Community Chapter 11

B)Identify a method to improve the health of at-risk clients

1.Community assessment is a critical process for the future because it can: A)Identify the need for a community commission B)Identify a method to improve the health of at-risk clients C)Provide a means of grant funding for clinics D)Provide a client base for at-risk neighborhoods

B)Implement education in the school setting regarding respiratory and hand hygiene

10. There are 12 students with confirmed cases of the H1N1 flu in grades 6 to 8 at the local middle school in the community. The community nurse advises the caregivers of the ill children to keep the children home for a minimum of 5 to 7 days. Which should be the nurse's next step? A)Recommend closing the school for 6 weeks B)Implement education in the school setting regarding respiratory and hand hygiene C)Require each child in the school to undergo a physical evaluation by the school nurse D)Initiate a system of discipline in the school setting for improper hand washing

C)The information will help to effectively assess the community

11.The new community health nurse introduces herself to the local minister and attends various neighborhood meetings. The nurse learns about the ethics, values, and culture of the neighborhood. The community is vocal about the need for public safety and the care of the homeless, especially in the winter. Which is the best rationale for considering all of the influences in the neighborhood affecting their health and well-being? A)The information can be used to obtain funds to create shelters for the homeless B)A neighborhood watch may be created with police support C)The information will help to effectively assess the community D)It will help the nurse create a controlled clinical environment

C)Target education and support programs

12. The community health nurse learns that there are statistically high levels of obesity and elevated cholesterol in the community. In addition, the community has a disproportionately high number of fast food restaurants, compared with surrounding communities. Which would be the most appropriate next step, based on these data? A)Gather support in the community to ban fast foods B)Gather further information regarding trans fats C)Target education and support programs D)Create local exercise programs

A)Geographic information systems

13.The community health nurse explores pedestrian access to all healthcare facilities in the community. Which tool would be most helpful in performing this task? A)Geographic information systems B)Functional health pattern C)Epidemiologic model D)Developmental model

D)Functional health pattern

14.Which type of assessment considers a configuration of behaviors that occur sequentially over time? A)Asset-based assessment B)Epidemiologic model C)Collaborative model D)Functional health pattern

A,B,D

15.The nurse assesses a community undergoing change. Five years ago, a series of setbacks caused the local foundry to close. Through interviews, the nurse discovers that generations of families worked at the foundry. Research indicates that no other businesses have been able to provide work for those who no longer work at the foundry. Developmental data gathered through this research into the community's history will help the nurse: (Select all that apply.) A)Determine what resources were available before the foundry closed B)Determine what variables may have enhanced or detracted from community development C)Develop an understanding of the community's strengths and resources today D)Understand cultural changes within the community over time E)Identify where in the community health clinics are most needed

A)Make the assessment process empowering to the community

16. The community is concerned about public safety and the care of their elders living at home. When the nurse assesses the community, the nurse finds there is potential to solve their problems within the community setting without outside resources. The plans to meet the community needs are accepted by the members of the community. Which action has been most successfully demonstrated in your assessment of this community? A)Make the assessment process empowering to the community B)Assess the community through interview and share findings in a timely manner C)Involve the community when there is difficulty with the assessment D)Create an environment of change within the community

D)Shift the focus from dependency to empowerment

17. When the community collaborates in a plan to create services and education to enhance their health and well-being, the plan is most likely to: A)Create an environment that fosters change B)Have an increased rate of success C)Empower the community but diminish the rate of success D)Shift the focus from dependency to empowerment

D)Collaborate with other health care workers and the clients

18.The community health nurse works in a community recently devastated by a tornado. Many of the survivors are cared for in their homes. Care is needed for those who are ill, recovering, or in hospice. To provide the most holistic and effective care to the community, the nurse should: A)Refer the clients to an outreach center B)Consult with the hospice nurse and the social worker C)Provide care according to the physician's orders D)Collaborate with other health care workers and the clients

B,D

19.Following a hurricane, the disaster team chooses to use a collaborative model to assess the needs of the community. Each team member is given a community analysis and assigned the task to create a tentative plan of action. Why would the use of a collaborative model hamper the progress of the assessment and plan in a disaster? (Select all that apply.) A)Individual decision-making creates bias. B)Assessment is time-consuming. C)Approach to problem solving is linear. D)Approaches must be preestablished. E)Collaboration is limited.

