ch 16 Questions With Certified Answers
A community/public health nurse employed by the local health department is told by the
director to engage in health planning. Which of the following actions will the nurse
perform?
a. Collecting and analyzing data
b. Serving vulnerable populations
c. Planning for health care needs of individuals
d. Applying the nursing process to community-based care - ANSWERSA
Community health planning is a continuous social process by which data about clients
are collected and analyzed for the purpose of developing a plan to generate new ideas,
meet identified client needs, solve health problems, and guide changes in health care
delivery.
The director of a public health agency suggested that the community/public health nurse
select the target population for a new program. Of the following populations, which
would be considered the target population?
a. Persons for whom the nurse is most comfortable caring
b. Persons for whom some change in health or lifestyle behaviors is desired
c. Persons eligible for care according to federal guidelines
d. Persons that can afford to pay for their care - ANSWERSB
Although clients may be chosen as recipients of care for any of the reasons listed, the
target population is typically persons for whom change in health-related behaviors is
desired whom the community/public health nurse desires change, whether in lifestyle
behaviors or health outcomes.
What was the significance of the National Health Planning and Resources Development
Act of 1974?
a. It created the program that yielded the first evidence that managed care reduced
costs.
b. It funded nationwide health planning to improve health care and reduce costs.
c. It provided additional federal money to the states to spend on health care.
d. It allowed states to take responsibility for planning health care services. -
ANSWERSB
Before this Act was signed into law, planning was primarily at the state level. The Act
provides federal funding to coordinate resources to meet documented needs.
What was the result of the prospective payment system legislation?
a. Hospital stays were shortened, which placed a greater responsibility on family care.
b. Payments to the hospitals and physicians that fulfilled the new rules were higher.
c. Nursing staffing was increased to meet the needs of more acutely ill patients.
d. Diagnoses were more accurate and complete before clients were admitted to acute
care. - ANSWERSA
, The prospective payment system changed the patterns of hospital billing and thereby
altered patterns of inpatient hospital stays. Hospital stays were shortened, and more
health service delivery responsibilities were the responsibility of community agencies
and family members.
According to the American Nurses Association (ANA) and the American Public Health
Association (APHA), the community/public health nurse is responsible primarily for
whom?
a. The community as a whole
b. The employer who is paying the nurse's salary
c. The individual for whom the nurse is caring
d. The governmental unit that is responsible for its citizens - ANSWERSA
Both the ANA and the APHA state that the nurse's primary responsibility is to the
community or population as a whole and that nurses must acknowledge the need for
comprehensive health program planning to implement this responsibility.
Whether a nurse's plan of care for a community is acceptable is probably determined by
which aspect of the plan?
a. It was created in coordination with community members.
b. It was financially feasible.
c. It was politically correct and feasible.
d. It was something in which the nurse really believes. - ANSWERSA
Stressed throughout Chapter 16 is the importance and need for the community to be
involved in the planning. If the community is not involved from the beginning, the
program may not be effective. The program is more likely to be successful if the
community is involved.
Which of the following actions is a nurse most likely to perform in an approach to
community health planning with the community empowerment model?
a. Motivating bankers and financial advisers to help the community in its development
b. Obtaining the best experts available to help the community develop
c. Using a grassroots approach and democratic decision making
d. Writing grants to obtain money for the community and health care programs -
ANSWERSC
Although a nurse might well perform all of these actions, the definition of community
development is to create progress for the community by actively involving community
members. This grassroots approach entails the use of a democratic decision-making
process, encourages self-help, relies on voluntary cooperation, and helps develop
leadership within the group.
Which of the following facts is a drawback of the community empowerment model?
a. Bankers and other money people are very busy and often uninterested.
b. Grants, although beautifully written, may not get funded.
c. It is hard to persuade experts to volunteer their time.
d. It is the slowest approach and takes the longest to obtain results. - ANSWERSD
A community/public health nurse employed by the local health department is told by the
director to engage in health planning. Which of the following actions will the nurse
perform?
a. Collecting and analyzing data
b. Serving vulnerable populations
c. Planning for health care needs of individuals
d. Applying the nursing process to community-based care - ANSWERSA
Community health planning is a continuous social process by which data about clients
are collected and analyzed for the purpose of developing a plan to generate new ideas,
meet identified client needs, solve health problems, and guide changes in health care
delivery.
The director of a public health agency suggested that the community/public health nurse
select the target population for a new program. Of the following populations, which
would be considered the target population?
a. Persons for whom the nurse is most comfortable caring
b. Persons for whom some change in health or lifestyle behaviors is desired
c. Persons eligible for care according to federal guidelines
d. Persons that can afford to pay for their care - ANSWERSB
Although clients may be chosen as recipients of care for any of the reasons listed, the
target population is typically persons for whom change in health-related behaviors is
desired whom the community/public health nurse desires change, whether in lifestyle
behaviors or health outcomes.
What was the significance of the National Health Planning and Resources Development
Act of 1974?
a. It created the program that yielded the first evidence that managed care reduced
costs.
b. It funded nationwide health planning to improve health care and reduce costs.
c. It provided additional federal money to the states to spend on health care.
d. It allowed states to take responsibility for planning health care services. -
ANSWERSB
Before this Act was signed into law, planning was primarily at the state level. The Act
provides federal funding to coordinate resources to meet documented needs.
What was the result of the prospective payment system legislation?
a. Hospital stays were shortened, which placed a greater responsibility on family care.
b. Payments to the hospitals and physicians that fulfilled the new rules were higher.
c. Nursing staffing was increased to meet the needs of more acutely ill patients.
d. Diagnoses were more accurate and complete before clients were admitted to acute
care. - ANSWERSA
, The prospective payment system changed the patterns of hospital billing and thereby
altered patterns of inpatient hospital stays. Hospital stays were shortened, and more
health service delivery responsibilities were the responsibility of community agencies
and family members.
According to the American Nurses Association (ANA) and the American Public Health
Association (APHA), the community/public health nurse is responsible primarily for
whom?
a. The community as a whole
b. The employer who is paying the nurse's salary
c. The individual for whom the nurse is caring
d. The governmental unit that is responsible for its citizens - ANSWERSA
Both the ANA and the APHA state that the nurse's primary responsibility is to the
community or population as a whole and that nurses must acknowledge the need for
comprehensive health program planning to implement this responsibility.
Whether a nurse's plan of care for a community is acceptable is probably determined by
which aspect of the plan?
a. It was created in coordination with community members.
b. It was financially feasible.
c. It was politically correct and feasible.
d. It was something in which the nurse really believes. - ANSWERSA
Stressed throughout Chapter 16 is the importance and need for the community to be
involved in the planning. If the community is not involved from the beginning, the
program may not be effective. The program is more likely to be successful if the
community is involved.
Which of the following actions is a nurse most likely to perform in an approach to
community health planning with the community empowerment model?
a. Motivating bankers and financial advisers to help the community in its development
b. Obtaining the best experts available to help the community develop
c. Using a grassroots approach and democratic decision making
d. Writing grants to obtain money for the community and health care programs -
ANSWERSC
Although a nurse might well perform all of these actions, the definition of community
development is to create progress for the community by actively involving community
members. This grassroots approach entails the use of a democratic decision-making
process, encourages self-help, relies on voluntary cooperation, and helps develop
leadership within the group.
Which of the following facts is a drawback of the community empowerment model?
a. Bankers and other money people are very busy and often uninterested.
b. Grants, although beautifully written, may not get funded.
c. It is hard to persuade experts to volunteer their time.
d. It is the slowest approach and takes the longest to obtain results. - ANSWERSD
