CHAPTER 15

A community health nurse is engaged in evaluation of a health plan using a formative evaluation. What will the nurse focus on? A) Process during the actual intervention B) Outcomes of the interventions C) Development of performance standards D) Impact on the clients' health

A

A community health nurse is preparing to assess the current health care needs of the community. If the nurse desires to collect data concerning the health beliefs, which assessment method would be best? A) Clients responding to predetermined questions B) Review of current epidemiologic studies C) Utilizing GIS technology to collect information D) Organize a town hall meeting to meet with a select group from the community

A

A community health nurse is working to change the focus of the public health department from one of needs oriented to one of being a partner and recognizing the community's strengths. Which nursing priority will help assist make the transition? A) Determine available assets. B) Identify barriers to communication. C) Evaluate previous unsuccessful programs for weaknesses. D) Identify local subcultures to ensure all are represented.

A

The community health nurse is reviewing the health status of the community. Which is the best factor for the nurse to examine? A) Leading causes of death and illness B) Adequacy of health services C) Socioeconomic distributions D) Strengths of the community

A

The nursing instructor is discussing the concept of serving the community as the client. The instructor recognizes the students understand the teaching when they identify which concepts are used to identify the health of a community? A) Status/people, structure, and process B) Assessment, policy development, and assurance C) Primary, secondary, and tertiary D) Function, structure, and process

A

The public health department has opened a new clinic in a previously underserved area. What is the priority for the community health nurse at this clinic? A) Study current and firsthand data B) Identify a pressing problem and pursue a solution C) Locate the various subsystems in the community D) Conduct a comprehensive survey of the health needs

A

A group of students are preparing a presentation describing Healthy People 2020. Which goals for the nation will the instructor expect the students to include in the presentation? Select all that apply. A) Create environments to promote good health. B) Involve all stages of life in the promotion of health and quality of life. C) Remove existing disparities and improve health in all groups. D) Increase the quality and length of life free of health challenges. E) Healthy People 2020 does not address the health of the nation but does address the health of individuals.

A B C D

The class discussing Donabedian's theory demonstrates understanding of the structure element by identifying which factors as pertinent to understanding this dimension? Select all that apply. abirb.com/testA) Refers to the community's services and resources. B) Community associations, groups, and organizations provide a means for accessing needed services.C) Adequacy and appropriateness of health services can be determined by examining patterns of use, number and types of health and social services, and quality measures.D) Demographic data are important indicators of community structure. E) Structure is the most common measure of the health of a community.

A B C D

A public health nurse is discussing the concept of the community being served as the client. Which factors should the nurse include in the discussion when describing a competent community? Select all that apply. A) Collaborate effectively identifying community needs and problems. B) Achieve a working consensus on goals and priorities. C) Agree on ways and means to implement the agreed-upon goals. D) Have no health care problems. E) Collaborate effectively to take the required actions.

A B C E

A community health nurse is a member of the health planning team which is trying to determine how best to help the pregnant teenagers in the community. Which factors will the nurse recognize as vital to assess in making decisions? Select all that apply. A) Rate of growth or decline among the pregnant teens B) The specific health needs of the teens C) The best location for a clinic D) Functions of community organizations E) Social class of the community

A B E

The community health nurse is working with a local community in identifying the goals and objectives of a solution for a health issue. Which factors will the nurse utilize when writing the objectives? Select all that apply. A) Specific B) Money required C) Achievable D) Realistic E) Teachable

A C D

A community health nurse is collecting data about the local community concerning a recognized health issues. Understanding there are various sources for the information, the nurse chooses to start with a primary source that would involve which entity? A) World Health Organization B) Community members C) State health department D) Other community health nurses

B

A group of community health nurses are evaluating the community to determine which issues should be addressed. As the group complete various assessments, they recognize an assets assessment will be important to evaluate which factor of the community? A) Key informants B) Strengths of the community C) Specific problem of the community D) Overall life of the community

B

A group of students observing a local community notes there has been positive changes and improved health care through collaboration among the citizens and leaders. Who will the students most likely identify as the agent of change if applying the community development theory to this situation? A) Clients B) Nurse C) Families D) Community leaders

B

The community health nurse is in the process of designing a plan to address a health need. The nurse recognizes the plan is created during which stage of the health planning process? A) Assessment B) Analysis and design C) Implementation D) Evaluation

B

The nursing instructor is discussing Donabedian's theory with the class. Which statement by the class would best demonstrate understanding of the process? A) Refers to its services and resources B) Reflects the community's ability to function effectively C) Usually consists of morbidity and mortality data D) Refers to the physical, emotional, and social determinants of health

B

A community health nurse involved in assessing community health needs is planning to get a group of approximately 10 similar individuals together to obtain information about opinions on first pregnancies. The nurse is using which assessment method? A) Survey B) Community forum C) Focus group D) Descriptive epidemiology

C

A community health nurse is conducting orientation for new nurses to the clinic. Which factor should the nurse emphasize as most important when dealing with the community? A) Cyclic nature B) Client focus C) Interaction D) Flexibility

C

A group of community health nurses are assessing the current health status of the community and note certain individuals are not utilizing the services of the clinic. What is the best action for the nurses to take? A) Increase advertisement of services B) Meet with local leaders to inform of disparity C) Investigate the situation to determine possible cause D) Offer incentives to new clients for checking out the services available

C

A group of student nurses are discussing various resources that are available to assist in collecting and evaluating data. The instructor recognizes the students understand the discussion when they identify which source as the most significant for providing data for the local level? A) CDC B) NIH C) State health department D) Local nonofficial agencies

C

Community health nurses must recognize the unique position they hold in providing adequate health care for their clients. Which action would be a priority for the community health nurse? A) Bring in educators to help the clients B) Identify the needs of each client who comes through the clinic doors C) Work to make healthy choices more accessibleD) Identify which community leaders are most supportive of health care

C

Nursing students in a community health nursing course identified toxic waste disposal to be a major problem in their community. The instructor recognizes the students understand the appropriate approach to handle the situation by conducting which type of assessment? A) Familiarization B) Community subsystem C) Problem oriented D) Comprehensive

C

A community health nurse is developing a community diagnosis which addresses an issue that has been identified. What should the nurse remember to do when writing the diagnosis? A) Focus primarily on deficits of the community B) Use broad statements to guide a range of interventions C) Employ a revised nursing diagnosis format D) Substitute the terms client, family, group, or aggregate for the word patient

D

A nursing instructor is discussing the fundamental concepts of community health nursing with a group of students. The instructor recognizes the students understand the discussion by identifying which entity as the primary client? A) Aggregate B) Agent C) Community D) Total system

D

The community health nurse has identified a health care issue and believes a local coalition of various community members will be the best approach to handle the situation. Identify the initial step the nurse should take. A) Conduct a community assessment B) Identify key players C) Identify potential members D) Define goals and objectives

D