Deck 15: Community As Client: Assessment and Analysis

Question 1

Which of the following essential conditions of community competence is defined by active, community-oriented involvement?

A) Commitment
B) Participation
C) Articulateness
D) Effective communication

Answer 1

Participation

Question 2

The community is considered the client when:

A) The location of the practice is in the community, and the focus of the practice is on the individual.
B) The nursing focus is on the collective good of the population.
C) Families are cared for in the home setting.
D) The focus of practice is on families in the community.

Answer 2

The nursing focus is on the collective good of the population.

Question 3

What are the critical attributes in the definition of community?

A) Families, groups, and health organizations
B) Health needs, geographical boundaries, and target population
C) People, place, and functions
D) Populations and health resources

Answer 3

People, place, and functions

Question 4

Community health has three common characteristics: status, structure, and process. Community health in terms of status involves biological, emotional and social parts. How is the biological part often measured?

A) Race/ethnicity
B) Traditional morbidity and mortality rates
C) Policy making and social change
D) Homicide rates

Question 5

A collection of individuals who have in common one or more personal or environmental characteristics is a definition of a/an:

A) Community
B) Group
C) Family
D) Aggregate

Question 6

If nursing intervention strategies are focused on the structural dimension, they are directed to:

A) Health services
B) Primary prevention
C) Health promotion
D) Secondary prevention

Question 7

Which of the following is an indicator of community health process?

A) Participation and community action
B) Live birth rate
C) Racial distribution
D) Socioeconomic levels

Question 8

The concept of community specified includes three dimensions: place, people or person, and function. Which of the following is an example of function?

A) Maps
B) Census data
C) State departments, business and labor, local library
D) Civic groups

Question 9

Community partnership is necessary because lay members often have a vested interest in the success of efforts to improve the health of their community. Most changes should:

A) Involve the community residents only
B) Use nurses as their source of information and leadership
C) Rely on the power of local officials
D) Include a variety of disciplines

Question 10

The North American Nursing Diagnosis Association (NANDA) provides a taxonomy of nursing diagnoses. The community-level diagnoses contain three parts. They are "risk of," "among," and "related to." "Among" refers to:

A) The specific problem or health risk faced by the community
B) The characteristics of the community
C) Identification of the specific community client with whom the nurse will be working
D) Description at the aggregate level

Question 11

Which of the following is an indicator of community health structure?

A) Infant mortality rate
B) Effective communication
C) Crime rate
D) Emergency room utilization

Question 12

The community client highlights the complexity of the change process. Change for the community client must often occur at several levels because:

A) Health problems caused by lifestyle cannot be solved by simply asking individuals to choose health-promoting habits.
B) Most individuals can change their habits alone.
C) Aggregates are responsible for social change.
D) Geographic areas often have health risks that the nurse must identify.

Question 13

The process of developing data that do not already exist through interaction with community members is called data:

A) Collection
B) Gathering
C) Generation
D) Interpretation

Question 14

Data generation is the process of developing data that do not already exist through interaction with community members or groups. Data collected by interviews and observation is called:

A) Quantitative
B) Qualitative
C) Focus-groups
D) Survey

Question 15

Community competence defined originally in a classic work by Cottrell provides a basic understanding of the process dimension of community health. There are eight essential conditions of community competence. Commitment refers to:

A) The accurate transmission of information based on the development of common meaning
B) The technical aspects of formulating and stating one's view in relation to other persons' views
C) The affective and cognitive attachment to a community
D) Adeptness at recognizing, obtaining, and using external resources

Question 16

The nursing process can be used with the community as well as with individuals. When using the first step, assessment, what steps must be taken?

A) Gathering relevant existing data and generating missing data
B) Planning interventions that benefit the entire community
C) Formulating nursing diagnoses
D) Evaluating the interventions that were used

Question 17

A group of nursing students form a student nursing association to provide support while they are enrolled in a nursing program. This type of community is known as:

A) Community of place
B) Community of special interest
C) Community of problem ecology
D) Community of political action

Question 18

The nursing process from assessment through evaluation is used to promote a community's health. The process begins with a community assessment. This entails:

A) A logical, systematic approach to identifying community needs and clarifying problems
B) Identifying the weaknesses of a community
C) Performing the core functions of public health nursing
D) Assessing individual needs within a community

Question 19

The main characteristics of partnership are:

A) Informed, flexible, and negotiated distribution of power
B) Rights, responsibilities, and consensus
C) Commitment, participation, and articulation
D) Collaboration, advocacy, and utility

Question 20

Nurses who have a community orientation have often been considered unique because of their target of practice. However, historically:

A) Nurses have always practiced in health care facilities.
B) Nursing was restricted by geographic boundaries.
C) Schools, prisons, industries, and neighborhood centers were the settings for the practice of nurses.
D) The environment for nurses was the home rather than the hospital at the turn of the century.

Question 21

The nurse wishes to conduct informant interviews in a small community. Which of the following would she be most likely to contact?

A) State department of health for death records
B) Local priest for congregation information
C) Surrounding communities for crime comparison
D) Centers for Disease Control (CDC) for illnesses in the area

Question 22

If the nurse wants to gather information such as the condition of homes, size of lots, neighborhood hangouts, road conditions, and modes of transportation, she would do which of the following?

A) Participant observation
B) Windshield survey
C) A survey
D) Informant interviews

Question 23

Effective nursing practice starts with personal safety, and this remains important throughout the process. There are three sources of information that will help answer questions about personal safety when working in a community. They include which of the following? Select all that apply.

A) Billboards in the area where the nurse is going
B) Other nurses, social workers, or health care providers who are familiar with the dynamics of a given community
C) Community members
D) The nurse's own observations

Question 24

The definitions of the meaning of community vary widely. A community may be defined as which of the following? Select all that apply.

A) A social group determined by geographic boundaries
B) A group of people who share common values and interests
C) A group of people defined by their interactions
D) An individual with a specific health concern

Question 25

Which of the following depends heavily on groups in which individuals work in the presence of one another but do not interact?

A) Delphi technique
B) Program planning model
C) Community-as-partner model
D) Community empowerment model

Question 26

The method of community data collection that involves directed conversation with selected community members is known as:

A) Informant interview
B) Participant observation
C) Secondary analysis
D) Windshield survey

Question 27

The method of community data collection in which the nurse drives in a car or rides a bus to observe dimensions of a community's life and the environment is called:

A) Informant interview
B) Participation observation
C) Secondary analysis
D) Windshield survey

Question 28

A nurse who reads the local community newspaper to gather information about the community is involved in:

A) Informant interviews
B) Surveys
C) Participant observation
D) Taking a windshield survey

Question 29

A nurse who uses data such as minutes from a community meeting is using:

A) Secondary analysis
B) Informant interviews
C) A survey
D) A windshield survey