Chapter 09: WORKING WITH COMMUNITY

Chapter 09: WORKING WITH COMMUNITY

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. For the community health nurse (CHN) who is involving the community–client as partner, during which phase does data collection take place to determine the community’s health and structure?

ANS:  A

The community health assessment phase involves a logical, systematic approach to the initial phase of the community health nursing process. Community health assessment helps to 1) identify community strengths, resources, assets, capacities, and opportunities; 2) clarify health concerns; 3) identify community constraints; 4) identify the economic, political, and social factors affecting the community; and 5) identify the determinants of health affecting community health.

DIF:    Cognitive Level: Application           REF:   p. 266             OBJ:   4

TOP:   CRNE Competency: Health and Wellness

2. During which phase would the CHN determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?

ANS:  D

The measurement of outcomes is part of the evaluation process.

DIF:    Cognitive Level: Analysis                REF:   p. 279             OBJ:   4

TOP:   CRNE Competency: Health and Wellness

3. Which of the following objectives is most appropriate for developing a community health nursing process?

ANS:  B

Objectives must be precise, measurable, and stated in terms of behaviour. Receiving abortion therapy involves treatment in an acute care setting and would not be part of a community health nursing process. The immunization option does not precisely state which children (in a district? countrywide?) and which immunizations (since some immunizations are not appropriate to give to children who are only 1 year old.) Stating that there will be a 25% reduction in health disparities by the year 2015 is a goal, not an objective.

DIF:    Cognitive Level: Analysis                REF:   p. 279             OBJ:   4

TOP:   CRNE Competency: Health and Wellness

4. Which measure of community health will the CHN who wishes to assess the status of a community’s health examine?

ANS:  D

Vital statistics (live births, neonatal deaths, infant deaths, maternal deaths) are measures of community health status. Health care manpower (e.g., CHNs, physicians) and health facilities (e.g., hospitals, clinics) are measures of community health structure. Community awareness is a measure of process.

DIF:    Cognitive Level: Comprehension     REF:   p. 261, Table 9-2

OBJ:    4          TOP:    CRNE Competency: Health and Wellness