Question 1

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 B

Question 2

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. A

Question 3

A collection of individuals who have one or more personal or environmental characteristics in common is defined as what?

Accepted Answer

A)   Community
B)   Group
C)   Family
D)   Aggregate D

Question 4

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

Question 5

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 6

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 7

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

Question 8

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 9

A nurse is assessing the safety in the community using primary data. Which of the following data would be useful for the nurse to collect? (Select all that apply.)

Accepted Answer

A)   Number of billboards in the area
B)   Interviews with health care providers who are familiar with the community
C)   Observation of community members
D)   Nurse's own observations
E)   Morbidity and mortality rates

Question 10

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 participation
C)   Gatekeeping
D)   Focus groups

Question 11

A nurse focuses intervention strategies on the structural dimension of community health. Which of the following best describes the focus of these strategies?

Accepted Answer

A)   Health services
B)   Primary prevention
C)   Health promotion
D)   Secondary prevention

Question 12

A nurse has collected data about the services available in the community and is using the 7 "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?

Question 13

A nurse reads the local community newspaper to gather data about the community. Which method of data collection is being used?

Accepted Answer

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

Question 14

A nurse interviews the school nurses in a community to determine their roles in schools because this data is not available. Which of the following processes is the nurse using?

Accepted Answer

A)   Photovoice
B)   Spatial data
C)   Primary data
D)   Secondary data

Question 15

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

Question 16

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 17

A nurse collects data about seat belt usage by interviewing key informants and observing behaviors in the community. Which of the following types of data is being collected?

Accepted Answer

A)   Quantitative
B)   Qualitative
C)   Focus groups
D)   Participant observation

Question 18

What are the main characteristics of partnership?

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 19

A community health nurse is conducting informant interviews in a small community. Which of the following would the nurse most likely contact?

Accepted Answer

A)   The state department of health for death records
B)   A local priest for congregation information
C)   Surrounding communities for crime comparison
D)   The Centers for Disease Control and Prevention (CD
C)   for illnesses in the area

Question 20

Why must change for the community as a client often occur at several levels?

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.

Exam 17: Community As Client: Assessment and Analysis