Deck 13: Community Nursing Process

Question 1

What is included in community dynamics?

A) Decision-making
B) Community history
C) Geographical boundaries
D) Community centres

Answer 1

Decision-making

Question 2

Which of the following tools is used to outline the assets and capacity of the community, identify strengths and potential resources for program planning and interventions?

A) Community asset mapping
B) Environmental scan
C) Needs assessment
D) Problem investigation

Answer 2

Community asset mapping

Question 3

A group of nurses feel overwhelmed as they conduct their community assessment. What would be important in helping them continue with their work?

A) Spend more time collecting data from new sources
B) Determine what their outcomes are going to be
C) Use several more methods to collect data
D) Focus on the purpose of the assessment

Answer 3

Focus on the purpose of the assessment

Question 4

Which of the following represents a step in community program evaluation?

A) Engage stakeholders throughout the process
B) Plan the evaluation once the program is implemented
C) Provide the rationale for the assessment
D) Identify governance and politics

Question 5

A nurse is writing a community health nursing diagnosis. What statement is the nurse most likely to use if taking a wellness approach?

A) Potential for healthy lifestyles
B) Individual knowledge deficit about nutrition
C) High school students' risky behaviours
D) Potential substance use

Question 6

What will a nurse do when analyzing community data?

A) Collect information on a survey
B) Assess the effectiveness of the data collection
C) Use inferences to categorize data
D) Compare summarized data with related sources

Question 7

What is a disadvantage of a community forum?

A) Produces one-way dialogue on issues
B) Everyone who attends has to participate
C) A few people may dominate the discussion
D) Relatively inexpensive to plan

Question 8

A nurse is asked about the goal of community health nursing. What would be the best response?

A) To protect people from harm and prevent them from re-entering the acute health care system
B) To promote, preserve, and protect the health of individuals, families, aggregates, and populations
C) To work with population groups to support them to make healthy lifestyle choices
D) To provide cost-effective nursing services within the context of people's homes

Question 9

What is the best definition of a community?

A) A random group of people
B) Members of an extended family living within the province
C) All the seniors living within the same province
D) Students at a college

Question 10

What is the best way for a nurse to conduct an assessment of an aggregate community?

A) Meet residents at a seniors' complex
B) Survey adults who ride the transit system to work
C) Observe children at a local playground
D) Interview members of the high school debate team

Question 11

How does a nurse assess lines of resistance in a community?

A) Facilitating the community's buffer zone
B) Analyzing the community's tension-producing stimuli
C) Collecting information about the community's strengths
D) Observing the community's normal state of health

Question 12

A group of nurses are using a population health approach in a community project. What is an example of this approach?

A) Trying to reduce inequities in health between population groups
B) Improving health access for mothers who live east of town
C) Working to treat illness in selected groups
D) Addressing only factors that affect the health of preschool children

Question 13

What is the core of a community?

A) The people
B) The community health nurse
C) The hospital
D) The geographical centre

Question 14

A nurse is collecting qualitative data as part of a community assessment. What is the nurse most likely to be doing?

A) Conducting a public meeting
B) Reviewing data in a birth registry
C) Distributing a multiple-choice questionnaire
D) Generating files of statistical data

Question 15

What is included in a healthy community process?

A) Involvement by selected sectors of the community
B) Participation from formal leaders
C) Access to health care
D) Support from the mayor and council

Question 16

Which of the following is true about the community health promotion model?

A) It applies individual health promotion strategies to achieve commuity actions
B) It incorporates strategies from Newmans model to guide community planning
C) It uses a biologic approach to promote the health of the population
D) The nursing process and primary health care are an integral part of the model

Question 17

A nurse works in a community with political boundaries. What is most likely to define the community's boundaries?

A) The river that runs through the town
B) The mountains east of the town
C) The shape of the valley
D) The catchment area for the local schools

Question 18

Where is the best place for a nurse to look for Canadian population health indicators? Select all that apply.

A) Nursing journals
B) Canadian Community Health Surveys
C) Statistics Canada
D) Books in the university library

Question 19

A nurse asks participants to discuss what they perceive to be the most important health problem in their community. What community participatory tool has the nurse used?

A) Web of causation
B) Community mapping
C) Community needs matrix
D) Present-future drawing

Question 20

A nurse is conducting a windshield survey. What activity is part of the windshield survey?

A) Distributing a comprehensive needs assessment survey throughout the community
B) Driving through the community's main street on her way home
C) Asking residents what they think of their neighbourhood
D) Using the five senses to get a picture of the overall community environment

Question 21

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. A nurse does a risk assessment of the community. What will this identify?

A) The incidence of STIs in the community
B) Location of condom machines
C) Behaviours that place the adolescents at risk
D) The organism causing the increase in STIs

Question 22

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. How might the nurse collect quantitative data on the community?

A) Talk to the community leaders
B) Review health status reports
C) Drive around the community
D) Hold a focus group meeting

Question 23

What is the difference between vertical communication, horizontal communication and diagonal communication?

Question 24

List seven areas that need to be addressed during a community-wide assessment. Give a sample data course for each area.

Question 25

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. A nurse wants to plan strategies to reduce the incidence of STIs. What approach would increase community participation?

A) Ask the stakeholders what is the priority need
B) Ask the community formal leaders to provide input
C) Develop a curriculum for teachers on STI prevention
D) Teach the adolescents about safe sex

Question 26

A community health nurse has been sent to a small rural community. The incidence of sexually transmitted infections (STIs) in the adolescent population is four times greater than in the surrounding communities. What is the best way for the nurse to engage key stakeholders in identifying the cause of the increased rate of STIs?

A) Hold small focus group meetings in the high school
B) Hold a community forum open to all taxpayers
C) Meet with the formal leaders in the community
D) Send a survey to the parent of adolescents

Question 27

A nurse is conducting a community assessment of a large northern city. What should the nurse assess? Select all that apply.

A) unemployment rates and poverty levels
B) Family stress levels
C) Social support networks and isolation
D) Obesity and suicide rates
E) None of above

Question 28

Describe five community functions and give an example for each from community health nursing practice.

Question 29

Describe two approaches to community participation in planning. Give an example where each approach could be used by a CHN.

Question 30

Describe the four components of a community nursing diagnosis and give an example of a community nursing diagnosis.