COMMUNITYChapter7 Flashcards
Which best describes what Lillian Wald suggested in regards to providing care to individuals and families?
a. Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families.
b. Public health nurses should focus on providing care in the client’s home.
c. Public health nurses should recognize the larger social and economic forces that the family cannot control.
d. Public health nurses should try to understand that educating clients on how to stay healthy is the nurse’s primary responsibility.
C
Which best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals?
a. As nurses travel to meet with clients, they must know the community to find the client’s residence.
b. On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform.
c. Community health nurses are expected to have information about the community to share with individual clients.
d. Individuals and families are strongly influenced by the community and environment around them.
D
Which best describes how the Health Planning Model for care of aggregates differs from the customary nursing process applied to the care of an individual?
a. The nurse must be aware of age, gender, race, ethnic group, religion, educational background, occupation, and marital status of the aggregate.
b. The nurse must first decide on and define the aggregate to receive care.
c. The nurse must determine how best to ensure that each participant receives an equal number of services.
d. The nurse must choose which health care need should have first priority.
B
A nurse is using a systems framework when caring for individuals, families, and aggregates in the community. Which best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual?
a. Ability to communicate clearly with the client
b. Analyzing power and decision-making within the system
c. Defining the system’s structure and functions
d. Recognizing the system’s goals
B
A nurse is caring for an aggregate as his or her client. Which task would the nurse complete first?
a. Determine the setting of the aggregate.
b. Gain access into the aggregate.
c. Identify the nurse’s own strengths and preferences.
d. Review the resources available to use in the community.
C
A nurse decided that a high-risk aggregate most needed education about diabetes. Which would be the best approach when teaching the group?
a. Involve participants in small group activities applying the information.
b. Organize the information into a visual presentation such as a PowerPoint presentation.
c. Share the nurse’s expertise directly with the group at a meeting for that purpose.
d. Use handouts and pamphlets with pictures consistent with the local cultural
groups throughout.
A
A community health nurse has determined that the number one priority is to help families in which one member has diabetes. Which action would be most appropriate to maximize services to persons with diabetes?
a. Ask friends with diabetes about what services they want improved.
b. Duplicate the diabetic organization’s services, because not all patients with diabetes have yet received services.
c. Meet with the diabetic organization to see how the public health department can augment what it is offering.
d. Submit a request for funding so that the public health department can also offer services to patients with diabetes.
C
A nurse is determining the needs of a selected aggregate. Eight percent of the aggregate has diabetes. Which best describes the action that should be taken next to determine if this should be a priority?
a. Ask the American Diabetes Association if 8% is a worrisome rate.
b. Discuss the findings with the head of the public health department.
c. Review the literature to determine the national and state diabetic rate.
d. Determine what the aggregate’s diabetic rate has been in the past.
C
A nurse has assessed an aggregate, determined the priority health needs, and decided on what intervention to offer. Which will best determine if the intervention will be successful?
a. Accuracy of the nurse’s assessment
b. Careful planning and implementation of the intervention
c. Determination of the aggregate’s perspective of the need for the intervention
d. Selection of appropriate evaluation measures both in process and on completion
C
Which action must a nurse take to be successful in addition to the typical assessment, diagnosing, and planning directly related to the intervention project?
a. Advocate for community empowerment throughout the process.
b. Choose superb people to implement the plan.
c. Confirm administrative support throughout the project.
d. Continue to assess both barriers and resources throughout the project.
A
A nurse found that several professionals resented time spent interacting with and teaching clients. Which describes the most likely underlying motivation for resisting client involvement?
a. Believing that people could change their lives if they really wanted to do so.
b. Empowering others shifts power from the experts to the community.
c. It is more efficient to plan appropriate care without listening to client ideas.
d. Longtime experience with community members has led to disillusionment.
B
A nurse assessed carefully and created a comprehensive intervention plan including primary, secondary, and tertiary care for individuals and families. Which factor may the nurse have overlooked?
a. Are other staff members interested in such a project?
b. Are there adequate resources for such a project?
c. Is there support from the administration for the project?
d. Does the nurse have adequate energy and time for such a project?
B
Which must be created before establishing the evaluation plan for a health project?
a. A clear set of both short-term and long-term goals
b. Decision as to who will collect the evaluation data
c. Observable and measurable objectives
d. Setting up a computer program to analyze the evaluation data
C
A nurse had all the details carefully arranged for a project: location, speaker, seating arrangement, refreshments, handouts, visual aids, and students to distribute and collect evaluation sheets. Which aspect of the project may be a problem?
a. The administrator’s greetings went over time.
b. The environment was so comfortable that no one listened to the presentation.
c. Something totally unexpected and unplanned for happened.
d. A student lost the evaluation sheets.
C
A nurse starts to collect evaluative data for a major health project one month after it starts. Which best describes the purpose of this data collection?
a. Filling out the forms helps the aggregate feel involved in the process.
b. Formative evaluation allows the nurse to make changes if needed.
c. Funding agencies require ongoing evaluations to continue contributing.
d. The nurse needed to know if the desired outcomes were being achieved.
B
