Chapter 18 Community as Client: Assessment and Analysis
A nurse is defining the community as part of comm assessment process. Which of the following best describes how the community may be defined>?
- social group determined by geographic boundaries - group of people who share common values and interests -group of people defined by their interactions
A nurse is assessing the safety in the community using primary data. Which of following data would be useful for the nurse to collect?
-interviews with health care providers who are familiar with the community -observation of community members -nurses own observations
A nurse has collected data about the services avail in the comm and is using the seven A to eval the services. Which of the following questions will the nurse likely ask?
Can the community members afford the service
A nurse is investigating the structure of the community . Which of the following indicators would the nurse most likely collect data about?
Emergency room utilization
A nurse focuses intervention strategies on the structural dimension of community health. Which of the following best describes the focus of these strategies?
Health services
A nurse is completing a comm assessment. Which of the following actions would be most likely for the nurse to complete?
Identify the community needs and clarify problems
A nurse is trying to develop community partnerships. Which of the following interventions would be most appropriate for the nurse to use?
Include a variety of disciplines --> want people from a variety of backgrounds
A nurse is trying to increase participation in a free colorectal screening program for middle aged adults who lack health insurance. which of following implementation mechanism would be most effective
Mass media --> impersonal + formal type of comm reach large # of ppl quickly
A nurse reads the local community newspaper to gather data about the community. Which method of data collection is being used?
Participant observation - refers to deliberate sharing in the life of community such as participating in a local fair or festival or attending political / social event
What are critical attributes in the definition of community?
People, place, and functions
A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurses care?
The collective good of the population
A nurse centers his practice around the priniciple of doing the greatest good for the greatest number. Which of the following ethical principles is being applied?
Utilitarianism - greatest good for the greatest number
A community health nurse is conducting informant interviews in a small community. Which of the following would the nurse most likely contact?
a local priest for congregation information = collecting data
A collection of individuals who have one or more personal or environmental characteristics is common in the definition of
aggregate - a collection of individuals who have one or more personal or environmental characteristics in common
The main characteristics of a partnership are
awareness, flexibility and distribution of power
A nurse lives in a community that demonstrates commitment. Which of the following most likely be supported within this community?
collaboration with the health department to build a new recreation center
Which data source provides information about the function of the community?
county health department
A nurse is engaging the eval phase of comm health program planning- which of the following would be part of effective completion of this phase
develop measurable objectives and goals before implementation *eval begins in the planning phase - when goals and measurable objectives are established and goal attaining activities are identified
A nurse is using health status indicators to complete a community assessment. Which of the following best describes what the nurse is doing?
examining morbidity and mortality rates in the community health indicators are numerical measures of health outcomes- such as morbidity and mortality as well as determinants of health and population characteristics
A leader of a support group introduces a nurse to its members and discusses the professional relationship he has with the nurse for past several years. Which of the functions is leader performing?
gatekeeper = formal or informal comm leader creates opportunities for nurses to meet diverse members of comm
A nurse has identified the boundaries of the community. Which of the following steps should the nurse take when completing a community assessment?
gather relevant existing data and generating missing data - need to first define the community
Change for the community as a client must often occur at several levels bc
health problems caused by lifestyle are multidimensional
A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community's beliefs regarding childhood immunizations. This is known as:
informant interview- involves directed conversation with selected community members
A community has residents who provide info to the city council so that decisions can be made about the health of the community. Which of the following characteristics is being displayed?
passive partnerships - coalitions = passive partnerships in which all participants share leadership + decision making to some degree
A nurse interviews the school nurses in a community to determine their roles in schools because this data is not available. Which of the following processes is the nurse using?
primary data- includes using informant interviews, focus groups and participant observation in order to colect info
A nurse collects data about seat belt usage by interviewing key informants and observing behaviors in the community. Which of the following types of data is being collected?
qualitative --> collected through interviews and observation
A nurse is writing a nursing diagnosis at the community level using the NANDA system as a guide. Which of following diagnoses would most likely be developed?
risk of obesity among school age children related to lack of opportunities to engage in physical activity steps: 1. identify prob or potential prob 2. relation to factors, stressors, or health issues 3. supporting data
A nurse analyzes data from minutes at a community meeting when completing a community assessment. Which of the following methods of data collection is being used?
secondary data = secondary sources include published data about the community
A nurse plans on implementing comm- wide influenza immunization program - which should nurse consider
the communities READINESS TO PARTICIPATE!!!
What is the purpose of writing a community nursing diagnosis
to lead to outcomes and strategies to address and improve the identified health problem
A nurse gathers info about the condition of homes, size of lots, neighborhood hangouts, road conditions and modes of transportation. Which method of data collection is being used?
windshield survey!! = method of simple observation provides overview of community
