Question 1

A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise.What action should the nurse take in order to confirm or reject these beliefs?&#10;A)Walk around the neighborhood.&#10;B)Interview members of the community.&#10;C)Obtain town morbidity and mortality rates.&#10;D)Go to the town hall to obtain the number of parks in the community.

Accepted Answer

The nurse has generated a hypothesis (people lead sedentary lives because of a lack of safe areas).To explore this hypothesis, the nurse should follow it up with interviews and measurement data.In this situation, town statistics would not be sufficient to address the hypothesis.The nurse needs to interview members of the community to determine how they perceive it.Interview data, the most common source of information from people, include verbal statements from community residents, key community officials, health care personnel, and various community agency staff.Key informants provide useful ways to learn how members perceive their community.Key community leaders often provide important information about community health concerns, necessary health resources, and community strengths along with particular health beliefs and community health goals.Community residents provide useful information about their perceptions of health, health concerns, and needs as well as of the availability, accessibility, and acceptability of health services.Health agency personnel provide data about health resources, population served, availability, and perceptions of concerns and needs.

Question 2

Which of the following communities are relatively disadvantaged with respect to lower levels of health promotion and limited resources from local, state, or federal public health agencies?&#10;A)Urban communities&#10;B)Rural communities&#10;C)Communities within southern states&#10;D)Communities with large maritime (sea-faring) industries

Accepted Answer

Disparities in health across the world are associated with poverty, industrialization, violence, social disruption, education, food access, and maternal health.Even in developed countries with health resources, disparity occurs.Health may be different in urban versus rural geographical areas.Rural communities are doubly disadvantaged with lower levels of health-promotion behaviors and limited resources from local, state, and federal public health agencies.Southern states have both rural and urban communities; thus such distinction is not valid.Similarly, maritime communities such as Boston or San Francisco tend to be highly urbanized.

Question 3

A nurse is assessing a community from both a developmental and a risk perspective.Which of the following characteristics would be of most interest to the nurse?&#10;A)Sex&#10;B)Age&#10;C)Race&#10;D)Socioeconomic level

Accepted Answer

Community nurses use a developmental-age-correlated approach to identify health promotion and health protection activities.Age is an indication of development.Additionally, community nurses assess those risk factors in a community that can cause adverse health outcomes.Risk factors can vary from person to person but include age, sex, race, geographical location, and lack of health services.Age can thus be used to assess a community from both a developmental and a risk perspective.

Question 4

A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital.Which of the following parts of a community is the nurse assessing?&#10;A)Structure of a community&#10;B)Subsystem of a community&#10;C)Supra system of a community&#10;D)Interaction of a community

Accepted Answer

Communities' structural parts form the subsystems, each of which is in itself a system.Health agencies, schools, fire departments, and governmental bodies are examples of structural parts.As it applies to this case, structural parts of a community form subsystems within a larger supra system.A substance abuse unit of a local VA hospital is a subsystem of a larger system (the VA hospital and family of hospitals).The structure of a community system or subsystem forms a formal or informal arrangement of parts.As a result, because interviewing is a form of assessment, the nurse in this example is assessing the subsystem (substance abuse unit of a local VA hospital) of a community (the VA hospital and family of hospitals).

Question 5

Obtaining data though observation via all of one's senses is called a&#10;A)pan-sensory survey.&#10;B)multi-observational survey.&#10;C)windshield survey.&#10;D)unofficial survey.

Accepted Answer

Nurses obtain community assessment data through observation, interviews (including focus groups), and measurement.These three methods are used most frequently in various combinations to ensure the validity of the information.Obtaining data through observation-often referred to as the windshield survey approach to assessment-includes the use of the senses (sight, touch, hearing, smell, and taste) to determine community appearances.These appearances include types and condition of residential dwellings and their people and also physical and biological characteristics, such as animal and plant life, temperature, transportation, sounds, and odors.Some communities have a characteristic "flavor." Community's physical characteristics influence health.What type of space is available? Children need space to run and play; young and middle-aged adults require space for recreation and exercise.What spatial barriers exist? Where is this space located in relation to traffic and schools? What does the air feel and smell like? What does the water taste like?

