Chapter 11

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:

Community of solution

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?

Implement education in the school setting regarding respiratory and hand hygiene

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?

Make the assessment process empowering to the community

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:

Research the vaccine compliance in the school

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:

Shift the focus from dependency to empowerment

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:

Subjective data

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:

Use multiple methods or perspectives

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.)

Vary significantly in composition Are challenged in their attempts to identify its members Thought of as members of a global community

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:

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

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.)

Assessment is time-consuming Approaches must be preestablished

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:

Collaborate with other health care workers and the clients

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.)

Determine what resources were available before the foundry closed Determine what variables may have enhanced or detracted from community Understand cultural changes within the community over time

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:

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

Which type of assessment considers a configuration of behaviors that occur sequentially over time?

Functional health pattern

The community health nurse explores pedestrian access to all healthcare facilities in the community. Which tool would be most helpful in performing this task?

Geographic information systems

Community assessment is a critical process for the future because it can:

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

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:

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

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?

Internet—aggregate data

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?

Target education and support programs

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?

The information will help to effectively assess the community

Which rationales are appropriate for performing community assessments in the school setting? (Select all that apply.)

To learn about an outbreak of lice To assess effectiveness of children with type I diabetes managing insulin shots at school To provide education on preventing the spread of influenza