Question 1

Which of the following best describes the primary purpose of the Heart Disease, Cancer, and Stroke Amendments of 1965?

Accepted Answer

A)  To improve coordination and planning of health care 
B)  To increase the availability of high technology in health care 
C)  To reduce overall health care costs 
D)  To require certificates of need before expensive new construction or technologies are created 
A)  To improve coordination and planning of health care 
B)  To increase the availability of high technology in health care 
C)  To reduce overall health care costs 
D)  To require certificates of need before expensive new construction or technologies are created B

Question 2

Which of the following best describes where the majority of time is spent by a community health nurse?

Accepted Answer

A)  Caring for individuals 
B)  Caring for families 
C)  Caring for groups 
D)  Caring for aggregates 
A)  Caring for individuals 
B)  Caring for families 
C)  Caring for groups 
D)  Caring for aggregates A

Question 3

Which of the following describes why the National Health Planning and Resources Development Act of 1974 was unsuccessful in its efforts to increase accessibility and acceptability, improve quality, and constrain rising costs?

Accepted Answer

A)  A new president forced the legislation's repeal. 
B)  No federal financing was included to implement the law. 
C)  The federal government made no effort to enforce the law. 
D)  The law did not affect the current health care delivery system. 
A)  A new president forced the legislation's repeal. 
B)  No federal financing was included to implement the law. 
C)  The federal government made no effort to enforce the law. 
D)  The law did not affect the current health care delivery system. D

Question 4

A nurse starts to collect evaluative data for a major health project one month after it starts. Which of the following best describes the purpose of this data collection?

Accepted Answer

A)  Filling out the forms helps the aggregate feel involved in the process. 
B)  Formative evaluation allows the nurse to make changes if needed. 
C)  Funding agencies require ongoing evaluations to continue contributing. 
D)  The nurse needed to know if the desired outcomes were being achieved. 
A)  Filling out the forms helps the aggregate feel involved in the process. 
B)  Formative evaluation allows the nurse to make changes if needed. 
C)  Funding agencies require ongoing evaluations to continue contributing. 
D)  The nurse needed to know if the desired outcomes were being achieved.

Question 5

A nurse decided that a high-risk aggregate most needed education about diabetes. Which of the following would be the best approach when teaching the group?

Accepted Answer

A)  Involve participants in small group activities applying the information. 
B)  Organize the information into a visual presentation such as a PowerPoint presentation. 
C)  Share the nurse's expertise directly with the group at a meeting for that purpose. 
D)  Use handouts and pamphlets with pictures consistent with the local cultural groups throughout. 
A)  Involve participants in small group activities applying the information. 
B)  Organize the information into a visual presentation such as a PowerPoint presentation. 
C)  Share the nurse's expertise directly with the group at a meeting for that purpose. 
D)  Use handouts and pamphlets with pictures consistent with the local cultural groups throughout.

Question 6

A nurse has assessed an aggregate, determined the priority health needs, and decided on what intervention to offer. Which of the following will best determine if the intervention will be successful?

Accepted Answer

A)  Accuracy of the nurse's assessment 
B)  Careful planning and implementation of the intervention 
C)  Determination of the aggregate's perspective of the need for the intervention 
D)  Selection of appropriate evaluation measures both in process and on completion 
A)  Accuracy of the nurse's assessment 
B)  Careful planning and implementation of the intervention 
C)  Determination of the aggregate's perspective of the need for the intervention 
D)  Selection of appropriate evaluation measures both in process and on completion

Question 7

A nurse is caring for an aggregate as his or her client. Which of the following tasks would the nurse complete first?

Accepted Answer

A)  Determine the setting of the aggregate 
B)  Gain access into the aggregate 
C)  Identify the nurse's own strengths and preferences 
D)  Review the resources available to use in the community 
A)  Determine the setting of the aggregate 
B)  Gain access into the aggregate 
C)  Identify the nurse's own strengths and preferences 
D)  Review the resources available to use in the community

Question 8

A nurse had all the details carefully arranged for a project: location, speaker, seating arrangement, refreshments, handouts, visual aids, and students to distribute and collect evaluation sheets. Which of the following aspects of the project may be a problem?

