Public Health Nursing Ch. 17

According to the World Health Organization, which statement best describes health?

The state of complete physical, mental, and social well-being and not just the absence of disease or illness

The public health nurse performing a community assessment can best understand the many identities of a community through which strategy?

Talking with residents and stakeholders

Which is an example of the public health nurse effectively demonstrating care to community as client? Select all that apply. One, some, or all responses may be correct.

Addressing intimate partner violence Intervening to stop child or elder abuse Treating an individual with tuberculosis Providing resources for smoking reduction or cessation

Which model asserts that the strength of each part of the synergy community and the between these parts contribute to the ability of the residents to be healthy?

Betty Neuman's health care systems

in all phases of the The public health nurse involves which group community assessment to ensure that the data collected are more accurate and more relevant to the concerns of the community?

Community members

Which is an important consideration for selecting indicators to include in a community health assessment? Select all that apply. One, some, or all responses may be correct.

Priorities of the community Comparability to other data

Once interventions and evaluation measures are identified through the nursing diagnosis framework, the public health nurse arrives at which new step in the nursing process to identify intervention activities that will accomplish the objectives?

Program planning

The occupational health nurse working with a factory in the community should take which action to make the whole community best able to support workers with disabilities? Select all that apply. One, some, or all responses may be correct.

Promote vocational rehabilitation services. Evaluate current services available for disabled workers. Involve disabled workers in assessing needed public health services. Advocate for local policies that improve equal opportunities for disabled workers.

The nurse identifies which characteristic of the community as a be place? Select all that apply. One, some, or all responses may correct.

Size Climate History Boundaries Environment

Which community health model views individuals as having dynamic interactions with social and environmental features of communities such as social networks, organizations, media, government policies, and environments?

Socio-ecological

Which resource clarifies the population density and the demographics of the population under study in a community assessment?

Census data

often The most successful community health change processes arise from which practice models?

Collaborative

Which describes a group of people who share a common culture, values, and norms and are arranged in a social structure according to relationships developed over a period of time?

Community

The public health nurse determines which assessment model when conducting annual data collection regarding current pre- natal health programs?

Community Health Assessment and Group Evaluation

Which community systems model provides stability and protection from chronic or sudden stressors such as homelessness, health declines, disease outbreaks, or disasters?

Community as partner

Which is a detailed stock of a group of people that share something in common, from the outside in and from the inside out, for the purpose of identifying and analyzing health conditions therein?

Community assessment

Which is reflected in the health behaviors and subsequent outcomes of its residents and by the ability of the community as a system to support healthy individuals?

Community health

Based on the World Health Organization's Healthy Cities Initiative assessment model, which information can the public health nurse discern as important when developing a patient- centered assessment of the local area? Select all that apply. One, some, or all responses may be correct.

Community health needs Impact of health insurance on the public Availability of health care within a population Geographic information related to equitable health care Demographics where highest risk of health disparities occur

Who are not professional or licensed individuals but are community members from diverse backgrounds who receive training to do health outreach work?

Community health workers

Which is a powerful community assessment technique by which community members take pictures to represent a topic or theme about community health?

Photovoice

Which key factor is often included when considering a community? Select all that apply. One, some, or all responses may be correct.

Place People Function

The public health nurse recognizes that which factor plays a large role in the health of the community? Select all that apply. One, some, or all responses may be correct.

Policies Economics Environment Public services

Which step would the nurse take first when prioritizing problems for planning health programs?

Create a nursing diagnosis.

Which purpose is served by the creation of a set of health indicator data during a community health assessment? Select all that apply. One, some, or all responses may be correct.

Creates a snapshot of health conditions Compares the community health status at different time points Communicates results of the assessment to the larger community Compares the community health status with other communities, state, and national data

Which type of nurse-community partnership requires hard work from all parties achieved only through a long-term commitment process, to the with diverse community members and health care professionals sharing all resources and work equitably?

Democratic

The public health nurse expects that community systems will provide stability and protection from which chronic or sudden stressor? Select all that apply. One, some, or all responses may be correct.

Disasters Homelessness Health declines Disease outbreaks

Which ethical concept does the public health nurse, working with community as client, recognize as treating people fairly and the distributing resources and burdens equitably among members of a society?

Distributive justice

Ideally, which individuals should participate in identifying health indicators that address their interests or concerns?

Diverse community stakeholders

The public health nurse's commitment to the health of the community requires a process of change at which appropriate level on the continuum? Select all that apply. One, some, or all responses may be correct.

Family Individual Community

Which software and technology system was instrumental in helping a public health study demonstrate that children living near a major roadway were much more likely to experience hospital admissions for asthma?

Geographic information system

The public health nurse utilizes which phase of the nursing process to transform a plan for improved community health into achieving goals and objectives?

Goal development phase

How can a community assessment team use Photovoice, or photo elicitation, to collect data about social and health issues for women in a community?

Have women in the community take photos of things related to their concerns.

