Ch. 8: Health Promotion and the Community

Which of the following scenarios is an example of a community health nurses serving a health advocate for a community? a. A nurse who proactively participates in health policy decision-making b. A nurse who staffs the first aid station at lawful demonstrations and protest rallies c. A nurse serving as a community organizer who defends protesters unfairly arrested d. All of the above are examples of nurses serving as community health advocates

a. A nurse who proactively participates in health policy decision-making

Which functional health pattern provides information about problem-solving and decision-making within communities? a. Cognitive-perceptual pattern b. Self-perception-self-concept pattern c. Coping-stress tolerance pattern d. Health perception-health management pattern

a. Cognitive-perceptual pattern

A nurse who is new to the area wants to get a "feel for the community she will be working with." Which of the following would be the best way for the nurse to start learning about the community? a. Driving around the neighborhood b. Going door to door asking people about the community c. Searching on-line to obtain population statistics d. Talking to the police captain at the local police department

a. Driving around the neighborhood

Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote? a. Health-promotion activities b. Accident prevention activities c. Drug prevention activities d. Pregnancy prevention activities

a. Health-promotion activities

A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse? a. Highlight past successes b. Discuss the benefits of changing c. Develop strategies to prevent relapse d. Provide information

a. Highlight past successes

Which of the following is an example of community assessment using a key informant approach? a. Interviewing the local union representative b. Carefully reviewing the most recent census data c .Conducting a random survey letters to the editor d. Interviewing the State senator

a. Interviewing the local union representative

Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns? a. Self-perception-self-concept pattern b. Role-relationships pattern c. Cognitive-perceptual pattern d. Sexuality-reproduction pattern

a. Self-perception-self-concept pattern

In response to the growing elderly population, community health nurses should do which of the following? (Select all that apply.) a. Work with the board of education to emphasize the importance of adequate physical activity for children and the importance of healthy meals. b. Work with local nursing schools to emphasize the importance of geriatric training in the curriculum. c. Work with the state and local departments of health to devise a plan to increase nursing home beds. d. Work with local health departments to increase recreational activities for elderly members of the community.

a. Work with the board of education to emphasize the importance of adequate physical activity for children and the importance of healthy meals. b. Work with local nursing schools to emphasize the importance of geriatric training in the curriculum. c. Work with the state and local departments of health to devise a plan to increase nursing home beds. d. Work with local health departments to increase recreational activities for elderly members of the community.

According to Pender, which of the following is a stage of change? (Select all that apply.) a. Reflection b. Action c. Maintenance d. Acceptance

b. Action c. Maintenance

A nurse is assessing a community from both a developmental and a risk perspective. Which of the following characteristics would be of most interest to the nurse? a. Sex b. Age c. Race d. Socioeconomic level

b. Age

A nurse is assessing a community's exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse? a. Nutritional-metabolic pattern b. Elimination pattern c. Health perception-health management pattern d. Values-beliefs pattern

b. Elimination pattern

A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse? a. Codependent function b. Independent function c. Interdependent function d. Dependent function

b. Independent function

A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs? a. Walk around the neighborhood. b. Interview members of the community. c. Obtain town morbidity and mortality rates. d. Go to the town hall to obtain the number of parks in the community.

b. Interview members of the community.

A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue? a. Ban smoking on parish property. b. Invite local experts to participate in a health fair at the parish. c. Find literature about smoking cessation. d. Hand out free nicotine-replacement systems.

b. Invite local experts to participate in a health fair at the parish.

Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health perception-health management pattern? a. Examining high sexually transmitted disease rates recorded by the health department b. Listening to community members discuss the high smoking rate among teenagers c. Analyzing the high infant mortality rate reported by state hospitals d. Discussing the high rate of teenage motor vehicle crashes recorded by the local police department

b. Listening to community members discuss the high smoking rate among teenagers

Which of the following statements is correct concerning political lobbying? a. It is a form of influence peddling and thus illegal. b. Nurses can and often do participate in lobbying. c. It is legal but also considered unprofessional for a nurse to lobby. d. Nurses may, in fact, lobby but they may not accept pay for this role.

b. Nurses can and often do participate in lobbying.