Accepted Answer

A)  The administrator's greetings went over time. 
B)  The environment was so comfortable that no one listened to the presentation. 
C)  Something totally unexpected and unplanned for happened. 
D)  A student lost the evaluation sheets. 
A)  The administrator's greetings went over time. 
B)  The environment was so comfortable that no one listened to the presentation. 
C)  Something totally unexpected and unplanned for happened. 
D)  A student lost the evaluation sheets.

Question 9

A nurse found that several professionals resented time spent interacting with and teaching clients. Which of the following describes the most likely underlying motivation for resisting client involvement?

Accepted Answer

A)  Believing that people could change their lives if they really wanted to do so. 
B)  Empowering others shifts power from the experts to the community. 
C)  It is more efficient to plan appropriate care without listening to client ideas. 
D)  Longtime experience with community members has led to disillusionment. 
A)  Believing that people could change their lives if they really wanted to do so. 
B)  Empowering others shifts power from the experts to the community. 
C)  It is more efficient to plan appropriate care without listening to client ideas. 
D)  Longtime experience with community members has led to disillusionment.

Question 10

Which of the following actions must a nurse take to be successful in addition to the typical assessment, diagnosing, and planning directly related to the intervention project?

Accepted Answer

A)  Advocate for community empowerment throughout the process. 
B)  Choose superb people to implement the plan. 
C)  Confirm administrative support throughout the project. 
D)  Continue to assess both barriers and resources throughout the project. 
A)  Advocate for community empowerment throughout the process. 
B)  Choose superb people to implement the plan. 
C)  Confirm administrative support throughout the project. 
D)  Continue to assess both barriers and resources throughout the project.

Question 11

Which of the following is the most important phase of the Mobilizing for Action through Planning and Partnership (MAPP) model?

Accepted Answer

A)  Conduct assessments identifying strengths and current health status 
B)  Evaluate current local health care systems and forces for change 
C)  Guide the community toward long-range visioning 
D)  Mobilize the community to become involved 
A)  Conduct assessments identifying strengths and current health status 
B)  Evaluate current local health care systems and forces for change 
C)  Guide the community toward long-range visioning 
D)  Mobilize the community to become involved

Question 12

Which of the following best describes how the Health Planning Model for care of aggregates differs from the customary nursing process applied to the care of an individual?

Accepted Answer

A)  The nurse must be aware of age, gender, race, ethnic group, religion, educational background, occupation, and marital status of the aggregate. 
B)  The nurse must first decide on and define the aggregate to receive care. 
C)  The nurse must determine how best to ensure that each participant receives an equal number of services. 
D)  The nurse must choose which health care need should have first priority. 
A)  The nurse must be aware of age, gender, race, ethnic group, religion, educational background, occupation, and marital status of the aggregate. 
B)  The nurse must first decide on and define the aggregate to receive care. 
C)  The nurse must determine how best to ensure that each participant receives an equal number of services. 
D)  The nurse must choose which health care need should have first priority.

Question 13

Which of the following best describes why states will increasingly monitor and report on quality and cost of health care?

Accepted Answer

A)  Citizens are increasingly complaining of high medical costs in a depressed economy. 
B)  Congress has been unsuccessful in reducing health care costs. 
C)  Taxation has decreased, resulting in fewer funds available for health care. 
D)  Hospitals and nursing homes are demanding increased funding. 
A)  Citizens are increasingly complaining of high medical costs in a depressed economy. 
B)  Congress has been unsuccessful in reducing health care costs. 
C)  Taxation has decreased, resulting in fewer funds available for health care. 
D)  Hospitals and nursing homes are demanding increased funding.

Question 14

Which of the following best describes the purpose of the Assessment Protocol for Excellence in Public Health (APEX-PH)?

