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C) Is part of the ministry staff of the congregation
D) Serves a particular faith community by virtue of a contract or job description
Ans: C
Feedback:
In the parish nursing model, the nurse contributes to the health and wholeness of people
in the context of a faith community, is part of the ministry staff of the congregation, and
serves the illness needs of individual people, families, and the entire faith community. In
the institution-based model, the nurse serves a health system with assignment to
particular congregational settings, acting as a liaison between the health system and the
congregation and helping plan and coordinate care, particularly at times of transition. In
the congregation-based model, the nurse serves a particular faith community by virtue
of a contract or job description; this model supports the concept of a faith community
nurse who can be paid or serve as a volunteer.
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services (such as flu shots or assessment of upper respiratory illnesses), but supports the
patient and family members in assuming self-care and in engaging the healthcare system
appropriately. The faith community nurse serves as a health advisor, and he or she can
recommend services that the hospital or health system provides.
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Origin: Chapter 23- Faith-Oriented Communities and Health, 8
8. An advisory board is essential for solving problems and avoiding pitfalls in faith
communities. How might the advisory board offer help to a faith community nurse?
(Select all that apply.)
A) Offer leadership
B) Establish policy
C) Develop guidelines
D) Establish the budget for the program
E) Provide recommendations on clinical best practices
Ans: A, B, C
Feedback:
The advisory board offers leadership, establishes policy, and helps develop guidelines
for faith community nursing programs. The advisory board can help develop support for
a budget for the program, but cannot establish the budget for the program. The board
cannot provide recommendations on clinical best practices, as its members are typically
not qualified to do so.
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Feedback:
The groups with the most experience with congregational health ministers are mainline
Protestant and Catholic, and congregations that are large, suburban, and financially well
off.
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D) Quaternary
Ans: B
Feedback:
Primary prevention activities include programs on exercising to maintain health,
smoking cessation programs, and heart-healthy eating programs. Secondary prevention
includes screening for hypertension and setting up screenings such as mammogram vans
or other tests to diagnose problems early. Tertiary prevention involves minimizing the
effect of health problems and maximizing function for people with such conditions such
as diabetes, stroke, or injury. There is no quaternary level of prevention.
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Origin: Chapter 23- Faith-Oriented Communities and Health, 16
16. The Church Health Center, in developing its curriculum for the preparation of faith-
based nurses, identifies seven specific functions that parish nurses perform in faith
community work. Spiritual care would occur as part of which function?
A) Integrator of faith and health
B) Health educator
C) Personal health counselor
D) Accessing and developing support groups
Ans: A
Feedback:
The role of the integrator of faith and health includes spiritual care, spiritual assessment,
sharing scripture, and therapeutic listening. The role of the health educator includes
individual health teaching, group health teaching, and providing health resources. The
role of the personal health counselor includes therapeutic communication, assessing for
emotional distress, and assessing for suicidality. The role of accessing and developing
support groups includes referring congregation members to existing support groups and
developing support groups for congregation members.
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Origin: Chapter 23- Faith-Oriented Communities and Health, 19
19. Which is a community nursing diagnosis?
A) Impaired Home Maintenance
B) Lack of Health-Seeking Behaviors
C) Risk for Imbalanced Nutrition: More than Body Requirements
D) Risk for Activity Intolerance
Ans: B
Feedback:
Diagnoses for faith community nurses should include nursing diagnoses as identified by
organizations such as the North American Nursing Diagnosis Association. Examples of
diagnoses related to community health are Lack of Health-Seeking Behaviors,
Imbalanced Nutrition: More Than Body Requirements, and Deficient Diversional
Activity. Impaired Home Maintenance, Risk for Imbalanced Nutrition: More Than Body
Requirements, and Risk for Activity Intolerance are all examples of family nursing
diagnoses.
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C) “I'm afraid I can't share any details, but I'm sure she'd love a call or text from
you.”
D) “I'm sorry, Patricia, but that's none of your business.”
Ans: C
Feedback:
The parish nurse is bound by professional confidentiality not to reveal information about
the health of patients, even if they are known to members of the congregation. Refusing
to share information in a way that does not seem cold is a delicate art. One way to avoid
this conflict is to explain to congregants early in the program, and often thereafter, that
confidentiality for each member will be maintained. Often, the nurse can simply say, “I
am sure that she would appreciate a call or a card”; this relieves pressure to share much
information.
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