A community is considering banning smoking in all schools. Based on the community's current stage of change, which action should the nurse take next? a. Provide the community with statistics regarding childhood smoking rates. b. Point out positive outcomes associated with banning smoking such as maintenance of good lung function. c. Help the community develop a plan to implement the ban. d. Praise the members of the community for their actions.

b. Point out positive outcomes associated with banning smoking such as maintenance of good lung function.

A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities? a. Providing appropriate treatment for the flu to an elderly man b. Providing education to the community about prevention of the flu c. Ensuring that the family members of the man with the flu get tested for the flu d. Ensuring that the family members of the man with the flu receive the flu vaccine

b. Providing education to the community about prevention of the flu

Which of the following communities are relatively disadvantaged with respect to lower levels of health promotion and limited resources from local, state, or federal public health agencies? a. Urban communities b. Rural communities c. Communities within southern states d. Communities with large maritime (sea-faring) industries

b. Rural communities

A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing? a. Structure of a community b. Subsystem of a community c. Supra system of a community d. Interaction of a community

b. Subsystem of a community

Which factor has the greatest implication for a community nurse when developing a health-promotion program for church members? a. The majority of members live within a 3-mile radius. b. The majority of members are African American. c. The majority of members are high school graduates. d. The majority of members are employed.

b. The majority of members are African American.

A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaged in which aspect of the nursing process? a. Collection b. Planning c. Analysis d. Implementation

c. Analysis

A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next? a. Develop a plan to address the high rates of alcohol-related motor vehicle accidents. b. Partner with high school nurses to educate students about the risks of drinking and driving. c. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving. d. Establish support groups for teenagers with alcohol abuse.

c. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.

Which of the following is NOT usually considered a parameter for defining a broad sense community within the context of nursing? a. Groups of people who live within the same geographical region b. Groups of people who share common interests c. Groups of people who have the very near the same income and net worth d. Groups of people who share social relationships

c. Groups of people who have the very near the same income and net worth

Various theories guide the nursing process in assessing patients or communities with a goal toward formulating and implementing a plan of care. Which of the following theoretical frameworks is most useful in the context of assessing communities? a. Abraham Maslow's theory of motivation b. John Rawls' theory of resource distribution within a community or society c. Marjory Gordon's functional health patterns d. Gordon Allport's theory of prejudice and discrimination

c. Marjory Gordon's functional health patterns

A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next? a. Determine the rate of teenage pregnancies. b. Evaluate the success of her plan. c. Provide educational programs at local schools regarding pregnancy prevention. d. Determine which factors related to teenage pregnancy require intervention.

c. Provide educational programs at local schools regarding pregnancy prevention.

A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used to gather this data? a. Developmental perspective b. Functional perspective c. Risk-factor perspective d. Systems perspective

c. Risk-factor perspective

The study of a population is referred to as (a) a. community pattern. b. windshield survey. c. demography. d. community diagnosis.

c. demography.

Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n) a. codependent function. b. independent function. c. interdependent function. d. dependent function.

c. interdependent function

Obtaining data though observation via all of one's senses is called a a. pan-sensory survey. b. multi-observational survey. c. windshield survey. d. unofficial survey.

c. windshield survey.

Which of the following best describes the primary goal of community nurses? a. Create charts/graphs of data collected. b. Create plans for community health-promotion programs. c. Create evaluation tools for health-promotion programs. d. Create a culture of health promotion/health protection with the community.

d. Create a culture of health promotion/health protection with the community.

Why is nursing's collective voice weak and rarely heard? a. Nurses are primarily women. b. Health issues have taken a back seat to other issues in politics. c. The public does not trust nurses or physicians. d. Only 20% of nurses join a collective professional organization.

d. Only 20% of nurses join a collective professional organization

Which of the following health concerns should the nurse have as a priority when planning care for a community? a. The limited recreational areas identified through a windshield survey b. The high crime rate reported in the town records c. The absence of health clinics on the local bus route d. The lack of grocery stores within walking distance identified by the community

d. The lack of grocery stores within walking distance identified by the community

The process of dynamic change with adaptation in the system's parts, and how community systems and subsystems interact is known as a. structure of a community. b. community health promotion. c. community diagnosis. d. function of a community.

d. function of a community.