NUR 388 MIDTERM EXAM 3 2026 ACCURATE
SPRING-SUMMER GUARANTEED PASS SOLVED
Test Bank with 200+ Practice Questions and
Correct Verified Answers
A nurse has invited community members to participate as full partners in creating changes to
improve the health of the community. Which of the following may be an unexpected
consequence of this action?
a. A change in the distribution or redistribution of power and influence
b. An increase in awareness of the importance of health
c. Continued ongoing interest in community health activities
d. Improved family functioning and involvement in health activities
A change in the distribution or redistribution of power and influence
Collaborative practice models involving the community and nurses in joint decision-making and
specific nursing roles are required. Nurses must remember that collaboration means shared
roles and a cooperative effort in which participants want to work together. These participants
must see themselves as part of a group effort and share in the process, beginning with planning
and including decision-making. This means sharing not only the power but also the
responsibility for the outcomes of the intervention. By having the community members
involved in creating the health change, it is likely they will have an increased awareness of the
importance of health, an ongoing interest in the health of the community. These things should
occur because the community is more educated about its health because of its involvement.
Being involved will not necessarily result in improved family functioning, so this consequence
will most likely not occur.
During the assessment phase, the nurse compiles and interprets available data and draws
conclusions as to the community's strengths and concerns. Which of the following best
describes why the nurse would also conduct interviews with key informants?
a. To ensure that others agree with the nurse's plans for interventions
b. To confirm the nurse's initial findings and conclusions
c. To encourage community partners to feel they "own" the data
1
,d. To generate non-statistical data such as values, beliefs, and perceived needs
To generate non-statistical data such as values, beliefs, and perceived needs
Data generation is the process of developing data that do not already exist, through interaction
with community members, individuals, families, or groups. Such information might include the
community's knowledge and beliefs, values and sentiments, and goals and perceived needs.
Such data are collected by interviews and observation. Interviews with key informants provide
data; the purpose is not to ensure agreement with the nurse's plan or confirm findings. The key
informants are formal or informal leaders within the community, and although they may have
information to share about the community, it may not be important that they feel that they
"own" the data
A nurse just accepted a position in community health and has been assigned to a neighborhood
very close to where she lives. Which of the following best describes the rationale for this
assignment?
a. To allow participant observation by the nurse
b. To ensure that the nurse would care about her intervention outcomes
c. To maximize convenience and minimize commuting time for the nurse
d. To save gasoline in these difficult economic times
To allow participant observation by the nurse
Such an assignment allows for participant observation or the deliberate sharing in the life of a
community. If the nurse lives in the community, activities such as participating in clinical
organizations and church life and reading the newspaper give the nurse "observations" of the
community's life. The nurse should care about the interventions that are performed regardless
of where the nurse lives. The priority is that the nurse is knowledgeable of and can observe the
community, the assignment does not have to do with the convenience of the nurse.
A community health nurse drives through an assigned community before visiting the
community groups scheduled for the day. The nurse then drives through the community again
that evening before going home. Which of the following best describes the nurse's reason for
driving through the community twice in the same day?
a. On the second trip, the nurse can carefully confirm the results of the first assessment.
b. Repeating the experience ensures that the nurse absorbed all the relevant details.
2
,c. Driving through twice allows the nurse to see the community when many residents are at
work or at school and then again when most are at home.
d. When leaving in the evening, the nurse has more time to write down the results of the earlier
assessment.
Driving through twice allows the nurse to see the community when many residents are at work
or at school and then again when most are at home.
When doing a windshield survey as part of community assessment, the nurse should observe
two times: one during the day when people are at work and children are at school and a second
time in the evening after work is done and school is out. It is likely that different things are
occurring in the community when the nurse drives through the community at different times.
Therefore, it is likely that the nurse will learn more about the community by doing this and not
necessarily confirm previous findings. If the nurse was interested in writing down the results of
the findings, the nurse could use public transportation or ride in a car with another nurse
driving for more efficient documentation of her findings; this would not necessarily occur by
the nurse driving through the community in the evening.
