wheels for the homebound is functioning as a: 1 Counselor . 2 Facilitator . 3 Liaison . 4 Advocate . ANS: 2 The parish nurse who makes arrangements for Meals on Wheels for the homebound is functioning as a facilitator. DIF: COG: Application REF: p. 1044 OBJ: 4

27. Which of the following is of the utmost importance in parish nursing practice? 1 Confidentiality . 2 Faith of nurse

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Test Bank . 3 Number of congregants . 4 Fellowship . ANS: 1 Confidentiality is of the utmost importance in parish nursing practice. DIF: COG: Synthesis REF: p. 1047 OBJ: 4

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28. The parish nurse who is available for health counseling with teens before and after youth activities is practicing which of the following levels of prevention? 1 Primary prevention . 2 Secondary prevention . 3 Tertiary prevention . 4 Assessment . ANS: 2 Secondary prevention focuses on early detection and prompt treatment of disease, injury, or disability. DIF: COG: Application OBJ: 4 MULTIPLE RESPONSE 1. The mission of parish nursing is the intentional integration of the practice of faith with the practice of nursing so that people can achieve wholeness in, with, and through the community of faith in which the parish nurses serve. Which of the following are purposes of parish nursing? Select all that apply. 1 Challenge the nursing profession to reclaim the spiritual dimension of nursing . care 2 Challenge the health care system to provide whole person care . 3 Challenge the faith community to restore its healing mission . 4 Challenge the physician to be a part of the team . REF: p. 1049 (Levels of Prevention box)

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ANS: 1, 2, 3 Challenging the physician to be a part of the team is not a purpose of parish nursing. DIF: COG: Knowledge OBJ: 3 2. 1 . 2 . 3 . 4 . REF: p. 1040 (Box 44-3).

Which of the following are roles of the parish nurse? Select all that apply. Integrator of health and faith Health educator Health counselor Health advocate

ANS: 1, 2, 3, 4 Roles of the parish nurse include integrator of health and faith, health educator, health counselor, and health advocate. DIF: COG: Knowledge OBJ: 3 REF: p. 1043 (Box 44-4)

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