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A nurse is practicing in the community but also has the community as the target of practice.
Which of the following best describes the activities of this nurse?
a. Providing care to an active caseload of 50 families in the neighborhood
b. Inviting all the parents of asthmatic children in the school to meet together for mutual
support
c. Sharing assessment findings and health goals with every community group that will listen
d. Writing articles for the local newspaper highlighting the various programs and services of the
local health department
c. Sharing assessment findings and health goals with every community group that will listen
Persons often point out that smokers choose to light their cigarettes; alcoholics lift the glass to
their mouth, and drug addicts inject or ingest their drugs. Which of the following statements
best describes why nurses don't simply focus on helping persons who engage in poor health
behaviors to behave appropriately?
a. Addicts don't have the willpower to change their behavior.
b. It is too rewarding to continue the behavior for a person to be able to change.
c. Laws and policies must reward good healthy behaviors and punish unhealthy behaviors to
help individuals recognize the importance of change.
d. Society must offer healthy choices, offer support, and practice helpful policies.
d. Society must offer healthy choices, offer support, and practice helpful policies.
A nurse is focusing on the process dimension of a community's health. Which of the following
interventions will the nurse most likely implement?
a. Assessing the health care services available in a community
b. Establishing screening programs to diagnose diseases as early as possible so that the
treatment can begin
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,c. Implementing health promotion activities such as education programs
d. Planning for new programs to be developed based on identified needs
c. Implementing health promotion activities such as education programs
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. A change in the distribution or redistribution of power and influence
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
d. To generate non-statistical data such as values, beliefs, and perceived needs
d. To generate non-statistical data such as values, beliefs, and perceived needs
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
a. To allow participant observation by 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
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,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.
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.
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.
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
d. To save time and effort and perhaps have new insights
A new nurse is overwhelmed with the needs of the community. Which of the following should
be the first priority of the nurse?
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
c. A problem that is of high concern to the community
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.
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, 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.
b. Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the
end of class.
During which of the following activities is the nurse in community health acting as a partner in
change?
a. Administering vaccinations to preschoolers
b. Analyzing community problems to determine the best interventions
c. Establishing an elder-care center for older adults living with family members who work
d. Teaching anger management skills to a group of teens in a halfway house
d. Teaching anger management skills to a group of teens in a halfway house
A nurse is assessing a community's openness to change. Which of the following variables
indicate that the community is ready?
a. Commitment to current processes and policies
b. High socioeconomic status in the community as a whole
c. Long history of dependence on the community health agency and its staff
d. Minimal level of social participation by community members
b. High socioeconomic status in the community as a whole
A nurse is working toward an objective to "increase to at least 90% the proportion of all
pregnant women who receive first trimester prenatal care." During which of the following
phases of the nursing process would determination of the objective occur?
a. Assessment phase
b. Planning phase
c. Implementation phase
d. Evaluation phase
b. Planning phase
A nurse is assessing the status of a community's health. Which of the following will the nurse
examine?
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