week 2: chapter 13

Question 1

What is the best definition of a community?
a. A random group of people
b. Members of an extended family living within the province
c. All the seniors living within the same province
d. Students at a college

Answer 1

d. students at a college

Question 2

What is included in community dynamics?
a. Decision-making
b. Community history
c. Geographical boundaries
d. Community centres

Answer 2

a. decision-making

Question 3

What is included in a healthy community process?
a. Involvement by selected sectors of the community
b. Participation from formal leaders
c. Access to health care
d. Support from the mayor and council

Answer 3

d. support from the mayor and council

Question 4

How does a nurse assess lines of resistance in a community?
a. Facilitating the community’s buffer zone
b. Analyzing the community’s tension-producing stimuli
c. Collecting information about the community’s strengths
d. Observing the community’s normal state of health

Answer 4

c. collecting information about the community’s strengths

Question 5

A nurse is conducting a windshield survey. What activity is part of the windshield survey?
a. Distributing a comprehensive needs assessment survey throughout the community
b. Driving through the community’s main street on her way home
c. Asking residents what they think of their neighbourhood
d. Using the five senses to get a picture of the overall community environment

Answer 5

d. Using the five senses to get a picture of the overall community environment

Question 6

What is the best way for a nurse to conduct an assessment of an aggregate community?
a. Meet residents at a seniors’ complex
b. Survey adults who ride the transit system to work
c. Observe children at a local playground
d. Interview members of the high school debate team

Answer 6

b. Survey adults who ride the transit system to work

Question 7

A nurse works in a community with political boundaries. What is most likely to define the community’s boundaries?
a. The river that runs through the town
b. The mountains east of the town
c. The shape of the valley
d. The catchment area for the local schools

Answer 7

d. The catchment area for the local schools

Question 8

A nurse is collecting qualitative data as part of a community assessment. What is the nurse most likely to be doing?
a. Conducting a public meeting
b. Reviewing data in a birth registry
c. Distributing a multiple-choice questionnaire
d. Generating files of statistical data

Answer 8

a. conducting a public meeting

Question 9

What is a disadvantage of a community forum? a. Produces one-way dialogue on issues
b. Everyone who attends has to participate
c. A few people may dominate the discussion d. Relatively inexpensive to plan

Answer 9

c. A few people may dominate the discussion

Question 10

A group of nurses feel overwhelmed as they conduct their community assessment. What would be important in helping them continue with their work?
a. Spend more time collecting data from new sources
b. Determine what their outcomes are going to be
c. Use several more methods to collect data
d. Focus on the purpose of the assessment

Answer 10

d. Focus on the purpose of the assessment

Question 11

A group of nurses are using a population health approach in a community project. What is an example of this approach?
a. Trying to reduce inequalities in health between population groups
b. Improving health access for mothers who live east of town
c. Working to treat illness in selected groups
d. Addressing only factors that affect the health of preschool children

Answer 11

a. Trying to reduce inequalities in health between population groups

Question 12

Where is the best place for a nurse to look for Canadian population health indicators?
a. Nursing journals
b. Canadian Institute of Health website
c. Statistics Canada
d. Books in the university library

Answer 12

b. Canadian Institute of Health website

Question 13

Mr. Yeung, 44 years old, is concerned with his psychosocial risk factors for heart disease. What would the nurse want to address with Mr. Yeung?
a. Smoking patterns
b. Family history
c. Age and gender
d. Cultural beliefs about nutrition

Answer 13

d. Cultural beliefs about nutrition

Question 14

What will a nurse do when analyzing community data?
a. Collect information on a survey
b. Assess the effectiveness of the data collection
c. Use inferences to categorize data
d. Compare summarized data with related sources

Answer 14

d. Compare summarized data with related sources

Question 15

A nurse is writing a community health nursing diagnosis. What statement is the nurse most likely to use?
a. Potential for improvement within the family unit
b. Individual knowledge deficit about nutrition
c. High school students’ risky behaviours
d. As evidenced by self-reporting information from the parents

Answer 15

c. High school students’ risky behaviours

Question 16

A nurse asks participants to discuss what they perceive to be the most important health problem in their community. What community participatory tool has the nurse used?
a. Web of causation
b. Community mapping
c. Community needs matrix
d. Present-future drawing

Answer 16

c. community needs matrix

Question 17

Which of the following represents a step in community program evaluation?
a. Engage stakeholders throughout the process
b. Plan the evaluation once the program is implemented
c. Provide the rationale for the assessment
d. Identify governance and politics

Answer 17

a. engage stakeholders throughout the process

Question 18

A nurse is asked about the goal of community health nursing. What would be the best response?
a. To protect people from harm and prevent them from re-entering the acute health care system
b. To promote, preserve, and protect the health of individuals, families, aggregates, and populations
c. To work with population groups to support them to make healthy lifestyle choices
d. To provide cost-effective nursing services within the context of people’s homes

Answer 18

b. To promote, preserve, and protect the health of individuals, families, aggregates, and populations

Question 19

What is the core of a community?
a. The people
b. The community health nurse
c. The hospital
d. The geographical centre

Answer 19

a. The people

Question 20

Which of the following is true about the community health promotion model?
a. It applies individual health promotion strategies to achieve commuity actions
b. It incorporates strategies from Newmans model to guide community planning
c. It uses a biologic approach to promote the health of the population
d. The nursing process and primary health care are an integral part of the model

Answer 20

d. The nursing process and primary health care are an integral part of the model

Question 21

A nurse is conducting a community assessment of a large northern city. What should the nurse assess in the physical environment?
a. High unemployment rates
b. Limited access to transportation
c. Mercury poisoning of the fish
d. Decreased literacy rates

Answer 21

c. Mercury poisoning of the fish

Question 22

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. How might the nurse collect quantitative data on the community?
a. Talk to the community leaders
b. Review public health records
c. Drive around the community
d. Hold a focus group meeting

Answer 22

b. Review public health records

Question 23

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. What is the best way for the nurse to engage key stakeholders in identifying the cause of the increased rate of STIs?
a. Hold small focus group meetings in the high school
b. Hold a community forum open to all taxpayers
c. Meet with the formal leaders in the community
d. Send a survey to the parent of adolescents

Answer 23

a. Hold small focus group meetings in the high school

Question 24

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. A nurse does a risk assessment of the community. What will this identify?
a. The incidence of STIs in the community
b. Location of condom machines
c. Behaviours that place the adolescents at risk
d. The organism causing the increase in STIs

Answer 24

c. Behaviours that place the adolescents at risk

Question 25

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. A nurse wants to plan strategies to reduce the incidence of STIs. What approach would increase community participation?
a. Ask the stakeholders what is the priority need
b. Ask the community formal leaders to provide input
c. Develop a curriculum for teachers on STI prevention
d. Teach the adolescents about safe sex

Answer 25

a. Ask the stakeholders what is the priority need