Question 1

Which of the following best describes what Lillian Wald suggested in regards to providing care to individuals and families?

Accepted Answer

A) Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families. 
B) Public health nurses should focus on providing care in the client's home. 
C) Public health nurses should recognize the larger social and economic forces that the family cannot control. 
D) Public health nurses should try to understand that educating clients on how to stay healthy is the nurse's primary responsibility. 
A) Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families. 
B) Public health nurses should focus on providing care in the client's home. 
C) Public health nurses should recognize the larger social and economic forces that the family cannot control. 
D) Public health nurses should try to understand that educating clients on how to stay healthy is the nurse's primary responsibility. C

Question 2

Which of the following is the most important component of the Planning Approach to Community Health (PATCH)model?

Accepted Answer

A) Ensuring that careful records of the decisions made were kept 
B) Community participation throughout the process 
C) Intensive planning by all professionals involved 
D) Selection of professional outcome measures 
A) Ensuring that careful records of the decisions made were kept 
B) Community participation throughout the process 
C) Intensive planning by all professionals involved 
D) Selection of professional outcome measures B

Question 3

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 C

Question 4

A nurse is using a systems framework when caring for individuals,families,and aggregates in the community.Which of the following best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual?

Accepted Answer

A) Ability to communicate clearly with the client 
B) Analyzing power and decision making within the system 
C) Defining the system's structure and functions 
D) Recognizing the system's goals 
A) Ability to communicate clearly with the client 
B) Analyzing power and decision making within the system 
C) Defining the system's structure and functions 
D) Recognizing the system's goals

Question 5

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.

Question 6

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 7

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 8

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 9

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 10

Which of the following best describes a flaw of many of the health care bills passed during the last four decades?

Accepted Answer

A) They avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts. 
B) They encouraged each state to do what was best for its residents without consideration of what was best for the nation as a whole. 
C) They created new layers of bureaucracy in health care administration. 
D) They did not include financing to pay for the suggested changes. 
A) They avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts. 
B) They encouraged each state to do what was best for its residents without consideration of what was best for the nation as a whole. 
C) They created new layers of bureaucracy in health care administration. 
D) They did not include financing to pay for the suggested changes.

Question 11

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 12

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

Question 13

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 14

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 15

Which of the following best describes the principal outcome of the Hill-Burton Act?

Accepted Answer

A) Increased number of hospital beds 
B) Increased availability of high technology in health care 
C) Reduced overall health care costs 
D) Required certificates of need before expensive new construction is started 
A) Increased number of hospital beds 
B) Increased availability of high technology in health care 
C) Reduced overall health care costs 
D) Required certificates of need before expensive new construction is started

Question 16

Which of the following approaches has been suggested to improve the functioning of local and national health planning?

Accepted Answer

A) Increase nursing involvement. 
B) Invite citizen participation in health care provision. 
C) Invite more health professionals to be involved in health planning. 
D) Increase community involvement among hospitals. 
A) Increase nursing involvement. 
B) Invite citizen participation in health care provision. 
C) Invite more health professionals to be involved in health planning. 
D) Increase community involvement among hospitals.

Question 17

Which of the following must be created before establishing the evaluation plan for a health project?

Accepted Answer

A) A clear set of both short-term and long-term goals 
B) Decision as to who will collect the evaluation data 
C) Observable and measurable objectives 
D) Setting up a computer program to analyze the evaluation data 
A) A clear set of both short-term and long-term goals 
B) Decision as to who will collect the evaluation data 
C) Observable and measurable objectives 
D) Setting up a computer program to analyze the evaluation data

Question 18

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.

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

Which of the following best describes the first efforts at improving community health?

Accepted Answer

A) Environmental planning of water and sewer systems 
B) Mass community immunizations 
C) Passing laws requiring quarantine of infected persons 
D) Segregation of ships from harbors until the harbormaster checked the sailors 
A) Environmental planning of water and sewer systems 
B) Mass community immunizations 
C) Passing laws requiring quarantine of infected persons 
D) Segregation of ships from harbors until the harbormaster checked the sailors

Exam 7: Community Health Planning,implementation,and Evaluation

Which of the following best describes what Lillian Wald suggested in regards to providing care to individuals and families?

Which of the following is the most important component of the Planning Approach to Community Health (PATCH)model?

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

A nurse is using a systems framework when caring for individuals,families,and aggregates in the community.Which of the following best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual?

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?

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

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

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?

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 a flaw of many of the health care bills passed during the last four decades?

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 where the majority of time is spent by a community health nurse?

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 why states will increasingly monitor and report on quality and cost of health care?

Which of the following best describes the principal outcome of the Hill-Burton Act?

Which of the following approaches has been suggested to improve the functioning of local and national health planning?

Which of the following must be created before establishing the evaluation plan for a health project?

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?

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

Which of the following best describes the first efforts at improving community health?

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

Womens Health

Mens 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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