Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 12, Planning and Developing Community
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following would be least appropriate source of information for the nurse to investigate when attempting to determine the importance of an issue for a community-based intervention? | |
| A) | Special interest groups | |
| B) | Client’s concern | |
| C) | State health department | |
| D) | Local community priorities | |
| Ans: | B | |
| Feedback: | ||
| A client’s concern may be the initial spark that leads the nurse to identify a need, but this would be most restrictive source of information and thus would be limited in scope. Therefore, when determining the feasibility of a community-based intervention, several methods can be used to determine the importance of the issue including federal agencies, special interest groups, state health departments, and local community priorities. These sources would provide information about whether or not a problem has affected a sufficient percent of the population to warrant intervention. | ||
| 2. | A community health nurse is attempting to identify a target group for a program using geographic information system (GIS). Which type of information would the nurse be able to obtain? | |
| A) | Family status | |
| B) | Past interventions used | |
| C) | Previous health problems | |
| D) | Areas needing more study | |
| Ans: | A | |
| Feedback: | ||
| GIS information includes information about race, age, and family status. Information about past interventions used or previous health problems can be obtained from talking with other nurses and health professionals. Areas needing more study can be obtained from the Guide to Community Preventive Services: Systematic Reviews and evidence-based recommendations, a federally sponsored initiative that provides recommendations about population-based interventions. | ||
| 3. | A community health nurse has just moved to your community. Which might be good ways for this community health nurse to identify group and community health problems? Select all that apply. | |
| A) | Interview health professionals in the agency and other agencies to determine the needs | |
| B) | Read about it in a national magazine | |
| C) | Refer to the geographic information system (GIS) data for the community | |
| D) | It is not necessary for the community health nurse to do so. It is best for the community health nurse to just pitch in and work to solve the problems of the community. | |
| Ans: | A, C | |
| Feedback: | ||
| Interviewing health professionals in the area about the problems, what should be done, and what has been tried in the past and their input on why past interventions failed. Referring to the geographic information system (GIS) data for the community can look at groups of people by race, age, and family status. Reading about it in a national magazine is too broad of an approach as factors that affect the nation may or may not reflect what is happening in your community. It is critical for the community health nurse to identify group and community health problems in order to effectively influence the health of the community. | ||
| 4. | Which of the following change strategies would be most effective in maximizing the cooperation of the target population? Select all that apply. | |
| A) | Use only one strategy that the nurse is most familiar with | |
| B) | Knowing that as a nurse, the nurse knows more about the health topic than their audience | |
| C) | Employ multiple strategies to promote health, prevent disease, and ensure a safe environment for populations | |
| D) | Learning about the target population’s beliefs regarding the health topic | |
| E) | Focusing on health promotion and not disease prevention | |
| Ans: | C, D | |
| Feedback: | ||
| Standard 5B of the Public Health Nursing: Scope and Standards of Practice calls on the public health nurse to “employ multiple strategies to promote health, prevent disease, and ensure a safe environment for populations.” It is not enough for the nurse to use only one strategy that the nurse is most familiar with. Interventions that fail to engage the target population by learning about the target population’s beliefs will be unsuccessful because clients hold just as strongly to their belief systems as the nurse does. It is important for the nurse to focus on health promotion and disease prevention and ensure a safe environment for populations. | ||
| 5. | A community health nurse has identified the target population and is determining an appropriate intervention. Which of the following would be most important for the nurse to do next? | |
| A) | Develop an intervention based on the nurse’s previous experiences | |
| B) | Review the literature for research on previously attempted interventions | |
| C) | Access the National Center for Health Statistics Web site for data | |
| D) | Learn about the target population’s beliefs and ideas | |
| Ans: | D | |
| Feedback: | ||
| Nurses may think that they know more about a topic, and therefore, their solutions are better than the target population’s solutions. However, if nurses don’t learn about the target population’s beliefs and only consider their own, they will not be able to work out a solution with the target population that is acceptable and appropriate for them. Thus, the interventions will most likely be unsuccessful. Although reviewing the literature for research would be helpful on identifying possible strategies, the nurse needs input from the target population. Accessing the NCHS Web site would provide information about whether a problem has affected a sufficient percent of the population to warrant intervention. It would not be helpful in determining an appropriate intervention. | ||
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