Community Assessment
Which group is an example of a community of solution? A group
a. that lives within a specific geographic location.
b. concerned with reducing teenage suicides.
c. with the same ethnic background.
d. in which all members enjoy hiking.
concerned with reducing teenage suicides.
A community health nurse is using the Health Planning Model to improve a client's health. The nurse prepares for unexpected problems or complications in the client's care. This attention to unexpected problems takes place during which step?
A. Assessment
B. Planning
C. Intervention
D. Evaluation
Intervention
The community health nurse is working with a client who has recently been diagnosed with diabetes. The physician has prescribed a diet and recommended adding an exercise regimen. Assessment reveals the client has been smoking two packs of cigarettes per day for approximately 30 years. Which statement most accurately reflects the appropriate approach for establishing health education priorities for this client?
A. The nurse must assist the client to recognize that smoking cessation should be the highest priority.
B. The nurse and client must partner in establishing health education priorities for the client.
C. The client does not have his priorities in order and must be informed by the nurse as to the most important priority.
D. The nurse should not discuss smoking cessation because this is not the client's most important health issue.
The nurse and client must partner in establishing health education priorities for the client.
Which statement indicates that further teaching is needed for a patient involved in family planning?
A. "I can't get human papilloma virus (HPV) from my boyfriend because we’re not having intercourse."
B. "I need to use condoms to prevent transmission of sexually transmitted diseases."
C. "Even though I have no signs or symptoms, I still may have Chlamydia."
D. "I can give my unborn baby warts during childbirth."
"I can't get human papilloma virus (HPV) from my boyfriend because we’re not having intercourse."
A family of five people presented to a hospital after the flooding of their urban home. These family members are classified as
A. poverty victims.
B. displaced persons.
C. indirect victims.
D. mass casualties.
displaced persons
Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?
A. Census tracts
B. Vital statistics
C. National Health Survey data
D. Needs assessment
Vital statistics
Which 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
Socialization and role fulfillment
Smoking cessation programs often are provided to adults who meet in small groups. Educational sessions include both formal and informal activities. Sharing of experiences of the members of the group is sometimes encouraged. Which statement is most reflective of Knowles' assumptions about adult learners?
A. Members of the group may enjoy sharing sessions about the smoking cessation experiences of others, but such sessions are not health education.
B. Members may benefit from hearing about the smoking cessation experiences of others in the group, and sessions may provide health education.
C. Members will likely perceive sharing sessions about smoking cessation experiences as a waste of time and drop out of the group.
D. Members, unless trained in group dynamics, will not be able to fully benefit from sharing sessions about smoking cessation experiences
Members may benefit from hearing about the smoking cessation experiences of others in the group, and sessions may provide health education
A pathogen lives and multiplies in a __________ and transfers from one host to another by a __________.
A. host, susceptible portal of entry
B. reservoir, mode of transmission
C. infectious agent, portal of exit
D. mode of transmission, reservoir
reservoir, mode of transmission
Which agency has a mission to support citizens and first responders to ensure that as a nation everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from, and mitigate all?
A. American Red Cross (ARC)
B. National Institute for Health (NIH)
C. Federal Emergency Management Agency (FEMA)
D. Centers for Disease Control and Prevention (CDC)
Federal Emergency Management Agency (FEMA)
Which 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.
Consider the community itself as the “client.”
Before participating in health care planning, a community health nurse must understand the concept of
a. community as client.
b. family as client.
c. environment as client.
d. individual as client.
community as client
Learner assessment is an important aspect of health education. The assessment performed by the community health nurse includes questions about the client's age, family roles, social roles, and various responsibilities. Which is the most important reason for obtaining this information?
A. The nurse will need this information to plan the meetings with the client.
B. The information will help the nurse to understand the client's desired outcomes.
C. The client's developmental stage and roles have an impact on readiness to learn.
D. The information is necessary to understand how much time the client will have.
The client's developmental stage and roles have an impact on readiness to learn.
A daycare center asked the nurse to come because they had several children out as a result of chickenpox. Which statement should the nurse make to the staff?
A. “Chickenpox has low infectivity, so few children will get sick.”
B. “Chickenpox has low pathogenicity, so the children won’t be sick enough to stay home if the parents really need to go to work.”
C. “Chickenpox has low virulence, so the children will be back at the daycare center in a week or so.”
D. “Adults never catch chickenpox, so the staff are safe and may continue working.”
“Chickenpox has low virulence, so the children will be back at the daycare center in a week or so.”
What element of a community disaster plan investigates the citizen's reliance on telephone systems or cell phones during disasters?
A. Authority
B. Logistical
C. Rescue
D. Communication
Communication
Which activity 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.
Join a support group of others with the same illness.
ystems theory provides a framework that includes interventions that are possible at the three levels of prevention. The level of prevention that includes early diagnosis is
a. primary prevention.
b. secondary prevention.
c. tertiary prevention.
d. supralevel prevention.
secondary prevention
A community health nurse wants to obtain an overview of the community, but has limited time and resources. Which method 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
Engage in a windshield survey
Which best describes why clinical areas are so careful to ensure sanitization of surfaces and equipment between each patient?
A. To avoid direct patient-to-patient transmission of infection
B. To provide a clean environment for clients and staff
C. To decrease transmission by fomites
D. To decrease transmission by vectors
To decrease transmission by fomites
Which is the purpose of the staging area in a disaster plan?
A. A triage area outside the hospital, supplying first aid and transport to medical facilities
B. A stage for entertainment to cheer up disaster victims
C. To provide sheltered area for displaced victims to sleep, eat, and bathe
D. To act as command station for disaster responders to report to and get assignments
To act as command station for disaster responders to report to and get assignments
Which 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
Geographic community (neighborhood or city)
The rationale behind the Affordable Care Act was to
A. put individuals, families, and small business owners in control of their health care.
B. increase federal aid to states for hospital facilities.
C. improve the quality of care in rural areas and introduce systematic statewide health care planning.
D. force the implementation of health maintenance organizations.
put individuals, families, and small business owners in control of their health care.
A community health nurse is asked to review a draft of a brochure developed for distribution to clients. The nurse finds the brochure generally well designed but suggests replacing several words with simpler words that have fewer syllables and are more commonly used. What is the best explanation for the nurse's recommendation?
A. The nurse assumes the clients are uneducated because they have low income.
B. The nurse knows that English may not be the primary language of many clients.
C. The nurse is assuming that most of the client's will read at a third-grade level.
D. The nurse knows that more difficult words will pose a barrier to some clients.
The nurse knows that more difficult words will pose a barrier to some clients.
A community health clinic put a tax levy on the ballot. An angry man asks a nurse, “How can you ask me to pay taxes to buy immunizations for parents who do not want to pay for their kids to get their shots?” Which is the most appropriate response by the nurse?
A. “Don’t you think ethically we should help if we can?”
B. “For many of us, our faith says we have to treat our neighbor as ourselves.”
C. “Only by getting almost everyone immunized can we prevent epidemics that can hurt us all.”
D. “The law requires childhood immunizations, and, if parents can’t afford it, you and I will have to help pay.”
“Only by getting almost everyone immunized can we prevent epidemics that can hurt us all.”
Which describes a NA-TECH (natural technological) type of disaster?
A. A flood covering crops and recreational areas of a geographic area
B. A terrorism attack causing major interruption of communication technologies
C. A tornado resulting in flood and destruction of electrical systems for a community
D. A nuclear accident at a power plant causing evacuation of people in an urban community
A tornado resulting in flood and destruction of electrical systems for a community