Which community health assessment model will the public health nurse use to predict how a local paper mill affects health?

Health Impact Assessment

Which are numerical measures of health outcomes, such as morbidity and mortality, as well as determinants of health and population characteristics?

Health indicators

Which are the means whereby objectives are met and strategies are clarified about what must be done to achieve the objectives, the ways change will be affected, and the way the problem will be interpreted?

Intervention activities

The public health nurse has determined that an HIV awareness program is a high priority and utilizes which assessment model to match with appropriate resources?

Mobilizing for Action through Planning and Partnership (MAPP)

Although the public health nurse's insider status may increase the community members' willingness to speak openly and partner with the nurse, it may also be a disadvantage if it compromises which aspect of the nurse?

Objectivity

Partnerships involving nurses working with community organizations offer one of the most effective means for interventions because nurses fulfill which role that actively involves the community and builds on existing community strengths? Select all that apply. One, some, or all responses may be correct.

Political action Social marketing Media advocacy Outreach facilitation Community-based health communication

Which type of data does the public health nurse collect during a community health assessment that involves direct interaction with community members?

Primary data

Which is the first step of the basic process to incorporate Photovoice into a community assessment?

Train participants.

When considering community as client, the nurse recognizes that which ethical concept involves doing the greatest good for the greatest number of people?

Utilitarianism

The nurse evaluating a community for environmental risk factors contributing to lung disease can use which method for quick observation in detecting various contributors to the community's life and environment?

Windshield survey

A nurse is assisting with planning a community assessment project. Which statement made by the nurse indicates he or she understands the task of identifying key informants for data collection?

"Leaders within church congregations are good options when it comes to selecting key informants."

In which manner would a church pastor's role as gatekeeper affect community public health? Select all that apply. One, some, or all responses may be correct.

A decrease in health disparities can be achieved through community involvement. Conferring credibility to the public health nurse builds trust within the community. Community members feel empowered to provide input regarding needs and programs. Members of the community will feel confident in participating as board members or as volunteers. Detailed information is more likely to be obtained during assessment and evaluation as trust has been established.

When identifying key informants to assist during a community assessment, which individual would meet the criteria? Select all be correct. that apply. One, some, or all responses may

A nurse from the county health department An elder from the community church A parent volunteer from the elementary school A secretary from a local business A retired attorney specializing in real estate law

Which is the most valued in nurse-community partnerships where all partners are actively involved in and share the power in assessing, planning, and implementing needed community changes?

Active

Which type of community member partnership approach is demonstrated between rural community members and academic researchers and ensures the development of an effective ongoing program to increase rates of colorectal cancer screening?

Active participation

Which demographic data component is most helpful for assessing health resources and risks for specific neighborhoods? be Select all that apply. One, some, or all responses may correct.

Age Income Home value Crime rates

Which term most often defines the community when an organization asks the public health nurse to perform a community assessment?

Aggregate population

When discussing disparities in health, which explanation would the nurse determine best describes this concept?

Health is determined by social and economic opportunities afforded to a population, causing some people to thrive and others to only survive.

Which is a common public health element needed for developing a community health assessment and evaluation? Select all that apply. One, some, or all responses may be correct.

Organize and plan. Prioritize health issues Engage the community. Develop a goal or vision.

Which community member is recognized as a leader who often possesses the credibility and skills that health professionals may lack? Select all that apply. One, some, or all responses may be correct.

Pastors Interested citizens Government officials Business professionals

The public health nurse advocates for which of the four aims of healthy communities, as described by the World Health Organization? Select all that apply. One, some, or all responses may be correct.

Promoting quality of life Supporting individual health Creating accessible health care services Distributing the resources for basic sanitation and hygiène

The public health nursing competencies include which major nursing domain? Select all that apply. One, some, or all responses may be correct.

Public health sciences skills Analytic and assessment skills Leadership and systems thinking skills Policy development and program planning skills

Which spatial data component related to location is most likely to affect community residents' access to health benefits or health threats? Select all that apply. One, some, or all responses may be correct.

Schools Factories Food stores Bodies of water

Which is an element of the windshield survey conducted by the public health nurse to get a general overall sense of the community?

Stores

While planning a drug and alcohol program, which would the nurse evaluate when implementing a balanced approach to assessment?

Strengths and weaknesses of a community

Using which type of approach can the public health nurse explore the organizing structures in place within the community that may serve the needs of the people?

Systems

Which standardized classification system accommodates community nursing diagnosis formation by providing a useful format for identification of the problem; its relation to factors, stressors, or health issues; and the supporting data that document the problem?

The North American Nursing Diagnosis Association (NANDA)

Primary data from a community health assessment reveal much higher concern within the community about access to fresh, healthy food. Secondary data from the same assessment reveal that the community has a higher than average mortality rate from lung cancer and that there is a high prevalence of smoking in the community. In prioritizing these health issues, what is the priority consideration for the nurse in planning a successful program?

The community's perception of which concern is most relevant