Exam 11: Community Assessment

The community health nurse learns that there are statistically high levels of obesity and elevated cholesterol in the community. In addition, the community has a disproportionately high number of fast food restaurants, compared with surrounding communities. Which would be the most appropriate next step, based on these data?

The school nurse notifies the community nurse that there have been five confirmed cases of pertussis in the sixth-grade classes. Which action should the community nurse prioritize at this time?

The nurse is approached by the health department to investigate and assess the rise in developmental disabilities in an isolated section in the community. To begin the assessment, the nurse should gather objective data from which source?

There are 12 students with confirmed cases of the H1N1 flu in grades 6 to 8 at the local middle school in the community. The community nurse advises the caregivers of the ill children to keep the children home for a minimum of 5 to 7 days. Which should be the nurse's next step?

The school nurse has reached out to the public health nurse for assistance in performing a community assessment. Which rationales are appropriate for performing community assessments in the school setting? (Select all that apply.)

The community health nurse works in a community recently devastated by a tornado. Many of the survivors are cared for in their homes. Care is needed for those who are ill, recovering, or in hospice. Which action should the nurse prioritize to provide the most holistic and effective care to the community?

The nurse has been asked to join the team which will be conducting a community assessment. How will becoming involved with this group potentially affect the future of the community?

The local community has collaborated in a plan to create services and education to enhance their health and well-being. Which goal will most likely be achieved by this plan?

The community nurse has been involved with the local community for several years. Which type of assessment is this nurse utilizing as she keeps data which outlines the basic behaviors of the entire community during this time period?

Many in the community have developed cancer. The EPA has discovered a leak of biohazardous waste from a local factory that has leached into the water table. The area is decontaminated and cleaned. The community identifies the need for a local hospice for those with cancer who are dying. Area communities participate in the fund drive. Which type of community effort was employed to reach their goal?

The community health nurse is responsible for the general health of the community on multiple levels. The nurse discovers an increase in the number of sick days used by children aged 7 to 11 years at the local elementary school in recent weeks. Research indicates that the families of asthmatic children tend to be less educated and less likely to comply with current treatment plans. Which step should the nurse employ to continue following the care plan using an epidemiologic approach?

The community health nurse explores pedestrian access to all healthcare facilities in the community. Which tool would be most helpful in performing this task?

At an international nurses' conference, nurses from all around the world make contact. Which components of the various communities will most likely be represented at this conference? (Select all that apply.)

The new community health nurse introduces herself to the local minister and attends various neighborhood meetings. The nurse learns about the ethics, values, and culture of the neighborhood. The community is vocal about the need for public safety and the care of the homeless, especially in the winter. Which is the best rationale for considering all of the influences in the neighborhood affecting their health and well-being?

The nurse assesses a community undergoing change. Five years ago, a series of setbacks caused the local foundry to close. Through interviews, the nurse discovers that generations of families worked at the foundry. Research indicates that no other businesses have been able to provide work for those who no longer work at the foundry. Which actions will the nurse be able to complete after gathering this developmental data concerning the community's history? (Select all that apply.)

The community health nurse assesses the neighborhood in which the clients live. When observing the physical environment, the nurse notes that most of the homes in the neighborhood are well kept and the children playing in the yards are wearing clean clothing. The children appear well nourished. The nurse determines that the neighborhood has little need for a well-child clinic. Which assessment is the nurse basing this decision on?

The community is concerned about public safety and the care of their elders living at home. When the nurse assesses the community, the nurse finds there is potential to solve their problems within the community setting without outside resources. The plans to meet the community needs are accepted by the members of the community. Which action has been most successfully exhibited in this nurse's assessment of this community?

Following a hurricane, the disaster team chooses to use a collaborative model to assess the needs of the community. Each team member is given a community analysis and assigned the task to create a tentative plan of action. Why would the use of a collaborative model hamper the progress of the assessment and plan in a disaster? (Select all that apply.)

The nurse conducts a community assessment. The community is large and the members range from affluent executives to poor migrant workers. Which approach will provide the most accurate assessment for this nurse?

The nurse conducts a community assessment in a town once supported by multiple paper factories. The factories closed 2 years ago and most of the population is now out of work. The school nurse notes that 68% of the students are behind schedule in their physicals and immunizations. Which recommendation should the nurse prioritize based on this community assessment?