Question 1

A nurse is assessing the safety in the community using primary data.Which of the following data would be useful for the nurse to collect? (Select all that apply.)
A) Number of billboards in the area
B) Interviews with health care providers who are familiar with the community
C) Observation of community members
D) Nurse's own observations
E) Morbidity and mortality rates

Accepted Answer

Other nurses,social workers,health care providers,community members,and the nurse's own observations are reliable sources of information about the safety of an area.The number of billboards would not be important data to collect when assessing for safety in the community.Morbidity and mortality rates would be considered secondary data.

Question 2

What is the purpose of writing a community nursing diagnosis?
A) To assist with developing the evaluation measures for program planning
B) To clearly describe the strengths and weaknesses of the community
C) To lead to the outcomes and strategies to address and improve the identified health problem
D) To increase the likelihood that the problem will be solved

Accepted Answer

The community nursing diagnosis,no matter which classification system is used,leads to expected outcomes and evidence-based health promotion strategies to address and improve the problem identified in the diagnosis.This becomes the nursing care plan.The expected outcomes and evaluations derived from the nursing diagnosis systems suggest subsequent evaluation measures for identified needs or problems.A community assessment describes the strengths and weaknesses of a community.The likelihood of solving a problem is not influenced by writing a community nursing diagnosis.

Question 3

A nurse gathers information about the condition of homes,size of lots,neighborhood hangouts,road conditions,and modes of transportation.Which method of data collection is being used?
A) Participant observation
B) Windshield survey
C) Focus group
D) Informant interviews

Accepted Answer

Windshield surveys are a method of simple observation,providing a quick overview of a community.By making observations of the community,the nurse is completing a windshield survey.Participant observation refers to the deliberate sharing in the life of a community,such as participating in a local fair or festival,or attending a political or social event.A focus group is similar to an interview in that it collects data mainly through asking open-ended questions to participants,but to a small group rather than an individual.An informant interview is a method of community data collection that involves directed conversation with selected community members.

Question 4

A nurse plans on implementing a community-wide influenza immunization program.Which of the following factors should the nurse consider when implementing this program?
A) The number of community members who have already received the immunization
B) The existence of formal groups in the community
C) Public policy that mandates influenza immunization for certain populations
D) The community's readiness to participate in the program

Accepted Answer

The factors that influence implementation in the community are the nurse's chosen roles,the type of health problem selected as the focus for intervention,the community's readiness to take part in problem solving,and characteristics of the social change process.The community's readiness to participate is more important than public policy,the existence of formal groups in the community,and the number of community members who have already received the vaccine.

Question 5

A nurse analyzes data from minutes at a community meeting when completing a community assessment.Which of the following methods of data collection is being used?
A) Secondary data
B) Informant interviews
C) Primary data
D) Windshield survey

Accepted Answer

Secondary sources include published data about the community.The data is secondary because it is collected by someone else.An informant interview is a method of community data collection that involves directed conversation with selected community members.Primary data includes using informant interviews,focus groups,and participant observation in order to collect information about a community.Windshield surveys are a method of simple observation,providing a quick overview of a community.

Question 6

A nurse is using health status indicators to complete a community assessment.Which of the following best explains what the nurse is doing?
A) Interviewing key informants in the community
B) Examining morbidity and mortality rates in the community
C) Surveying local businesses in the community
D) Observing community members

Accepted Answer

Health indicators are numerical measures of health outcomes,such as morbidity and mortality,as well as determinants of health and population characteristics.Generally,these data are from secondary sources such as websites or printed materials.Interviewing key informants,surveying local businesses,and making observations are all methods of primary data collection.

Question 7

A nurse is trying to increase participation in a free colorectal screening program for middle-aged adults who lack health insurance.Which of the following implementation mechanism would be most effective?
A) Small interacting groups
B) Health policy
C) Lay advisors
D) Mass media

Accepted Answer

The mass media (newspapers,television,and radio)represent an impersonal and formal type of communication and are useful in providing information quickly to a large number of people.The other methods will take much longer for the information to spread to the community members.

