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 14, Theoretical Basis of Community-Public
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The community health nurse integrates concepts of relationship-based care by which of the following? | |
| A) | Providing education about communicable diseases | |
| B) | Applying epidemiologic information to a community problem | |
| C) | Using research for assessing the community | |
| D) | Using listening skills to determine health care needs | |
| Ans: | D | |
| Feedback: | ||
| Relationship-based care incorporated the value of establishing and maintaining a reciprocal, caring relationship with the community that involves listening, participatory dialogue, and critical reflection. Providing education, applying epidemiologic information, and using research reflect population-based skills. | ||
| 2. | Which activity best reflects a community health nurse’s population focus? | |
| A) | Obtaining epidemiologic data about the community | |
| B) | Developing a program to prevent a future disease | |
| C) | Engaging in a caring relationship with groups | |
| D) | Advocating for increasing resources for a community | |
| Ans: | A | |
| Feedback: | ||
| Population focus implies that the nurse uses population-based skills such as epidemiology, research in community assessment, and community organizing as the basis for interventions. Community orientation is reflected when a community health nurse develops a program to prevent a future disease. Relationship-based practice is reflected by caring relationships, participatory dialogue, critical reflection, advocacy, community empowerment, and action. | ||
| 3. | Which of the following statements about community orientation is most accurate? | |
| A) | When an outbreak of hepatitis occurs, the public health nurse simply treats infections in individuals. | |
| B) | It is a process that is actively shaped by the unique experiences, knowledge, concerns, values, beliefs, and culture of a given community. | |
| C) | When providing education about sexually transmitted infections to a group of students at a Catholic university, the nurse should not consider the community values regarding sexual behavior. | |
| D) | When providing nutritional counseling to a group of Hispanic seniors, it is not necessary for the nurse to consider the meaning of food in this culture. | |
| Ans: | B | |
| Feedback: | ||
| Community orientation is a process that is actively shaped by the unique experiences, knowledge, concerns, values, beliefs, and culture of a given community. When providing education about sexually transmitted infections to a group of students at a Catholic university, the nurse must consider the community values regarding sexual behavior. When providing nutritional counseling to a group of Hispanic seniors, the nurse must consider the meaning of food in this culture. | ||
| 4. | A community health nurse encourages clients to participate in self-care by learning about their insulin, administering it appropriately, and knowing how to monitor their blood glucose. This nurse is practicing within which model or theory? | |
| A) | Nightingale | |
| B) | Neuman | |
| C) | Rogers | |
| D) | Orem | |
| Ans: | D | |
| Feedback: | ||
| Orem is the nursing theorist who proposed the model whereby nurses’ function to meet clients’ self-care needs until they are able to do so for themselves. Nightingale’s theory focuses on the environment and its effect on health and disease. Neuman’s model addresses individuals as open systems that constantly and reciprocally interact with their environments. Rogers’ model emphasizes that the whole is greater than the sum of its parts. | ||
| 5. | A community health nurse uses Roy’s model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which of the following? | |
| A) | A community’s coping mechanisms for use in adaptation | |
| B) | A community’s lines of resistance and defense to stresses | |
| C) | A community’s environmental conditions to improve negative conditions | |
| D) | A community’s collective ability for independence and self-care | |
| Ans: | A | |
| Feedback: | ||
| With Roy’s model, people are viewed as open and adaptive systems that experience stimuli, develop coping mechanisms, and produce responses that are adaptive or maladaptive. Thus the nurse would assess the community’s coping mechanisms. Neuman’s model would require assessment of lines of resistance and defense to stresses by her model. Nightingale’s theory would require assessment of environmental conditions. Orem’s model would require assessment of the community’s ability for self-care. | ||
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