Question 1

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

Accepted Answer

The essential condition defined by active, community-oriented involvement is participation. Commitment refers to a sense of dedication to the community, articulateness refers to the ability to express ideas clearly and effectively, and effective communication refers to the ability to communicate in a way that is clear and understandable to others. While all of these conditions are important for community competence, the one defined by active involvement is specifically participation.

Question 2

The community is considered the client when:

Accepted Answer

When the nursing focus is on the collective good of the population, the community is considered the client. This approach is often used in public health nursing where the focus is on the health of the entire community, rather than just individuals or families. Option A focuses on the individual rather than the community, option C focuses on families in the home setting rather than the community, and option D focuses on families in the community but does not necessarily prioritize the collective good of the population.

Question 3

What are the critical attributes in the definition of community?

Accepted Answer

The critical attributes in the definition of community are people (i.e., the individuals who live and work within a defined geographical area), place (i.e., the physical and social environment that shapes the lives of people in the community), and functions (i.e., the activities, services, and resources that are available within the community to meet the needs of its residents). While some of the other options listed may be relevant to understanding a community, they are not the most critical attributes in its definition.

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?

Accepted Answer

The biological part of community health status is often measured through traditional morbidity and mortality rates, such as rates of diseases, injuries and deaths within the community. This provides information on the state of the community's physical health and well-being. Choice A (race/ethnicity) is a demographic characteristic and is not specific to measuring the biological aspect of community health status. Choice C (policy making and social change) and D (homicide rates) are not specific to measuring the biological aspect of community health status.

Question 5

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

Accepted Answer

An aggregate is a collection of individuals who share one or more personal or environmental characteristics.

Question 6

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

Accepted Answer

Nursing intervention strategies focused on the structural dimension are directed towards health services, aiming to identify and address barriers to accessing healthcare, improving the quality of care, and promoting equitable distribution of healthcare resources. Examples include advocating for policy changes and collaborating with healthcare providers to improve patient outcomes. Primary prevention, health promotion, and secondary prevention are focused more on individual and community-level behaviors and actions.

Question 7

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

Accepted Answer

Participation and community action are indicators of community health process because they show how engaged and active the community is in working to improve their health outcomes. This can include participation in health promotion programs, advocacy for better healthcare policies and services, and community-led initiatives to address social determinants of health. Live birth rate, racial distribution, and socioeconomic levels are indicators of community health outcomes, rather than process.

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?

Accepted Answer

State departments, business and labor, local library are all examples of institutions or organizations with a specific function within a community. Maps and census data are more related to the place dimension, while civic groups are more related to the people/person dimension.

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:

Accepted Answer

Including a variety of disciplines in community partnerships ensures a well-rounded approach that addresses multiple aspects of community health. Nurses can be a valuable part of this partnership, but using them as the sole source of information and leadership could limit the effectiveness of the efforts. Relying solely on local officials also limits the perspective and input of community members. Therefore, involving the community residents along with various professionals from different disciplines can lead to successful community health initiatives.

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:

Accepted Answer

"Among" refers to the identification of the specific community client with whom the nurse will be working.

Question 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

The community client often faces health problems caused by lifestyle-related factors. Simply asking individuals to change their habits may not suffice, as the issue may be more complicated and require change at multiple levels.

Question 13

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

Accepted Answer

"Collection" and "Gathering" refer to obtaining data that already exists, whereas "Interpretation" is the process of making sense of and analyzing data that have already been collected. "Generation" specifically refers to the process of creating new data through interactions with community members, whether through interviews, surveys, focus groups, or other methods.

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:

Accepted Answer

Data collected by interviews and observation are typically qualitative in nature, as they involve gathering non-numerical information about people's experiences, beliefs, and perceptions. Quantitative data involves collecting numerical data through methods such as surveys or experiments, while focus groups are a specific type of qualitative research method that involve group discussions.

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:

Accepted Answer

Commitment refers to the affective and cognitive attachment to a community. It is the sense of belonging and identification with a community that motivates individuals to work towards its betterment.

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?

Accepted Answer

When using the first step, assessment, the nurse must gather relevant existing data and generate missing data. This step involves collecting information about the community's health status, demographics, and available resources. Planning interventions, formulating nursing diagnoses, and evaluating interventions come later in the nursing process.

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:

Accepted Answer

A community of special interest is a group of individuals who come together to share a common interest, passion, or activity. In this case, the nursing students have formed a student nursing association to provide support while they are enrolled in a nursing program. Therefore, the best choice is B.

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:

Accepted Answer

The community assessment is a logical and systematic approach to identify and understand community needs and problems. It involves data collection, analysis, and interpretation to get a comprehensive picture of the community's health status, resources, and assets. Identifying weaknesses alone does not provide a complete picture of the community's health. Performing the core functions of public health nursing is a broader concept that includes assessment, policy development, and assurance. Assessing individual needs is part of the assessment process but does not capture the whole picture of community health.

Question 19

The main characteristics of partnership are:

Accepted Answer

Partnerships typically involve an informed, flexible, and negotiated distribution of power among partners to ensure mutual benefit and effective collaboration.

Question 20

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

Accepted Answer

The answer of Nurses who have a community orientation have...

Quiz 15: Community As Client: Assessment and Analysis