Before beginning to survey the community to assess its health needs and strengths, the nurse
reviews various documents, including local statistical data and the minutes of the previous
meeting of the health care agency. Which of the following best explains why the nurse would
start with this activity?
a. To avoid confronting the community until the nurse is thoroughly oriented
b. To become familiar with previous goals and priorities of the agency
c. To help get a better understanding of the assigned community
d. To save time and effort and perhaps have new insights
To save time and effort and perhaps have new insights
The nurse uses previously gathered data because it saves time and effort. Many sources of data
are readily available and useful for secondary analysis. Being familiar with the community
before the assessment is important; however, being thoroughly oriented is not necessary. The
nurse should become familiar with the community, not the goals and priorities of the agency. It
is helpful for the nurse to better understand the community, but the main reason is to save
time and avoid duplication of data that may already exist.
A new nurse is overwhelmed with the needs of the community. Which of the following should
be the first priority of the nurse?
3
, a. A problem that affects the most disadvantaged residents in the community
b. A problem that is very easy and inexpensive to address
c. A problem that is of high concern to the community
d. A problem in an area in which the nurse has a great deal of expertise
A problem that is of high concern to the community
Choice of priority must depend on the community's awareness of the problem—and their
motivation to improve it. Other bases for choosing include determining which individuals would
be most affected, what benefits to the community would result, what might happen if the
problem is not resolved, how much it might cost to address the problem, and how much
support for or opposition to the problem seem likely based on community values and priorities.
Rather than examining the issues from the perspective of the most disadvantaged residents,
the nurse should look at the problem which affects most individuals in the community who may
or may not be disadvantaged. The cost of the problem will need to be addressed, but if the
problem is not a priority to the community, the agency may be wasting money addressing a
problem that the community does not care to solve. If the nurse is unfamiliar with interventions
to solve the problem, the nurse should collaborate with others to solve the problem. The
priority should be the needs of the community, not the needs of the nurse.
Which of the following objectives is most appropriate for the development of a community-
oriented nursing care plan?
a. All monitored patients will receive abortive therapy for lethal dysrhythmias within 3 minutes
of dysrhythmia recognition.
b. Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the
end of class.
c. 95% of children will be immunized by 1 year of age.
d. There will be a 25% reduction in health disparities by 2015.
Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the end
of class.
Objectives must be precise, behaviorally stated, and measurable. The response that describes
mothers receiving nutrition counseling represents a specific, measureable behavior as an
objective. Treatment in an acute care setting is not part of a community-oriented care plan. The
objective that 95% of children will be immunized by 1 year does not precisely state which
children (in a county? in the country?) and does not state which immunizations. (Some are not
4
SPRING-SUMMER GUARANTEED PASS SOLVED
Test Bank with 200+ Practice Questions and
Correct Verified Answers
A nurse has invited community members to participate as full partners in creating changes to
improve the health of the community. Which of the following may be an unexpected
consequence of this action?
a. A change in the distribution or redistribution of power and influence
b. An increase in awareness of the importance of health
c. Continued ongoing interest in community health activities
d. Improved family functioning and involvement in health activities
A change in the distribution or redistribution of power and influence
Collaborative practice models involving the community and nurses in joint decision-making and
specific nursing roles are required. Nurses must remember that collaboration means shared
roles and a cooperative effort in which participants want to work together. These participants
must see themselves as part of a group effort and share in the process, beginning with planning
and including decision-making. This means sharing not only the power but also the
responsibility for the outcomes of the intervention. By having the community members
involved in creating the health change, it is likely they will have an increased awareness of the
importance of health, an ongoing interest in the health of the community. These things should
occur because the community is more educated about its health because of its involvement.
Being involved will not necessarily result in improved family functioning, so this consequence
will most likely not occur.
During the assessment phase, the nurse compiles and interprets available data and draws
conclusions as to the community's strengths and concerns. Which of the following best
describes why the nurse would also conduct interviews with key informants?
a. To ensure that others agree with the nurse's plans for interventions
b. To confirm the nurse's initial findings and conclusions
c. To encourage community partners to feel they "own" the data
1
,d. To generate non-statistical data such as values, beliefs, and perceived needs
To generate non-statistical data such as values, beliefs, and perceived needs
Data generation is the process of developing data that do not already exist, through interaction
with community members, individuals, families, or groups. Such information might include the
community's knowledge and beliefs, values and sentiments, and goals and perceived needs.