Accepted Answer

A)  To improve the functioning of public agencies by peer evaluation 
B)  To provide intensive planning for all professionals involved in public health 
C)  An evaluation process involving both community and public organizations 
D)  A self-evaluation by all the groups involved in public health planning 
A)  To improve the functioning of public agencies by peer evaluation 
B)  To provide intensive planning for all professionals involved in public health 
C)  An evaluation process involving both community and public organizations 
D)  A self-evaluation by all the groups involved in public health planning

Question 15

A nurse would like to quickly and easily learn more about an aggregate. Which of the following sources of information would be best for the nurse to use to quickly and easily become informed about an aggregate? (Select all that apply.)

Accepted Answer

A)  Conduct a telephone survey of those aggregate members 
B)  Interview people who have previously been involved with the aggregate 
C)  Review any available records or previously gathered data 
D)  Send a mail survey to everyone in the surrounding geographic area 
E)  Try to find a few key informants and ask for their input
F) Use observation without anyone in the aggregate knowing he or she is being observed 
A)  Conduct a telephone survey of those aggregate members 
B)  Interview people who have previously been involved with the aggregate 
C)  Review any available records or previously gathered data 
D)  Send a mail survey to everyone in the surrounding geographic area 
E)  Try to find a few key informants and ask for their input
F) Use observation without anyone in the aggregate knowing he or she is being observed

Question 16

Which of the following best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals?

Accepted Answer

A)  As nurses travel to meet with clients, they must know the community to find the client's residence. 
B)  On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform. 
C)  Community health nurses are expected to have information about the community to share with individual clients. 
D)  Individuals and families are strongly influenced by the community and environment around them. 
A)  As nurses travel to meet with clients, they must know the community to find the client's residence. 
B)  On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform. 
C)  Community health nurses are expected to have information about the community to share with individual clients. 
D)  Individuals and families are strongly influenced by the community and environment around them.

Question 17

A nurse is determining the needs of a selected aggregate. Eight percent of the aggregate has diabetes. Which of the following best describes the action that should be taken next to determine if this should be a priority?

Accepted Answer

A)  Ask the American Diabetes Association if 8% is a worrisome rate. 
B)  Discuss the findings with the head of the public health department. 
C)  Review the literature to determine the national and state diabetic rate. 
D)  Determine what the aggregate's diabetic rate has been in the past. 
A)  Ask the American Diabetes Association if 8% is a worrisome rate. 
B)  Discuss the findings with the head of the public health department. 
C)  Review the literature to determine the national and state diabetic rate. 
D)  Determine what the aggregate's diabetic rate has been in the past.

Question 18

Which of the following best describes the provisions of the Patient Protection and Affordable Care Act? (Select all that apply.)

Accepted Answer

A)  It provides free health insurance to all U. S. citizens. 
B)  It requires most U.S. citizens and legal residents to have health insurance. 
C)  It bans insurance companies from denying coverage because of pre-existing medical conditions. 
D)  It gradually decreases the number of health insurance options available to Americans. 
E)  It provides decreased expenses for families by capping out-of-pocket payments.
F) It requires all school-age children to have access to health care services. 
A)  It provides free health insurance to all U. S. citizens. 
B)  It requires most U.S. citizens and legal residents to have health insurance. 
C)  It bans insurance companies from denying coverage because of pre-existing medical conditions. 
D)  It gradually decreases the number of health insurance options available to Americans. 
E)  It provides decreased expenses for families by capping out-of-pocket payments.
F) It requires all school-age children to have access to health care services.

Question 19

A nurse has completed a community health project. Which of the following actions must be performed by the nurse? (Select all that apply.)

