Additional Q's from Quizlet Flashcards
Change for the community as client must often occur at several levels because:
a. Health problems caused by lifestyle are multidimensional.
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.
a. Health problems caused by lifestyle are multidimensional.
Because health problems caused by lifestyle cannot be solved simply by asking individuals to choose healthy habits, change for the community client must often take place at several levels.
A nurse cares for the community as the client when focusing on:
a. Providing care for aggregates living in the community
b. The collective good of the population
c. The provision of care for families in the home setting
d. Providing health education in the community
b. The collective good of the population
The community is considered the client when the nursing focus is on the collective good of the population. Providing education is one way the nurse can care for the community as the client; however, the focus of nursing care is larger in scope than only education.
A collection of individuals who have in common one or more personal or environmental characteristics is the definition of a(n):
a. Community
b. Group
c. Family
d. Aggregate
d. Aggregate
An aggregate is a collection of individuals who have one or more personal or environmental characteristics in common.
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
c. People, place, and functions
The people are community members or residents; place refers to geographic and time dimensions; and function refers to the aims and activities of the community.
A group of nursing students forms a student nursing association to provide support while they are enrolled in a nursing program. This is known as a community of:
a. Place
b. Special interest
c. Problem ecology
d. Function
b. Special interest
A community of special interest brings members together with common concerns and interests.
A public health nurse is collecting data about the biological aspects of community health. What data will the nurse collect?
a. Race/ethnicity
b. Traditional morbidity and mortality rates
c. Policy making and social change
d. Homicide rates
b. Traditional morbidity and mortality rates
Biological community health is often measured by traditional morbidity and mortality rates, which can be found in The Morbidity and Mortality Weekly Report.
A community that has residents who are very involved in its activities and encourage activities that promote the health of the community displays which condition of community competence?
a. Commitment
b. Participation
c. Articulateness
d. Effective communication
b. Participation
Participation is an essential condition of community competence defined by active, community-oriented involvement.
Which data source provides information about the function of the community?
a. Maps
b. Census data
c. State departments, business and labor, local library
d. Civic groups
c. State departments, business and labor, local library
Function relates to production, distribution, and consumption of goods and services.
Which characteristic is an indicator of community health process?
a. Participation and community action
b. Live birth rate
c. Racial distribution
d. Socioeconomic levels
a. Participation and community action
Participation and community action are indicators of community health process.
A community that demonstrates commitment would most likely support the development of a:
a. Community club to facilitate community involvement
b. Childrens recreation program
c. Curb-side recycling program and community-based education about recycling
d. Cooperative agreement with a neighboring city to share needed services
c. Curb-side recycling program and community-based education about recycling
The commitment condition of community competence defined by Cottrell refers to the affective and cognitive attachment to a community, that is worthy of substantial effort to sustain and enhance. Creating a recycling program as well as associated education enhances both the cognitive and affective domains of the community.
The main characteristics of partnership are:
a. Awareness, flexibility, and distribution of power
b. Rights, responsibilities, and consensus
c. Commitment, participation, and articulation
d. Collaboration, advocacy, and utility
a. Awareness, flexibility, and distribution of power
The main characteristics of partnership are being informed, flexibility, and negotiated distribution of power
When completing a community assessment, the nurse will:
a. Identify community needs and clarify problems.
b. Determine the weaknesses of a community.
c. Perform the core functions of public health nursing.
d. Assess individual needs within a community.
a. Identify community needs and clarify problems.
In a community assessment, one of the core functions is a logical, systematic approach to identifying community needs, clarifying problems, and identifying community strengths and resources.
When a nurse focuses intervention strategies on the structural dimension of community health, they are directed toward:
a. Health services
b. Primary prevention
c. Health promotion
d. Secondary prevention
a. Health services
Intervention strategies include service use patterns, treatment data from various health agencies, and provider/client ratios.
Which characteristic is an indicator of community health structure?
a. Infant mortality rate
b. Effective communication
c. Crime rate
d. Emergency room utilization
d. Emergency room utilization
The structure of the community is defined in terms of services and resources.
After identifying the boundaries of a community, what is the next step the nurse should take in completing a community assessment?
a. Gather relevant existing data and generating missing data.
b. Plan interventions that benefit the entire community.
c. Formulate nursing diagnoses.
d. Evaluate the interventions that were used.
a. Gather relevant existing data and generating missing data.
Community assessment includes gathering relevant existing data and generating missing data.
What intervention would be the most appropriate for the nurse to use when trying to develop community partnerships?
a. Involve only the community residents.
b. Use nurses as the source of information and leadership.
c. Rely on the power of local officials.
d. Include a variety of disciplines.
d. Include a variety of disciplines.
Community partnerships occur when community residents and health workers come from a variety of disciplines.
When writing a community-level diagnosis, Among refers to the:
a. Specific problem or health risk faced by the community
b. Characteristics of the community
c. Community client experiencing the risk or problem
d. Likelihood that the problem will be solved
c. Community client experiencing the risk or problem
Among identifies the specific community client with whom the nurse will be working to address the identified problem.
Which nursing diagnosis is written at the community-level?
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
b. Risk of obesity among school-age children related to lack of opportunities to engage in physical activity
There are three parts: risk of, among, and related to. 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.
A nurse surveys the school nurses in a community to determine their roles in the schools because this data is not available. The nurse is engaging in the process of data:
a. Collection
b. Gathering
c. Generation
d. Interpretation
c. Generation
Data generation is the process of developing data that do not already exist by interacting with community members or groups. This data includes information about a communitys knowledge and beliefs, values and sentiments, goals and perceived needs, norms, problem-solving processes, power, leadership, and influence structures.
A nurse schedules an appointment with a physician who has a practice in the community to learn more about the communitys beliefs regarding childhood immunizations. This is known as:
a. Informant interview
b. Participant observation
c. Secondary analysis
d. Windshield survey
a. Informant interview
An informant interview is a method of community data collection that involves directed conversation with selected community members.
When conducting informant interviews in a small community, the nurse would most likely contact:
a. The state department of health for death records
b. A local priest for congregation information
c. Surrounding communities for crime comparison
d. The Centers for Disease Control and Prevention (CDC) for illnesses in the area
b. A local priest for congregation information
Informant interviews are methods of directly collecting data. County health department nurses and church officials are often good key informants.
A nurse collects data about seat belt usage by interviewing key informants and observing behaviors in the community. What type of data is being collected?
a. Quantitative
b. Qualitative
c. Focus-groups
d. Survey
b. Qualitative
Qualitative data is collected through interviews and observation.
A nurse who reads the local community newspaper is using which method to gather data about the community?
a. Informant interview
b. Survey
c. Participant observation
d. Windshield survey
c. Participant observation
The nurse is deliberately sharing in the life of the community.
Which method of data collection is being used as a nurse gathers information about the condition of homes, size of lots, neighborhood hangouts, road conditions, and modes of transportation?
a. Participant observation
b. Windshield survey
c. Survey
d. Informant interviews
b. Windshield survey
Windshield surveys are the motorized equivalent of simple observation.
