Deck 17: Health Planning With Rural and Urban Communities

Question 1

A group of student nurses is evaluating the health needs of an urban environment for their capstone project. Which of the following health needs exist especially in an urban city? Select all that apply.

A)Decreased mental illnesses
B)Increased stress
C)Increased respiratory illnesses
D)Decreased drug addiction
E)Decreased rates of sexually transmitted infections

Answer 1

Increased stress
Increased respiratory illnesses

Question 2

A nurse is considering entering the specialty of parish nursing. Nurses working in this field perform which of the following roles, in addition to standard nursing jobs?

A)Advocate for individuals within the parish.
B)Improve spiritual health through practices such as grief counseling.
C)Provide health education.
D)Perform health screenings of parish members as needed.

Answer 2

Improve spiritual health through practices such as grief counseling.

Question 3

A nurse is moving to a rural area and beginning work at a health clinic there. The nurse is performing a basic community assessment to prepare for treating this new community. The nurse knows that which of the following is not characteristic of the needs of the rural population?

A)More likely to smoke tobacco and drink alcohol
B)Have less education and higher rate of poverty
C)More likely to have increased dental problems
D)Have a higher life expectancy

Answer 3

Have a higher life expectancy

Question 4

A student nurse is reviewing important global communities for ideas about a final research project. The student nurse discovers a movement in Europe that focuses on reducing health disparities and involving the local community in program design and implementation. What program does this describe?

A)Healthy Cities
B)Healthy People
C)Medical Homes
D)Racial and Ethnic Approaches to Community Health

Question 5

A nurse is speaking with members of a community center about using community organization as a process for change. The nurse explains that there are several specific principles for creating change within the community. Which of the following are examples of these principles? Select all that apply.

A)Use nonviolence as a tool.
B)Apply downstream assessment principles.
C)The nurse will provide solutions for the community to follow.
D)Increase the community's decision-making ability.
E)Aim to minimize social and economic disparities.

Question 6

A nurse is reviewing goals from the Rural Healthy People 2010 program in anticipation of setting goals for the next decade. Which of the following is not one of the goals identified in Rural Healthy People 2010?

A)Increasing access to health care
B)Reducing rates of diabetes
C)Increasing oral health
D)Reducing cancer rates

Question 7

A nurse is performing an assessment of a community where the population totals 55,542 persons and has a population density of 1,000 persons per square mile. How does the nurse classify the area?

A)Rural
B)Suburban
C)Urban cluster
D)Urbanized area

Question 8

A public health department is looking to attract health-care providers to open a clinic in their rural community where there is desperate need for primary care providers. Which of the following benefits should be listed in the job posting?

A)Brand new housing
B)Description of community events and culture
C)Guarantee of employment for family members
D)All of the above

Question 9

A young college student in a rural community has called the health department to get a recommendation to a health center where she could be seen for some chronic health problems. She is uninsured and can't afford the private clinic in town. The PHN recommends that the student:

A)Visit the local health department for management and treatment of her care.
B)Proceed to the local emergency department.
C)Visit the community health center run by an advanced practice registered nurse (APRN).
D)None of the above.

Question 10

A nurse is working with several community members in an inner-city environment to help address the broken windows and damaged buildings in their community. They've had several residents volunteer to repair the damages overnight to keep the community looking well cared for. This is an example of:

A)Community organization.
B)Community empowerment.
C)Community partnerships.
D)None of the above.

Question 11

A nurse is looking to develop a coalition of women's health providers and experts in the community. Which of the following strategies would be effective in helping to build a coalition? Select all that apply.

A)Contributing financially to the projects endorsed by the coalition
B)Creating a well-organized message
C)Creating a personal brand identity
D)Taking credit for coalition successes
E)Establishing relationships with key members of the coalition

Question 12

A nurse has been counseling a young woman who was diagnosed with terminal cancer several months ago. The nurse is anticipating that the young woman is moving toward the second phase of spiritual care. This means that she:

A)Will be able to find a new place with God and the church community.
B)Will be able to reorient her thought process around her illness.
C)Will be able to find a safe place to talk about her diagnosis.
D)Will be able to change her self-perception to include the illness.

Question 13

A nursing professor is looking to give students clinical experience in relation to health program planning with a focus on implementation. The professor proposes which of the following projects to the curriculum committee?

A)A community assessment of three different neighborhoods
B)A mock community assessment and health policy development for a hypothetical community
C)A requirement that each student complete a paper about the history of health policy in the United States
D)Placement of students in a local community center that has requested the school partner with them on population-level health interventions they would like to put in place

Question 14

A nurse is working in a community health center in a very rural community and is training a new nurse who will be working part-time. The nurse explains that the biggest health problem facing their community is:

A)Inability to access health care.
B)Poor nutrition.
C)Lack of health education.
D)Farming accidents.

Question 15

A nurse has been volunteering at a community center in a very rural area twice a month for several years. Over the last few months, the nurse has noticed that the patient load has increased substantially as the population of this community has aged. It is not feasible for the nurse to spend more time at this center. How can the nurse continue to serve the needs of the community?

A)Try to hire another nurse to help fill in.
B)Set up a telehealth arrangement so the nurse can answer simple questions from home or while on the road.
C)Set up a scheduling and triage system so the nurse only sees the neediest patients.
D)Consider closing the free clinic and opening a fee-for-service center.

Question 16

A nurse is working on his or her first community-based participatory research (CBPR) study. One factor specific to CBPR research that the nurse should be careful to address is:

A)The ethical protection of human participants.
B)Making sure that community members aren't directly involved in the research.
C)Ensuring there is a benefit to the community related to the study.
D)To choose a topic that is neutral to the community.

Question 17

A public health nurse (PHN) is creating a team of professionals to address the rising teen pregnancy rate in the community. Which of the following characteristics of successful partnerships is not suggested by the U.S. Department of Education in the Regional Education Network?

A)There will be new partners as the partnership progresses.
B)The partners have committed to the process and the goals.
C)All of the partners must be equally committed financially.
D)Make sure the members of the partnership are equally representative of the community-at-large in terms of culture, race, and perspective.

Question 18

A nurse is working in a family planning clinic that provides treatment for sexually transmitted infections (STIs). The nurse has noticed a significantly increased number of infections in young women who come to the clinic and wonders if this is a community-wide problem. Which of the following techniques would be helpful in answering that question?

A)Building a coalition and positive relationships with other health-care providers in the area
B)Performing a comprehensive community assessment
C)Interviewing several key stakeholders in the community
D)Creating a federally qualified health center (FQHC)

Question 19

A nurse is looking to address teen gang violence in a nearby community using the principles of community organizing. The nurse has spent a great deal of time in the community performing a community assessment and getting to know residents and key stakeholders. What is the next step?

A)Identify core leaders to organize the community around the main issue.
B)Identify clear goals that relate to the over-arching goal of reducing teen gang violence.
C)Identify available resources.
D)Create a plan to evaluate their actions.