Question 1

A nurse has collected data about the services available in the community and is using the seven "A"s to evaluate these services.Which of the following questions will the nurse most likely ask?

Accepted Answer

A)   Can the community members allocate resources to support the service?
B)   Can the community members afford the service?
C)   Will the community members allow strategies to be implemented to improve the service?
D)   Will the community members approve of the services provided? B

Question 2

What is the purpose of writing a community nursing diagnosis?

Accepted Answer

A)   To assist with developing the evaluation measures for program planning
B)   To clearly describe the strengths and weaknesses of the community
C)   To lead to the outcomes and strategies to address and improve the identified health problem
D)   To increase the likelihood that the problem will be solved C

Question 3

A nurse is investigating the structure of the community.Which of the following indicators would the nurse most likely collect data about?

Accepted Answer

A)   Infant mortality rate
B)   Effective communication
C)   Crime rate
D)   Emergency room utilization D

Question 4

A community has residents who provide information to the city council so that decisions can be made about the health of the community.Which of the following characteristics is being displayed?

Accepted Answer

A)   Active partnerships
B)   Passive partnerships
C)   Gatekeeping
D)   Focus groups

Question 5

What are the critical attributes in the definition of community?

Accepted Answer

A)   Families, groups, and health organizations
B)   Health needs, geographical boundaries, and target population
C)   People, place, and functions
D)   Populations and health resources

Question 6

A nurse centers his practice around the principle of doing the greatest good for the greatest number.Which of the following ethical principles is being applied?

Accepted Answer

A)   Distributive justice
B)   Utilitarianism
C)   Social justice
D)   Health disparities

Question 7

A leader of a support group introduces a nurse to its members and discusses the professional relationship he has with the nurse for the past several years.Which of the functions is the leader performing?

Accepted Answer

A)   Gatekeeper
B)   Insider
C)   Community health workers
D)   Advocate

Question 8

A nurse plans on implementing a community-wide influenza immunization program.Which of the following factors should the nurse consider when implementing this program?

Accepted Answer

A)   The number of community members who have already received the immunization
B)   The existence of formal groups in the community
C)   Public policy that mandates influenza immunization for certain populations
D)   The community's readiness to participate in the program

Question 9

A nurse analyzes data from minutes at a community meeting when completing a community assessment.Which of the following methods of data collection is being used?

Accepted Answer

A)   Secondary data
B)   Informant interviews
C)   Primary data
D)   Windshield survey

Question 10

A nurse is writing a nursing diagnosis at the community level using the North American Nursing Diagnosis Association (NANDA)system as a guide.Which of the following diagnoses would most likely be developed?

Accepted Answer

A)   Risk of hypertension related to poor diet and sedentary lifestyle
B)   Risk of obesity among school-age children related to lack of opportunities to engage in physical activity
C)   Risk of ineffective health maintenance among individuals who do not have access to a primary care provider
D)   Ineffective coping related to multiple stressors, as evidenced by client crying and stating she has no support system

Question 11

A nurse has identified the boundaries of the community.Which of the following steps should the nurse take next when completing a community assessment?

Accepted Answer

A)   Gather relevant existing data and generating missing data
B)   Plan interventions that benefit the entire community
C)   Formulate nursing diagnoses
D)   Evaluate the interventions that were used

Question 12

A nurse is using health status indicators to complete a community assessment.Which of the following best explains what the nurse is doing?

Accepted Answer

A)   Interviewing key informants in the community
B)   Examining morbidity and mortality rates in the community
C)   Surveying local businesses in the community
D)   Observing community members

Question 13

A nurse is trying to develop community partnerships.Which of the following interventions would be the most appropriate for the nurse to use?

Accepted Answer

A)   Involve the community residents
B)   Use nurses as the source of information and leadership
C)   Rely on the power of local officials
D)   Include a variety of disciplines

Question 14

A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community's beliefs regarding childhood immunizations.Which of the following is being demonstrated?

Accepted Answer

A)   Informant interview
B)   Participant observation
C)   Active participation
D)   Windshield survey

Question 15

A nurse lives in a community that demonstrates commitment.Which of the following would most likely be supported within this community?

Accepted Answer

A)   Creation of a community club by the city council to facilitate community involvement
B)   Collaboration among area restaurant owners to develop healthier menus
C)   Collaboration with the health department to build a new recreation center
D)   Development of a cooperative agreement with a neighboring city to share needed services

Question 16

A nurse is trying to increase participation in a free colorectal screening program for middle-aged adults who lack health insurance.Which of the following implementation mechanism would be most effective?

Accepted Answer

A)   Small interacting groups
B)   Health policy
C)   Lay advisors
D)   Mass media

Question 17

A nurse is caring for the community as the client.Which of the following is most likely the focus of the nurse's care?

Accepted Answer

A)   Providing care for aggregates living in the community
B)   The collective good of the population
C)   The provision of care for families in the home setting
D)   Providing health education in the community

Question 18

Change for the community as a client must often occur at several levels because:

Accepted Answer

A)   health problems caused by lifestyle are multidimensional.
B)   most individuals can change their habits alone.
C)   aggregates are responsible for social change.
D)   geographic areas often have health risks that the nurse must identify.

Question 19

The main characteristics of partnership are:

Accepted Answer

A)   awareness, flexibility, and distribution of power.
B)   rights, responsibilities, and consensus.
C)   commitment, participation, and articulation.
D)   collaboration, advocacy, and utility.

Question 20

A nurse gathers information about the condition of homes,size of lots,neighborhood hangouts,road conditions,and modes of transportation.Which method of data collection is being used?

Accepted Answer

A)   Participant observation
B)   Windshield survey
C)   Focus group
D)   Informant interviews

Exam 18: Community as Client: Assessment and Analysis