Deck 6: Community Assessment

Question 1

A community health nurse found a very small number of families in the community who were desperately in need of basic preventive health services. Which of the following ethical approaches supports expending agency resources on these few, but needy, families?

A) Beneficence suggests focusing on the most needy, so resources should be expended on these families.
B) Deontological ethics suggest that the nurse must give priority to the intervention that would have the broadest impact.
C) Utilitarianism (the most good for the largest number) would suggest continuing to focus on broader community needs.
D) Virtue ethics would suggest focusing on these families to support the nurse's own character development.

Answer 1

Beneficence suggests focusing on the most needy, so resources should be expended on these families.

Question 2

A community health nurse wants to obtain an overview of the community, but has limited time and resources. Which of the following methods would the nurse most likely use to obtain this information?

A) Engage in a windshield survey
B) Establish a health department committee of community leaders willing to fill out periodic surveys related to various health issues in the community
C) Live in the community for several years
D) Review public health department records from up to 5 years ago

Answer 2

Engage in a windshield survey

Question 3

A community health nurse is trying to determine the success of a planned intervention. Which of the following would the community health nurse most likely examine?

A) Changes in funding made available to the agency to continue their efforts
B) An increase or decrease in the number of persons asking for assistance
C) Current problem data to compare with original baseline data
D) Feedback from community residents

Answer 3

Current problem data to compare with original baseline data

Question 4

Which of the following best describes how care can be appropriately given in a community?

A) Provide individualized care to unique individuals as much as resources allow.
B) Consider the community itself as the "client."
C) Administer care according to the priorities of the local health department.
D) Prioritize care for the sickest populations first.

Question 5

A nurse begins to collect information about a particular health problem from community residents. Which of the following potential problems would most likely arise?

A) Residents might become suspicious about why the nurse needs this information.
B) Residents might believe the nurse is becoming intrusive in their personal lives.
C) Residents might wonder why they are being asked about the problem when previous surveys may also have asked about the same problem.
D) Residents might begin to expect service to be given to address the problem.

Question 6

Which of the following best describes shoe leather epidemiology?

A) Implementing the wheel model of epidemiology
B) Engaging in extensive truth seeking like a detective in the community
C) Traveling throughout the community to absorb an overall impression of it
D) Facilitating sharing of the community's history by community leaders

Question 7

An individual lives in a healthy community. Which of the following characteristics would this community most likely display?

A) Ability to adapt and respond to changes
B) Lack of environmental pollution
C) Low unemployment rate
D) Ongoing growth in population

Question 8

All of the needed objective data on a specific health problem are available for the community health nurse. Which of the following best describes why the nurse would also interview community residents about the health problem?

A) To confirm the accuracy of the previously collected data
B) To emphasize to residents the importance of the health problem
C) To obtain the residents' personal insights and beliefs about the problem
D) To update the previously collected data

Question 9

A public health nurse wanted statistics on the disability, illness, and other health-related variables for the state. Which of the following would be the best resource for the nurse to obtain the most extensive data?

A) State health department records
B) State department of vital statistics
C) The Centers for Disease Control and Prevention
D) The National Center for Health Statistics

Question 10

Which of the following activities would be most helpful to a person in whom a serious chronic illness has been diagnosed?

A) Discuss it with a religious leader on a confidential, do-not-tell basis
B) Join a support group of others with the same illness
C) Share the diagnosis with coworkers and neighbors to gain sympathy and support
D) Tell extended family because many diseases have a genetic component

Question 11

Which of the following best describes how the U.S. Census Bureau surveys are helpful to a community health nurse?

A) They provide the distribution of age, sex, race, and ethnicity in the community.
B) They document the mortality and morbidity of the community.
C) They ensure that all community residents are involved.
D) They temporarily give employment opportunities to residents.

Question 12

Which of the following best describes what community members receive from each other?

A) Safe environment to live and work
B) Entertainment and recreational opportunities
C) Socialization and role fulfillment
D) Useful services such as physicians and medical centers

Question 13

Which of the following is a major factor in determining which people or groups are most likely to be helpful to a particular individual?

A) Anyone who has time to be available
B) Environmental proximity
C) Same employment responsibilities
D) Similar religious faith

Question 14

Which of the following best describes when a community health nurse would try to collect data on a health issue?

A) When available data exists
B) When data must be purchased from the agency that collects it
C) When there is no source of previously collected data
D) When the data previously collected is available to the public

Question 15

A community health nurse has completed a community assessment and is now writing a community diagnosis for the problem. Which component of the diagnosis will be used to summarize the assessment data of the problem?

A) Identification of the health risk
B) Evidence supporting the choice of priority
C) The aggregate that needs the intervention
D) The cause of the identified health problem

Question 16

Which of the following best describes how people typically respond when asked of what community are they a member?

A) Geographic community (neighborhood or city)
B) House of worship participants or members
C) Occupational or professional group
D) Those who are devoted to a particular craft or hobby

Question 17

Which of the following provides the most accurate way to explain community health nursing?

A) Being employed outside a medical center, such as in a physician's office
B) Focusing care on the community as a whole
C) Providing care within the community, rather than a hospital or extended-care facility
D) Working for a public health department

Question 18

A nurse is helping a community develop its capacity to address future problems. Which of the following activities is the nurse most likely implementing?

A) Addressing problems in priority order
B) Promoting collaboration and team building
C) Developing community competence
D) Providing education about health issues

Question 19

The nurse is interviewing community members as part of a community assessment. Which of the following groups of people would the community health nurse most likely want to interview?

A) Bankers who could share economic data on the community
B) Long-time residents who were informal leaders in the community
C) Pastors and other religious leaders who share the faith of the community
D) Realtors who could share housing and living conditions in the community

Question 20

A nurse was debating about which approach to use to both obtain data about community needs and encourage community participation in their resolution. Which of the following approaches would be most effective in meeting both goals?

A) A community forum, open to all interested residents of the community
B) A community survey mailed to all residents
C) Establishing focus groups with selected participants
D) Conducting in-depth interviews with select community residents

Question 21

Which of the following are considered the most important determinants of a healthy community? (Select all that apply.)

A) Child-friendly neighborhoods
B) Several different choices of houses of worship
C) Employment opportunities
D) Low crime rate
E) Safe food and water supplies
F) Varied housing choices

Question 22

Which of the following from vital statistics records is useful to community health nurses? (Select all that apply.)

A) Relatively early age of death may suggest a new pathogen in the community
B) Divorce rate, suggesting whether children will need additional services
C) Documentation of the mortality and morbidity of the local community
D) Indication of whether the total population is growing or declining
E) Records of occurrence of congenital malformations
F) Stability of marriages, making family structure become obvious

Question 23

Which of the following is a central function unique to community health nursing? (Select all that apply.)

A) Being willing to travel to give care in an appropriate setting
B) Collaborating and cooperating with other health care team members
C) Gathering appropriate comprehensive assessment data on the community
D) Incorporating epidemiological approaches throughout the nursing process
E) Keeping accurate and detailed medical records on care given
F) Being willing to contribute to health policy development

Question 24

Which of the following best describes the aspects central to the definition of community? (Select all that apply.)

A) Geographic boundaries at a point in time
B) Whatever is most convenient for the nurse
C) Patterns of disease found
D) Persons who share common goals and interests
E) Persons who band together to address a shared problem
F) The name the people have given themselves