Deck 7: Community Health

Question 1

A nurse educator is explaining primary health care (PHC) and the extension of its boundaries beyond traditional health care services. Issues related to PHC include which of the following?

A) Distribution and participation.
B) Low life expectancies and high mortality rates among children.
C) Environment, agriculture and housing.
D) Consumerism and governmental subsidies.

Answer 1

Environment, agriculture and housing.

Question 2

The focus of the National Health and Hospitals Reform Plan is aimed among which of the following?

A) Decreasing the cost of medications for the elderly.
B) Opening more health services.
C) Identifying more services for aged care.
D) Health promotion and prevention services.

Answer 2

Health promotion and prevention services.

Question 3

Nursing students are required to attend at least two community activities related to health and wellness. When attending an immunisation clinic, a client asks about the funding for the service. The appropriate reply would be:

A) "The State government purchases the vaccines for free for children."
B) "The local hospital funds the vaccine."
C) "The Commonwealth government purchases the vaccines for distribution."
D) "You will have to buy the vaccines."

Answer 3

"The Commonwealth government purchases the vaccines for distribution."

Question 4

Which of the following is not incorporated into five major principles of primary health care?

A) Multisectoral approach.
B) Focus on disease management.
C) Equitable distribution.
D) Appropriate technology.

Question 5

A rural community hospital is supporting an Aboriginal community clinic to provide health education, illness prevention, acute care, screening, and rehabilitation and health promotion services for the chronically ill. What would best describe this type of approach?

A) Wellness centre.
B) Integrated health care system.
C) Community outreach centre.
D) Community-based setting.

Question 6

Consumers of health care have become more active in influencing health care delivery systems because of:

A) lack of follow-up appointment dates.
B) increasing activity restrictions.
C) increased signs of complications.
D) realisation that health includes quality and wellbeing factors.

Question 7

It is said that primary health care extends beyond the boundaries of traditional health care. Which of the following best describes its purpose?

A) Seeking funding to reduce mortality and tuberculosis.
B) Promoting and preserving the health of population groups.
C) Seeking federal funding to promote population health in Australia.
D) Its services involve issues of the environment, housing and socioeconomic issues.

Question 8

Outreach programs involve partnerships between nurses and members of the community. The aim is to:

A) collaborate on bioethical issues, on legislation and on health-related research.
B) recognise the contribution that each member of the interdisciplinary team can make.
C) reduce barriers to health care and increase access to services.
D) assist the client and family to understand and navigate their way through the health care system.

Question 9

Community-based nursing involves:

A) promotion of health in populations.
B) care of the individual in a local setting.
C) screening of an Indigenous population.
D) surveillance of infectious disease.

Question 10

Many factors influence the clients' choice as to whether they have their care in hospitals or in community settings. Which of the following variables does not apply?

A) Clients' knowledge and awareness of community resources.
B) Clients' knowledge and awareness of the availability of home care.
C) Clients' knowledge and awareness of the availability of community resources.
D) Clients' knowledge and awareness of perceived safety of home care.

Question 11

Which of the following would be a way of describing a healthy community?

A) Members of a community have some sort of awareness of being a community.
B) Uses its natural resources for the benefit of the community.
C) Meets together to settle disputes within the community.
D) Promotes a high level of wellness among all of its members.

Question 12

After implementing health promotion activities and plans to prioritise health problems, the community must evaluate the effectiveness of the interventions. Which groups would be involved in this process?

A) Health care providers at the community level.
B) Those consumers who were directly affected by the services provided.
C) Health care providers, consumers, community leaders and politicians.
D) Hospital and clinic personnel who administered health care needs.

Question 13

When explaining the difference between 'community' and 'population', the nurse educator uses which of the following as an example for population?

A) A grade school class.
B) Passengers on a bus.
C) A group of employees at a local plant.
D) Graduating nursing students.

Question 14

Improving community health will involve coalitions between individuals and groups in the interests of improving the health of the community to which they belong. Which of the following would not be an example?

A) Domestic violence prevention program.
B) Farm safety program.
C) School immunisation program.
D) Daycare program.

Question 15

To fulfil a collaborative role, nurses need to assume accountability and increased authority in practice areas. Which of the following best describes this role?

A) Interdisciplinary coordination for comprehensive health.
B) Collaborates in health care initiatives with other nurses.
C) Community-based nursing.
D) Parish nursing.

Question 16

A Registered Nurse is working in an isolated Primary Health Care Centre where the community has a need for an immunisation service. In order to progress this service, the nurse will need to:

A) order the vaccinations needed.
B) set up bookings for the clinic.
C) refer the clients to the nearest clinic.
D) obtain endorsement to immunise autonomously.

Question 17

After a community was hit by flooding, the nurses at a local hospital helped to make sure people had adequate food and clothing. Which function of community help were these nurses focused on restoring?

A) Mutual support.
B) Distribution of goods and services.
C) Social control.
D) Social interparticipation.

Question 18

A nurse is helping to set up an elder social group at a local senior centre where residents can come to play cards or participate in structured activities three times a week. This nurse is working in which community activity?

A) Social control.
B) Socialisation.
C) Mutual support.
D) Social interparticipation.

Question 19

A nurse involved in a community-based primary health care initiative that focuses on reproductive health in 17-year-olds would be:

A) chronic disease nurse.
B) immuniser nurse.
C) child and adolescent nurse.
D) industrial nurse.

Question 20

A nurse can influence surveillance of communicable diseases in a community under a primary health care approach by all of the following except:

A) education.
B) research.
C) monitoring.
D) washing hands.

Question 21

The key to maintaining continuity of care as clients work their way through health care systems is:

A) professionalism.
B) documentation.
C) collaboration.
D) confidentiality.

Question 22

Several nurses are working together with other health care providers for a group of individuals within the community who have complications of diabetes mellitus and require extensive dressing changes and comprehensive education. The nurses and providers are working within the context of which of the following?

A) Collaboration.
B) Health promotion.
C) Case management.
D) Health education.

Question 23

A nurse is working in collaboration with a group of health care providers in a community health setting. They have defined a problem and now are focusing on objectives and considering various viewpoints presented by the group. Which of the competencies of collaboration does this describe?

A) Mutual respect.
B) Decision making.
C) Trust.
D) Communication.

Question 24

A nurse is completing a community assessment for planning future health needs. At what stage in the process would the nurse undertake a stocktake of current service provision?

A) 1st stage.
B) 2nd stage.
C) 3rd stage.
D) 4th stage.