Deck 13: Community Care
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Deck 13: Community Care
1
What is an example of diagonal communication in a community?
A) Holding a community meeting with government officials regarding school closures
B) Seeking government permission to build a community centre
C) The community lobbying the provincial government for funding
D) The police and health nurses working together to promote bicycle safety
A) Holding a community meeting with government officials regarding school closures
B) Seeking government permission to build a community centre
C) The community lobbying the provincial government for funding
D) The police and health nurses working together to promote bicycle safety
Holding a community meeting with government officials regarding school closures
2
A group of nurses feel overwhelmed as they conduct their community assessment.What would be important in helping them continue with their work?
A) Spend more time collecting data from new sources
B) Determine what their outcomes are going to be
C) Use several more methods to collect data
D) Focus on the purpose of the assessment
A) Spend more time collecting data from new sources
B) Determine what their outcomes are going to be
C) Use several more methods to collect data
D) Focus on the purpose of the assessment
Focus on the purpose of the assessment
3
Describe two approaches to community participation in planning.Give an example where each approach could be used by a CHN.
- community needs matrix tool-e.g. ,to prioritize health concerns with school children
- community mapping-e.g. ,to plan for where in a community a pilot project to address low-birthweight babies should start
- present-future drawing-e.g. ,to address barriers and strengths to help a community plan to move beyond the cycle of poverty
- community mapping-e.g. ,to plan for where in a community a pilot project to address low-birthweight babies should start
- present-future drawing-e.g. ,to address barriers and strengths to help a community plan to move beyond the cycle of poverty
4
What is included in community dynamics?
A) Decision-making
B) Community history
C) Geographical boundaries
D) Community centres
A) Decision-making
B) Community history
C) Geographical boundaries
D) Community centres
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5
List seven areas that need to be addressed during a community-wide assessment.Give a sample data course for each area.
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6
How does a nurse assess lines of resistance in a community?
A) Facilitating the community's buffer zone
B) Analyzing the community's tension-producing stimuli
C) Collecting information about the community's strengths
D) Observing the community's normal state of health
A) Facilitating the community's buffer zone
B) Analyzing the community's tension-producing stimuli
C) Collecting information about the community's strengths
D) Observing the community's normal state of health
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7
Describe three conditions that affect the success of community planning and interventions.Give a practice related to community health nursing for each condition.
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8
What is the best way for a nurse to conduct an assessment of an aggregate community?
A) Meet residents at a seniors' complex
B) Survey adults who ride the transit system to work
C) Observe children at a local playground
D) Interview members of the high school debate team
A) Meet residents at a seniors' complex
B) Survey adults who ride the transit system to work
C) Observe children at a local playground
D) Interview members of the high school debate team
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9
A nurse is writing a community health nursing diagnosis.What statement is the nurse most likely to use?
A) Potential for improvement within the family unit
B) Individual knowledge deficit about nutrition
C) High school students' risky behaviours
D) As evidenced by self-reporting information from the parents
A) Potential for improvement within the family unit
B) Individual knowledge deficit about nutrition
C) High school students' risky behaviours
D) As evidenced by self-reporting information from the parents
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10
What is a disadvantage of a community forum?
A) Produces one-way dialogue on issues
B) Everyone who attends has to participate
C) A few people may dominate the discussion
D) Relatively inexpensive to plan
A) Produces one-way dialogue on issues
B) Everyone who attends has to participate
C) A few people may dominate the discussion
D) Relatively inexpensive to plan
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11
What is included in a healthy community process?
A) Involvement by selected sectors of the community
B) Participation from formal leaders
C) Access to health care
D) Support from the mayor and council
A) Involvement by selected sectors of the community
B) Participation from formal leaders
C) Access to health care
D) Support from the mayor and council
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12
Where is the best place for a nurse to look for Canadian population health indicators?
A) Nursing journals
B) Canadian Institute of Health website
C) Statistics Canada
D) Books in the university library
A) Nursing journals
B) Canadian Institute of Health website
C) Statistics Canada
D) Books in the university library
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13
A nurse is conducting a windshield survey.What activity is part of the windshield survey?
A) Distributing a comprehensive needs assessment survey throughout the community
B) Driving through the community's main street on her way home
C) Asking residents what they think of their neighbourhood
D) Using the five senses to get a picture of the overall community environment
A) Distributing a comprehensive needs assessment survey throughout the community
B) Driving through the community's main street on her way home
C) Asking residents what they think of their neighbourhood
D) Using the five senses to get a picture of the overall community environment
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14
What is the best definition of a community?