Such data are collected by interviews and observation. Interviews with key informants provide
data; the purpose is not to ensure agreement with the nurse's plan or confirm findings. The key
informants are formal or informal leaders within the community, and although they may have
information to share about the community, it may not be important that they feel that they
"own" the data
A nurse just accepted a position in community health and has been assigned to a neighborhood
very close to where she lives. Which of the following best describes the rationale for this
assignment?
a. To allow participant observation by the nurse
b. To ensure that the nurse would care about her intervention outcomes
c. To maximize convenience and minimize commuting time for the nurse
d. To save gasoline in these difficult economic times
To allow participant observation by the nurse
Such an assignment allows for participant observation or the deliberate sharing in the life of a
community. If the nurse lives in the community, activities such as participating in clinical
organizations and church life and reading the newspaper give the nurse "observations" of the
community's life. The nurse should care about the interventions that are performed regardless
of where the nurse lives. The priority is that the nurse is knowledgeable of and can observe the
community, the assignment does not have to do with the convenience of the nurse.
A community health nurse drives through an assigned community before visiting the
community groups scheduled for the day. The nurse then drives through the community again
that evening before going home. Which of the following best describes the nurse's reason for
driving through the community twice in the same day?
a. On the second trip, the nurse can carefully confirm the results of the first assessment.
b. Repeating the experience ensures that the nurse absorbed all the relevant details.
2
,c. Driving through twice allows the nurse to see the community when many residents are at
work or at school and then again when most are at home.
d. When leaving in the evening, the nurse has more time to write down the results of the earlier
assessment.
Driving through twice allows the nurse to see the community when many residents are at work
or at school and then again when most are at home.
When doing a windshield survey as part of community assessment, the nurse should observe
two times: one during the day when people are at work and children are at school and a second
time in the evening after work is done and school is out. It is likely that different things are
occurring in the community when the nurse drives through the community at different times.
Therefore, it is likely that the nurse will learn more about the community by doing this and not
necessarily confirm previous findings. If the nurse was interested in writing down the results of
the findings, the nurse could use public transportation or ride in a car with another nurse
driving for more efficient documentation of her findings; this would not necessarily occur by
the nurse driving through the community in the evening.
Before beginning to survey the community to assess its health needs and strengths, the nurse
reviews various documents, including local statistical data and the minutes of the previous
meeting of the health care agency. Which of the following best explains why the nurse would
start with this activity?
a. To avoid confronting the community until the nurse is thoroughly oriented
b. To become familiar with previous goals and priorities of the agency
c. To help get a better understanding of the assigned community
d. To save time and effort and perhaps have new insights
To save time and effort and perhaps have new insights
The nurse uses previously gathered data because it saves time and effort. Many sources of data
are readily available and useful for secondary analysis. Being familiar with the community
before the assessment is important; however, being thoroughly oriented is not necessary. The
nurse should become familiar with the community, not the goals and priorities of the agency. It
is helpful for the nurse to better understand the community, but the main reason is to save
time and avoid duplication of data that may already exist.
A new nurse is overwhelmed with the needs of the community. Which of the following should
be the first priority of the nurse?
3
, a. A problem that affects the most disadvantaged residents in the community
b. A problem that is very easy and inexpensive to address
c. A problem that is of high concern to the community
d. A problem in an area in which the nurse has a great deal of expertise
A problem that is of high concern to the community
Choice of priority must depend on the community's awareness of the problem—and their
motivation to improve it. Other bases for choosing include determining which individuals would
be most affected, what benefits to the community would result, what might happen if the
problem is not resolved, how much it might cost to address the problem, and how much
support for or opposition to the problem seem likely based on community values and priorities.
Rather than examining the issues from the perspective of the most disadvantaged residents,
the nurse should look at the problem which affects most individuals in the community who may
or may not be disadvantaged. The cost of the problem will need to be addressed, but if the
problem is not a priority to the community, the agency may be wasting money addressing a
problem that the community does not care to solve. If the nurse is unfamiliar with interventions
to solve the problem, the nurse should collaborate with others to solve the problem. The
priority should be the needs of the community, not the needs of the nurse.
Which of the following objectives is most appropriate for the development of a community-
oriented nursing care plan?
a. All monitored patients will receive abortive therapy for lethal dysrhythmias within 3 minutes
of dysrhythmia recognition.
b. Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the
end of class.
c. 95% of children will be immunized by 1 year of age.
d. There will be a 25% reduction in health disparities by 2015.
Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the end
of class.
Objectives must be precise, behaviorally stated, and measurable. The response that describes
mothers receiving nutrition counseling represents a specific, measureable behavior as an
objective. Treatment in an acute care setting is not part of a community-oriented care plan. The
objective that 95% of children will be immunized by 1 year does not precisely state which
children (in a county? in the country?) and does not state which immunizations. (Some are not
4
