Chapter 15 Care of Communities and Target Populations

Chapter 15   Care of Communities and Target Populations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) A student asks an instructor to explain population health management. What should the instructor respond to the student’s question?

1. Focuses on health promotion.
2. Is designed to improve overall population health status.
3. Is designed to identify particular health risk groups.
4. Identifies illness prevention strategies.

Answer:  2

Explanation:  2. Population health management involves health promotion and illness prevention strategies at the aggregate level designed to improve overall population health status. Population health focuses on more than health management. It identifies more than health risk groups. It also does more than identify illness prevention strategies.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  15-1

2) During a discussion about factors affecting the health of population groups the nurse discusses the shorter life spans of Native Americans as compared to the rest of the population. Which determinant is the nurse explaining?

1. Sociocultural determinant.
2. Behavioral determinant.
3. Biological determinant.
4. Health system determinant.

Answer:  3

Explanation:  3. Human biological determinants influencing a population’s health reflect specific physical attributes of its members. Native Americans have shorter expected life spans than the rest of the populations because of the higher incidence of some chronic diseases, alcoholism, and homicide. Considerations in assessing the sociocultural determinants include information about community government and leadership, language, income and education levels, employment levels and occupations, marital status and family composition, and religion. Behavioral determinants include consumption patterns, leisure pursuits, and other health-related behaviors. Health system determinants include existing services, level of performance of the services, and areas in which services are lacking.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  15-2

3) Twelve new cases of the measles have been diagnosed last week in a particular county. In that same county, 20 children are currently under treatment for the measles. What should the population nurse identify as being the incidence rate of the measles infection?

1. 8.
2. 12.
3. 20.
4. Unknown.

Answer:  2

Explanation:  2. Incidence rates indicate the number of new cases of the condition identified over a period. Prevalence rates indicate the total number of cases of a particular condition at any given time.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  15-2

4) After studying the community, the nurse reports widespread unemployment, lack of housing, and crowded living conditions as being major factors influencing community health. These factors are related to which determinant of health?

1. Environmental determinant.
2. Biological determinant.
3. Psychological determinant.
4. Behavioral determinant.

Answer:  3

Explanation:  3. The psychological environment influences the health of the population by increasing or mediating exposure to stress and affects the ability of the population to function effectively. Widespread unemployment, lack of housing, and crowded living conditions are sources of stress and will create a psychological environment that is not conducive to health. Physical environmental factors affecting a population include its location, its type and size, topographical features, and climate. Human biological determinants reflect specific physical attributes of its members. Behavioral factors influence the health status of a population and its members. Areas to be considered in this dimension include consumption patterns, leisure pursuits, and other health-related behaviors.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  15-2