Question 1

What is the purpose of writing a community nursing diagnosis?

Accepted Answer

A)   To assist with developing the evaluation measures for program planning
B)   To clearly describe the strengths and weaknesses of the community
C)   To lead to the outcomes and strategies to address and improve the identified health problem
D)   To increase the likelihood that the problem will be solvedE) A) and C)
F) C) and D) C

Question 2

A nurse lives in a community that demonstrates commitment.Which of the following would most likely be supported within this community?

Accepted Answer

A)   Creation of a community club by the city council to facilitate community involvement
B)   Collaboration among area restaurant owners to develop healthier menus
C)   Collaboration with the health department to build a new recreation center
D)   Development of a cooperative agreement with a neighboring city to share needed servicesE) A) and B)
F) All of the above

Question 3

A nurse is using health status indicators to complete a community assessment.Which of the following best explains what the nurse is doing?

Accepted Answer

A)   Interviewing key informants in the community
B)   Examining morbidity and mortality rates in the community
C)   Surveying local businesses in the community
D)   Observing community membersE) B) and D)
F) A) and B)

Question 4

The main characteristics of partnership are:

Accepted Answer

A)   awareness, flexibility, and distribution of power.
B)   rights, responsibilities, and consensus.
C)   commitment, participation, and articulation.
D)   collaboration, advocacy, and utility.E) C) and D)
F) B) and C)

Question 5

A nurse has identified the boundaries of the community.Which of the following steps should the nurse take next when completing a community assessment?

Accepted Answer

A)   Gather relevant existing data and generating missing data
B)   Plan interventions that benefit the entire community
C)   Formulate nursing diagnoses
D)   Evaluate the interventions that were usedE) A) and B)
F) B) and C)

Question 6

A nurse is writing a nursing diagnosis at the community level using the North American Nursing Diagnosis Association (NANDA) system as a guide.Which of the following diagnoses would most likely be developed?

Accepted Answer

A)   Risk of hypertension related to poor diet and sedentary lifestyle
B)   Risk of obesity among school-age children related to lack of opportunities to engage in physical activity
C)   Risk of ineffective health maintenance among individuals who do not have access to a primary care provider
D)   Ineffective coping related to multiple stressors, as evidenced by client crying and stating she has no support systemE) All of the above
F) A) and D)

Question 7

A nurse plans on implementing a community-wide influenza immunization program.Which of the following factors should the nurse consider when implementing this program?

Accepted Answer

A)   The number of community members who have already received the immunization
B)   The existence of formal groups in the community
C)   Public policy that mandates influenza immunization for certain populations
D)   The community's readiness to participate in the programE) A) and C)
F) None of the above

Question 8

A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community's beliefs regarding childhood immunizations.Which of the following is being demonstrated?

Accepted Answer

A)   Informant interview
B)   Participant observation
C)   Active participation
D)   Windshield surveyE) B) and C)
F) All of the above

Question 9

What are the critical attributes in the definition of community?

Accepted Answer

A)   Families, groups, and health organizations
B)   Health needs, geographical boundaries, and target population
C)   People, place, and functions
D)   Populations and health resourcesE) A) and B)
F) C) and D)

Question 10

A nurse is caring for the community as the client.Which of the following is most likely the focus of the nurse's care?

Accepted Answer

A)   Providing care for aggregates living in the community
B)   The collective good of the population
C)   The provision of care for families in the home setting
D)   Providing health education in the communityE) A) and C)
F) B) and C)

Question 11

A nurse is trying to increase participation in a free colorectal screening program for middle-aged adults who lack health insurance.Which of the following implementation mechanism would be most effective?

Accepted Answer

A)   Small interacting groups
B)   Health policy
C)   Lay advisors
D)   Mass mediaE) C) and D)
F) B) and D)

Question 12

A nurse is investigating the structure of the community.Which of the following indicators would the nurse most likely collect data about?

Accepted Answer

A)   Infant mortality rate
B)   Effective communication
C)   Crime rate
D)   Emergency room utilizationE) All of the above
F) B) and C) D

Question 13

A nurse analyzes data from minutes at a community meeting when completing a community assessment.Which of the following methods of data collection is being used?

Accepted Answer

A)   Secondary data
B)   Informant interviews
C)   Primary data
D)   Windshield surveyE) B) and C)
F) A) and D)

Question 14

A leader of a support group introduces a nurse to its members and discusses the professional relationship he has with the nurse for the past several years.Which of the functions is the leader performing?