Question 6

Various theories guide the nursing process in assessing patients or communities with a goal toward formulating and implementing a plan of care.Which of the following theoretical frameworks is most useful in the context of assessing communities?

A)Abraham Maslow's theory of motivation
B)John Rawls' theory of resource distribution within a community or society
C)Marjory Gordon's functional health patterns
D)Gordon Allport's theory of prejudice and discrimination

Accepted Answer

Methods of data collection and sources of information about communities differ from individual sources.Systems theory, developmental theory, and risk-factor theory guide nursing process.Diverse communities require comprehensive assessment techniques that gather information about the unique characteristics of the population (e.g., cultural health practices or herbal remedies).Gordon's functional health patterns provide the assessment framework for this text.Although other community assessment strategies exist, Gordon's patterns are useful to align community assessment findings with those of families and individuals to plan health promotion.Maslow's theory would be more appropriate for assessing an individual.Similarly, Allport's theory is directed at the personality of the individual.Rawls' theory is aimed at ethics and justice for allocating scare resources within society.It is not intended as a modality or framework of assessment.

Question 7

Which of the following statements is correct concerning political lobbying?&#10;A)It is a form of influence peddling and thus illegal.&#10;B)Nurses can and often do participate in lobbying.&#10;C)It is legal but also considered unprofessional for a nurse to lobby.&#10;D)Nurses may, in fact, lobby but they may not accept pay for this role.

Accepted Answer

Nurses can and do legally participate in lobbying, including paid lobbying.There is nothing illegal or unprofessional about such activity.The process of seeking to influence legislators' views and votes is called lobbying.When an individual is employed to lobby he/she is known as a lobbyist and is required to register as the representative of a special interest group.The ANA, located in Washington, DC, employs nurse lobbyists as do many states.

Question 8

Which of the following is an example of community assessment using a key informant approach?&#10;A)Interviewing the local union representative&#10;B)Carefully reviewing the most recent census data&#10;C)Conducting a random survey letters to the editor&#10;D)Interviewing the State senator

Accepted Answer

Interview data, the most common source of information from people, include verbal statements from community residents, key community officials, health care personnel, and various community agency staff.Key informants provide useful ways to learn how members perceive their community.Key community leaders often provide important information about community health concerns, necessary health resources, and community strengths along with particular health beliefs and community health goals.The State senator represents the State, as a whole, and likely would not have much insight into any one particular community.Interviewing the district's congressman or congresswoman would be a better choice.Certainly the local union representative would have some insights into community concerns and would constitute a key informant.Choices B and C are not consistent with interviewing key persons within the community.

Question 9

Which of the following health concerns should the nurse have as a priority when planning care for a community?&#10;A)The limited recreational areas identified through a windshield survey&#10;B)The high crime rate reported in the town records&#10;C)The absence of health clinics on the local bus route&#10;D)The lack of grocery stores within walking distance identified by the community

Accepted Answer

As a community liaison, the nurse establishes priorities for programming and matches resources with needs determined by a community-needs assessment.The goal is to maintain the community's vision.Nurses' concerns should be based on the community's concerns.Therefore, the lack of grocery stores identified by the community should take first priority.

Question 10

A nurse is employed by a local health department.Which of the following would be one of her primary responsibilities?&#10;A)Providing appropriate treatment for the flu to an elderly man&#10;B)Providing education to the community about prevention of the flu&#10;C)Ensuring that the family members of the man with the flu get tested for the flu&#10;D)Ensuring that the family members of the man with the flu receive the flu vaccine

Accepted Answer

Community health nursing combines nursing practice and public health concepts to promote the health of populations without limitation to any particular individual or group of individuals.Nursing concerns become community's responses to existing and potential health-related problems, including such health-supporting responses as monitoring and teaching population groups.Nurses supply educational information to at-risk communities to develop health-oriented skills, attitudes, and related behavioral changes.The role of the community health nurse is to promote the health of the population.It is important that the nurse view the community structure as a population and consider existing health services.Therefore, the primary responsibility of this nurse is to the community she serves by providing education about flu prevention.

