Chapter 9 Flashcards
During which phase would the community health nurse (CHN) determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?
a. Assessment phase
b. Planning phase
c. Implementation phase
d. Evaluation phase
d. Evaluation phase
When involving the community–client as partner, during which phase does data collection take place to determine the community’s health and structure?
a. Assessment phase
b. Planning phase
c. Implementation phase
d. Evaluation phase
a. Assessment phase
Which objective is most appropriate for developing a community health nursing process?
a. All monitored clients will receive abortion therapy within 3 minutes following recognition of lethal dysrhythmia.
b. Of mothers receiving nutrition counselling, 80% will identify five sources of calcium by the end of class.
c. At least 95% of children will be immunized by the age of 1 year.
d. There will be a 25% reduction in health disparities by 2015.
b. Of mothers receiving nutrition counselling, 80% will identify five sources of calcium by the end of class.
Option B is an example of a S.M.A.R.T. goal, which stands for:
• Specific – It clearly identifies who (mothers receiving nutrition counseling), what (identify five sources of calcium), and when (by the end of class).
• Measurable – The goal includes a quantifiable target: 80% of participants and five sources of calcium.
• Achievable – The goal is realistic within the context of a nutrition counseling session.
• Relevant – It aligns with community health nursing by focusing on nutrition education.
• Time-bound – It includes a deadline: by the end of class.
Which measure of community health will be examined by the community health nurse (CHN) who wishes to assess the status of a community’s health?
a. Community awareness
b. Health facilities
c. Health care manpower
d. Vital statistics
d. Vital statistics
Vital statistics are the official records of life events in a population. We’re talking about things like:
• Birth rates (How many humans decided to show up)
• Death rates (How many humans decided to check out)
• Marriage and divorce rates (How many humans thought love was a good idea and then thought better of it)
• Fetal deaths, infant mortality, life expectancy, and all the other cheery stats that make epidemiologists giddy.
These numbers help health officials and community health nurses track the actual state of a population’s health, rather than relying on vibes or Karen’s opinion at the town hall meeting
Which measure of community health will be examined by the community health nurse (CHN) who wishes to assess the process of community health?
a. Health resource use patterns, such as bed occupancy days and client/provider visits
b. Health risk profiles of selected aggregates
c. Incidence and prevalence of leading causes of mortality and morbidity
d. Participation of individual and group health care providers in local organizations
d. Participation of individual and group health care providers in local organizations
What is the “process” of community health?
It refers to how health services are planned, delivered, and coordinated in the community. Basically, the moving parts. The “who’s doing what, and how involved are they?” part of the system.
You’re not looking at outcomes (like who’s sick), or risk factors (like who’s about to get sick), but rather the functioning of the system and participation in it.
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So why is the correct answer D?
D. Participation of individual and group health care providers in local organizations
→ That reflects how engaged and involved health providers are in the process—collaborating, showing up, working together. It’s a process measure, not an outcome or a stat. It’s like checking the engine rather than the speedometer.
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Let’s roast the wrong answers:
• A. Health resource use patterns → Structure, not process. It tells you about facilities and tools, not people doing stuff.
• B. Health risk profiles → This is about the people, not the system. That’s a status measure.
• C. Incidence and prevalence → Pure outcome data. Very important, very not-process.
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So when they ask about “process,” just think:
“Are the people and systems doing the work actually… working together?”
If yes, you’re in process-land, population health’s most underrated vacation spot.
What is the best resource for the community health nurse (CHN) who wants information about the leading causes of morbidity and mortality in a local region of the country?
a. Hospital records and statistics
b. Online information from Statistics Canada
c. The local chamber of commerce
d. The obituary columns of local newspapers
b. Online information from Statistics Canada
What community health nursing activity demonstrates the role of a change partner?
a. Administers vaccinations to preschoolers
b. Analyzes community problems to determine the best interventions
c. Establishes a care centre for older persons living with family members who work in jobs outside the home
d. Teaches anger management skills to a group of teens in a halfway house
d. Teaches anger management skills to a group of teens in a halfway house
The correct answer is d. Teaches anger management skills to a group of teens in a halfway house because the role of a “change partner” in community health nursing involves actively engaging individuals or groups in interventions that foster behavior change and personal development.
Rationale:
• Change partners focus on facilitating behavioral transformation through education, support, and skill-building to improve individual and community health.
• Teaching anger management directly empowers teens to develop coping mechanisms, improving their ability to integrate into society positively.
• This intervention encourages self-efficacy, helping the group develop sustainable skills to manage emotions and avoid negative behaviors.
Why the Other Options Are Incorrect:
• (a) Administering vaccinations – This is a preventive care intervention, not an interactive behavior-changing strategy.
• (b) Analyzing community problems – While assessment is crucial, it does not involve direct facilitation of change but rather planning for interventions.
• (c) Establishing a care center – This involves infrastructure and service provision but does not directly engage individuals in personal behavior change.
The community health nurse (CHN) has identified that a knowledge deficit is the primary reason why new mothers in a region choose not to breastfeed and wants to determine the best strategy to implement an intervention. What should this intervention emphasize?
a. Alternate dimension
b. Process dimension
c. Status dimension
d. Structural dimension
b. Process dimension
• Process Dimension (correct answer): Focuses on education, engagement, and health promotion strategies, such as providing breastfeeding education to address knowledge deficits. • Status Dimension: Refers to health outcomes like morbidity, mortality, and disease prevalence. • Structural Dimension: Looks at healthcare resources and service availability (e.g., number of hospitals, staffing levels). • Alternate Dimension: This is not a commonly used term in public health; it may refer to a different classification system.
When assessing immigrant access to regional health care, which data collection method would best provide key information about the community?
a. Interviews with employees of the local health board
b. Informant interviews with local community members
c. Interview with a legislator or local politician
d. Interview with a public health official
b. Informant interviews with local community members
Blue
Blue