Accepted Answer

A)   Gatekeeper
B)   Insider
C)   Community health workers
D)   AdvocateE) None of the above
F) B) and C)

Question 15

Change for the community as a client must often occur at several levels because:

Accepted Answer

A)   health problems caused by lifestyle are multidimensional.
B)   most individuals can change their habits alone.
C)   aggregates are responsible for social change.
D)   geographic areas often have health risks that the nurse must identify.E) A) and C)
F) B) and C)

Question 16

A community has residents who provide information to the city council so that decisions can be made about the health of the community.Which of the following characteristics is being displayed?

Accepted Answer

A)   Active partnerships
B)   Passive partnerships
C)   Gatekeeping
D)   Focus groupsE) A) and B)
F) A) and C)

Question 17

A nurse has collected data about the services available in the community and is using the seven "A"s to evaluate these services.Which of the following questions will the nurse most likely ask?

Accepted Answer

A)   Can the community members allocate resources to support the service?
B)   Can the community members afford the service?
C)   Will the community members allow strategies to be implemented to improve the service?
D)   Will the community members approve of the services provided?E) B) and D)
F) A) and D) B

Question 18

A nurse is trying to develop community partnerships.Which of the following interventions would be the most appropriate for the nurse to use?

Accepted Answer

A)   Involve the community residents
B)   Use nurses as the source of information and leadership
C)   Rely on the power of local officials
D)   Include a variety of disciplinesE) A) and C)
F) None of the above

Question 19

A nurse gathers information about the condition of homes,size of lots,neighborhood hangouts,road conditions,and modes of transportation.Which method of data collection is being used?

Accepted Answer

A)   Participant observation
B)   Windshield survey
C)   Focus group
D)   Informant interviewsE) B) and D)
F) A) and B)

Question 20

A nurse centers his practice around the principle of doing the greatest good for the greatest number.Which of the following ethical principles is being applied?

Accepted Answer

A)   Distributive justice
B)   Utilitarianism
C)   Social justice
D)   Health disparitiesE) All of the above
F) B) and C)

Exam 18: Community as Client: Assessment and Analysis

What is the purpose of writing a community nursing diagnosis?

Correct AnswerverifiedC

A nurse lives in a community that demonstrates commitment.Which of the following would most likely be supported within this community?

Correct AnswerverifiedShow Answer

A nurse is using health status indicators to complete a community assessment.Which of the following best explains what the nurse is doing?

Correct AnswerverifiedShow Answer

The main characteristics of partnership are:

Correct AnswerverifiedShow Answer

A nurse has identified the boundaries of the community.Which of the following steps should the nurse take next when completing a community assessment?

Correct AnswerverifiedShow Answer

A nurse is writing a nursing diagnosis at the community level using the North American Nursing Diagnosis Association (NANDA) system as a guide.Which of the following diagnoses would most likely be developed?

Correct AnswerverifiedShow Answer

A nurse plans on implementing a community-wide influenza immunization program.Which of the following factors should the nurse consider when implementing this program?

Correct AnswerverifiedShow Answer

A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community's beliefs regarding childhood immunizations.Which of the following is being demonstrated?

Correct AnswerverifiedShow Answer

What are the critical attributes in the definition of community?

Correct AnswerverifiedShow Answer

A nurse is caring for the community as the client.Which of the following is most likely the focus of the nurse's care?

Correct AnswerverifiedShow Answer

A nurse is trying to increase participation in a free colorectal screening program for middle-aged adults who lack health insurance.Which of the following implementation mechanism would be most effective?

Correct AnswerverifiedShow Answer

A nurse is investigating the structure of the community.Which of the following indicators would the nurse most likely collect data about?

Correct AnswerverifiedD

A nurse analyzes data from minutes at a community meeting when completing a community assessment.Which of the following methods of data collection is being used?

Correct AnswerverifiedShow Answer

A leader of a support group introduces a nurse to its members and discusses the professional relationship he has with the nurse for the past several years.Which of the functions is the leader performing?

Correct AnswerverifiedShow Answer

Change for the community as a client must often occur at several levels because:

Correct AnswerverifiedShow Answer

A community has residents who provide information to the city council so that decisions can be made about the health of the community.Which of the following characteristics is being displayed?

Correct AnswerverifiedShow Answer

A nurse has collected data about the services available in the community and is using the seven "A"s to evaluate these services.Which of the following questions will the nurse most likely ask?

Correct AnswerverifiedB

A nurse is trying to develop community partnerships.Which of the following interventions would be the most appropriate for the nurse to use?

Correct AnswerverifiedShow Answer

A nurse gathers information about the condition of homes,size of lots,neighborhood hangouts,road conditions,and modes of transportation.Which method of data collection is being used?

Correct AnswerverifiedShow Answer

A nurse centers his practice around the principle of doing the greatest good for the greatest number.Which of the following ethical principles is being applied?

Correct AnswerverifiedShow Answer

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C

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D

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B

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