Deck 8: Health Promotion and the Community

Question 1

A nurse is assessing a community's exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse?

A) Nutritional-metabolic pattern
B) Elimination pattern
C) Health-perception-health management pattern
D) Values-beliefs pattern

Answer 1

Elimination pattern

Question 2

The process of dynamic change with adaptation in the system's parts, and how community systems and subsystems interact is known as:

A) structure of a community.
B) community health promotion.
C) community diagnosis.
D) function of a community.

Answer 2

function of a community.

Question 3

After assessing the community, the nurse concludes that the community is having difficulty meeting its nutritional-metabolic pattern. Which of the following findings would the nurse most likely have discovered during the assessment?

A) Decreased availability of grocery stores
B) Poor nutritional habits
C) Lack of subsidized food programs
D) Inadequate knowledge about proper nutrition

Answer 3

Poor nutritional habits

Question 4

A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse?

A) Gender
B) Age
C) Race
D) Socioeconomic level

Question 5

The study of a population is referred to as (a):

A) community pattern.
B) windshield survey.
C) demography.
D) community diagnosis.

Question 6

Which of the following health concerns should the nurse have as a priority when planning care for a community?

A) The limited recreational areas identified through a windshield survey
B) The high crime rate reported in the town records
C) The absence of health clinics on the local bus route
D) The lack of grocery stores within walking distance identified by the community

Question 7

A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process?

A) Collection
B) Planning
C) Analysis
D) Implementation

Question 8

Which functional health pattern provides information about problem-solving and decision-making within communities?

A) Cognitive-perceptual pattern
B) Self-perception-self-concept pattern
C) Coping-stress tolerance pattern
D) Health-perception-health-management pattern

Question 9

Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?

A) Health promotion activities
B) Accident prevention activities
C) Drug prevention activities
D) Pregnancy prevention activities

Question 10

Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health-perception-health-management pattern?

A) Examining high sexually transmitted disease rates recorded by the health department
B) Listening to community members discuss the high smoking rate among teenagers
C) Analyzing the high infant mortality rate reported by state hospitals
D) Discussing the high rate of teenage motor vehicle crashes recorded by the local police department

Question 11

A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used to gather this data?

A) Developmental perspective
B) Functional perspective
C) Risk-factor perspective
D) Systems perspective

Question 12

A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?

A) Structure of a community
B) Subsystem of a community
C) Supra system of a community
D) Interaction of a community

Question 13

A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities?

A) Providing appropriate treatment for the flu to an elderly man
B) Providing education to the community about prevention of the flu
C) Ensuring that the family members of the man with the flu get tested for the flu
D) Ensuring that the family members of the man with the flu receive the flu vaccine

Question 14

A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?

A) Ban smoking on parish property.
B) Invite local experts to participate in a health fair at the parish.
C) Find literature about smoking cessation.
D) Hand out free nicotine-replacement systems.

Question 15

Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?

A) Self-perception-self-concept pattern
B) Role-relationships pattern
C) Cognitive-perceptual pattern
D) Sexuality-reproduction pattern

Question 16

Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n):

A) codependent function.
B) independent function.
C) interdependent function.
D) dependent function.

Question 17

A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?

A) Walk around the neighborhood.
B) Interview members of the community.
C) Obtain town morbidity and mortality rates.
D) Go to the town hall to obtain the number of parks in the community.

Question 18

A nurse who is new to the area wants to get a "feel for the community she will be working with." Which of the following would be the best way for the nurse to start learning about the community?

A) Driving around the neighborhood
B) Going door to door asking people about the community
C) Searching online to obtain population statistics
D) Talking to the police captain at the local police department

Question 19

A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?

A) Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
B) Partner with high school nurses to educate students about the risks of drinking and driving.
C) Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
D) Establish support groups for teenagers with alcohol abuse.

Question 20

A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern?

A) Respiratory disorders
B) Hearing loss
C) Coronary artery disease
D) Stress

Question 21

A community is considering banning smoking in all schools. Based on the community's current stage of change, which action should the nurse take next?

A) Provide the community with statistics regarding childhood smoking rates.
B) Point out positive outcomes associated with banning smoking such as maintenance of lung function.
C) Help the community develop a plan to implement the ban.
D) Praise the members of the community for their actions.

Question 22

A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse?

A) Codependent function
B) Independent function
C) Interdependent function
D) Dependent function

Question 23

In response to the growing elderly population, community health nurses should do which of the following? (select all that apply)

A) Work with the board of education to emphasize the importance of adequate physical activity for children and the importance of healthy meals.
B) Work with local nursing schools to emphasize the importance of geriatric training in the curriculum.
C) Work with the state and local departments of health to devise a plan to increase nursing home beds.
D) Work with local health departments to increase recreational activities for elderly members of the community.
E) None of above

Question 24

Which of the following best describes the primary goal of community nurses?

A) Create charts/graphs of data collected.
B) Create plans for community health promotion programs.
C) Create evaluation tools for health promotion programs.
D) Create a culture of health promotion/health protection with the community.

Question 25

A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next?

A) Determine the rate of teenage pregnancies.
B) Evaluate the success of her plan.
C) Provide educational programs at local schools regarding pregnancy prevention.
D) Determine which factors related to teenage pregnancy require intervention.

Question 26

Which of the following is a stage of change? (select all that apply)

A) Reflection
B) Action
C) Maintenance
D) Acceptance

Question 27

A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?

A) Highlight past successes
B) Discuss the benefits of changing
C) Develop strategies to prevent relapse
D) Provide information

Question 28

Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?

A) The majority of members live within a 3-mile radius.
B) The majority of members are African American.
C) The majority of members are high school graduates.
D) The majority of members are employed.