Chapter 12: Community Assessment and Evaluation

Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster

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Chapter 12: Community Assessment and Evaluation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which is the best brief definition of community?
a. A geographic area or political division under common leadership
b. A group sharing a common bond such as a profession or occupation
c. A group working together to confront a common problem
d. A social group with common goals within a geographic area

 

 

ANS:   D

According to WHO, “A community is a social group determined by geographic boundaries and/or common values and interests. Its members know and interact with one another. It functions within a particular social structure and exhibits and creates norms, values and social institutions.” The correct answer includes aspects of people, place, and function or aims.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 218

 

  1. Which nurse is practicing in the community but also has the community as the target of practice?
a. The nurse who gave care to an active caseload of 50 families in the neighborhood
b. The nurse who invited all the parents of asthmatic children in the school to meet together for mutual support
c. The nurse who shared assessment findings and health goals with every community group that would listen
d. The nurse who wrote articles for the local newspaper highlighting the various programs and services of the local health department

 

 

ANS:   C

Although it is not possible to know the nurse’s goals from the nurse’s behavior, giving care to select groups does not represent the whole community. Publicizing services increases knowledge but doesn’t necessarily help eligible clients access care. Meeting with all interested community groups is the only way to keep the focus on the community rather than on individuals.

 

DIF:    Cognitive Level: Application             REF:    p. 220

 

  1. Persons often point out that smokers choose to light their cigarettes, alcoholics lift the glass to their mouth, and drug addicts inject or ingest their drugs. Why, then, don’t nurses simply focus on helping persons who engage in poor health behaviors to behave appropriately?
a. Addicts don’t have the willpower to change their behavior.
b. It is too rewarding to continue the behavior for a person to be able to change.
c. Laws and policies must reward good healthy behaviors and punish unhealthy behaviors to help individuals recognize the importance of change.
d. Society must offer healthy choices, offer support, and practice helpful policies.

 

 

ANS:   D

Change for the benefit of the community client often must occur at several levels, ranging from the individual to society as a whole. Lifestyle-induced health problems cannot be solved simply by asking or encouraging individuals to choose health-promoting habits. Society also must provide healthy choices. Most individuals cannot change their habits alone; they require the support of family members, friends, community health care systems, and relevant social policies.

 

DIF:    Cognitive Level: Application             REF:    p. 220

 

  1. What will the nurse who wishes to assess the status of a community’s health examine?
a. Community awareness
b. Health facilities
c. Health care manpower
d. Vital statistics

 

 

ANS:   D

The status of community health involving physical indicators is often measured by traditional morbidity and mortality rates, life-expectancy indices, and risk-factor profiles. Vital statistics are measures of community health status. Health care manpower (e.g., nurses, physicians) and health facilities (e.g., hospitals, clinics) are measures of community health structure. Community awareness is a measure of the process.

 

DIF:    Cognitive Level: Knowledge             REF:    pp. 220 and 222 (Table 12-2)

 

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