During home visits a community health nurse should practice the following skills EXCEPT?

UPUMS Nsg officer-2023

Community Health Nursing

Medium

Appeared in: UPUMS Nsg officer-2023

Explanation

The primary role of a community health nurse during a home visit is to provide direct patient care, health education, and support.
Charging fees is an administrative or clerical function that is typically handled by the healthcare agency's billing department.
Engaging in financial transactions can disrupt the therapeutic nurse-patient relationship, which is built on trust and care, not commerce.
Governmental and non-profit agencies, a common context for community health, often provide services without direct charges to the patient at the point of care.

Option A: Judgement skills are absolutely essential. The nurse must use clinical judgment to assess the patient, the home environment, and family dynamics to make safe and effective care decisions.
Option B: Technical skills are a core component of nursing. The nurse performs many hands-on procedures during a home visit, such as wound care, medication administration, and physical assessments.
Option C: Understanding human relations is crucial for establishing rapport and trust with the patient and family, which is the foundation of effective community health nursing.

Clinical Relevance

Nursing practice connection: Knowing Roles and responsibilities of a Community Health Nurse during home visits helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Maintaining professional boundaries is a key nursing responsibility. This includes separating the clinical role from administrative roles like billing to preserve the therapeutic relationship.
The nurse's focus must remain on the patient's health and well-being. Introducing financial discussions can create stress and mistrust, acting as a barrier to effective care.
What if the patient asks about the cost of the visit? The nurse's correct action is to state that they do not handle billing and refer the patient to the appropriate administrative contact at their agency, providing a phone number if possible.

How to Approach the Question

First, identify the key elements of the question: 'community health nurse,' 'home visits,' and the negative keyword 'EXCEPT'.
The word 'EXCEPT' signals that you must find the option that does NOT fit the role of a community health nurse.
Consider the primary purpose of a nursing home visit: to provide healthcare.
Evaluate each option: Is this skill essential for providing healthcare in a home setting?
Option A (Judgement), B (Technical), and C (Human Relation) are all fundamental nursing skills required for patient care.
Option D (Financial skill) relates to business administration, not direct patient care. This makes it the outlier and the correct answer.

Concept Tested & Keywords

Concept Tested: Roles and responsibilities of a Community Health Nurse during home visits.
Stem keywords: community health nurse, home visits, skills
Lead-in keywords: EXCEPT
Clinical cues: The care setting changes urgency, monitoring level, and the expected nursing action.
Negative lead-in flag: This is a negative-framed question asking you to identify the skill that is NOT part of the nurse's role.

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E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 277-279

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 47-49