A) A random group of people
B) Members of an extended family living within the province
C) All the employees of a national company
D) Students at a college
A) A random group of people
B) Members of an extended family living within the province
C) All the employees of a national company
D) Students at a college
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15
Describe five community functions and give an example for each from community health nursing practice.
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16
A group of nurses are using a population health approach in a community project.What is an example of this approach?
A) Trying to reduce inequalities in health between population groups
B) Improving health access for mothers who live east of town
C) Working to treat illness in selected groups
D) Addressing only factors that affect the health of preschool children
A) Trying to reduce inequalities in health between population groups
B) Improving health access for mothers who live east of town
C) Working to treat illness in selected groups
D) Addressing only factors that affect the health of preschool children
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17
What will a nurse do when analyzing community data?
A) Collect information on a survey
B) Assess the effectiveness of the data collection
C) Use inferences to categorize data
D) Compare summarized data with related sources
A) Collect information on a survey
B) Assess the effectiveness of the data collection
C) Use inferences to categorize data
D) Compare summarized data with related sources
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18
Mr.Yeung,44 years old,is concerned with his psychosocial risk factors for heart disease.What would the nurse want to address with Mr.Yeung?
A) Smoking patterns
B) Family history
C) Age and gender
D) Cultural beliefs about nutrition
A) Smoking patterns
B) Family history
C) Age and gender
D) Cultural beliefs about nutrition
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19
A nurse is collecting qualitative data as part of a community assessment.What is the nurse most likely to be doing?
A) Conducting a public meeting
B) Reviewing data in a birth registry
C) Distributing a multiple-choice questionnaire
D) Generating files of statistical data
A) Conducting a public meeting
B) Reviewing data in a birth registry
C) Distributing a multiple-choice questionnaire
D) Generating files of statistical data
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20
A nurse works in a community with situational boundaries.What is most likely to define the community's boundaries?
A) The river that runs through the town
B) The mountains east of the town
C) The shape of the valley
D) The catchment area for the local schools
A) The river that runs through the town
B) The mountains east of the town
C) The shape of the valley
D) The catchment area for the local schools
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21
A nurse asks participants to discuss what they perceive to be the most important health problem in their community.What community participatory tool has the nurse used?
A) Web of causation
B) Community mapping
C) Community needs matrix
D) Present-future drawing
A) Web of causation
B) Community mapping
C) Community needs matrix
D) Present-future drawing
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22
What best describes how a nurse should engage in community evaluation?
A) Use a standard community program evaluation tool
B) Plan the evaluation once the program is implemented
C) Share successes with the community
D) Document program success
A) Use a standard community program evaluation tool
B) Plan the evaluation once the program is implemented
C) Share successes with the community
D) Document program success
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23
A nurse is conducting a community assessment of a large northern city.What should the nurse assess in the physical environment?
A) High unemployment rates
B) Limited access to recreational facilities
C) Mercury poisoning of the fish
D) Decreased literacy rates
A) High unemployment rates
B) Limited access to recreational facilities
C) Mercury poisoning of the fish
D) Decreased literacy rates
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24
What must nurses keep as a priority as they move into planning and evaluating interventions with communities?
A) The population health promotion template
B) Principles of primary health care
C) The population at risk for poor health
D) Topic data sources
A) The population health promotion template
B) Principles of primary health care
C) The population at risk for poor health
D) Topic data sources
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25
What is the core of a community?
A) The people
B) The community health nurse
C) The hospital
D) The geographical centre
A) The people
B) The community health nurse
C) The hospital
D) The geographical centre
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26
A nurse is asked about the goal of community health nursing.What would be the best response?
A) To protect people from harm and prevent them from re-entering the acute health care system
B) To promote,preserve,and protect the health of individuals,families,aggregates,and populations
C) To work with population groups to support them to make healthy lifestyle choices
D) To provide cost-effective nursing services within the context of people's homes
A) To protect people from harm and prevent them from re-entering the acute health care system
B) To promote,preserve,and protect the health of individuals,families,aggregates,and populations
C) To work with population groups to support them to make healthy lifestyle choices
D) To provide cost-effective nursing services within the context of people's homes
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27
An instructor is teaching a group of nursing students about the community health promotion model to guide their community assessment.What comment would indicate that further instruction is required?
A) "I can use the determinants of health with this model."
B) "I can use the primary health care principles in my practice."
C) "The web of causation will help guide my practice."
D) "This model has four health fields."
A) "I can use the determinants of health with this model."
B) "I can use the primary health care principles in my practice."
C) "The web of causation will help guide my practice."
D) "This model has four health fields."
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