Foundations of Nursing in the Community 4e by Marcia Stanhope
Foundations of Nursing in the Community 4e by Marcia Stanhope
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Chapter 12: Community Assessment and Evaluation
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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: Remember (Knowledge) REF: p. 211
| a. | Providing care to an active caseload of 50 families in the neighborhood |
| b. | Inviting all the parents of asthmatic children in the school to meet together for mutual support |
| c. | Sharing assessment findings and health goals with every community group that will listen |
| d. | Writing 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: Apply (Application) REF: p. 213
| 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: Apply (Application) REF: pp. 213-214
| a. | Assessing the health care services available in a community |
| b. | Establishing screening programs to diagnosis diseases as early as possible so treatment can begin |
| c. | Implementing health promotion activities such as education programs |
| d. | Planning for new programs to be developed based on identified needs |
ANS: C
When the emphasis is on the process dimension—usually the level of intervention of the nurse in community health—the best strategy is usually health promotion, such as various primary prevention strategies.
DIF: Cognitive Level: Apply (Application) REF: p. 215
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