Question 11

Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n)&#10;A)codependent function.&#10;B)independent function.&#10;C)interdependent function.&#10;D)dependent function.

Accepted Answer

The answer of Partnering with school-based clinics and local pediatric...

Question 12

Why is nursing's collective voice weak and rarely heard?&#10;A)Nurses are primarily women.&#10;B)Health issues have taken a back seat to other issues in politics.&#10;C)The public does not trust nurses or physicians.&#10;D)Only 20% of nurses join a collective professional organization.

Accepted Answer

The answer of Why is nursing's collective voice weak and...

Question 13

A parish nurse is concerned about the number of parishioners who smoke.How would the parish nurse best address this issue?&#10;A)Ban smoking on parish property.&#10;B)Invite local experts to participate in a health fair at the parish.&#10;C)Find literature about smoking cessation.&#10;D)Hand out free nicotine-replacement systems.

Accepted Answer

The answer of A parish nurse is concerned about the...

Question 14

The process of dynamic change with adaptation in the system's parts, and how community systems and subsystems interact is known as&#10;A)structure of a community.&#10;B)community health promotion.&#10;C)community diagnosis.&#10;D)function of a community.

Accepted Answer

The answer of The process of dynamic change with adaptation...

Question 15

A nurse who is new to the area wants to get a &#34;feel for the community she will be working with.&#34; Which of the following would be the best way for the nurse to start learning about the community?&#10;A)Driving around the neighborhood&#10;B)Going door to door asking people about the community&#10;C)Searching on-line to obtain population statistics&#10;D)Talking to the police captain at the local police department

Accepted Answer

The answer of A nurse who is new to the...

Question 16

Which of the following scenarios is an example of a community health nurses serving a health advocate for a community?&#10;A)A nurse who proactively participates in health policy decision-making&#10;B)A nurse who staffs the first aid station at lawful demonstrations and protest rallies&#10;C)A nurse serving as a community organizer who defends protesters unfairly arrested&#10;D)All of the above are examples of nurses serving as community health advocates

Accepted Answer

The answer of Which of the following scenarios is an...

Question 17

Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health perception-health management pattern?&#10;A)Examining high sexually transmitted disease rates recorded by the health department&#10;B)Listening to community members discuss the high smoking rate among teenagers&#10;C)Analyzing the high infant mortality rate reported by state hospitals&#10;D)Discussing the high rate of teenage motor vehicle crashes recorded by the local police department

Accepted Answer

The answer of Which of the following demonstrates the nurse...

Question 18

Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives.Which of the following would be the priority for this nurse to promote?

A)Health-promotion activities
B)Accident prevention activities
C)Drug prevention activities
D)Pregnancy prevention activities

Accepted Answer

The answer of Using developmental theory, a community nurse assesses...

Question 19

The study of a population is referred to as (a)&#10;A)community pattern.&#10;B)windshield survey.&#10;C)demography.&#10;D)community diagnosis.

Accepted Answer

The answer of The study of a population is referred...

Question 20

Which of the following is NOT usually considered a parameter for defining a broad sense community within the context of nursing?&#10;A)Groups of people who live within the same geographical region&#10;B)Groups of people who share common interests&#10;C)Groups of people who have the very near the same income and net worth&#10;D)Groups of people who share social relationships

Accepted Answer

The answer of Which of the following is NOT usually...

Question 21

A nurse is using the technique of mapping while implementing the nursing process in the community setting.The nurse is engaged in which aspect of the nursing process?&#10;A)Collection&#10;B)Planning&#10;C)Analysis&#10;D)Implementation

Accepted Answer

The answer of A nurse is using the technique of...

Question 22

A community is in the maintenance stage of change.Which of the following would be an appropriate intervention for the community health nurse?&#10;A)Highlight past successes&#10;B)Discuss the benefits of changing&#10;C)Develop strategies to prevent relapse&#10;D)Provide information

Accepted Answer

The answer of A community is in the maintenance stage...