Accepted Answer

A)  Ask for media coverage of the project to maximize public relations 
B)  Ensure that adequacy and appropriateness of the intervention are measured 
C)  Be certain the efficiency and cost benefits are measured 
D)  Collect statistics for careful analysis 
E)  Communicate follow-up recommendations to the community
F) Write a comprehensive report on the project to be distributed to anyone interested 
A)  Ask for media coverage of the project to maximize public relations 
B)  Ensure that adequacy and appropriateness of the intervention are measured 
C)  Be certain the efficiency and cost benefits are measured 
D)  Collect statistics for careful analysis 
E)  Communicate follow-up recommendations to the community
F) Write a comprehensive report on the project to be distributed to anyone interested

Question 20

A community health nurse has determined that the number one priority is to help families in which one member has diabetes. Which of the following actions would be most appropriate to maximize services to persons with diabetes?

Accepted Answer

A)  Ask friends with diabetes about what services they want improved. 
B)  Duplicate the diabetic organization's services, because not all patients with diabetes have yet received services. 
C)  Meet with the diabetic organization to see how the public health department can augment what it is offering. 
D)  Submit a request for funding so that the public health department can also offer services to patients with diabetes. 
A)  Ask friends with diabetes about what services they want improved. 
B)  Duplicate the diabetic organization's services, because not all patients with diabetes have yet received services. 
C)  Meet with the diabetic organization to see how the public health department can augment what it is offering. 
D)  Submit a request for funding so that the public health department can also offer services to patients with diabetes.

Exam 7: Community Health Planning, Implementation, and Evaluation

Which of the following best describes the primary purpose of the Heart Disease, Cancer, and Stroke Amendments of 1965?

Which of the following best describes where the majority of time is spent by a community health nurse?

Which of the following describes why the National Health Planning and Resources Development Act of 1974 was unsuccessful in its efforts to increase accessibility and acceptability, improve quality, and constrain rising costs?

A nurse starts to collect evaluative data for a major health project one month after it starts. Which of the following best describes the purpose of this data collection?

A nurse decided that a high-risk aggregate most needed education about diabetes. Which of the following would be the best approach when teaching the group?

A nurse has assessed an aggregate, determined the priority health needs, and decided on what intervention to offer. Which of the following will best determine if the intervention will be successful?

A nurse is caring for an aggregate as his or her client. Which of the following tasks would the nurse complete first?

A nurse had all the details carefully arranged for a project: location, speaker, seating arrangement, refreshments, handouts, visual aids, and students to distribute and collect evaluation sheets. Which of the following aspects of the project may be a problem?

A nurse found that several professionals resented time spent interacting with and teaching clients. Which of the following describes the most likely underlying motivation for resisting client involvement?

Which of the following actions must a nurse take to be successful in addition to the typical assessment, diagnosing, and planning directly related to the intervention project?

Which of the following is the most important phase of the Mobilizing for Action through Planning and Partnership (MAPP) model?

Which of the following best describes how the Health Planning Model for care of aggregates differs from the customary nursing process applied to the care of an individual?

Which of the following best describes why states will increasingly monitor and report on quality and cost of health care?

Which of the following best describes the purpose of the Assessment Protocol for Excellence in Public Health (APEX-PH)?

A nurse would like to quickly and easily learn more about an aggregate. Which of the following sources of information would be best for the nurse to use to quickly and easily become informed about an aggregate? (Select all that apply.)

Which of the following best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals?

A nurse is determining the needs of a selected aggregate. Eight percent of the aggregate has diabetes. Which of the following best describes the action that should be taken next to determine if this should be a priority?

Which of the following best describes the provisions of the Patient Protection and Affordable Care Act? (Select all that apply.)

A nurse has completed a community health project. Which of the following actions must be performed by the nurse? (Select all that apply.)

A community health nurse has determined that the number one priority is to help families in which one member has diabetes. Which of the following actions would be most appropriate to maximize services to persons with diabetes?

Health: A Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Health Promotion and Risk Reduction

Epidemiology

Community Assessment

Community Health Education

Case Management

Policy, Politics, Legislation, and Community Health Nursing

The Health Care System

Economics of Health Care

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Women’s Health

Men’s Health

Senior Health

Family Health

Populations Affected by Disabilities

Homeless Populations

Rural and Migrant Health

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

Forensic and Correctional Nursing

Faith Community Nursing

Home Health and Hospice

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