A)Initiation of neighborhood clinics at low or no cost to the community

2. The nurse conducts a community assessment in a town once supported by multiple paper factories. The factories closed 2 years ago and most of the population is now out of work. The school nurse notes that 68% of the students are behind schedule in their physicals and immunizations. On the basis of this community assessment, the nurse should recommend: A)Initiation of neighborhood clinics at low or no cost to the community B)Creation of a task force to assess the impact of low income on immunization compliance C)A formal petition to the local government to mandate immunizations by imposing monetary fines on parents whose children are not immunized D)A tax relief program for new companies wishing to settle in the community

B)Internet—aggregate data

20.The nurse is approached by the health department to investigate and assess the rise in developmental disabilities in an isolated section in the community. To begin the assessment, the nurse should gather objective data from which source? A)Client interview—aggregate data B)Internet—aggregate data C)Internet—Wikipedia D)Direct observation of the area

C)All of the company's employees and include those living outside the community as part of the aggregate

3. While completing a community assessment, the nurse notes that the computer companies in the community hire a disproportionate number of their employees from local suburban communities rather than the community in which the company is housed. To create an accurate assessment, the nurse should collect data on: A)All of the company's employees but count those living outside the community separately, as outliers B)Only the employees that live in the community, disregarding the others as statistically irrelevant C)All of the company's employees and include those living outside the community as part of the aggregate D)Only the employees that live in the community in your initial assessment; then collect data on the others as part of a separate assessment for the community in which they live.

C)Community of solution

4. Many in the community have developed cancer. The EPA has discovered a leak of biohazardous waste from a local factory that has leached into the water table. The area is decontaminated and cleaned. The community identifies the need for a local hospice for those with cancer who are dying. Area communities participate in the fund drive. This type of community effort may best be described as: A)Geopolitical community B)Epidemiologic model C)Community of solution D)Developmental model

A,C,D

5. At an international nurses' conference, nurses from all around the world make contact. The various communities represented at this conference most likely: (Select all that apply.) A)Vary significantly in composition B)Have no shared interests and goals related to health and safety C)Are challenged in their attempts to identify its members D)Thought of as members of a global community E)Do not need to assess their communities' needs because they are obvious

B)Use multiple methods or perspectives

6.The nurse conducts a community assessment. The community is large and the members range from affluent executives to poor migrant workers. To most accurately assess the community, the nurse should: A)Use a questionnaire written on a fifth-grade reading level B)Use multiple methods or perspectives C)Interview a subpopulation of each group represented D)Analyze census data

A)Subjective data

7. The community health nurse assesses the neighborhood in which the clients live. When observing the physical environment, the nurse notes that most of the homes in the neighborhood are well kept and the children playing in the yards are wearing clean clothing. The children appear well nourished. The nurse determines that the neighborhood has little need for a well-child clinic. This assessment is based on: A)Subjective data B)Objective data C)Cognitive analysis D)Valid data

C)Develop school-based education programs for both the children and their caregivers

8. The community health nurse is responsible for the general health of the community on multiple levels. The nurse discovers an increase in the number of sick days used by children aged 7 to 11 years at the local elementary school in recent weeks. Research indicates that the families of asthmatic children tend to be less educated and less likely to comply with current treatment plans. Using the epidemiologic approach, the next step in the care plan should be to: A)Conduct a broad-based survey of all families with asthmatic children within several communities B)Determine trends that interfere with family problem-solving techniques C)Develop school-based education programs for both the children and their caregivers D)Submit a proposal to the town for neighborhood asthma clinics

B)Research the vaccine compliance in the school

9. The school nurse notifies the community nurse that there have been five confirmed cases of pertussis in the sixth-grade classes. In addition to responding to the cluster of cases, the community nurse should immediately: A)Recommend that the school be closed B)Research the vaccine compliance in the school C)Recommend that notes be sent home to the parents regarding a pertussis epidemic D)Consult with the infection control physician at the local hospital