Question 23

According to Pender, which of the following is a stage of change? (Select all that apply.)&#10;A)Reflection&#10;B)Action&#10;C)Maintenance&#10;D)Acceptance

Accepted Answer

The answer of According to Pender, which of the following...

Question 24

A nurse is collecting data regarding the number of crosswalks within a community.Which perspective is being used to gather this data?&#10;A)Developmental perspective&#10;B)Functional perspective&#10;C)Risk-factor perspective&#10;D)Systems perspective

Accepted Answer

The answer of A nurse is collecting data regarding the...

Question 25

Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth.Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?

A)Self-perception-self-concept pattern
B)Role-relationships pattern
C)Cognitive-perceptual pattern
D)Sexuality-reproduction pattern

Accepted Answer

The answer of Within a community there is an elevated...

Question 26

A nurse is assessing a community's exposure to pollutants by examining contaminated soil, air, water, and food.Which functional health pattern is being assessed by the nurse?&#10;A)Nutritional-metabolic pattern&#10;B)Elimination pattern&#10;C)Health perception-health management pattern&#10;D)Values-beliefs pattern

Accepted Answer

The answer of A nurse is assessing a community's exposure...

Question 27

A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community.Which of the following functions is being demonstrated by the nurse?

A)Codependent function
B)Independent function
C)Interdependent function
D)Dependent function

Accepted Answer

The answer of A nurse has implemented a smoking cessation...

Question 28

Which functional health pattern provides information about problem-solving and decision-making within communities?&#10;A)Cognitive-perceptual pattern&#10;B)Self-perception-self-concept pattern&#10;C)Coping-stress tolerance pattern&#10;D)Health perception-health management pattern

Accepted Answer

The answer of Which functional health pattern provides information about...

Question 29

A community is considering banning smoking in all schools.Based on the community's current stage of change, which action should the nurse take next?&#10;A)Provide the community with statistics regarding childhood smoking rates.&#10;B)Point out positive outcomes associated with banning smoking such as maintenance of good lung function.&#10;C)Help the community develop a plan to implement the ban.&#10;D)Praise the members of the community for their actions.

Accepted Answer

The answer of A community is considering banning smoking in...

Question 30

A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers.Which action should the nurse take next?&#10;A)Develop a plan to address the high rates of alcohol-related motor vehicle accidents.&#10;B)Partner with high school nurses to educate students about the risks of drinking and driving.&#10;C)Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.&#10;D)Establish support groups for teenagers with alcohol abuse.

Accepted Answer

The answer of A community nurse has collected rates of...

Question 31

In response to the growing elderly population, community health nurses should do which of the following? (Select all that apply.)&#10;A)Work with the board of education to emphasize the importance of adequate physical activity for children and the importance of healthy meals.&#10;B)Work with local nursing schools to emphasize the importance of geriatric training in the curriculum.&#10;C)Work with the state and local departments of health to devise a plan to increase nursing home beds.&#10;D)Work with local health departments to increase recreational activities for elderly members of the community.

Accepted Answer

The answer of In response to the growing elderly population,...

Question 32

Which factor has the greatest implication for a community nurse when developing a health-promotion program for church members?&#10;A)The majority of members live within a 3-mile radius.&#10;B)The majority of members are African American.&#10;C)The majority of members are high school graduates.&#10;D)The majority of members are employed.

Accepted Answer

The answer of Which factor has the greatest implication for...

Question 33

Which of the following best describes the primary goal of community nurses?&#10;A)Create charts/graphs of data collected.&#10;B)Create plans for community health-promotion programs.&#10;C)Create evaluation tools for health-promotion programs.&#10;D)Create a culture of health promotion/health protection with the community.

Accepted Answer

The answer of Which of the following best describes the...

Question 34

A community nurse develops a plan to address the problem of teenage pregnancies.Which of the following actions should the nurse take next?&#10;A)Determine the rate of teenage pregnancies.&#10;B)Evaluate the success of her plan.&#10;C)Provide educational programs at local schools regarding pregnancy prevention.&#10;D)Determine which factors related to teenage pregnancy require intervention.

Accepted Answer

The answer of A community nurse develops a plan to...

Deck 8: Health Promotion and the Community