Question 8

A nurse reads the local community newspaper to gather data about the community.Which method of data collection is being used?
A) Informant interview
B) Focus group
C) Participant observation
D) Windshield survey

Accepted Answer

Participant observation refers to the deliberate sharing in the life of a community,such as participating in a local fair or festival,or attending a political or social event.
The nurse is deliberately sharing in the life of the community by reading the newspaper.An informant interview is a method of community data collection that involves directed conversation with selected community members.A focus group is similar to an interview in that it collects data mainly through asking open-ended questions to participants,but to a small group rather than an individual.Windshield surveys are a method of simple observation,providing a quick overview of a community.

Question 9

A nurse is defining the community as part of the community assessment process.Which of the following best describes how the community may be defined? (Select all that apply.)
A) Social group determined by geographic boundaries
B) Group of people who share common values and interests
C) Group of people defined by their interactions
D) Individual with a specific health concern
E) Individuals with certain interests

Accepted Answer

Community can be defined as many things,including a social group determined by geographical boundaries,a group of people who share common values and interests,and a group of people defined by their interactions.Individuals comprise a community,but would not be an accurate definition of a community.

Question 10

A nurse is engaging in the evaluation phase of community health program planning.Which of the following would be part of effective completion of this phase?
A) Demonstrate the ability to improve the health of the participants
B) Develop measureable objectives and goals before implementation
C) Encourage full participation by community members
D) Improve the health of the population through the program

Accepted Answer

Evaluation begins in the planning phase,when goals and measurable objectives are established and goal-attaining activities are identified.After implementing the intervention,only the meeting of objectives and effects of the intervening activities have to be assessed.Participation by community members and improvement of the health of the population may be measured through the evaluation phase,but would not demonstrate completion of this phase.The evaluation phase may determine if the participants' health improved,but improvement of health is not part of the completion of this phase.

Question 11

A nurse is writing a nursing diagnosis at the community level using the North American Nursing Diagnosis Association (NANDA)system as a guide.Which of the following diagnoses would most likely be developed?
A) Risk of hypertension related to poor diet and sedentary lifestyle
B) Risk of obesity among school-age children related to lack of opportunities to engage in physical activity
C) Risk of ineffective health maintenance among individuals who do not have access to a primary care provider
D) Ineffective coping related to multiple stressors, as evidenced by client crying and stating she has no support system

Accepted Answer

There are three parts of the NANDA system: (1)identification of the problem or potential problem; (2)its relation to factors,stressors,or health issues; and (3)supporting data that documents the problem.The "risk of" identifies a specific problem or health risk faced by the community."Among" identifies the specific community client with whom the nurse will be working in relation to the identified problem or risk."Related to" describes characteristics of the community.

Quiz 18: Community as Client: Assessment and Analysis

A nurse is assessing the safety in the community using primary data.Which of the following data would be useful for the nurse to collect? (Select all that apply.)

What is the purpose of writing a community nursing diagnosis?

A nurse gathers information about the condition of homes,size of lots,neighborhood hangouts,road conditions,and modes of transportation.Which method of data collection is being used?

A nurse plans on implementing a community-wide influenza immunization program.Which of the following factors should the nurse consider when implementing this program?

A nurse analyzes data from minutes at a community meeting when completing a community assessment.Which of the following methods of data collection is being used?

A nurse is using health status indicators to complete a community assessment.Which of the following best explains what the nurse is doing?

A nurse is trying to increase participation in a free colorectal screening program for middle-aged adults who lack health insurance.Which of the following implementation mechanism would be most effective?

A nurse reads the local community newspaper to gather data about the community.Which method of data collection is being used?

A nurse is defining the community as part of the community assessment process.Which of the following best describes how the community may be defined? (Select all that apply.)

A nurse is engaging in the evaluation phase of community health program planning.Which of the following would be part of effective completion of this phase?

A nurse is writing a nursing diagnosis at the community level using the North American Nursing Diagnosis Association (NANDA) system as a guide.Which of the following diagnoses would most likely be developed?